Birth Control Essay - 1021 Words

Should Birth Control Be Accessible To All? When it comes to birth control, you have many options to choose from and it will be your personal decision. They are a synthetic form of progesterone and estrogen, it is the act of preventing pregnancy. Birth control also reduces abortion. The food and drug administration (FDA) approved of the pill in the 1960’s and ever since, women have continued to use it. The pill has become the most popular and one of the most effective forms of reversible birth control ever invented. In my opinion, using birth control would be a life saver for those who are not ready for the responsibility. Not only does birth control prevents pregnancy, it can help prevent you from acne, bone thinning, cysts, ovarian†¦show more content†¦Jeffrey Peipert, â€Å"There is no evidence to support the idea that giving contraception promotes sexual activity.† The Contraceptive Choice project which was led by Dr. Jeffrey Peipert and his colleagues studied and proved that contraceptives do not increase sexual desire. It reduced the rates of abortion and pregnancy especially among teenagers. The cases has decreased ever since they found out the effective forms of birth control. The Affordable Care Act’s mandate would affect over 55 million women who take contraceptives if their employers cite a moral objection to take advantage of the Trump Administration. The administration said that they are more concerned about teenagers who make decisions about having sex at a certain age. According to a doctor from john hopkins who specializes in adolescent health, Dr. Krishna Upadhya, â€Å"If you don’t give teenagers access to contraception and messages to prevent sexually transmitted infections, what does happen is their rates of sexually transmitted infections or pregnancy will go up.† Having to not access contraception would b e a big mistake and would probably be a big problem among teenagers and adults who choose to take it instead of getting pregnant at a time where they are not ready. TrumpsShow MoreRelatedBirth Control Essay1027 Words   |  5 PagesMcadam English 3 April 16, 2013 Birth Control, Why be Frowned Upon? Birth control is a way to prevent your daughter from having a kid as a kid, not a statement telling her that it is okay to freely have sex. If you know and understand that your daughter is having sex, wouldn’t you want the peace of mind that she is being safe, and protected? There are several ways to take birth control, and the doctor will choose the best method for the patient. Birth control has a 99% protection rate whenRead More Birth Control Essay1564 Words   |  7 Pageshow to gain control over reproduction, in essence, how to prevent unwanted pregnancies. This is a challenge, even today, in an age of technological advancements, mass communication and education. However, through the years, the spread of information and awareness surrounding birth control has resulted in its increased availability and an improvement in the lives of both men and women. People are very clever and ingenious and have, throughout history, devised a variety of birth control methods. TheRead MoreBirth Control Essay931 Words   |  4 PagesBirth Control Birth Control is defined as various ways used to prevent pregnancy from occurring. Birth Control has been a concern for humans for thousands of years. The first contraception devices were mechanical barriers in the vagina that prevented the male sperm from fertilizing the female egg. Other methods of birth control that were used in the vagina were sea sponges, mixtures of crocodile dung and honey, quinine, rock salt and alum. Birth Control was of interest for a long time, butRead MoreEssay on Birth Control 1960 Words   |  8 Pagesfor Disease Control conducted a study on contraceptive use; their findings concluded â€Å"four out of five women have used birth control pills† during one point of their lives (Basset). Birth control pills have been around for over six decades, and their popularity has significantly increased during the past decade. Thousands of sexually-active women are turning to birth control pills as a way to prevent unplanned pregnancy, regulate periods, and to control acne. Nonetheless, birth control pills are syntheticRead MoreEssay On Birth Control1824 Words   |  8 Pagesto make birth control widely available so that women could limit the size of their families. She introduced the idea that birth control was vital to the well-being of women and their families. On the other hand, some people thought that it was an immoral affront to God. Birth control is important to the achievement of womens rights. With the help of Margaret Sanger and her leadership skills, birth control is used to demonstrate female rights, control family sizes, and prevent the births of unwantedRead MoreBirth Control and the Government Essay1092 Words   |  5 Pagesparticular point of debate is the topic of birth control and the government. A dangerous couple, it raises the question of who should have control over contraceptive laws and what controls involving them should be put in place? Currently, under the Obama Administration, the Affordable Care Act and â€Å"Obamacare† have been created. One of the sections of this new plan creates a mandate which requires private businesses to provide insurance that covers birth control costs. The government should not be ableRead MoreThe Birth Control Movement Essay example1442 Words   |  6 Pagesunregulated policies, the most prominent of these, the birth control movement. The documents from chapter six of Constructing the American Past show that at its core, the birth control debate was a multifaceted social dispute with, religious political and racial influences. Margaret Sanger’s monthly publication The Woman Rebel released its first issue in 1914, creating a nationwide dispute concerning the publication and distribution of birth control devices. However, Sanger’s initial goal went beyondRead MoreBirth Control Persuasive Essay1446 Words   |  6 Pagesmessage is sent through regulation and poor modifications to progressive mandates such as Trump’s recent adjustments to the Affordable Care Act. These ‘adjustments’ or ‘new rules’ intend to provide an ‘out’ for employers who object to providing birth control coverage through their insurance policies. Employers now have the right to deny this coverage due to moral and/or religious reasons, but no documentation of this is required to opt out. This simple rule puts approximately 55 million women, currentlyRead MorePersuasive Essay On Birth Control1288 Words   |  6 Pagesscattered clinics where teens can receive birth control. For many parents, this term conjures up images of teenage sex or pregnancy, which can cause them to ignore its other uses. However, birth control is a broad and misrepresented topic. Students should not be denied access to something that could help their health due to their parents’ aversion to contraceptives. Birth control has many more uses than commonly known. There are physical forms of birth control for the prevention of STDs and pregnancyRead MoreBirth Control: With or Without Parental Control Essay958 Words   |  4 Pagesand how their perspectives relate to the issue. Helium.com presently has a poll and debate occurring that allows the public to review multiple arguments from both sides of the debate, and then vote â€Å"Yes† or â€Å"No† on the issue of teens receiving birth control at school. Jeannie Kerns, a mother of seven children, says that it’s in the best interest of the teen, and their parents, to allow them to have the option to decide for themselves if they require â€Å"the pill†. She supports her argument by informing

Diabetes In India And Belgium Health And Social Care Essay Free Essays

string(58) " discrepancies predispose persons to develop the disease\." â€Å" Today, diabetes and other non catching diseases ( NCDs ) that portion the same hazard factors represent a taking menace to wellness and human development. An estimated 8 to 14 million people die prematurely every twelvemonth in developing states due to preventable NCDs – chiefly cardiovascular diseases, diabetes, malignant neoplastic diseases, and chronic respiratory diseases. These people are deceasing excessively immature as a consequence of increased exposure to the common hazard factors for NCDs: unhealthy diets, physical inaction, baccy usage and the harmful usage of alcohol. We will write a custom essay sample on Diabetes In India And Belgium Health And Social Care Essay or any similar topic only for you Order Now † ( WHO ) . Type 2 Diabetes Mellitus consequences from insulin opposition, a status in which cells fail to utilize insulin decently, sometimes combined with absolute insulin deficiency. ( Wikipedia ) . Diabetes is recognized as a group of heterogenous upsets with the common elements of hyperglycaemia and glucose intolerance, due to insulin lack, impaired effectivity of insulin action, or both ( IDF ) . Epidemiology of T2DM Diabetess mellitus is one of the most common hormone upsets impacting about 6 % of the universe ‘s population. [ 1 ] Etiology of Diabetes mellitus The causes of diabetes mellitus are incompletely understood. It has now been widely accepted that the cause of diabetes mellitus is multifactorial and that both familial and environmental factors play a conducive function. [ 1 ] Asiatic populations are multiracial and have multi factorial causes of type 2 diabetes. The mechanisms implicit in development of the disease are complex and varied, even within these populations. The major aetiologic constituents of type 2 diabetes are impaired insulin secernment and impaired insulin action, which are aggravated by the presence and grade of glucotoxicity. Both constituents might besides be genetically predetermined. [ 2 ] Definition of T2DM The definition of diabetes may be given in different footings but the significance of the definitions is the same, as diabetes has become an endemic Non catching disease non merely in developed states but besides increasing prevalence in developing states. This displacement in the from traditional Healthy diets to western The Indian nutrient points are usually rich in fats and the method of the readying of a individual nutrient point differs from one individual to the other. The street nutrient peddling units and the wont of eating outside the place has mostly affected the normal nutrient forms in India. The street nutrients which include get downing from breakfast point like vada, poori etc has increased ingestion in the Indian population to the tiffin points and flushing bites which include mirch bajji, aloo bonda and confab bhandar nutrients has increased ingestion due to miss of clip to fix clip at place households are largely depending on the nutrient available outside the place . ( besides the Indian fast nutrient is bad: think of Vada-Pav ) fast nutrient diets, deficiency of regular physical activity, unable to keep a normal organic structure weight and increasing usage of baccy both in work forces and adult females are the nucleus causes for diabetes happening. I truly can non notice on this statement as I read it in one of the below listed articles ( Do you truly believe so? ! Where have you read this? Not right ) . Ethnicities Harmonizing to the Journal article of Nepal Medical Association by Battarai MD [ 3 ] , Ethnicity is considered to be an of import factor in diabetes development with higher rates being reported in Asians, Hispanics, African Americans and autochthonal peoples of the USA, Canada, Australia and Pacific parts ( IDF ) . However the term ethnicity appears to transport the impression of prevailing familial component, which we can non alter. With increasing fleshiness, diminishing physical activity, and lifting life anticipation of population, prevalence of diabetes additions. Prevalence of ‘diagnosed ‘ diabetes in the USA increased increasingly from 0.9 % in 1958 to 5.9 % in 2006. Beginning: CDC. The universe broad statistics of diabetes from different cited articles suggests that, In Canada age adjusted addition in prevalence was from 4.4 % in 1986 to 6.6 % in 1991.11 Similarly in Iceland the prevalence in males was 2.8 % in 1970-1972, 4.5 % in 1979-1984 and 5.0 % in 1985-1990. The comparative diabetes prevalence estimations for 2007 in North America and Europe are about 4-9 % . ( IDF ) . In the USA there is progressive addition in fleshiness and an estimated 66 % of grownups were fleshy or corpulent in 2003-2004. ( NCHS ) . Similar rise in fleshiness was seen in Europe. ( WHO ) The grownup average organic structure mass index ( BMI ) degrees of 20-23 kg/m2 were found among the general population in Africa and Asia, while degrees were 25-27 kg/m2 across North America and Europe in 2002. The proportion of entire estimated figure of people with diabetes in 2007 in 20-39, 40-59 and 60-79 age groups are 7-10 % , 36-45 % , and 46-57 % in European and North American parts severally and 23-33 % , 42-52 % and 25-30 % in African, South-East Asian and Eastern Mediterranean and Middle East parts severally. ( Bhattarai MD ) Prevalence of diabetes among grownups above 20 old ages in urban India was about 1 % in 1960 which increased steeply making to about 12 % by 2005. Similarly, analysis of old tendencies of age adjusted prevalence rates of diabetes in different urban countries reveals 7.7 % in 1990 and 8.9 % in 1995 in Hong Kong, 8.1 % in 1993 in Singapore and 11 % in 1995 in Taiwan ; 4 5 % in 1994 in urban Sri Lanka, 9.7 % in 2004 in urban Cambodia and 4.5 % in 1997 and 8.1 % in 2005 in Dhaka 9.5 % in Latinos and 13.3 % in Africans in 2005 in the USA and 15.2 % in Bahrain and Qatar and 19.4 % in the United Arab Emirates in 2007 ( Bhattarai MD ) GENETICS OF T2DM Type 2 diabetes is a disease characterized by impaired i-cell secernment of insulin, in combination with opposition to insulin in its mark tissues. Both insulin secernment and insulin sensitiveness are influenced by familial and environmental factors. [ 4 ] Although monogenic signifiers of diabetes have been found ( Table 1 ) [ 5 ] , the bulk of instances of type 2 diabetes do non demo heritage as a Mendelian trait, but instead as a genetically complex upset in which familial discrepancies predispose persons to develop the disease. You read "Diabetes In India And Belgium Health And Social Care Essay" in category "Essay examples" The environmental factors, such as extra nutrient and limited physical activity. The rapid rise in diabetes prevalence over the last few decennaries strongly suggests that familial discrepancies involved in type 2 diabetes are interacting with environmental factors. Table 1. Genes Associated with Diabetess: Overview of their Target Tissue1, Function2, and Related Medication3 Diabetess Gene Proposed Diabetess Target Cell Type / Tissue1 Monogenic Diabetes4 Type 2 Diabetes5 Proposed Function ( s ) for Gene Product2 Drug ( s ) Affecting the Same Pathway as the Diabetess Gene3 ABCC8 Pancreass i-Cell Ten – B-cell ion homeostasis and insulin secernment ; ATP-binding cassette transporter that modulates ATP sensitive K channels and insulin release Sulfonylurea derived functions ADAMTS9 Unknown Ten – Cleavage of proteoglycans Unknown CDC123 Pancreass i-Cell Ten – Cell rhythm ordinance Unknown CDKAL1 Pancreass i-Cell Ten – Growth and development – Proinsulin to insulin transition Unknown CDKN2A Pancreass i-Cell Ten – Cell rhythm ordinance Unknown CEL unknown Ten – Glycoprotein that is of import in ordinance of cholesterin Metamorphosis Unknown Terrorist organization hypothalamus Ten – Associated to fleshiness Unknown GCK unknown Ten – Catalyzes reaction from glucose to glucose-6- Phosphate Unknown HHEX Pancreass i-Cell Ten – Growth and development ; written text factor Unknown HNF4i Pancreass i-Cell Ten – Growth and development ; written text factor Unknown IDE Pancreass i-Cell Ten – Termination of the response to insulin Unknown IGF2BP2 Pancreass i-Cell Ten – Growth and development Unknown JAZF1 Pancreass i-Cell Ten – Cell rhythm ordinance ; transcriptional represser Unknown KCNJ11 Pancreass i-Cell Ten Ten – B-cell ion homeostasis and insulin secernment Sulfonylurea derived functions KCNQ1 Pancreass i-Cell Ten – B-cell ion homeostasis and insulin secernment Sulfonylurea derived functions KLF11 unknown Ten unknown Unknown NEUROD1 Pancreass i-Cell Ten – Growth and development ; written text factor that activates several cistrons including insulin and is of import for early i-cell development Unknown NOTCH2 Pancreass i-Cell Ten – Growth and development ; written text factor ; receptor for membrane edge ligands Unknown PDX1 Pancreass i-Cell Ten – Growth and development ; atomic protein that acts as a transcriptional activator of several cistrons including insulin and is of import for early i-cell development Unknown PPARG Adipocytes Ten – Nuclear receptor ( transcription factor ) that regulates adipocyte distinction Thiazolidinediones SLC30A8 Pancreass i-Cell Ten – B-cell ion homeostasis and insulin secernment ; cellular outflow of Zn2+ ions – Proinsulin to insulin transition Sulfonylurea derived functions TCF1 Pancreass i-Cell Ten – Growth and development ; Transcription factor that forms a complex with the merchandise of TCF2 of import for Wnt signaling Unknown TCF2 Pancreass i-Cell Ten Ten – Growth and development ; written text factor that forms a complex with the merchandise of TCF1 of import for Wnt signaling – Cell rhythm ordinance Unknown TCF7L2 Pancreass i-Cell Ten – Wnt signaling – Proinsulin to insulin transition Unknown THADA Pancreass i-Cell Ten – Apoptosis Unknown TSPAN8 Unknown Ten – Glycoprotein involved in the mediation of signal Transduction Unknown WFS1 Pancreass i-Cell Ten Ten – Apoptosis ; Endoplasmic Reticulum emphasis tract activation Unknown Genes included in the list are involved in type 2 diabetes, Maturity Onset Diabetes of the Young ( MODY ) , or Permanent Neonatal Diabetes Mellitus ( PNDM ) . The cut-off p-value for the inclusion of type 2 diabetes cistrons identified by GWAS is 1 ten 10-8 ( frayling TM et Al, Hiroyuki Unokil et Al, zeggini E et Al ) . The 3rd and 4th columns of the tabular array show whether a cistron is involved in monogenic4 or complexly inherited type 2 diabetes5. Other T2DM susceptibleness cistrons TCF7L2 joins a instead short list of cistrons that have been reproducibly associated with T2D. The strongest extra campaigners for this list include the E23K discrepancy of KCNJ11 and the P12A discrepancy of PPARG. Both of these associations have been replicated in several samples, and the cumulative grounds has long surpassed genome-wide significance. The past two old ages have witnessed an acceleration in our apprehension of both monogenic and multi factorial signifiers of diabetes. There are really strong evidences for believing that the following moving ridge of fresh diabetes-susceptibility discrepancies will flux from the genome-wide association surveies that are presently underway. As with TCF7L2, we can anticipate these to present important new penetrations into the pathogenesis of T2D and the allelomorphic architecture of complex traits in general. [ 6 ] Genome-Wide Association Studies ( GWAS ) Recent progresss in genotyping techniques and the aggregation of big, type 2 diabetes patient cohorts have made it possible to execute hypothesis-free genome-wide association surveies ( GWAS ) to place common familial discrepancies that increase susceptibleness to type 2 diabetes. It has been estimated that, in a Caucasic population, measuring 500,000 SNPs will observe around 80 % of the common familial fluctuation. The genome-wide attack has been really successful for type 2 diabetes, taking to the designation of over a twelve common familial discrepancies associated with the disease lying near cistrons that had non antecedently been associated with a diabetic phenotype. [ 4 ] WC Cut-offs for Asiatic Indians: a. Action level 1: Work force: 78 centimeter, adult females: 72 centimeter. Any individual with WC above these degrees should avoid deriving weight and maintain physical activity to avoid geting any of the cardiovascular hazard factor. These action degree 1 cut-offs demand to be researched farther. B. Action level 2: Work force: 90 centimeter, adult females: 80 centimeter. Capable with WC above this should seek medical aid so that obesity-related hazard factors could be investigated and managed. [ 7 ] Diet and T2DM Dietary fat and insulin opposition Dietary polyunsaturated fatty acids ( PUFAs ) : An impressive organic structure of grounds has established the nexus between dietetic lipoids, membrane lipoids and insulin opposition in carnal surveies. Overall, surveies have shown that dietetic I†°-3 PUFAs addition EPA and DHA content of phospholipids membrane, better lipoid profile and have either a good or no consequence on insulin sensitiveness. Dietary saturated fatty acids ( SFAs ) : Consumption of SFAs is a important independent forecaster of fasting and postprandial insulin concentrations. Overall consumption of dietetic SFAs is positively related to insulin opposition. Replacing SFAs with MUFAs or PUFAs in dietetic fat may be a utile dietetic intercession to forestall metabolic impairment. Dietary glandular fever unsaturated fatty acids ( MUFAs ) : Overall, high MUFAs diets have shown good consequence in direction of T2DM but its influence on insulin opposition, although appears good, is still inconclusive. Dietary trans fatty acids ( TFAs ) : Dietary TFAs consumption has been found to be associated with dyslipidaemia and addition hazard of T2DM and CVD, but the relationship between dietetic TFAs and insulin opposition has been ill investigated. Overall, limited informations suggest that dietetic TFAs consumption, although associated with dyslipidaemia and addition hazard of T2DM and CVD, may non impact insulin sensitiveness particularly in healthy persons. Conjugated linoleic acid ( CLA ) : CLA is a mixture of positional and geometric isomers of LA ( 18:2n-6 ) normally found in beef, lamb and dairy merchandises. Overall, limited informations suggest that dietetic TFAs consumption, although associated with dyslipidaemia and addition hazard of T2DM and CVD, may non impact insulin sensitiveness particularly in healthy persons. Dietary saccharide consumption and insulin opposition Sucrose/fructose: high sucrose/fructose diet additions organic structure weight and hazard for T2DM and its influence on insulin sensitiveness, although appears hurtful, is still inconclusive. Low glycaemic index nutrients: Prospective surveies have shown that ingestion of low dietetic GI nutrients is associated with a lower hazard of T2DM, proposing a preventative function of low GI diets. [ 8 ] . A low GI diet improves blood glucose control as manifested by lowered day-long glycaemia, lowered glycosylated haemoglobin concentration and improved glucose tolerance. A retrospective meta analysis of randomized controlled clinical tests comparing low and high GI diets in the intervention of T1DM and T2DM. They found that low GI diets globally reduced HbA1C by 0.43 per cent points compared to high GI diets in surveies with both T1DM and T2DM topics. [ 9 ] Whole grain consumption: In sum-up, whole grain consumption is associated with lower prevalence of the metabolic syndrome, BMI values, entire cholesterin, and LDL-C degrees and improves insulin sensitiveness. Asiatic Indians in India consume comparatively more saccharides ( ~60-67 % of the energy consumption ) as compared to the migratory Asiatic Indians in UK ( ~46 % of the energy consumption ) and USA ( ~56-58 % of the energy consumption ) . Sevak et Al found that carbohydrate consumption ( as a per centum of entire energy ) was reciprocally correlated with insulin sensitiveness ( i.e. , entire saccharide and sucrose were positively correlated with insulin opposition ) , with a stronger correlativity for sucrose than for amylum. The same form was seen for fasting insulin, but the correlativity was weaker [ 10 ] . Data suggest that dietetic I†°-3 PUFAs addition EPA and DHA content of phospholipids membrane, better lipoid profile and may hold good consequence on insulin opposition. Dietary SFAs consumption is positively associated with insulin opposition. Replacing dietetic SFAs with PUFAs or MUFAs can hold positive effects on insulin sensitiveness. High sucrose/fructose diet addition organic structure weight, and hazard for T2DM, and may hold hurtful consequence on insulin sensitiveness. Evidence suggests that high saccharide diets increase concentrations of plasma triglycerides and diminish HDL-C and LDL-C and do postprandial hyperinsulinaemia. However, it is still non clear from the available informations whether the clinical public-service corporation of increasing the fibre content or diminishing the GI of low-fat/high-carbohydrates diets is preferred to merely replacing saturated fat with unsaturated fat and diminishing saccharides intake to diminish insulin opposition. [ 10 ] Familial sensitivity, dietetic wonts, quickly altering life style, physical inaction and migration are conducive factors for high prevalence of insulin opposition in Asiatic Indians compared with white Caucasic and in-depth probes on these issues are required. Asiatic Indians and South Asians have higher consumptions of saccharide and I†°-6 PUFAs, lower consumptions of I†°-3 PUFAs and fi ber, and higher I†°-6/I†°- 3 PUFAs ratio as compared to white Caucasians. Recently, our group has reported that dietetic I†°-6 PUFAs consumption is signifi cant independent forecasters of fasting hyperinsulinaemia in immature Asiatic Indians. ( Change in wonts ) MANAGEMENT OF TYPE 2 DIABETES The corner rock for diabetes direction still lies in diet and exercising [ 11 ] . There is besides a easy spread outing list of drugs being used to handle type 2 diabetes, all of which act through one of the tracts of import in diabetes pathophysiology. However, neither alterations in lifestyle nor the usage of medicine are sufficient to bring around diabetes, although both intercessions can detain the patterned advance of disease. [ 12 ] There is hence an pressing demand to develop new medicines or schemes to counter the immense addition in instances expected in the hereafter. Since the direction of type 2 diabetes with either lifestyle alterations, medicine or both, is more effectual when started at an early phase, bettering the techniques for early diagnosing and the chances for early intercession will greatly better the effects of current ways of pull offing type 2 diabetes. IMPLICATIONS FOR PREVENTION AND TREATMENT Familial Screening for Prediction and Prevention The effectivity of current type 2 diabetes direction is greatly improved when it is started at an early phase of the disease. If familial testing could be used to foretell type 2 diabetes, preventative steps could be taken and diabetes could potentially be managed more easy. However, the discrepancies associated with type 2 diabetes that have been identified so far merely explicate a little per centum of the entire familial fluctuation that is thought to be present [ 13-14 ] . It is hence non yet possible to execute accurate prognostic familial testing but, in the close hereafter, research should supply more penetration into the chances for such testing. Common discrepancies in type 2 diabetes cistrons associating to cell rhythm events and programmed cell death, and stand foring different allelomorphs than those associated to type 2 diabetes, are besides associated with assorted malignant neoplastic diseases. [ 4 ] . ( This above article from mention 4 ) In the survey by Leitzmann M F, et Al, revealed that diabetes was reciprocally associated with early phase prostate malignant neoplastic disease but it showed no relation with aggressive prostate malignant neoplastic disease. But there was an association between diabetes and aggressive prostate malignant neoplastic disease in the subgroup of work forces with a low BMI. [ 15 ] Both a high proportion of organic structure fat and a predomination of cardinal fleshiness are associated with insulin opposition. A high proportion of Asiatic people have both these features, and might besides hold pancreatic I?-cell secretory defects. [ 16 ] Diabetess and other complications because of diabetes A epidemiological survey estimated the prevalence of anaemia to be 12.3 % in persons with type 2 diabetes mellitus, above the age of 40 old ages ; no gender differences were observed. Persons with anaemia were 1.80 times more likely to develop diabetic retinopathy than persons with no anaemia. In work forces, the hazard of developing diabetic retinopathy increased to 2.05 times. A salient determination was the association between the continuance of diabetes and the prevalence of anaemia. Persons with continuance of diabetes of more than 5 old ages have 1.56 times higher hazard of developing anaemia than those with diabetes for less than 5 old ages. These observations suggest that anemia rating should be considered in the everyday direction of individuals with diabetes and should be treated to minimise the hazard of microvascular complications such as nephropathy and retinopathy. ( Anemia and Diabetic Retinopathy in Type 2 Diabetes Mellitus, Padmaja Kumari Rani ) T2DM Is a Familial Disease: Classical Evidence 1. The spectrum of T2DM prevalence in different cultural groups ‘ The prevalence of T2DM varies widely among populations, but the disease prevalence varies well among cultural groups that portion a similar environment supports the thought that familial factors contribute to disease sensitivity. 2. Familial collection: Other than cistrons, households portion environments, civilization and wonts, yet familial collection of the disease is another beginning of grounds for a familial part to the disease. 3. Twin surveies: Multiple surveies of duplicate harmony rates have been undertaken in T2DM. Estimates for harmony rates have ranged from 0.29 to 1.00 in monozygotic ( MZ ) twins, while in dizygous ( DZ ) twins the scope was 0.10-0.43. In malice of several cautions in duplicate surveies, the high harmony in MZ twins and the 50 % autumn in DZ twins provides compelling grounds for a familial constituent of T2DM. 4. Heritability of intermediate phenotypes: Insulin sensitiveness and insulin secernment deteriorate in analogue in most human T2DM. Oxidative Metabolism and the Pancreatic I?-Cell Insulin secernment by the pancreatic I?-cell is modulated by multiple stimulations. Oxidative mitochondrial metamorphosis and adenosine triphosphate ( ATP ) coevals is indispensable to glucose stirred insulin secernment. The increased ratio of ATP to adenosine diphosphate ( ADP ) in the I?-cell triggers a series of events: suppression of the cell ‘s ATP/ADP-regulated K channel ( KATP, encoded by cistrons KCNJ11 and ABCC8 ) , plasma membrane depolarisation, gap of a voltage-gated Ca channel, Ca inflow, and conveyance and binding of insulin granules to the cell surface [ 17 ] . The ATP/ADP ratio is in bend altered by UCP2, an built-in mitochondrial membrane protein that permits protons to leak across the mitochondrial inner membrane, therefore decoupling of glucose oxidative metamorphosis from ATP production. By diminishing the sum of ATP generated from glucose, UCP2 look negatively regulates glucose-stimulated insulin secernment. Over-expression of UCP2 in I?-cells in vitro less enings glucose-stimulated insulin secernment [ 18 ] . Glucose homeostasis: the cardinal nervous system. Degrees of glucose in the blood are regulated by a complex interplay between the visual aspect of glucose from both enteric soaking up and hepatic production and its disappearing through insulin-dependent and insulin independent glucose consumption in a assortment of tissues. After the nightlong fast, glucose is mostly produced by animal starch dislocation and gluconeogenesis. About 80 % of this glucose released by liver is metabolized independent of insulin by encephalon and other insulin-independent tissues ( intestine, ruddy cells ) . The median hypothalamus, a major planimeter of nutritionary and hormonal signals, plays a polar function non merely in the ordinance of energy balance but besides in the transition of liver glucose end product. The I?-Cell and Type 2 Diabetess Damage of insulin secernment from pancreatic I?-cell is besides a major constituent of T2DM pathogenesis. Analysis of mutants involved in six different adulthood onset diabetes of the immature ( MODY ) cistrons have revealed the of import function of written text factors in the insulin secernment. Many mechanisms lending to T2DM may trip I?-cell programmed cell death and decreased I?-cell mass or ability to counterbalance for insulin opposition [ 19 ] Cost of diabetes in India. Figure 1-Expenditure incurred by urban and rural topics in relation to the figure of complications. The x-axis shows the prevalence of complications, and the y-axis shows the outgo incurred in Indian Rs. In a survey Ramachandran A et Al, [ 20 ] indicated that the economic load of diabetes care on households in developing states is lifting quickly, even after accounting for the rising prices. The highest addition in per centum of family income devoted to diabetes attention was in the lowest economic group ( 34 % of income in 1998 vs. 24.5 % in 2005 ) . There was a important betterment in urban topics in medical reimbursement from 2 % ( 1998 ) to 21.3 % ( 2005 ) . So the survey concludes that Urban and rural diabetic topics spend a big per centum of income on diabetes direction. The economic load on urban households in developing states is lifting, and the entire direct cost has doubled from 1998 to 2005. [ 20 ] High Prevalence of Diabetes and Cardiovascular Risk Factors Associated With Urbanization in India This survey studies alterations in diabetes prevalence based on population studies in Southern India. The prevalence of diabetes in the metropolis and the town was similar. IGT decreased in all countries, most markedly in the metropolis, accompaniment with an addition in diabetes. High prevalence of diabetes in the metropolis and the town and a rapid addition in the PUVs could mostly be due to urbanisation. Urbanization in India is expected to make 46 % by 2030 ( WHO Demographic tendencies ) ; hence, in the hereafter a larger part to the diabetic population would be from rural countries. The most unexpected findings in the survey were the pronounced addition in prevalence of diabetes in the PUVs and a crisp decrease in IGT in all countries. One of the restrictions was that comparings were made of surveies done in different PUV locations. Therefore, temporal alterations and geographic differences could hold contributed to the differences. Demographic and population features of the survey populations were similar in these country [ 21 ] In a survey by Ramachandran A et Al fleshiness, female sex, parental history of type 2 diabetes, and pubertal age appeared to be strongly associated with the disease in Asiatic kids. Unlike in the kids with type 1 diabetes who had acute oncoming of the disease with terrible symptoms and ketoacidurias, thin organic structure weight, and deficiency of familial collection, the type 2 diabetic kids showed characteristics similar to authoritative grownup onset type 2 diabetes. Obesity was present in lone half of the probands seen by them. Insulin opposition is a common characteristic even in nonobese Asian-Indian topics. Type 2 diabetes in kids is an entity that needs to be recognized and looked for, particularly in corpulent kids of diabetic parents in India. Asymptomatic nature may detain the diagnosing in many as it normally does in grownup type 2 diabetic topics. [ 22 ] Treatment of T2DM A survey by Knowler WC, et Al revealed that Lifestyle alterations and intervention with Glucophage both have reduced the incidence of diabetes in individuals at high hazard. It besides stated that lifestyle intercession was more effectual than Glucophage. [ 12 ] In the farther surveies by Molitch M E, et Al, showed the incidence of diabetes was reduced by 58 % with the lifestyle intercession and by 31 % with Glucophage, compared with placebo. These effects were shown to be similar in work forces and adult females, and in all racial and cultural groups. [ 23 ] Research Design and Method: In India population-based survey for patients with Diabetes Type 2 were indiscriminately sampled who reported to the General doctors at 2 Super forte Hospitals in Hyderabad metropolis, Andhra Pradesh were taken as a portion of survey, 30 topics with T2DM for non more than 2 old ages were included in the survey. ( Split the sentenceaˆÂ ¦ . Should do a clear sense ) These people ( what do you intend mostlyaˆÂ ¦ . Is it hard to see in a group of 30 people what age they have? were between 28- 65years of age without any gender specifications. The patients with anterior assignment of physician in the outpatient ward and the patients admitted in the inpatient ward of the infirmary with some wellness jobs and ready to dispatch were included in the sample. ( Decide which tense you want to utilize and lodge to it. ) The research worker had clearly explained the intent of the survey to the respondents in the local linguistic communication. Consent signifier had been obtained by the Re searcher in the presence of either the General Physician or the Dietician in the several Hospitals. The physician and the Dietician encouraged the patients to register in the survey, the patients who had been detected as diabetic were sent for HbA1c scrutiny. The research worker had personally administered a questionnaire framed in English but to cut down the measuring error the questionnaire had been administered in the local linguistic communication which includes the Personal Information of the respondent, Family history of Diabetes, Medical unwellness for the past few old ages before the oncoming of T2DM and before diagnosing of T2DM, anterior operations, ( from the clip the patient had the disease, the happening of a peculiar disease ( s ) in the patients wasaˆÂ ¦aˆÂ ¦..need rectification ) ( howmany ) oncoming of T2DM and Anthropometric Measurements were performed. Weight and Height were measured to enter Body Mass Index shortly called as BMI. ( Give a fullform of BM I excessively ) BMI was recorded as weight ( kgs ) divided by tallness ( metres ) squared. Waist and hip perimeters, Physical activity type, both recreational and occupational, and continuance was assessed by the validated questionnaire. Last the Food ingestion form of the respondent was assessed, the questionnaire was subdivided into 7 chief nutrient groups as per the guidelines of ‘Nutritive value of Indian Foods ‘ . Eating wonts were assessed on a hebdomad footing of all nutrients. In Belgium the patients with 2nd hourly OGTT value ( Oral Glucose Tolerance Test ) of gt ; 200mg/dl are termed to be diabetic. Personal information, past unwellness and wellness position, medical history of the patient is ( mind your tense please ) recorded by the Dietician. The existent nutrient consumptions of the respondent and dietetic advice given were taken into consideration for survey. The patient with diabetes type 2, detected non more than two old ages old have been selected for the survey ( mind your tense ) ( this sentence is non clear: make you intend diabetes detected in last two old ages? Literature reappraisal: Diabetess mellitus is characterized by elevated glucose in the plasma and in some patients leads to episodic diabetic acidosis. In terrible diabetes mellitus with an early oncoming ; characterized by polyuria and inordinate thirst and increased appetency and weight loss and episodic diabetic acidosis ; diet and insulin injections are required to command the disease ( compare your this sentence with your sentence in pink on the following page ; contradiction! ! ! ! ! ! ) . Additional symptoms of diabetes mellitus include inordinate thirst, glucosuria and lipaemia. If left untreated the disease can take to fatal diabetic acidosis. Diabetess mellitus is a heterogenous clinical upset with legion types. Type 2 diabetes is one of them. I mean Diabetes Mellitus is of different types Eg: Type 1, Type 2 and Gestational Diabetes and Type 2 is one of them. ? ? ? ? ? ? ? ? ? ? ? what? Is type 2 diabetes a cause of DiabetesaˆÂ ¦ ? ? ? Type 2 diabetes is characterized by insulin opposition and comparative insulin lack, either of which may be present at the clip that diabetes becomes clinically manifest. The diagnosing of type 2 diabetes normally occurs after the age of 40 old ages but could happen earlier, particularly in populations with high diabetes prevalence. Type 2 diabetes can stay undetected, i.e. symptomless, for many old ages and the diagnosing is frequently made from associated complications or by the way through an unnatural blood or urine glucose trial. Type 2 diabetes is frequently, but non ever, associated with fleshiness, which itself can do insulin opposition and lead to elevated blood glucose degrees. It is strongly familial, but major susceptibleness cistrons have non yet been identified. There are several possible factors in the development of type 2 diabetes. Some Peoples with type 2 diabetes are non dependent on exogenic insulin and are non ketosis-prone, but may necessitate insulin for control of hyperglycemia if this is non achieved with diet alone or with unwritten hypoglycemic agents. The lifting prevalence of type 2 diabetes is associated with rapid cultural and societal alterations, ageing populations, increasing urbanisation, dietetic alterations, reduced physical activity and other unhealthy life styles like extra intoxicant ingestion, debris nutrient ingestion and behavioural forms like urban nerve-racking life. ( like what? ) The statistics suggests from WHO on planetary prevalence of Diabetess from estimations for twelvemonth 2000 and projections for twelvemonth 2030 suggests that figure of people with diabetes is expected to duplicate between 2000 and 2030 ( WHO data and statistics ) . India will stand in the first topographic point of diabetes patients. Most of these expected population will be from the urban population. The projections of the WHO data reveals that India has ( tense ) 31,705,000 million in twelvemonth 2000, but by twelvemonth 2030 they are expected to be 79,441,000 million ( WHO ) which shows the badness of the prevalence. It was besides estimated that the age group between 45-64 years are more likely to develop diabetes in developing states by 2030. Concentrating on the Indian scenario on Diabetes the first national survey on the prevalence of type 2 diabetes in India was done between 1972 and 1975 by the Indian Council Medical Research ( ICMR, New Delhi ) .Screening was done in approximately 35,000 persons above 14 year of age, utilizing 50 g glucose burden. Capillary blood glucose degree gt ; 170 mg/dl was used to name diabetes. The prevalence was 2.1 per cent in urban population and 1.5 per cent in the rural population while in those above 40 year of age, the prevalence was 5 per cent in urban and 2.8 per cent in rural countries. [ 24 ] The above mentioned informations from ICMR survey between 1972 and 1975 clearly shows that there is a drastic addition in Type 2 diabetes from early 80 ‘s and continuously started increasing in the consequent old ages in the urban and the rural population. ( unusual decision without informations for comparing ) On the other side Belgium, the trade capital of the European Union has 317,000 people with Type 2 diabetes in the twelvemonth 2000 and they are expected to increase to 461,000 by the twelvemonth 2030 ( Prevalence of diabetes in WHO European part ) CODE-2 survey [ 25 ] was the first big coordinated effort to measure patient attention together with the cost of patients with Type II diabetes throughout Europe. The CODE-2 survey measured the criterion of attention and entire health care costs in eight European states – Belgium, France, Germany, Italy, the Netherlands, Spain, Sweden and the United Kingdom utilizing a prevalence-based design and affecting over 7000 patients. The chief aim was to mensurate the entire health care costs of people with Type 2 diabetes in each of the specified states. Secondary aims included finding the current quality of attention for Type 2 diabetes patients and benchmarking current clinical pattern against glycaemic, lipid and blood force per unit area marks? ? ? ? The CODE 2 survey provinces that the above mentioned primary and secondary aims have to be taken into consideration to cut down the incidence of diabetes in the 8 European states. The clinical patterns against glycaemic, lipid and bl ood force per unit area marks were recommended by current European diabetes pattern guideline. The 1999 European Diabetes Policy Group ( EDPG ) intervention guidelines were used in this analysis as an up-to-date European benchmark against which the CODE-2 information was compared. The 1999 guidelines were selected as the mark European benchmark for diabetes direction because information for the CODE-2 survey was collected between November 1998 and May 1999. [ 25 ] High proportion of patients with hazard factors for diabetes-related complications are non adequately controlled. Improvements in disease direction and monitoring are hence required to guarantee that guideline marks are met, therefore cut downing the long-run complications of Type II diabetes [ 26 ] Another survey suggests that Health Related Quality of Life is an of import issue in Type 2 diabetes which can diminish the patterned advance of T2DM. [ 27 ] ( Your sentenceaˆÂ ¦ ! ! ! ) A diary by Fleming D M et Al revealed that Diabetes mellitus prevalence rates Belgium per 1000 by age and gender are 1.1 ( 0-24y ) , 6.3 ( 25-44y ) , 54.6 ( 45-64y ) , 112.5 ( 67-74y ) , 122.3 ( gt ; 75y ) , with entire of 30.9 ( males ) and for females 1.5 ( 0-24y ) 6.6 ( 25-44y ) , 42.8 ( 45-64y ) , 95.9 ( 67-74y ) , 137.1 ( gt ; 75y ) , with entire of 34.0 ( females ) [ 28 ] This survey besides suggested that the prevalence in Belgium measured in all ages and in 45 old ages and over males and females was higher than in the seven other states. This sentence was exact text from the cited article [ 28 ] ( Your sentence does non do much sense. ) The challenges that India faces are non alone. Lending factors in prevalence of type 1 and type 2 diabetes include: alterations in traditional diet, progressively sedentary life styles, general and splanchnic fleshiness, increased life anticipation and better interventions for other dangerous diseases. [ 29 ] The survey by Shetty, P.S, et Al on nutrition passage of India indicated that the demographic alterations, rates of urbanization and alterations in dietetic forms are lending to the altering tendencies in chronic disease in India. There is clear grounds of a demographic, epidemiological and nutrition passage in India that is fuelling the epidemic of chronic diseases and fleshiness, peculiarly in the urban countries. [ 30 ] How to cite Diabetes In India And Belgium Health And Social Care Essay, Essay examples

Leeches free essay sample

This paper looks at the use of leeches in the field of medicine. This paper investigates the many different roles that leeches can play in the medical field. Some of the topics covered include the history of their use, their role in assisting blood clotting and surgery and their use in helping to stem blood loss during surgery to repair a lost of damaged limb. The author uses several different studies and case histories to illustrate his thesis. The Hirudo Medicinalis leech has demonstrated exceptional usefulness to medicine and health care, particularly in the plastic and reconstructive surgery fields, where torn tissues require time for delicate repair procedures (Concannon), but which is prevented by normal blood clotting. An adult leech placed on the clot will devour it up to five times its body within half an hour. When it has sucked enough, it falls off and fresh blood oozes out of the bite wound for as long as 10 hours (Did You Know?), long enough to allow the surgeon to perform procedures that will save that body part. We will write a custom essay sample on Leeches or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page The leeches hirudin inhibits blood clotting while the parasites suck and likewise renders the sucked part insensitive by its anesthetic properties. An adult leech can also take in up to 15 ml of blood, which is 10 times its average body weight (Biophram). It can also survive for a full year without needing additional feeding or sucking.

IQI Malaysias Current Economic Environment Attracting Foreign Invest

IQI: Malaysia's Current Economic Environment Attracting Foreign Investors KUALA LUMPUR, Feb 27 (Bernama) -- The state of Malaysia's economy, coupled with no undue government intervention in it, has made the country an attractive destination for foreign investors, said International Quality Investments (IQI) chief economist, Shan Saeed. "Looking at the economy from a foreigner's perspective, I believe government intervention (in Malaysia) is unnecessary and this has (actually) maintained confidence among investors. Malaysia will continue to grow and attract investor inflow. "Confidence has become the most important non-variable in the macro economic equation. "When some European banks introduced the zero-interest-rate-policy (ZIRP), it did not help stimulate the economy going forward nor attract investors, and this is not what is happening in Malaysia," he added, at the "Gold as a Safeguard Against the Ringgit's Decline," seminar here today. Naming Switzerland, Sweden, Denmark and also Japan as countries that introduced the ZIRP, he said they face a lot of challenges in the current environment and more volatility in the global financial market, with this volatility continuing until 2020. He also said the introduction of the ZIRP was positive for the gold market as investors won't keep theirMONEY in banks. "They will concentrate more on gold, silver and real estate instead," he added. Asked about the ringgit's performance, Shan said the local currency depreciated 17 per cent against US dollar in 2015. "If the downtrend continues this year, it would not be a surprise, as other currencies have also fallen. I expect the ringgit to be at between RM4.40-RM4.50 to the US dollar by year-end. "This is also due to the performance of China's renminbi which will fall to between 10-15 per cent, as well as oil prices. "I foresee oil prices rebounding to between US$50-US$60 per barrel, while TRADING at US$30-US$40 at present," he added. On the Federal Reserve raising interest rates, Shan said this is unlikely and opined that the first hike in December 2015, was based on a "market panic" situation. Meanwhile, earlier in his presentation on gold, he noted that the favoured metal served as a counter balance against the ringgit's depreciation, while helping balance other asset classes. Gold, as a safe-haven investment is expected to continue its uptrend going forward, particularly when the current equity and bond markets are volatile. "Commodities will remain on the radar of investors due to unpredictable government policies, high levels of sovereign and negative policies and quantitative easing, which will keep asset classes in an artificial zone," Shan said. -- BERNAMA

Ampicillin Resistance essays

Ampicillin Resistance essays The purpose of this lab experiment was to see if a person could use a plasmid (R plasmid) vector containing certain fragments of foreign DNA for ampicillin resistance to be used to transform E. coli (Escherichia coli) cells to give the E. coli cells ampicillin resistance. Ampicillin resistance is needed in order for the E. coli to have the ability to survive in an ampicillin environment. Plasmid is a small ring of DNA that carries accessory genes separate from those of bacterial chromosome. Ampicillin is an antibiotic that is derived from penicillin that prevents bacterial growth by interfering with cell wall synthesis. E. coli is a commensal bacterium inhabiting the human colon that is widely used in biology, both as a simple model of cell biochemical function and as a host for molecular cloning experiments. In nature genes can be transferred between bacteria in different ways like transformation, conjugation, and transduction. One-way is bacterial transformation, it is when tr ansfer of genetic information into a cell by the direct uptake of the DNA. Then the DNA is used to transform the cells from the original DNA to take a certain trait. How ever these bacteria can take up DNA only during the period at the end of logarithmic growth. Conjugation is performed between to bacterial cells of different mating types and genetic information is exchanged between the two through pili. Transduction is conducted between two bacteria cells, but this process requires the presence of a virus that acts as a vector in the process. One could hypothesize that plasmid would be able to successfully be incorporated in the E. coli cell. One would be able to see this by both agar plates without ampicillin and also the agar plate with ampicillin and plasmid would have bacteria growth. However the agar plate with ampicillin, but no plasmid will have no bacteria growth. One could hypothesize this because if the plasmid were incorporated into the ...

Four of the Worst Interview Answers †And What to Say Instead

Four of the Worst Interview Answers – And What to Say Instead Have you ever browsed the web and come across an ad targeted to you, but the message doesn’t fully resonate because you’re distracted by the stock photos? The overused photos take away from the credibility of the product being advertised because they’re not unique. That’s akin to what an interviewer experiences when you give a â€Å"stock† response to interview questions. They’ve heard them all before and the interviewer believes your answer isn’t authentic. If you’re new to interviewing and/or haven’t been on the candidate side of the interview process in a while, we put together some clichà © interview responses to avoid.â€Å"I work too hard† or â€Å"I’m a perfectionist† or â€Å"I’m too hard on myself†These responses, and similar variations, are often answers to the classic (and dreaded) question, â€Å"What are your weaknesses?† Employers ask you to talk about your weakness es because they’re testing for self-awareness and what actions you’ve taken to improve your shortcomings.A more authentic-sounding answer might sound something like, â€Å"I become deeply invested in projects I work on and in many ways I feel the work that I produce is me, so if a project gets scrapped halfway through I can sometimes be deeply disappointed. However, I’ve learned to prepare myself for any outcome when taking on new projects. As I’ve reached positions of more authority, I’m more aware of the global business rationale for which projects the company pursues and do my best to convey that to my team. I remember being in their shoes not long ago – so I believe in consistent communication. That way when a project is put on the backburner, they stay understand the rationale and stay engaged.â€Å"I always meet my goals.†If you’re trying to set yourself apart from other interviewees, it can be tempting to claim that you never make mistakes, that you never miss your goals, and that all your projects are completed on time and on budget. Most experienced interviewers will believe that either you’re not being truthful or that you don’t have enough experience to have endured and overcome failure.If you want to set yourself apart, talk more about how you never stop striving for your goals – even in the face of failure and setbacks – and that you keep pushing forward and putting in the work to succeed. Give specific examples of a challenge you faced, how you overcame it, and what the result was. Most candidates won’t go through that process – and you’ll have the edge.â€Å"In five years, I see myself in your position.†Employers want to know that you’re ambitious and that you can visualize being with the company in the foreseeable future, but you don’t want that to be interpreted (correctly or incorrectly) that you’re gunning for the interviewer’s job. If you really want to earn a managerial role in the future, it’s okay to communicate that, but we recommend expressing it in a more diplomatic way. You don’t want to give an answer that will put the interviewer on the defensive.â€Å"I’m a team player / people person†You may very well be a team player and/or a people person, but unfortunately those terms are so overused, they’re virtually meaningless. A better way to convey that you’re a team player is to give specific examples of successful projects you’ve worked on with other team members and how you were able to achieve a successful outcome working together. And if you’re a people person – that will come across by the way you great the receptionist, smile warmly, conduct yourself throughout the interview process, and follow-up after the process.Are you getting ready to interview for a new job and you don’t know quite how to prepar e? Give ResumeSpice a call today at 832.930.7378. Our interview prep services will have you polished and ready to impress.

Advertising as social communication -- semiotics Essay

Advertising as social communication -- semiotics - Essay Example Karl Marx has defined commodities as products that are independent in nature and have some form of value that humans need or enjoy (Economic Manuscripts, 1993). The ad that is chosen for this particular topic is that of Marlboro cigarettes which are quite known and popular in the world being one of the most bought of that particular commodity. Cigarettes are now sold worldwide and a large part of the global population smoke and the tobacco companies are trying harder now than ever to maintain the brand loyalties that they have earned over the years from their customers. Not only this, companies strive now at a greater pace to perhaps snag a few customers from other brands or to pull in those who have recently begun smoking. So one can say that Marlboro cigarettes are a lifestyle commodity and one of which the exchange value sign value has been overshadowed by its use value. As in the marketing world exchange is a major component and for any exchange to take place there has to be knowledge in the minds of the consumers or buyers and sellers. This particular ad attempts to project to the general public that their particular need can be complimented by the use of this particular brand of cigarette. Thought a lot of advertisements may rely on the idea of abstraction to convey their message across to the public there is a certain risk that is to be ascertained when this route is taken. Not everyone may be on the same page as those who created the advertisement and the whole concept may not even be mean what the people behind the desk even wanted. There is no real form of abstraction in this particular advertisement that has been published by Marlboro. The simple idea is to introduce the product and a male figure has been introduced with who the male population at large is sensed to be on the same level with. The typical western theme that has been employed by this particular company again is highlighted as a sense of manliness is trying to

Value and Risk Management in Construction Essay

Value and Risk Management in Construction - Essay Example The value management exercises are basically carried out first in order to determine an exact cause which is responsible for constituting the values to the business mainly from delivery of any project. A preferred option is also identified and together with all other risks, there is a great chance of it to occur if any particular option is implemented. (Office of government commerce, 2003) Risk management mainly includes all the activities that are required for the identification and control of the risks that are related to the option of the preferred project. Successful risk management also requires a senior management commitment along with ownership and a thorough understanding of the whole process and also an active risk management regime that is reviewed on daily basis in a much constructive culture. Attitudes to the risk are known to have a significant effect on the overall success of the projects being carried. For instance, the main objective related to ‘not failing†™ will surely have a low tolerance for the risks of all kinds. Conversely speaking, the objective of ‘succeeding’ will also encourage the participants to become more innovative and to take more risks where necessary and to make an effort for monitoring along with management of the recognized risks. (Office of government commerce, 2003) If the talk in detail about the risk management mainly in the construction projects of my country, USA, it mainly involves: a proper identification and assessment of the risks mainly in terms of its impact along with probability, proper establishment, and maintenance of the joint risk register, it should have the concept and assurance of agreement by all the integrated project team members, establishment of the procedures that are required for active management and monitoring of the risks throughout the on-going project and the during occupation on the completion, to make sure that the members of the team are having a proper opportunity for engaging in a dialogue that is eventually going to promote an agreement of the appropriate and accurate allocation of the risk, proper updating of the risk information throughout the project which would surely ensure the control of the risks by proper planning of how the risks will be managed through the on-going project so that it could have an acceptable limit and lastly efficient allocation of the responsibility for proper management of each of the risks with the suitable party that will best their job. (Office of government commerce, 2003) Now talking about value in detail particularly in much broadest sense then its main is to benefit the client or in simpler words the project that is worth doing and which could also quantify in the main business terms, for example, this can be done by creating a better and an efficient working environment or even by improving the overall experience of the associated people during their workings. In this respect, value basically means to e nsure that the correct choices and decisions are being made mainly to obtain the optimum and the best possible balance of the benefit mainly in its relation to the overall cost and its risk.

Concepts of Business Education Essay Example for Free

Concepts of Business Education Essay Presentations: The nurses will be shown presentations by experienced nurses and doctors. 5. Quiz: There will be quizzes held for the nurses on the things taught. 6. Evaluation: The nurses will be evaluated according to their performance. 7. Demonstrations: The nurses will be given demonstrations by the experienced nurses on care giving. 8. Implementation: The nurses will have to demonstrate whatever they have learnt under the supervision of the department head. 9. Post evaluation: Depending on the performance of the nurses, they will be posted in the required departments. The most basic problem of philosophy of education is that concerning aims: what are the proper aims and guiding ideals of education? What are the proper criteria for evaluating educational efforts, institutions, practices, and products? Some of the AIMS proposed or involved in the educational endeavor are †¢cultivation of curiosity and the disposition to inquire fostering of creativity †¢production of knowledge and of knowledgeable students †¢enhancement of understanding †¢promotion of moral thinking †¢feeling and action †¢enlargement of the imagination fostering of growth, development, and self-realization Based on the AIMS concept we are building an online learning system for our employees: Ideally, the learning outcomes in order of priority are ?Translated into course content, resources and an approach to the teaching and learning process that will enable a student to achieve those outcomes. ?Once these basic parameters have been thought through, the courseware development team will share the responsibility of translating the theory and intentions into courseware and online learning functions. These courses will then be delivered by the learning management system (LMS) ? LMS will interface with the library and other digital resources related services along with the student information system (SIS) ? This activity will be done through a secure server that can authenticate the student login. From the students point of view, they will connect to the LMS and the related services through a user-friendly users portal, with a single login, they can have access to their courses and can be linked to all related resources and services. Finally, to ensure ongoing improvement, an evaluation process for the effectiveness of the system, based on achievement of the learning outcomes and students feedback will be put in place, in the form of an independent quality assessment process, which also provides feeds back into the development cycle. Through the above steps the organization plans to provide quality education by making them online, the courses would cover organizational development programs like oTime Management oLeadership Skills Training oConflict Management Workforce Development Relating LMS ; Courses to AIMS as per John Dewey †¢AIMS always relate to results, the first and most important thing is whether the work assigned possesses intrinsic continuity †¢AIMS implies an orderly and ordered activity, one in which the order consists in the progressive completion of a process †¢AIMS means foresight in advance of the end or possible termination †¢AIMS as a foreseen end gives direction to the activity; it’s not an idle view for the spectator but influences steps taken to reach the end. How each prior event leads into its successor while the successor takes up what is furnished and utilizes it for some other stage, until we arrive at the end, which summarizes and finishes the process? †¢Foresight functions in 3 ways ?Involves careful observation of given conditions and means available to reach the end. ?Suggest the proper order or sequence in the use of means, facilitating economical selection and arrangement. ?Makes choice of alternatives possible

Being a Good Leader Essay -- leader, leadership

Leadership is a term on which no one can develop a mutual consensus as it carries a different meaning for ach individual. Some people may consider a person as their leader who is capable of taking them away from hardships, some people may consider the one as their leader who is quite charismatic and can show them dreams of a bright future or some people may consider that man as a leader who can make them progress by devising wise strategies for them etc. There is, somehow, something very common in all the perspectives that are the philosophy behind the definition, which is related to choosing a best of the best person as their leader. Nobody wants to have a person as his leader who doesn’t have knowledge of the needs and aspirations of his people or who is not blessed with a certain temperament foe bearing hardships for the nation etc. But there is something on which all of us would agree that it is a philosophy or an attitude that helps the people in achieving a common goal or destination by having a guide who can give directions to his people. In other words, a leader is a person who is having enough authority to drive others on his commands and directions. It is also be said that leader is the person having its followership because if there is no one who is following a person, the person cannot be granted the status of a leader in spite of all of his leadership qualities (Peter F Drucker; as cited in Mahatma Gandhi, 1982, p.1). Similarly, Warren Bennis has also defined a leadership as quality of knowing one’s own self along with having a vision for the sake of taking the people forward. Interestingly, he doesn’t consider it enough to have a vision but believes in its effective communication to the people to make them convin... ....org/history/gandhi/autobiography.pdf House, R. J. "A path-goal theory of leader effectiveness". Administrative Science Quarterly Vol.16: (1971) 321-339 Keshvan Nair. The code of silence. 1996. P. 35. Maury Jim. Thoughts on Leadership, from Warren Bennis. Leader Values. Optimal Solutions International. Web. 27 May 2015. http://www.leadervalues.com/Content/detail.asp?ContentDetailID=298 Mosby. Medical Dictionary, 8th edition. 2009. Elsevie Parel, A. J. Gandhi, M.K. Hind swaraj and other writings. 1997. Cambridge: Cambridge University Press Richard Attenborough. Leadership: Mohan Das Karam Chand Gandhi – Father of the Nation. Mahatma Gandhi. p.1. 1982. Web. February 07, 2011 from http://www.scribd.com/doc/27495243/Gandhi. Weber, M. ‘The Theory of Social and Economic Organization’. 1947. Glencoe: TheFree Press and the Falcon's Bring Press.

Mary Shelley’s Essay

Here we see how Victor’s changed. He used to be able to strive for his ambitious dreams and what he aimed to achieve and look forward to his unrealistic dreams in his sleep that in reality would never happen. Now, he has to rely on his dreams at night to get any sort of self-satisfaction. In chapter five there are themes that are again evident throughout the novel. As I mentioned previously, we see in chapter five that Victor creates the Monster to obtain glory. This glory disappears as Victor realises what he’s done. Here we see the danger of what a thirst for ambition can lead to. Similarly, in Walton’s first letter we see that Walton too will risk everything for glory-he says, â€Å"I preferred glory to every enticement that wealth placed in my path†. He the goes on to say that he’s prepared to risk everything for success. Walton later had to turn back his ship, because he knew where to stop and didn’t want to put other peoples’ lives in danger. Victor, however, didn’t know where to stop, and his original ambition led to the deaths of many people. The theme of responsibility is seen in chapter five and later throughout the novel. We see Victor’s complete lack of responsibility for the first time in chapter five. Victor abandons the Monster, and says that he â€Å"did not dare return to the apartment which I inhabited†-he’s running away. When Clerval arrives, Victor tells him that he’s better now that he’s, â€Å"length free†. He’s trying to forget about it, and therefore can’t face up to it, move on or even begin to take responsibility. We see this again in chapter eight. Here, Victor talks about his feelings of guilt when Justine is sent to prison, but does nothing about it. In chapter twenty Victor begins to take responsibility when he describes the Monster’s creation as â€Å"selfish†. After Elizabeth’s death, however, Victor continues to blame anyone for himself for her death, and talks about how the events had been a â€Å"take of horrors†. What he doesn’t seem to realise that he’s brought all of these horrors on himself-after all, it was him who made the Monster. I think that this theme running through the novel is Mary Shelley’s way of saying that until you accept your mistakes and take responsibility for them, you can’t move on. Therefore, not taking responsibility can have disastrous consequences, which is seen in this novel. Mary Shelley also shows us the importance of friends and family in chapter five. When the Monster first comes to life, Victor is obviously quite unstable and depressed. When Henry Clerval arrives, Victor says that, â€Å"Nothing could equal my delight on seeing Clerval†. He then goes on to say that Clerval brought back thoughts of his home and family, and that he now felt, â€Å"calm and serene joy†. As Victor recovers, he says that his father, â€Å"knew that I could not have a more kind and attentive nurse than himself† regarding Clerval. I think that this shows that it was Henry who helped Victor recover, and without him Victor would probably have remained ill and mentally unstable. This was Mary Shelley’s way of showing what the effect of a good friend can be. We also see the themes of family and friendship throughout the novel. In chapter one, Victor talks about how his first recollections were his father’s smile and benevolent pleasure. In chapter two, Victor talks about friendship with Henry Clerval, and goes on to say that, â€Å"No human being could have passed a happier childhood† that himself. His friends and family were the reason for this. Victor’s friends and family were always there for him when he needed it most; when Victor is held in Ireland, his father travels to see him. Victor says that, â€Å"Nothing could have given me greater pleasure† than his arrival. However, when the Monster needed Victor the most, Victor abandoned him completely. This has devastating effects. When the Monster sees the De Laceys smiling with, â€Å"such kindness and affection† at each other, he’s unable to cope. He withdraws to the window, â€Å"unable to bear these emotions†. The Monster goes on to commit atrocious crimes as a result of this abandonment. I think that this is Mary Shelley’s way of saying how important friends and family really are. In chapter fifteen, De Lacey says that, â€Å"to be friendless is indeed to be unfortunate†. I think that Mary Shelley is trying to put this across throughout the novel. Without friends and family, a person won’t be able to get through the hard times in their life with sanity. This is what happened when the Monster took away Victor’s family and friends. Victor had nothing left. Finally, the theme of knowledge is evident in chapter five and then throughout â€Å"Frankenstein†. In chapter five, Henry Clerval talks about his father’s view on knowledge. Henry viewed knowledge as good, but he talks about how his father had a â€Å"dislike† of learning. Henry goes on to say that his father believed learning stopped at bookkeeping, and therefore university and excessive knowledge was unnecessary. Henry and Victor, however, view knowledge as a good thing. Henry describes the quest for knowledge as a, â€Å"voyage of discovery† and Victor often talks about his thirst for knowledge. Victor also talks often about his desire to learn the, â€Å"physical secrets of the world† and, â€Å"the secrets of heaven†. Similarly, the Monster also has a desire to learn. When talking in chapter twelve, he says that he, â€Å"ardently desired to become acquainted with† the ways that people communicated with each other-especially when it came to talking. This shows how similar he was to Victor himself. I think that Mary Shelley had similar views on knowledge to Henry Clerval’s father, and that she tries to get them across to readers in chapter five and then throughout the rest of the novel. After all, it was ultimately Frankenstein’s thirst for knowledge that led to him creating the Monster, and as a result of his lack of responsibility that the Monster killed so many people. Therefore, I think Mary Shelley is trying to say that knowing everything is anything but good and that we need to be aware of that. I think that there were many hidden meanings in the novel â€Å"Frankenstein†, and that many of these seem to be apparent in chapter five. â€Å"Frankenstein† was very innovative for its time; it’s viewed by many as the first piece of science fiction. It shocked people when it was published because at the time very few people spoke out about society in the way that Mary Shelley did. There were many scientific advances at the time the novel was written. People had begun to realise the potential of electricity. In 1802, scientist Galvani ran a current through a frog’s leg and made it move, and in 1803 scientist Aldani attached a battery to a corpse and claimed that it had moved. This caused some scientists to believe that eventually, with the power of electricity, man could be able to live forever. I think that Mary Shelley is trying to get this point across in†Frankenstein†. She was trying to say that humans should not attempt to â€Å"play God†-who is, after all, the only thing that has the right to give or take life. I think that she is trying to say that as soon as man begins to give or take life, there could be disastrous consequences and it therefore should not be experimented with. Mary Shelley is also considered one of the first feminists. By putting across the point that only God can create life, she may also be trying to say that only women can give life. Men don’t have that ability, and should not try to change that. Whilst she was writing â€Å"Frankenstein†, Mary Shelley was reading a book called Emile by Jean-Jacques Rousseau. He argued that when they were born, all men are harmless but it is in fact society that makes them evil. It was as a result of Victor’s initial rejection of the Monster in chapter five and other peoples’ rejection of him throughout the rest of the novel that the Monster turned evil-and that was all because of his appearance. I think that Mary Shelley was trying to say how wrong this was. Victor himself was extremely prejudiced towards the Monster in his narrative. Right from after his creation, Victor referred to the Monster as â€Å"the Monster† and â€Å"daemon† as opposed to even just giving it a name. He rejected it because of the way it looked, and the rest of society went on to do the same. It was this prejudice that began in chapter five that Mary Shelley was trying to say was wrong throughout the rest of the novel.

Stakeholders of Carrefour in Oman

Stakeholders Carrefour Group Employees as stakeholders: Carrefour is planning to become distinction from others in terms of human resources management and social responsibility in all the countries where it operates. Attracting, training, supporting and retaining loyalty while remaining open to people from a diverse range of backgrounds. The group do its best to ensure that all employees fulfill their potential and perform to the best of their abilities. Carrefour recruits 90% of its employees in its store catchment areas.Carrefour recruitment policy is based on equal opportunity, and the Group gives those from all backgrounds a chance to succeed, with or without qualifications. When people start working with Carrefour, they are choosing a responsible company that incorporates its sustainability policy into all of its business lines. Therefore, Carrefour is accepting its employees to perform at their best, be creative, respect the company code of ethics, serve customers in the best w ay and respect the regulations and policies.Moreover, Carrefour aims to boost workplace well-being by constantly communicating with employees and their representatives in compliance with Group values, this policy makes a major contribution to increasing motivation and collective and individual performance. Carrefour group also gives its employees the chance to express their opinions regarding their jobs and their life within the company. The results are then handed out to employees and their representatives, allowing for the identification of areas for improvement and the implementation of action plans. Carrefour ensures that employees benefit from appropriate social protection.When employees face any problems in terms of coverage, Carrefour provides for additional welfare, health and retirement coverage, either to cover what’s missing in local systems or complement them. Carrefour helps its employees to arrange schedules, enabling them to better balance their professional an d personal lives. Carrefour is committed to provide part time jobs for young Omanis, in order to mate the needs of its customers, perform its business activities and gives its employees the chance to finish their own daily needs. The group is committed also to ensure the safety of its employees and customers at all. As one its mployees stated the group adopted French and Oman safety standards. Furthermore, is to reduce workplace accidents through prevention training and awareness campaigns. The Group ensures that its teams understand health and safety regulations, offers training, enforces procedures and performs regular on-site audits. On the other hand, employees also expect from Carrefour to perform and respect their efforts and works. Employees want the group to pay them the best compensation, which refers to all forms of pay and rewards received by employees for the performance in their jobs including all forms of cash, benefits, services, and perks.Also, employees want from Ca rrefour training and development programs to improve their skills and abilities, gain more working experiences and give them promotions. Moreover, employees in Carrefour expect from the group their jobs and to appreciate their inputs for the group and how they contributes to the group business activities. Employees how are working as cashier want from the management break time after working in rush hours. Also, employees expect from Carrefour to define clear goals and objectives for them to make their jobs easier, so they can finish what is require from them within a time.Some employees want freedom and responsibilities over their work, which actually make them more productive. Employees also want from Carrefour guidance and feedback to acknowledge them their performances. Customers as stakeholders: Without customers a business would not exist. One of the major objectives of Carrefour is to win and maintain customers by developing and providing products and services which offer valu e in terms of price that customers pay. Carrefour is not only interested in its customers money only, Carrefour wants that people have wonderful time spent by shopping in Carrefour.Moreover, Carrefour offers and meets almost all customers' needs by offering different types of products. Carrefour provides assortment of products in order to save customers time and effort in searching. The group ensures safety and environmental place for families while there are in Carrefour. Carrefour is committed to provide its customers with quality and low price products. Carrefour built and maintains relationships with long-term customers to maintain profit and image in the market. On the other hand, customers expect from Carrefour to provide the best products services.Employees in customers prospective should be knowledgeable and available staff, while a customer is making the buying decisions, they want knowledgeable assistance and available when they want it. Some customers value on accurate in formation and want to be served by employees who know the product. Also, customers expect from Carrefour employees to give them more information about different products in the same categories. Customers not only want sales people to knowledgeable and available, they want them to be friendly and courteous with them. Customers expect from Carrefour employees to value them not the sales they make.Customers want convenience and easier shopping by well organizing the merchandise, attractive displayed and easy to find. Customers want a fast finish and they want to complete buying process and be on their way as quickly as possible. Suppliers as stakeholders: Suppliers are the most important partners for Carrefour in doing their business activities every day. Carrefour has different in its chain of production. Carrefour has a number of core values that are central to everything it does with its suppliers. Carrefour expects from its suppliers to supply products and supplies in time and orga nized it in the right places.Moreover, Carrefour expect from suppliers to keep supplying it on timely and orderly bases. Carrefour expect from its suppliers never be late in supplying necessary goods in time. Also, Carrefour operates a network between its suppliers, in order to share data and information to make supply chain management very easy. Integrity, decency and fairness during the contract period, and after contract award. Carrefour expect from suppliers continuous improvement, sharing benefits, market improvements and innovations. Furthermore, receptive to requests for information and responsive to general enquiries.High quality, value for money products or services backed by efficient manufacturing and distribution systems. Demonstrably sound financial standing and strong business performance. On the other hand, suppliers want from Carrefour to pay its payment to them in time. They also expect from Carrefour repeat orders and respect them and their proficiently in doing th eir jobs. They also expect from Carrefour to share financial information. Some of suppliers want from Carrefour to allow them to show and represent their own brand in Carrefour. Moreover, they want from Carrefour to give the freedom in providing whatever they want in Carrefour shops.Government and local community as stakeholders: Since Carrefour is a foreign group Omani government expects from it to develops the well fare of the society. Also, to respect the roles and regulations of Oman. to ensure that corporations take into account the interests of a wide range of constituencies, as well as of the communities within which they operate Moreover, the government wants from Carrefour to pay its taxes in time. The government state over the fate of a company and its investors. The government determines who benefits from corporate actions. Also, the government asks the group to operate in environmental condition.Helps to assure that Carrefour operate for the benefit of society as a whole . Society provides a licence to operate in return for benefits to the community as a whole and a respect for ethical values, people and the environment but can. AL-Fair Employees as stakeholders: Employees who provide the human resources that power the engines of marketing and productivity. Without human resources the business is unlikely to function even if there are shareholders and potential customers waiting to buy from AL-fair. Al-fair value its employees and it believes they one of the most important resources.AL-Fair Management policies are focusing in employees how much they are needed by the company, recognizing, rewarding and investing in them. Welfare of their employees is very important to the company as company employees stated. Company wants its employees to be pride in being a part of that AL-Fair. Al-Fair management believes engagement valuable to make employees feels their work makes something that really matters to company. Company helps its employees to have an op en and clear view about how they would do in their jobs. Building people is a line responsibility of the management has to accept that expending energy is part of their job.Customers as stakeholders: Customers provide revenue in return for the benefits that ownership of the product or service brings. AL-Fair offers products and varieties of them to meet all people needs. In AL-Fair customers finds more fresh foods. In AL-Fair company try to earn customers trust by understanding them. Customers buy therefore they expect recommendations to be received from employees. Customers want from AL-Fair employees to know as much as possible about the products and services they provide. Prices varies from low to high prices to meet all customers requirement.Customers expect relationship between them and employees. Suppliers as stakeholders: AL-Fair wants from suppliers to present their products and goods in Al-Fair. Timely product and service delivery. AL-Fair wants from its supplier to be Rece ptive to requests for information and responsive to general enquiries. High quality, value for money products or services backed by efficient manufacturing and distribution systems. Demonstrably sound financial standing and strong business performance. AL-Fair expect from its suppliers to be enable and remain efficient in dealing with the company.Moreover, is expected from suppliers to be quick and effective saving in serving business time. Government and local community as stakeholders: AL-Fair realizes that success of its business in directly tied to the sustainability of the community in which they operate and business sustainability, managers are seizing this value. The company has found mutual value in its business and social awareness has been a major source of increasing its loyalty. Therefore, building strong two-way stakeholder relationships is important component to long-term business sustainability.

Free Essays on Cognitive Dissonance Theory

Why do human beings make the decisions that they do, and what triggers a person to take action at any given point? These questions can be answered by evaluating the Cognitive Dissonance Theory. Leon Festinger developed this theory in order to explain why people attempt to reduce dissonance and try to maintain constant relationships. A dissonant relationship exists between elements that are in disequilibria with one another. Cognitive dissonance can occur intrapersonally as well as between two or more people. With individual cognitive dissonance the individual longs for consistency within his or her own mind. Second, there exist dissonance between two or more people. This occurs when two people have differing opinions about a particular issue. According to this theory individuals will make decisions that will promote consistency in their cognitions. Thus, individuals employ several different coping strategies to deal with dissonance. Every person experiences some type of dissonance al most everyday. My experience to dissonance for this paper will examine the different reactions that my friend had to my different opinions concerning smoking. I have attempted to persuade my friends to stop smoking. While attempting the momentous task I observed Festinger’s theory of cognitive dissonance at work. For example, I told one of my friends that I was concerned about how much they had been smoking recently. He quickly told me that, â€Å"my grandfather smoked for nearly all his life and he is in good health.† In this particular instance we can see the basic premise of the consistency theories at work. The guy who said this statement likes me and is my friend. He also enjoys smoking. When I made the statement that I was concerned with the levels of tobacco consumption he disregarded my opinion by using past experiences as evidence to back his point. He is a friend so I assume he somewhat values my opinion, but he upgraded his opinion of smoking and... Free Essays on Cognitive Dissonance Theory Free Essays on Cognitive Dissonance Theory Why do human beings make the decisions that they do, and what triggers a person to take action at any given point? These questions can be answered by evaluating the Cognitive Dissonance Theory. Leon Festinger developed this theory in order to explain why people attempt to reduce dissonance and try to maintain constant relationships. A dissonant relationship exists between elements that are in disequilibria with one another. Cognitive dissonance can occur intrapersonally as well as between two or more people. With individual cognitive dissonance the individual longs for consistency within his or her own mind. Second, there exist dissonance between two or more people. This occurs when two people have differing opinions about a particular issue. According to this theory individuals will make decisions that will promote consistency in their cognitions. Thus, individuals employ several different coping strategies to deal with dissonance. Every person experiences some type of dissonance al most everyday. My experience to dissonance for this paper will examine the different reactions that my friend had to my different opinions concerning smoking. I have attempted to persuade my friends to stop smoking. While attempting the momentous task I observed Festinger’s theory of cognitive dissonance at work. For example, I told one of my friends that I was concerned about how much they had been smoking recently. He quickly told me that, â€Å"my grandfather smoked for nearly all his life and he is in good health.† In this particular instance we can see the basic premise of the consistency theories at work. The guy who said this statement likes me and is my friend. He also enjoys smoking. When I made the statement that I was concerned with the levels of tobacco consumption he disregarded my opinion by using past experiences as evidence to back his point. He is a friend so I assume he somewhat values my opinion, but he upgraded his opinion of smoking and...

What Happens When Presidents Are Unfit to Serve

What Happens When Presidents Are Unfit to Serve American presidents are not required to pass mental health exams or psychological and psychiatric evaluations  before taking office in the United States. But some psychologists and members of Congress have called for such mental health exams for candidates following the 2016 election of Republican Donald Trump. Even members of Trumps own administration expressed concern about his erratic behavior in office. The president described himself as a very stable genius. The idea of requiring presidential candidates to undergo mental health exams is not new, though. In the mid-1990s, former President Jimmy Carter  pushed for the creation of a panel of physicians who would routinely evaluate the most powerful politician in the free world and decide whether their judgment was clouded by a mental disability. Many people have called to my attention the continuing danger to our nation from the possibility of a U.S. president becoming disabled, particularly by a neurologic illness, Carter wrote in a December 1994 issue of the Journal of the American Medical Association. Monitoring a Presidents Health Carters suggestion  led to the creation in 1994 of the  Working Group on Presidential Disability, whose members later proposed a nonpartisan,  standing medical commission to monitor the presidents health and issue periodic reports to the country.  Carter envisioned a panel of expert physicians who were not directly involved in the care of the president determining whether he had a disability. If the president of the United States must decide within minutes how to respond to a dire emergency, its citizens expect him or her to be mentally competent and to act wisely, wrote  Dr. James Toole, a professor of neurology at Wake Forest University Baptist Medical Center in North Carolina who worked with the working group. Because the presidency of the United States is now the worlds most powerful office, should its incumbent become even temporarily unable to exercise good judgment, the consequences for the world could be unimaginably far-reaching. There is currently no such standing medical commission in place, however, to observe a sitting presidents decision-making. The sole test of a candidates physical and mental fitness to serve in the White House is the rigor of the campaign trail and elector process. Mental Fitness in the Trump White House The idea of requiring presidential candidates to undergo mental health evaluations arose in the general election campaign of 2016, primarily because of Republican nominee Donald Trumps erratic behavior and  numerous incendiary comments. Trumps mental fitness became a central issue of the campaign and became more pronounced after he took office.   A member of Congress, Democrat Karen Bass of California, called for a mental-health evaluation of Trump before the election, saying the billionaire real-estate development and reality-television star exhibits signs of  Narcissistic Personality Disorder. In a petition seeking the evaluation, Bass called  Trump dangerous for our country.  His impulsiveness and lack of control over his own emotions are of concern. It is our patriotic duty to raise the question of his mental stability to be the commander in chief and leader of the free world. The petition carried no legal weight. A lawmaker from the opposing political party, Democratic Rep. Zoe Lofgren of California, introduced a resolution in the House of Representatives during Trumps first year in office encouraging the vice president and the Cabinet to hire medical and psychiatric professionals to evaluate the president. The resolution stated: â€Å"President Donald J. Trump has exhibited an alarming pattern of behavior and speech causing concern that a mental disorder may have rendered him unfit and unable to fulfill his Constitutional duties. Lofgren said she drafted the resolution in light of what she described as Trumps increasingly disturbing pattern of actions and public statements that suggest he may be mentally unfit to execute the duties required of him.† The resolution did not come up for a vote in the House. It would have sought the removal of Trump from office by employing the 25th Amendment to the  Constitution, which allows for the replacement of presidents who become physically or mentally unable to serve.   In December 2017, more than a dozen members of Congress invited a Yale University psychiatry professor, Dr. Bandy X. Lee, to evaluate Trumps behavior. The professor concluded: â€Å"He’s going to unravel, and we are seeing the signs.† Lee, speaking to Politico, described those signs as Trump â€Å"going back to conspiracy theories, denying things he has admitted before, his being drawn to violent videos. We feel that the rush of tweeting is an indication of his falling apart under stress. Trump is going to get worse and will become uncontainable with the pressures of the presidency.† Still, members of Congress did not act. Trump Declines to Make Health Records Public Some candidates have chosen to make their health records public, particularly when serious questions have been raised about their well being. The 2008 Republican presidential nominee, John McCain, did so in the face of questions about his age- he was 72 at the time- and previous ailments including skin cancer. And in the 2016 election, Trump released a letter from his physician that described the candidate as being in  extraordinary health both mentally and physically.  If elected, Mr. Trump, I can state unequivocally, will be the healthiest individual ever elected to the presidency, wrote Trumps doctor. Trump himself said: I am fortunate to have been blessed with great genes- both of my parents had very long and productive lives. But Trump did not release detailed records about his health. Psychiatrists Cant Diagnose Candidates The American Psychiatric Association banned its members from offering opinions about elected officials or candidates for office after 1964, when a group of them called Republican Barry Goldwater unfit for office. Wrote the association: On occasion psychiatrists are asked for an opinion about an individual who is in the light of public attention or who has disclosed information about himself/herself through public media. In such circumstances, a psychiatrist may share with the public his or her expertise about psychiatric issues in general. However, it is unethical for a psychiatrist to offer a professional opinion unless he or she has conducted an examination and has been granted proper authorization for such a statement.   The policy became known as the Goldwater Rule. Who Decides If a President Is Unfit to Serve So if theres no mechanism in place by which an independent panel of health experts is able to evaluate a sitting president, who decides when there might be a problem with his decision-making process? The president himself, which is the problem. Presidents have gone out of their way to hide their ailments from the public and, more importantly, their political enemies. Among the most notable in modern history was John F. Kennedy, who didnt let the public know about his  colitis, prostatitis, Addisons disease, and osteoporosis of the lower back. While those ailments certainly would not have precluded him from taking office, Kennedys failure reluctance to disclose the pain he suffered illustrate the lengths to which presidents go to conceal health problems. Section 3 of the 25th Amendment to the U.S. Constitution, which was ratified in 1967, allows a sitting president, members of his cabinet- or, in extraordinary circumstances, Congress- to transfer his responsibilities to his vice president until he has recovered from a mental or physical ailment. The amendment reads, in part: Whenever the President transmits to the President pro tempore of the Senate and the Speaker of the House of Representatives his written declaration that he is unable to discharge the powers and duties of his office, and until he transmits to them a written declaration to the contrary, such powers and duties shall be discharged by the Vice President as Acting President. The problem with the constitutional amendment, however, is that it relies on a president or his cabinet to determine when he is unable to perform the duties of the office. The 25th Amendment Has Been Used Before President Ronald Reagan used that power in July 1985 when he underwent treatment for colon cancer. Though he did not specifically invoke the 25th Amendment, Reagan clearly understood his transfer of power to Vice President George Bush fell under its provisions. Reagan wrote to the House speaker and Senate president: After consultation with my Counsel and the Attorney General, I am mindful of the provisions of Section 3 of the 25th Amendment to the Constitution and of the uncertainties of its application to such brief and temporary periods of incapacity. I do not believe that the drafters of this Amendment intended its application to situations such as the instant one.  Nevertheless, consistent with my longstanding arrangement with Vice President George Bush, and not intending to set a precedent binding anyone privileged to hold this Office in the future, I have determined and it is my intention and direction that Vice President George Bush shall discharge those powers and duties in my stead commencing with the administration of anesthesia to me in this instance. Reagan did not, however, transfer the power of the presidency despite evidence that later showed he might have been suffering from the initial stages of  Alzheimers.   President George W. Bush used the 25th Amendment twice to transfer powers to his vice president, Dick Cheney. Cheney served as acting president for about four hours and 45 minutes while Bush  underwent sedation for colonoscopies. Key Takeaways: When a President Is Unfit to Serve Presidents and candidates seeking election to the White House are not required to pass mental health exams or psychological and psychiatric evaluations.The 25th Amendment to the U.S. Constitution allows members of a presidents cabinet or Congress to remove a president from office if he is mentally or physically unable to serve. The provision has never been used to permanently remove a president from office.The 25th Amendment remained a relatively obscure provision in the Constitution until Presidential Donald Trump took office. Members of Congress and even his own administration grew concerned about his behavior. Sources Karni, Annie. â€Å"Washingtons Growing Obsession: The 25th Amendment.†Ã‚  Politico, 3 Jan. 2018.Barclay, Eliza. â€Å"The Psychiatrist Who Briefed Congress on Trumps Mental State: This Is ‘an Emergency.’†Ã‚  Vox.com, Vox Media, 6 Jan. 2018.Foiles, Jonathan. â€Å"Is Donald Trump Unfit to Be President?†Ã‚  Psychology Today, Sussex Publishers, 12 Sept. 2018.