Wednesday, May 20, 2020

The Problem Of Air Pollution - 1708 Words

Arizona is on the rise as one of the fastest metropolitan areas in the United States of America. In fact, in 2015 Forbes Magazine ranks Phoenix, Arizona as the 11th fastest growing city in the U.S.1 This growth is due the unprecedented resources and growing opportunities in the state of Arizona. With all of these opportunities come more production, which means more emissions from various industries and cars, more fossil fuels burned, and household and farming chemicals added to the sky. All of these are examples of pollution; which is one the sacrifices that comes with being a large city that is emerging. Pollution is defined as the action or process of making land, water, air, etc., dirty and not safe or suitable to use.2 We understand that Phoenix is a rapidly growing city, but they should be able to grow without being a detriment to the environment and health of their citizens. The purpose of my report is to examine the problem of air pollution in Phoenix, Arizona and look at sol utions to fix this problem. Air pollution can harm plants, lakes, and animals. In addition to damaging the natural environment, air pollution also can damage buildings, monuments, and statues. Not only does it reduce your visibility but it also interferes with aviation. In 1970, Congress created the Environmental Protection Agency (EPA) and passed the Clean Air Act, giving the federal government authority to clean up air pollution in this country.3 Ever since then, the EPA, states, tribes,Show MoreRelatedThe Problem Of Air Pollution1142 Words   |  5 Pagesbelieved that the problem of air pollution began with the industrial revolution (circa 1750 -1850) which brought with it the increased burning of coal that fueled the engines upon which the wheels of the industrial revolution were being propelled. Air pollution issues have dominated international discourse in the last couple of decades as a result of its adverse effects on the climate system. But most important is the damaging effects that some of these pol lutants in the ambient air have in the humanRead MoreThe Problem Of Air Pollution1942 Words   |  8 Pagesmeans that the problem is not in the cars number only. (KazakhstanToday, n.d). Moreover, some of the Kazakhstani experts claim that air pollution in Almaty will soon achieve the critical point (Kapital, 2015). The problem is that both the government and citizens understand the current problem, but there is still no change. Air pollution causes environmental changes, increasing in average temperature and also a lot of illnesses and diseases such as allergies and lungs problems. The problem has to be solvedRead MoreProblems Caused by Air Pollution1082 Words   |  5 PagesProblems Caused By Air Pollution Some people think that air pollution is not harming the earth or the people, but it is doing worse, by killing the earth and getting people sick. Air pollutants, according to Gay, are known to cause respiratory diseases, cancer, and other serious illnesses (12). Air pollution not only threatens the health and life of humans but also causes damage to the environment (Gay 13). First, air pollution causes a great deal of health problems. Wanting clean air isRead MoreAir Pollution As A Growing Problem1530 Words   |  7 PagesSince last century, air pollution has become one of the most popular topics related to people’s healthy life. After the Second World War, the consumption of fossil energy increase sharply due to the rapid development of industry and transportation, however, there almost no relevant environmental regulations to control the negative effects caused by industrial emissions. Therefore, air pollution became a growing problem. This paper will compare the conditions of air pollution between Los Angeles andRead MoreThe Environmental Problem Of Air Pollution897 Words   |  4 PagesAir pollution has become a very costly environmental problem in terms of both human lives and in terms of billions of dollars lost for health-care expenditure and crop damage. In this essay, I shall identify the main air pollutants in my community, having contacted the local pollution control authorities. I will compare my own community with others and discuss my findings. Finally, I shall discuss two of my own skills or interests which could be applied, if I had the time and resources, to helpRead MoreAir Pollution Is A Serious Problem1507 Words   |  7 PagesAir pollution is a serious problem in our society that damages many things such as crops, trees, plants, and natural resources. Air pollution can be indoor or outdoors, when people smoke or vehicles exhaust pollutes the air. It is an additional harmful substance that damages environment, human health, and quality of life. The state of Minnesota has taken this into consideration and decided to protect its residence and visitor’s well-being and health. As stated in the Minnesota Department of HealthRead MoreAir Pollution Is A Serious Problem1571 Words   |  7 PagesAir pollution is a very serious problem throughout the world. Exposure to air pollution is easy and it can affect your health. Air pollution is the introduction of particulates, biological molecules, or other harmful materials into Earth’s atmosphere, causing diseases, death to humans, and damage to other living organisms such as animals and food crops, or the natural or built environment (Air Pollution, 2016, June 27). This definition proves that exposure to air pollution can harm the main thingsRead More Problems Caused By Air Pollution Essay1061 Words   |  5 Pages Problems Caused By Air Pollution nbsp;nbsp;nbsp;nbsp;nbsp;Some people think that air pollution is not harming the earth or the people, but it is doing worse, by killing the earth and getting people sick. quot;Air pollutants,quot; according to Gay, quot;are known to cause respiratory diseases, cancer, and other serious illnessesquot; (12). Air pollution not only threatens the health and life of humans but also causes damage to the environment (Gay 13). nbsp;nbsp;nbsp;nbsp;nbsp;FirstRead MoreEnvironmental Problems: Air Pollution Essay2135 Words   |  9 PagesIntroduction: Air pollution is among the critical challenges facing modern societies and is one of the most pressing environing mental problems. Air pollution is accountable for major harmful effects on human strength, animal survives, natural ecosystems and the man-made environment. It is also responsible for climate change due to the improved greenhouse effect, acid rain, and the reduction of the ozone layer that inaugurate important global environmental problems. Air pollution occurs both outdoorsRead MoreAir Pollution Is A Costly Environmental Problem878 Words   |  4 PagesAir pollution has become very costly environmental problem in terms of both human lives and in terms of billions of dollars lost for health-care expenditure and crop damage. Contact the pollution control authorities in your community for the levels or air pollutants. Identify main air pollutants and the possible causes of air pollution. How does your community compare to others? Discuss your findings. The main two air pollutants in air above SanDiego, CA seems to be comprised of Ozone (O3) and

Wednesday, May 6, 2020

Pros And Cons Of Drug Legalization - 1914 Words

Pros and Cons of Drug Legalization With the onslaught of states slowly legalizing the commercialization and use of marijuana after the passing of sanctioning initiatives led by Colorado and Washington in 2012, societal attitudes have begun to support this movement in the decriminalization of marijuana for personal use. Based on the 2014 midterms, momentum for this change has been shown in different parts of the U.S., with states such as Oregon, Alaska, and Washington D.C. joining this cause. It is safe to assume that several other states will soon follow suit, with ballot initiatives set for 2016 in states such as: Massachusetts, California, Missouri, Hawaii, Maine, Nevada, and Arizona (Becker, 2014). However, the long standing debate still stands, is this change for the better? In a world with less restrictions on illegal drugs such as marijuana, would the pros outweigh the cons? Although the answer may not be clear cut, considering the arguments made by both the supporting side and the opposing side of marijuana leg alization for public consumption will help us create an opinion on what values should be taken priority on when it comes to the consequences related to advocating this movement. Based on the arguments made from the perspective of a supporter in marijuana legalization, complete legalization would bring an end to illicit dealings on the streets, as there would be no reason for consumers to interact with shady sellers when it’s already offered commercially.Show MoreRelatedPros and Cons of Drug Legalization Essay1476 Words   |  6 PagesThe Pros and Cons of Drug Legalization Should drugs be legalized ? Drugs are resources that are capable of affecting theAmerican economy in many ways--both positively and negatively. Drugs often have a bad name even though they help us everyday in medical cases. and the drugs with the worst reputations are not the most abused drugs One may benefit from the legalization of drugs in many ways, while others would suffer greatly. Almost every person in the United States has their ownRead MorePosition Paper-Khadijah Shabazz1222 Words   |  5 PagesUniversity 9/20/2015 The legalization of drugs is one of the most controversial and debated topics of the 21st century. There are both negative and positive reasons to legalize them as well as negative and positive reasons to keep them prohibited. According to LEAP, Law Enforcement Against Prohibition, drug prohibition is the true cause of much of the social and personal damage that has historically been attributed to drug use. It is prohibition that makes these drugs so valuable – while givingRead MoreMarijuana: For Better or For Worse?1740 Words   |  7 PagesMarijuana is a harmful drug and should not be legalized. Marijuana is the most commonly used illicit drug used in the United States. It is a plant that grows from the ground however, it contains many harmful toxins. There are many pros and cons for the legalization of marijuana although there are more cons than there are pros; one being that children are the ones who abuse marijuana the most. Surprisingly, against other beliefs, marijuana smoking actually does impair the user’s ability to drive aRead MoreLegalizing Marijuana For Recreational Use1362 Words   |  6 Pagesuse an ounce of this drug. According to the drugabuse.gov website, the drug mariju ana is defined as a greenish-gray mixture of the dried, shredded leaves and flowers of Cannabis sativa—the hemp plant. After two years of legalizing marijuana, Colorado has had various perks that range from medical, economic, and social. Other states like Ohio and Mississippi are also considering legalizing marijuana after looking at most of the benefits Colorado is having after legalizing the drug. According to the websiteRead MoreEssay about Should Marijuana be Legalized?968 Words   |  4 Pagesmarijuana. There are valid pros and cons on each side of the debate to legalize recreational use of marijuana. Supporters state this could provide a revenue boost in new taxes for the sales and distribution. For example, in Colorado analysts believe the taxes on the drug could raise an additional 5 to 22 million dollars annually (drugrehab.us, 2013). The legalization of marijuana would not only provide a revenue boost but would also take away profit from the illegal drug trade. For instance, let’sRead MoreShould Marijuana Be Legalized? Essay1372 Words   |  6 PagesLegalization of Weed Growing up, everyone is told that, â€Å"Drugs are bad for you,† time and time again. Now as a kid you don’t really understand the reasoning behind it, but you listen to your authority figure regardless. I remember being told this my entire life and even to this very day. But as I got older I realized that people would still use drugs even though it’s illegal. I could never understand why someone would go against the law and jeopardize their life just to use drugs? The drug thatRead MoreMarijuana: Drug or Cure? Essay1191 Words   |  5 Pagesover the legalization of Marijuana. As of 1970 with the passing of The Controlled Substances Act the Federal Government officially classified marijuana as a schedule 1 drug with no real accepted medicinal use at the time (History of Marijuana). As the capabilities of science have progressed over time more and more scientific challenges have bombarded this decision so that more tangible research can be garnered from th is plant. The earliest known mention of marijuana as a recreational drug came fromRead MoreEssay Astonishing Statistics of Marijuana Use in Minors1539 Words   |  7 Pagesmarijuana has been a drug with increasing popularity especially throughout the past couple of years due to the legalization in some states. In November of 2012 history was made when Washington and Colorado both legalized marijuana for recreational use. Although marijuana is considered to be a Schedule 1 drug, which means it has a high potential for drug abuse and addictive properties, it is still considered by many that it is not harmful and is in fact the #1 most used illegal drug in the United StatesRead MoreThe Pros And Cons Of Marijuana Legalization1226 Words   |  5 Pageslife-ruining drug. Children learn that marijuana is a â€Å"gateway† drug and that it only does harm. Though it can be quite addictive, Marijuana is safer than commonly used drugs like Tobacco and could possibly be more helpful medically than many of the prescription drugs currently available. The legalization of Marijuana would have an extremely advantageous effect on the economy, healthcare, and focus of police on more violent criminal activity of the United States. Though Marijuana’s pros outweighRead MoreRaising Productivity Is Important for Unlocking the Economic Potential of a Country.1086 Words   |  5 PagesUnderground activities – Instead of setting up a task force to diminish drug cartels or a gang of mobsters, the country could instead limit the ways these ‘businesses’ gets the dough. An example would be to decriminalize and charge taxation for Marijuana, as there are evidences* whereby legalization does not increase amount of drug use and also to generate large revenues. * http://www.ibtimes.com/pros-cons-drug-legalization-us-246712# * Requiring the unemployed to volunteer – This might not

Understanding Stakeholder and Stakeholder Relationship Management

Questions : Relationship management is one of the highest level managerial functions. Use an example to illustrate poor relationship management and the outcome that resulted from it. Outline the four step approach to stakeholder relationship management recommended in your textbook. 1.Define the general external environment of your example, identifying stakeholders within it. 2. Define the specific external environment of your example, identifying stakeholders within it. 3. Discuss how the multi-advocacy approach to stakeholder relationship management would assist managers in decision making which is sensitive to managing stakeholder relationships. Answers : Introduction Stakeholder: A person, organization, group of companies or person who can claim on any companys output, attention or resources, who has affected by the companys output. This person or company has a stake in that company, something at risk and something to gain or loss due to results of market or corporate activity. Stakeholder Relationship management Stakeholder relationship management is a special skill or key skill to manage relation among stakeholders in company or MNC. With this skill companies resolve the problems in organizations. By using the influences of organizations, stakeholders hold the key to the global environment in which company works and operates performances of organization. Thus the effective stakeholder relationship management is growing a keen focus of organizational work. Aim of stakeholder relations management is to influence stakeholder decisions, attitudes and action for mutual gain. These stakeholders need to get benefit from stakeholder relationship or they may not be motivated to cooperate (Savage Grant, 1991) Mapping and Identify internal and external stakeholders The start of stakeholder engagement procedure is stakeholder mapping. The stakeholder mapping identifies the goal of groups and they pulls together as much as information about the stakeholders. Stakeholders are by defining people who have a stake in a condition. Stakeholders can be defined in terms of an organization, those who are may be external (competitors, customers and suppliers) or they may be internal such as management of organization and employees of the organization (Savage Grant, 1991). However, in public health field the development projects and programs many be done well in interdisciplinary way. For Example: A local Health and well being process of development projects and programs may be done by internal or external stakeholders. Internal stakeholders who take participate in resourcing, co-ordination, funding and publication of the strategy from a local health, the local authority, local Primary Care Trust and well-being partnership; And External stakeholders are those who engaged in contributing their experiences and their views in addressing the issue that is important to them as service users, patients and members of that local community (Henriques, Irene Perry, 1999). Identify the right person Some questions are designed to reveal the stakes and to identify the right person to involve in particular situation. 1. Who is affected or will be affected, negatively and positively by what you are proposing to do? 2. Who runs the company with interest? 3. Who holds the official position in company relevant to what you are doing? 4. Who were involve in past in similar situation? 5. Which name come up when you discuss the subject pr project? List of External and Internal Stakeholders There is a list of external and internal stakeholders based on Public Health Department in Primary Care Trust: The company can use the stakeholders main viewpoints to get success and to shape the projects of company at early stage. Stakeholders help to improve the quality of projects. Gaining helps and supports from main stakeholders can help to win more and more resources. By managing relationship with stakeholders, the company can ensure that the stakeholders know what the company is doing for them and they understand overall benefits of project. In this case the relationship between stakeholders and company will be stronger and they will help at any stage and they will trust on the organization (Henriques, Irene Perry, 1999). While the economy and the worldwide environment regularly assume parts in compelling to roll out improvements inside the organization, the results can be certain. Constrained changes bear the cost of chances that company may have neglected previously. They can prompt expanded execution, higher representative confidence, and, at last, more prominent benefits for stakeholders and business of the company. The way you react to the changing worldwide economy affects your possibility of survival and achievement in that environment (Henriques, Irene Perry, 1999). It gets to be exceptionally clear then that comprehension these progress, rapidly identifying with them, and essentially dealing with a worldwide business are not assignments you can lead remotely out of Silicon Valley or some other single area on the planet. Obviously, a business now must be interconnected in ways that didn't make a difference as much beforegathering nitty gritty data about the client base, then processing and articulating this information, lastly giving administrations and items that address the needs of the neighborhood environment. What are the different external forces affecting to the stakeholders? Social Forces: The subject of moral codes and CSR takes shape numerous social difficulties. At the one amazing are the individuals who, in the same way as Milton Friedman (1970/2001), supporter the managing rules of shareholder quality amplification as the sole determinant of managerial choices. At the other great are the individuals who clarify a selfless magnanimity focused around philosophical convictions concerning general morals, for example, those identified with human rights. Inside this scope of viewpoints, numerous creators offer different typologies for investigating social strengths and for creating proper firm reactions to each one set of social powers. Then, the ascent of dissident gatherings who undermine open feedback and blacklists implies that even Friedman's announcement of amplifying shareholder esteem now obliges an extensive variety of CSR procedures (Rowley Timothy ,1997). A few investigators, for example, Porter and Kramer (2006), accept that each one firm ought to make a game changer through proper CSR systems. From this viewpoint, CSR changes into political techniques through which a company's responses can be planned so as to accomplish alluring government choices. For multinational undertakings (MNEs), it is clear that CSR has turned into a subject of significant imperativeness, however the multifaceted nature of managing social compels that vary among countries has made vulnerabilities about the ideal methods. The quest for slightest expense options in every nation clashes with the destination of making all inclusive reliable methodologies (Wackernagel, Mathis, et al, 2002). Then, global NGOs and national governments are arranging CSR understandings to make worldwide benchmarks. For the MNE, corporate administration with division of obligations between the guardian and its backups adds perplexity to the execution of worldwide techniques and adds troubles to the making of fitting methods for worldwide reporting and requirement. CSR has turned into a focal administration issue in our current reality where open desires, lawful necessities, and social needs all vary altogether among countries and where the MNE should persistently accommodate its general moral positions with country particular substances (Hill, Charles Arun, 2007). A real constrain basic the CSR challenges in worldwide business is the distinction in society among nations. The effects of social contrasts stretch out past CSR to incorporate the business conduct of neighborhood administration and representatives and in addition the inclination of customers. For the MNE, there are preferences in making an all-around steady set of authoritative structures and motivating forces and a bound together showcasing system. Yet there may be numerous occurrences where special cases adapted to the nearby society may be best. Endless articles have used the typology made by Hofstede and Bond (1988) to investigate the ramifications of cross-country social contrasts for administration choices. On the premise of broad reviews, Hofstede and Bond presume that each nation's society can be best analyzed as per five measurements: independence/socialism, vulnerability shirking, force separation, manliness/womanliness, and long haul versus fleeting introduction. Not just do social contrasts sway CSR, they additionally affect buyer inclination and advertising, and structures inside firms and commercial enterprises. Case in point, societies contrast as to the weight they put on traits, for example, quality, protection, administration dependability, the presentation of leap forward administrations, and the method for buyer correspondence with the firm. The retail MNE specifically must make a universal development procedure on a nation by-nation premise, concentrating on contrasts in shopper inclination and the requirement for business sector division (Rowley Timothy, 1997). For some societies, individual connections are based on a progressing trade of favors. Individual connections and trust structure a focal determinant of achievement, both inside the firm and in its outside cooperation. In China, the pervasive essentialness of guanxi shows the profits that MNEs get from creating progressing and long haul trades of supports that connection people, and additionally the associations in which they work. Government approbations can be assisted, and casual inclination can put a MNE in front of its rivals. Moreover, without a custom of business statute, fast contract implementation may get to be unimaginable with the result that one must depend on individual connections to adapt to misinterpretations and errors. Persistent changes in the earth of business may oblige progressing renegotiation of agreement a process that may be best in the setting of longstanding individual connections and trust. The writing on joint wanders and vital collusions more than once accentuates the need to make methods for choice making that are helpful for the building of trust among firms. These behavioral attributes may be more noteworthy in anticipating the level of accomplishment than any structural or hierarchical gimmicks among firms. Yet the trading of individual favors may bring up issues identified with morals (Rowley Timothy, 1997). Individual connections that include a continuous trade of favors may be censured as unimportant defilement that can overrun different kinds of business exchanges, both in the middle of firms furthermore with government workers. While some of this gift can essentially facilitate choices and activities, different circumstances may include a mutilation of business conclusions. Then, government authorities in positions to adjust the association's general productivity may get considerable installments. Subsidizes that legitimately have a place with general society may be occupied into private hands. Firms that would have paid charges to the legislature may have the capacity to lessen their monetary commitments. Debasement twists free market results, bringing about business and government choices that lessen proficiency thus decrease a country's total creation. A few speculators may dismiss potential business dealings in specific societies in light of the vicinity of debasement (Henriques, Irene Perry, 1999). Technological Forces Among social contrasts, the part of individual connections and trust is a key determinant of the nature and degree of social capital, connecting these social contrasts to their suggestions for business. While physical capital clearly contrasts among nations, the more vaporous social capital additionally varies among societies. Social capital has critical ramifications for managerial choice making, especially in connection to advancement and business enterprise. Systems focused around individual connections and ethnic trust can encourage business exchanges and danger taking. Social capital affects the level of agreeable conduct that the firm can anticipate from its representatives, and also its clients, government offices, and different stakeholders. Thus, it impacts the company's capacity to create new manifestations of worth creation. Social capital can assume a key part in business section choices and in the making of new items, administrations, or techniques. Firms vary in their c apacity to use social capital inside each one society, so the improvement of an association's capacity in this respect may prompt an upper hand for the firm (Savage Grant, 1991). Numerous creators utilize the social capital viewpoint to dissect contrasts among nations concerning monetary development and the gainfulness enhancements that drive development. For the World Bank, this subject has been the center of extensive researcha lot of it connecting social capital with human capital. Societies contrast as to the extent to which they empower and prize danger taking and advancement. These distinctions affect a nation's legitimate, monetary, financial, and training frameworks. For the MNE, an understanding of these social contrasts is key in arriving at ideal venture choices and business hones (Savage Grant, 1991). Until late decades, advancements were for the most part made as reactions to particular difficulties inside specific circumstances. The printing press, for instance, came about because of a craving to enhance the prolonged procedure of composing by hand. The steam motor came about because of a craving to expand proficiency in the expulsion of water from mines and to attain to a more fast pace than that of steeds. Regularly, the developments prepare then included the dissemination of such mechanical leaps forward to extra employments. Numerous business opportunities developed out of the exhibit of potential applications identified with a solitary essential idea (Henriques, Irene Perry, 1999). While this procedure is still common in today's business surroundings, what is new is the production of development strategies that plan to accomplish persistent expense diminishments and enhancements in items and administrations. What is new is the cognizant quest for learning that can prompt continuous game changers for the firm. What is new is the improvement of a learning association whose society and practices are intended to animate and encourage the advancement prepare on a constant premise. This vision of the firm regularly incorporates the contribution of the majority of the association's workers, and the inclusion of clients and suppliers all through the quality chain. For some organizations, this vision additionally incorporates new associations, especially with colleges and government examination foundations. This pervasive effect of innovative powers has made new ideal models for methodologies and administration. New achievement markers identify with the association's ca pacity in obtaining and overseeing learning. An "adjusted scorecard" incorporates more than simply money related results, and erudite capital concentrates on the association's technique for building and dealing with its learning exercises (Rowley Timothy, 1997). Every country, and every district inside every country, has its own particular extraordinary advancement framework that structures a key part of nature of business. These development frameworks contrast essentially, with some offering unique favorable circumstances for the organizations found there. This reality rests to a substantial degree on society, social capital, training, and business enterprise. For every country or locale, a set of vital qualities incorporates the nature and quality of mentality to dangers and prizes, the entrepreneurial nature of college relations with organizations, the ability of all parts of a worth anchor to end up accomplices in the quest for learning, and the degree to which developments inside the money related framework help this process. Flow achievement makes conditions that help future accomplishment in rehashed cycles of new mechanical advances, each of which may move from the exploration stage to broad dispersion all through the economy (Savage Grant, 1991). The United States has accomplished a position of worldwide administration in the new information economy. Some Western European nations have additionally accomplished extraordinary achievement. For a significant part of whatever remains of the world, a focal inquiry identifies with their ability to receive the mechanical advances of the United States and Western Europe (Hill, Charles Arun, 2007). The inspirations and methods for engineering exchange have turned into a crucial component in the development prospects of less created countries. The linkages between global ventures and the propelled innovations that are encapsulated in these speculations put the MNEs at the middle of this subject. MNEs might consistently exchange the assembling of new items from the created countries to the less created countries to decrease costs through installment of lower pay rates. Numerous legislatures of creating countries wish to break out of this item cycle by making their own advancement framew orks through interests in colleges and exploration organizations. Be that as it may, much must first be changed inside a country's social, monetary, and political constrains to make an advancement framework (Savage Grant, 1991). For some countries, an advanced separation may exist between districts, age gatherings, and wage and instructive levels. Propelled nearby circle advances and broadband administration may not be accessible at a sensible cost all around. The way of the advanced separation underlies the requirement for e-market division with unique methodologies and practices. Economic Forces Financial strengths contrast among countries and consistently change over the long run. Investigations of their presumable effects and the formation of suitable monetary methods can be the focal determinant of an association's prosperity. The appeal of a specific business sector relies on upon its industry structure, including the intensity of existing firms, the danger of substitutes and new participants, and the bartering force of suppliers and clients. New correspondence innovations have encouraged worldwide outsourcing, empowering each one firm to place every action in whatever nation offers the ideal blend of expense, quality, and different properties. New authoritative structures may be obliged to arrange worldwide systems and to fortify universal advancement (Wackernagel, Mathis, et al, 2002). An industry's benefit potential relies on upon the structure of that industry, and industry structures contrast in critical regards among countries. For administrators, this point of view is significant in global business choices. Where a solitary firm overwhelms the commercial center, the interrelationships between that firm and its clients can have a remarkable arrangement, where the firm has force to keep up costs and benefits above aggressive levels. The level of the monopolist's quality in value transactions will be affected by the danger of new contestants and the risk of substitutes. On the off chance that these dangers are frail, then a monopolist may pick up incredibly high benefits. Notwithstanding, regardless of the possibility that no substitutes as of now exist, the danger of new participants may make the business sector "contestable," such that a monopolist needs to go about as though potential contestants were at that point in the commercial center. At the point when j ust a little number of firms exist in an industry, the speculation, value, and yield choices of any one firm effect the choices of the others. Amusement hypothesis gives structures to dissecting these between firm responses. Each one firm realizes that on the off chance that it raises costs, it may lose piece of the overall industry. Be that as it may, on the off chance that its rivals additionally raise costs to a comparable degree, then the benefits of all organizations in the business may increment. Henceforth, each one firm settles on its choices focused around its desires about the reactions of its rivals. This reality can bring about a temperamental business, with costs and pieces of the pie moving drastically. On the other hand, this shared reliance may bring about value understandings that try to settle costs at higher than focused levels (Rowley Timothy, 1997). With current correspondences and transportation advances, outsourcing can include any country; so the worth chain has turned into a worldwide web. Numerous firms partake in quality chains where their benefit relies on upon participation. A gathering of firms may cooperate to grow the esteem that is included by their gathering in general. While the gathering all in all confronts rivalry from different gatherings, the hierarchical dynamic inside each one gathering may look to enhance the results for all members. This global web will strive constantly to make extraordinary merchandise and administrations so potential substitutes are further expelled from the last client's buying choice. Organizing this complex system so it includes a continuous development process has turned into a key determinant of each one association's prosperity. To accomplish development, a firm can no more just acknowledge the parts or items it is offered by fare specialists or wholesalers from different nations. Firms should now make authoritative structures that encourage a continuous worldwide coordinated effort concentrated on the advancement process. This may oblige a trade of work force among firms all the time, and additionally continuous dialog and trade of examination data (Rowley Timothy, 1997). The MNE must pick venture areas in the connection of each country's regularly changing macroeconomic variables. Development rates, unemployment and expansion rates, and remote trade rates might all affect a company's strategies for success. Innovative advancement can build a country's development rate and wage levels so buyer interest offers new open doors. Each country's universal aggressiveness contrasts among commercial enterprises, so each country's relative engaging quality as a venture area is not the same for all organizations or all business exercises. Therefore, every MNE must create its own particular mix of procedures and administration because of financial strengths (Wackernagel, Mathis, et al, 2002). Lately, the macroeconomic target of expanding financial development has driven governments to execute certain industry-level approaches. Governments have given more prominent consideration regarding privatization and deregulation, training, aptitudes preparing, and subsidizing of RD in the desire that these projects will build the country's gainfulness and, subsequently, expand its development rate. In the in the past comrade countries, liberalization changes have been broad and have modified industry structures in critical ways. Especially in the less created countries, unemployment has for the most part not been seen as an aftereffect of deficient total interest. Rather, investigators have accentuated unseemly human abilities, outdated innovations, and deficient capital stock. Here also, certain part level strategies and projects look to improve these inadequacies (Rowley Timothy, 1997). Thusly, government strategies may affect industry structures, intensity, and national financia l prospects in ways that chiefs must comprehend and to which supervisors must adjust their techniques. A country's upper hand won't be spread uniformly over all commercial ventures. Every country will have a remarkable mix of these elements. This special blend will be best suited for just certain sorts of industry. Therefore, a country will have a bunch of commercial enterprises that rely on upon a comparative mix of variables and that will structure the upper hand for that specific country. Inside such a group, there will frequently be a wide range of firms in the same business. These contending firms or opponents might all be globally aggressive (Rhinesmith Stephen, 1992). Political Forces Political and legislative strengths are identified with each of social, innovative, and monetary powers. These powers assume a key part in the building of social capital, the encouraging of business enterprise, and the help of movement. There are numerous courses through which social qualities shape political powers and through which investment gatherings impact government choices (Rhinesmith Stephen, 1992). The endeavor to decrease defilement delineates the converse stream, in which laws and their authorization try to change regular business rehearses. In the setting of these communications, the firm must confirm its systems and administration hones because of social and political powers, however the firm may additionally try to impact these strengths through campaigning of government and by relating with vested parties. Political strengths are additionally identified with innovative constrains through the advancement of "the learning economy" and continuous organizations inside the "triple helix." Government possession and regulations can impact the velocity with which firms receive data innovations, microelectronics, and e-business (Wackernagel, Mathis, et al, 2002). Governments focus the way of the pharmaceutical business, sponsoring examination, favoring new medications, and controlling medication costs. Progressively, ecological concerns are driving governments to support the usage of new advances. In these regards, examinations of mechanical strengths include the examination of political powers. Governments persistently endeavor to change the working of particular markets. Each one company's industry structure is liable to government mediation because of externalities or outsider impacts and monopolistic valuing. Yet numerous governments have as of late occupied with liberalization programs with privatization and deregulation in the trust of empowering monetary development and especially the gainfulness changes that underlie it. In the meantime, a legislature's financial, fiscal, and conversion scale approaches focus the monetary environment inside which the firm works (Wackernagel, Mathis, et al, 2002). Open strategies contrast among countries, and these distinctions can affect the association's exchange and speculation choices. Some open approaches meddle with business techniques, while others can help and aid the firm. Numerous nations have been modifying their open arrangements keeping in mind the end goal to pull in more universal venture. Some have made unique monetary zones or innovative passageways inside which speculators are guaranteed especially appealing open strategies (Rhinesmith Stephen, 1992). In perspective of these circumstances, a firm can make an upper hand through its capacity to relate with and adjust to the political process in every nation. Besides, a firm may have the capacity to impact the procedure of making laws and regulations, both straightforwardly in its campaigning of government officials and common servants and by implication in its correspondences with NGOs and general society. Therefore, it is essential for firms to create nonmarket techniques tha t underlie and are incorporated with their business sector methods. Government arrangements that customarily were viewed as "local" have now happened to global vitality, as they can twist value proportions and, subsequently, exchange examples or even go about as exchange hindrances. Be that as it may, exchange and speculation assertions contain procurements that place stipulations on each signatory's open approaches with the end goal of making a level global playing field. For MNEs, important open approaches incorporate possession, regulation, assessment, and appropriations, all of which effect business systems and administration. Most countries have made obstructions to specific sorts of speculation. In a few countries, the utilization of value regulations can change anticipated rates of return. In others, organizations may go up against authorizations, screening orgs, or constant government mediation in business choices. Some, for example, Venezuela under Chavez, are actualizing new limitations on outside speculation. Yet as of late, numerous countries have actualized liberalization changes that decrease the level of government intercession so as to empower financial development. China, India, and Eastern Europe outline the difficulties and opportunities made by liberalization changes. Numerous countries have formulated plans to offer outside financial specialists exceptional motivators. They try to draw in outside capital as well as exceptional advances and managerial aptitudes. As right on time as 1979, China made unique financial zones with advanced framework and expense concessions. Numerous countries have replicated this model. Some, for example, Malaysia, have centered their zone on the fascination of innovative firms. In the meantime, the generally praiseworthy countries have been striving to hold occupations in the connection of corporate "off shoring" to low-wage nations, and some have made uncommon endowment programs for this reason. Be that as it may, such government approaches may clash with procurements of exchange and speculation understandings, for example, the World Trade Organization (Rowley Timothy, 1997). For a few issues, another pattern has created in the production of universal, instead of national, open arrangements. The assurance of licensed innovation obliges that all countries stick to a predictable set of government tenets (Rhinesmith Stephen, 1992). The physical environment is a worldwide marvel as the contamination of every nation turns into the contamination of all nations. In this connection, a few organizations may be enticed to diminish costs by moving their venture areas to nations that have settle for the easiest option or poorer implementation. Rivalry or antitrust strategy now needs to be focused around global business conduct as opposed to simply national business sector conduct. The internationalization of budgetary foundations has driven numerous to supporter worldwide regulations. This new interconnectedness inside the worldwide economy is moving sure open strategies to an universal level, yet how these global understandings ought to be formed and upheld remains a subject for civil argument. Exchange and venture question are a consistent risk for MNEs. Specifically, China's fast and considerable development all through the worldwide economy has made an assemblage of worries about out of line rivalry and contortions that keep the formation of a level playing field. Authorizations can all of a sudden disturb made exchange and speculation designs. A few countries see the development of sovereign riches subsidizes as a potential threat to their own national sway, prompting weights for new protectionism. In the connection of these new improvements, administrators must figure out how to manage the progressing changes in the earth of business (Henriques, Irene Perry, 1999). Identify stakeholder influence and importance One simple tool of stakeholder analysis is importance/ influence matrix. This tool can be used in stakeholder relation to a particular strategic development. For example the withdrawal/launch of service (Wackernagel, Mathis, et al, 2002). First plotting: Stakeholder should 1st be defined in relation to How stakeholders would line up the nature and level of their importance and how they would extent of their influences. Second plotting: In second plotting, stakeholder should define how they would line up if there is good chance of benefits. By comparing two plotting and searching for mismatches and priorities for stakeholders relationship management can be established as well importance for management of stakeholders in the present positing of stakeholders (Wackernagel, Mathis, et al,2002). 1st Quadrant: Key stakeholders are placed with high influences and importance need to completely engaged on project so stakeholders needs to be appropriate for maintaining ownership for benefits. 2nd Quadrant: Stakeholders placed in this Quadrant with very low influences and high importance so they need to be appropriate through communication and education. 3rd Quadrant: Stakeholders placed with low importance and influences and care should be taken in risk and danger and therefore they should be monitor on board closely. 4th Quadrant: Stakeholders are placed with low importance and high influences so they should be satisfied with the approval and may be bought in as supporters. This map is not static, it is changing and stakeholders can vary around map with changes to the list of key influential stakeholders Stakeholder Relationship Management Principles 1. Managers should acknowledge the concerns of all stakeholders and should take interested into account in operation and decision making. 2. Managers should communicate openly with stakeholders about the contributions of stakeholders and about the benefits and risk because of their involvement with the organization. 3. Managers should adopt modes of behavior that are sensitive to concerns and capabilities of all stakeholders constituency. 4. Managers should know the interdependence of rewards and efforts among the stakeholders and they should attempt to get a fair distribution of benefits. 5. Managers should work cooperatively with other public as well as private entities to make insure that harms and risks arising from corporate activities are minimized and they cannot be avoided appropriately compensated (Hill, Charles Arun, 2007). Conclusion: Organization must place the group near to its client base. Organization must procure, create, and hold differing abilities to assemble a superior group to set the pace for everybody in the association. Utilize an organized methodology for arranging and execution. Be sure about destinations and actualize techniques that empower snappy criticism and course revision. Organizations plan may not be flawless but they should learn by executing with speed to make it perfect. And ultimately, succeed by being flexible enough to recognize missteps and adjust each and every course along the way. Your plan may be not flawless but Learn by executing with speed to make it perfect. And ultimately, succeed by being flexible enough to recognize missteps and adjust your course along the way. References 1. Savage, Grant T., et al. "Strategies for assessing and managing organizational stakeholders."The executive2 (1991): 61-75. 2. Henriques, Irene, and Perry Sadorsky. "The relationship between environmental commitment and managerial perceptions of stakeholder importance."Academy of management Journal1 (1999): 87-99. 3. Shankar, Venkatesh, Glen L. Urban, and Fareena Sultan. "Online trust: a stakeholder perspective, concepts, implications, and future directions."The Journal of strategic information systems3 (2002): 325-344. 4. Rowley, Timothy J. "Moving beyond dyadic ties: A network theory of stakeholder influences."Academy of management Review4 (1997): 887-910. 5. Payne, Adrian, and Pennie Frow. "A strategic framework for customer relationship management."Journal of marketing4 (2005): 167-176. 6. Chen, Injazz J., and Karen Popovich. "Understanding customer relationship management (CRM): People, process and technology."Business process management journal5 (2003): 672-688. 7. Parvatiyar, Atul, and Jagdish N. Sheth. "Customer relationship management: emerging practice, process, and discipline."Journal of Economic and Social research2 (2001): 1-34. 8. Bose, Ranjit, and Vijayan Sugumaran. "Application of knowledge management technology in customer relationship management."Knowledge and process management1 (2003): 3-17. 9. Payne, Adrian, and Pennie Frow. "Customer relationship management: from strategy to implementation."Journal of Marketing Management1-2 (2006): 135-168. 10. Wang, Yonggui, et al. "An integrated framework for customer value and customer-relationship-management performance: a customer-based perspective from China."Managing Service Quality2/3 (2004): 169-182.. 11. Campbell, Alexandra J. "Creating customer knowledge competence: managing customer relationship management programs strategically."Industrial marketing management5 (2003): 375-383. 12. Buttle, Francis.Customer relationship management: Concepts and tools. Vol. 13. Routledge, 2004. 13. Ngai, E. W. T. "Customer relationship management research (1992-2002): an academic literature review and classification."Marketing Intelligence Planning6 (2005): 582-605. 14. Harrison, Jeffrey S., and Caron H. St John. "Managing and partnering with external stakeholders."The Academy of Management Executive2 (1996): 46-60. 15. Gefen, David, and Catherine M. Ridings. "Implementation team responsiveness and user evaluation of customer relationship management: A quasi-experimental design study of social exchange theory."Journal of Management Information Systems1 (2002): 47-70. 17. Roht-Arriaza, Naomi. "Shifting the point of regulation: The international organization for standardization and global lawmaking on trade and the environment."Ecology LQ22 (1995): 479. 18. Milliman, John, Mary Ann Von Glinow, and Maria Nathan. "Organizational life cycles and strategic international human resource management in multinational companies: Implications for congruence theory."Academy of management review2 (1991): 318-339. 19. Rhinesmith, Stephen H. "Global mindsets for global managers."Training Development10 (1992): 63-69. 20. Wackernagel, Mathis, et al. "Tracking the ecological overshoot of the human economy."Proceedings of the national Academy of Sciences14 (2002): 9266-9271. 21. Hill, Charles WL, and Arun Kumar Jain.International business: Competing in the global marketplace. Vol. 6. New York, NY: McGraw-Hill/Irwin, 2007. 22. Heywood, Vernon Hilton.Global biodiversity assessment. Cambridge University Press, 1995 23. Weihrich, Heinz, and Harold Koontz.Management: A global perspective. Singapore: McGraw-Hill, 2005. 24. Kotabe, Masaaki, and Kristiaan Helsen. "Global marketing management."New York(1998). 25. Bartlett, Christopher A., and Sumantra Ghoshal.Transnational management. Vol. 4. McGraw Hill, 2000 26. Aronoff, Stan. "Geographic information systems: a management perspective." (1989): 58-58.

Thursday, April 23, 2020

Koloss by Meshuggah free essay sample

Swedish Metal at its finest. Meshuggah is a Djent Thrash band out of Sweden and also is currently with Nuclear Blast. I rated them in my top ten favorite thrash bands. This may not exactly sound anything like Thrash Metal but swedish thrash always has the vocal style used in Meshuggah. Koloss is their most recent album released in 2012 and theyre currently on their Ophidian Trek Tour. I hope the release a new album soon. This is the album that got me on the Meshuggah bandwagon which is cool and alowed me to become a Meshuggah fan. Enough Rambling, lets get started. Tracklist 1, I Am Colossus, the slowest and admitably coolest track on the album. We will write a custom essay sample on Koloss by Meshuggah or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page The music video gives it a bit more atmosphere to it as well. I AM COLOSSUS! Not really, but a very dark song and my first Meshuggah ever. 2, The Demons Name is Survallence, also know simply as The Demons Name, this is the thrashiest track on the album. Its far inferior to the previous one but hey, what are you gonna do. The solo on here is barely noticable and kind of sucks too. Bummer. 3, Do Not Look Down, the first single on the album and a darn good one as well. This takes more off a slower approach similar to that of I Am Colossus, but does give some value too. It is worth the listen too. 4, Behind The Sun, one of the longer songs on the list, this starts out eerily and goes into Meshuggah music. Good song, but not nesessarily my cup of teaa-bag. I ment tea. 5, The Hurt That Finds You First, well this one is one big, giant, super-mega doozy. This starts out with classic meshuggah and lasts for what feels like a while. Then, it will suddenly get slower until you get this slow and eerie outro that fades out at the end. Well, yeah, not exactly exciting. 6, Marrow, a cool bass riff that leads into a symbal smash and the song starts. This is easily one of my favorites off of the album. The drums are defidently the highlights here considering how many times you here something smash and symbals crash. The lyrics are also not bad at all. 7, Break Those Bones Whose Sinews Gave It motion, otherwise known as Break Those Bones, this is well, not bad to say the least. Could have been better but it is a good song. 8, Swarm, this must bee a referance to bees. Swarm is under the same curse as the last track its good, but not good enough. It does hve more of a Thrashy style, and you all know how much I love me some thrash, but it makes it boring. 9, Demiurge, another single. This I guess, judging by the title, has to do with extreame power of a god of some sort. I dont know anymore. Does Sweden even a specific god alot of people worship over ther, I know its a democratic country thats for sure. I dont know. This track, for me, confuses me in so many ways its not even funny. 10, The Last Vigil, you know what they say slow and steady wins the race but this doesnt win the race, no, but does have a psychadelic nature to it. it is slow and very soothing, kind of like Pink Floyd music, but better, sorry I hate Pink Floyd. A Fantastic Way to end off an album and a very good change of pace when compared to the rest of the album. This has been the Grim Reaper, and my next review will be up to YOU GUYS! Post in the comments below what you want me to review next. 7.5/10

Tuesday, March 17, 2020

Voluntary Euthanasia Essays

Voluntary Euthanasia Essays Voluntary Euthanasia Essay Voluntary Euthanasia Essay St Peter’s Catholic College, Tuggerah Task: Catholic Ethical Teaching Ethan Fortis 1. Name the Issue (I mark) Euthanasia| 2. Outline the ethical issue (5 marks) Euthanasia, also sometimes known as mercy killing, is the act of painlessly allowing death. This is especially used to relieve the pain of an animal or person suffering incurable and/or severely painful disease. There are 4 different types of euthanasia; these include voluntary, non-voluntary, involuntary, and passive active euthanasia. Voluntary euthanasia is conducted with the consent of the patient, non-voluntary occurs when the patient is unable to give or deny consent, and involuntary happens when euthanasia is performed without the patient’s consent. All of the above varieties of euthanasia can be divided into passive active euthanasia. Passive euthanasia refers to the withdrawal of medical treatment with the deliberate intention of hurrying along a terminally ill patient. Active euthanasia occurs when a lethal dose of medication is given to the patient to deliberately take their life. | 3. Provide and briefly explain the main arguments for and against the issue (6marks) There are a number of arguments supporting the use of euthanasia in society. An example of these includes that euthanasia quickly and humanely ends a patient’s life who’s suffering severe and unbearable pain, allowing them to die in dignity. People that are terminally ill don’t deserve to endure the immense pain they go through if they have personally chose to undergo euthanasia. Another argument for euthanasia is the fact that it shortens the grief and suffering the patient’s loved ones go through day after day of the inevitable death dragging on. Loved ones and family of someone who is terminally ill go through a huge amount of psychological issues knowing they aren’t able do to anything about it while a person in their life is slowly and painfully dying. Euthanasia allows these people to rest easy, knowing that their loved one will leave them in a peaceful manor instead of suffering. Also, death is a very private matter and no one else should be allowed to stop you making decisions for yourself, as it is not their life but yours. Euthanasia should be a personal option that should be respected and in cases where the patient is incapable to make the decision for themselves and is suffering greatly, the option should be left to the spouse/close loved one to decide. Although the arguments supporting the act of euthanasia are strong, there are a number of reasons against the issue. An example of this is that allowing euthanasia will lead to less good care for the terminally ill that do not chose it. The Hippocratic Oath is an oath all physicians and other health care professionals swear upon to practise medicine ethically and honestly. Is allowing euthanasia violating this verbal contract? Doctors should do everything they can possibly do to keep patients alive and practising euthanasia is going against this. Allowing euthanasia may lead to doctors and nurses becoming less determined to save the lives of the terminally ill, thus disregarding the Hippocratic Oath completely. Also, some people think that implementing euthanasia may send the message across to society that it’s better to be dead than sick/disabled. This suggests that some lives aren’t worth living and this is wrong. Every life is equal, even if the life is of a person who is terminally ill or disabled, mentally or physically. Allowing euthanasia may weaken society’s respect for the value of life. All humans, whether they are disabled, terminally ill, or just different, should be valued no matter what. Human life is sacred and should be lived to the full potential until the natural end of someone’s life. It’s better to be alive than dead, right? | 4. Clearly outline and articulate Catholic Teaching on your issue (making sure you explain the Catholic Church’s stance on the issue and reasons for its stance). Make sure you use at least one biblical reference and one reference from the Catechism of the Catholic Church. (10 marks) The Catholic Church believes that God gave us both death and life; in return for this we should respect these processes. Conflict arises when there are disagreements of the boundaries. In regards to the act of euthanasia, Pope John Paul II stated in 1995 ‘Euthanasia is a grave violation of the law of God, Since it is the deliberate and morally unacceptable killing of a human person. ’ The Catholic Church has always been strong in its teaching of euthanasia and how they view it as morally wrong. The Church believes that any law allowing euthanasia to be practiced is an intrinsically unjust law. Emphasis has been put on the absolute and unchanging value of the bible commandment ‘You shall not kill’. The Catholic Church does not accept the notion that people have the right to die and should be able to choose whether to accept death or to live, suffering or not. An excerpt from the Catechism of the Catholic Church 2277 reads ‘Whatever its motives and means, direct euthanasia consists in putting an end to the lives of handicapped, sick, or dying persons. It is morally unacceptable. Thus an act or omission which, of itself or by intention, causes death in order to eliminate suffering constitutes a murder gravely contrary to the dignity of the human person and to the respect due to the living God, his Creator. The error of judgment into which one can fall in good faith does not change the nature of this murderous act, which must always be forbidden and excluded’. A number of biblical verses can relate to the views on euthanasia. One of these includes 1 Corinthians 6:19-20 ‘Or do you not know that your body is a temple of the Holy Spirit within you, whom you have from God? You are not your own, for you were bought with a price. So glorify God in your body’. It is believed that each human life is a manifestation of God in the world, a sign of his presence, a trace of his glory. This in mind, a person whom is insisting on death is breaking their relationship with God. | 5. Clearly explain why your issue is an ethical issue for our society. (6 marks) Euthanasia is a debatable issue that questions the very core of morality. It can’t be dealt with by a simple answer, as ‘what is ethical’ is viewed in a variety of different views and opinions amongst society and law. More knowledge and resources are available today than there was back in biblical times. People are entitled to their own opinions and beliefs in the world today, so the issue can be discussed and voiced more regularly. Many questions are asked such as ‘is it wrong to kill? ’, ‘is killing the same as letting die? And the most important one, ‘do we have the right to die? ’ It all comes down to personal views. An atheist’s views on whether we have the right to die or not will be different to a Roman Catholic’s views and vice versa. As there will be ethically right answer to any of these questions, the act of euthanasia should ultimately come down to the individual preference. If a atheist patient who is terminally ill with cancer would like euthanasia to be practised, what right does a Catholic doctor have to say no? | 6. Present an accurately constructed bibliography of all resources used (2 marks) http://en. wikipedia. org/wiki/Euthanasia 20/2/13 | ndtv. com/article/india/what-is-passive-euthanasia-89964 20/2/13| http://medical-dictionary. thefreedictionary. com/Active+Euthanasia 20/2/13| rsrevision. om/GCSE/christian_perspectives/life/euthanasia/for. htm 21/2/13| http://euthanasia. procon. org/view. answers. php? questionID=000198 22/2/13| catholicnewsagency. com/resources/life-and-family/euthanasia-and-assisted-suicide/euthanasia-catechism-of-the-catholic-church/ 15/3/13| openbible. info/topics/euthanasia 15/3/13| bbc. co. uk/religion/religions/christianity/christianethics/euthanasia_1. shtml 15/3/13| bbc. co. uk/ethics/euthanasia/against/against_1. shtml#h3 16/3/13| rsrevision. com/Alevel/ethics/euthanasia/index. htm 17/3/13| | | | |

Saturday, February 29, 2020

Brachytherapy in Treating Cervical Cancer-Free-Samples for Students

Brachytherapy is a form of cancer treatment where radioactive pounds sealed in a wire, pellet or capsule is introduced into the body with the help of a catheter in order to damage the DNA of the cancer cells. It has a wide spread of application in the treatment of prostate cancer and cervical cancer. The benefits of brachytherapy are that it allows an augmented dose of radiation in a limited area unlike the other types of the radiation treatments. It actually helps to lessen the damage to the surrounding tissues due to radiation. The last two papers are about improving the image guided brachytherapy techniques in the treatment of cervical cancers. Two of my chosen papers are related to the same, as IGBT helps in a more accurate treatment and lesions that are too large for applying the other treatment techniques.   Significant improvements have occurred in the last three decades due to the use of the 3-D image guided procedures. Incorporation of the transrectal US in the image guide d brachytherapy have been found to be effective in centers that have do not access to MRI. The monly used method in the treatment of the cervical cancer is the Manchester Point A system. But the 2-D X ray image shows no contract of the soft tissues. Image guided brachytherapy helps to target the desired tissue.   There had been increasing evidence of the benefits of the image guided brachytherapy in cervical cancer, which is the main rationale behind the chosen papers. The objective of this paper is to give an overview of the gynecologic brachytherapy, with a focus on the recent advancements and their implications on the cervical cancer in women. The paper describes about the evaluation and the staging of the patient, According to this paper the initial stages of evaluation includes the cervical biopsy of the hystopathological diagnosis. According to the FIGO r mendations, patients with who would be receiving the radiation treatment should have a planning of the CT stimulation before the initiation of the EBRT. The paper also brings about a parison between the high dose rate brachytherapy and low dose rate brachytherapy. Previously LDR was used exclusively for treating the cancer by using a cesium -137 isotope. Since 2000s, the utilization of the HDR has increased considerably. The HDR employs a remote after loading technology allowing a small iridium source connected to the end of a cable that is robotically driven via the multiple channels ceasing at the dwell positions for different span of time.   The article also refers to a third type of treatment that is monly not used in the US known as the pulse dose rate (PDR) brachtherapy. The paper also gives an account of the choices, by which cervical brachytherapy can be performed, namely the intracavitary, interstitial, or a binatory approach. A cohort study was done in order to measure the clinical ou es of the image guided brachytherapy. The study pared the 2D versus the 3D IGBT . In the patients treated with both the EBRT plus chemother apy followed by a brachytherapy could show a local relapse free survival 74 % of the selected patients. Similar improvement was found in another study containing patients from Vienna. It can be understood from the paper that brachytherapy can improve the local control, reduce the toxicity and improve the overall survival rate of cervical cancer in women. The study of the paper also enables one to understand that the disadvantage of brachytherapy is that, it is invasive. The randomized control study involving 2D planning and 3D planning in selected patients showed better results in patients being treated with image guided brachtherapy. The paper also gave an account of the appropriate treatment target volume, the appropriate dose and the fractionation scheme. Although the progression from the 2D- 3D based imaging and the treatment planning for the cervical cancer has increased the overall survival of the women. Further data from the 3-D based treatment is required associated with the decrease in the toxicity of the technique. The previous paper focused on the effectiveness of overall brachytherapy in cervical cancer, but this article will aim to focus on the advantages of using imaging brachytherapy over conventional methods of brachytherapy.   The paper involves a retrospective analysis of the ou es in patient suffering from stage IB-IVA cervical cancer treated with primary radiation therapy. The ou e measures were the relapse free survival of the patient, distant metastasis, pelvic control and other adverse events related to the treatment. 126 patients have been analyzed out of which 43 patients have been treated with CBT between the years 2000-2007, and 83 patients have been treated with IGBT between the years 2007- 2012. The conventional bracgytherapy involved the application of the low dose brachytherapy and high dose rate brachytherapy was used after 2005. The standard brachytherapy applicators used were intracavatary ovoids and tandem.   From 2011, interstitial needles can be introduced in to t he ovoids for optimizing the dose distribution around the neoplasia. All the records of the adverse events were recorded if prompted by the signs and the symptoms.   The results concluded that cervical cancer survival rates have increased with the introduction of IGBT. The application of the MRI based adaptive IGBT technique was found to be useful for the patients with stage IB-IVA cervical cancer. The overall survival rate was found to improve from 51% to 83% with the shift from conventional brachytherapy to imaging brachytherapy. The study confirmed that there had been a significant decrease in the distant metastasis in the group treated with IGBT. The pelvic control rates were also found to be improved in the IGBT group. Data obtained from the patient’s record found that the IGBT patients were more likely to plete the chemotherapy faster than the patients’ receiving the conventional brachytherapy. The use of IGBT in the primary chemo radiation of the cervical cancer is superior to the CBT and should be considered as the new standard of care. It can be known from the paper that there is a requirement of improvement of the nodal and the PAN tumor control, using the PET-CT and the lessening of the adverse events in both the standard and the adaptive IMRT. A 3D MRI based image guided brachytherapy have been found to reduce the toxicity as discussed in the previous paper. The objectives of the paper were realistic. One of the limitations of the paper is that the sample population of the cohort was not large. Although there are several studies that have actually provided the evidences of imaging brachytherapy. Brachytherapy is an essential ponent for the treatment of the cervical cancers that have progressed locally. It allows the dose of the tumor to be amplified sparing the nearby tissues. Image guided brachytherapy have found to lessen the local recurrence. The article focuses on how the 3D conformal brachytherapy can be used in a hospital setting and how the brachytherapy services can be improved. The radiological studies operative parameters and patient workflow and intensive therapy planning can pose challenge to the clinical resources. The paper also discuses about the translational research opportunities in the field of brachytherapy. One of the concerns is that some proportion of the tumor will display biological resistance to the radiations and even to brachytherapy. The objective of the paper was to find new advancement in the field of imaging-brachytherapy. Hence the paper had been appropriate in stating the recent advancements in the radiotherapy techniques like the intensity modulated radiotherapy (IMRT) and the stereotactic body radiotherapy (SBRT). This research paper also enables one to understand the demerits of the therapy, such as IMRT had been unsuccessful in achieving the target volume doses unlike that of the image guided brachytherapy. The paper informs that IGBT is more time consuming and requires individual planning and contouring. Additional resources such as MRI/CT scans and the patible applicators are required. The cost of setting up an IGBT is about 10-15 % more than that of the conventional procedures of brachytherapy. In a clinical setting with IGBT facilities there should be provisions for an intrauterine brachytherapy applicator as most of the patients will be having an intact uterus, which will require the placement of an intrauterine tube. It can be understood from all the three papers that image guided brachytherapy makes 3D models by using the cross sectional image. It should be mentioned that the points of similarities between the three papers were much more than the differences as all the three papers focused on the advancements in the field of brachytherapy in treating cervical cancers and the advantage of using image dependant brachytherapy over the conventional treatment of the brachytherapy. The difference between the three papers is that the last two papers focused more on the improvements in the image guided brachytherapy. The last papers exclusively mentioned the advancements rather than just paring with the conventional standards. Various retrospective studies and the cohort studies described in the three papers have showed better survival rates in patients with cervical cancer. Among the three papers my choice of paper was the first one as it had elaborately stated the difference between the new techniques and the old ones such as the difference between the HDR brachytherapy and the LDR brachytherapy, the selection of the applicator. It further gives information about the intracavity brachytherapy, interstitial brachytherapy. An appropriate treatment planning was mentioned. This assignment has not only aided us to know about the different image guided brachytherapy techniques but have also informed us with the procedures undertaken in brachytherapy Banerjee, R., & Kamrava, M. (2014). Brachytherapy in the treatment of cervical cancer: a review. International journal of women's health, 6, 555.   Otter, S., Franklin, A., Ajaz, M., & Stewart, A. (2016). Improving the efficiency of image guided brachytherapy in cervical cancer. Journal of Contemporary Brachytherapy, 8(6), 557–565. https://doi.org/10.5114/jcb.2016.64452 Rijkmans, E. C., Nout, R. A., Rutten, I. H. H. M., Ketelaars, M., Neelis, K. J., Laman, M. S., ... & Creutzberg, C. L. (2014). Improved survival of patients with cervical cancer treated with image-guided brachytherapy pared with conventional brachytherapy. Gynecologic oncology, 135(2), 231-238

Thursday, February 13, 2020

Theory Critique Feminist and Post Modern Essay Example | Topics and Well Written Essays - 1500 words

Theory Critique Feminist and Post Modern - Essay Example Thus, Feminist therapy aims to empower women to push their own strengths to the fullest in order to gain the self-respect they need, regardless of what society dictates of them. Society has originally painted the ideal picture of women to be the nurturing, caring, weaker gender, dependent on the strengths and skills of men, and relegated to homemaking tasks. However, changing times have pressured them to be independent, self-reliant and strong members of the workforce. Such double standards have caused confusion and stress in women, adding more burden to her already heavy load. To quote from the textbook, the five goals for feminist therapy are: â€Å"equality, balancing independence and interdependence, empowerment, self-nurturance and valuing diversity. But the ultimate goal of feminist therapy is to create the kind of society where sexism and other forms of discrimination and oppression are no longer a reality.† This kind of therapy hopes to transform society by changing the way women view themselves. The feminist therapist, aware of women’s issues, must be sensitive enough to handle delicate concerns of the client. She (or he) must be willing to disclose her own experiences and use these as springboard to gain the client’s trust and to model empowered behavior. She must be clear about her own values, but discerning enough not to impose these on the client. She should know how to balance exploring both the inner and outer worlds of the client if the client is to find a way to take action in her own life. The therapist has enough influence on the client as to choosing the direction the client wants to take in her life. Ultimately, the therapist helps in guiding the client to be clear about her own needs and wants and to pursue it without being too conscious of what society has to say. Sometimes, though, the therapist may tread dangerous ground if the culture and value system of the client comes into the picture. If a woman