Diabetes A Classification Of Metabolic Disorders

Diabetes is a classification of metabolic disorders that lead to hyperglycemia. The patient’s metabolism is impaired due to a lack of insulin secretion, or impaired insulin function. Insulin is one of the major components in metabolism of glucose- the body’s primary energy source. Alterations in insulin function lead to alterations in utilization of the glucose stores and cellular function as the body is unable to begin glucose metabolism, leading to a buildup of glucose in the serum. Unmanaged diabetes can lead to a high number of complications, ranging from ocular, renal, neuronal, and vascular. The primary classifications of diabetes include Type 1 Diabetes, Type 2 and Gestational diabetes. Type 1 diabetes is a lack of insulin production. Commonly this is autoimmune, and the body produces antibodies that destroy the specially designed cells in the pancreas, beta cells, that are responsible for insulin production. Type 2 diabetes on the other hand is due to decreased insulin production, and insulin resistant cells. Under normal circumstances, insulin triggers a shift in glucose, moving it from the bloodstream to the cell where it can be metabolized for ATP. In type 2 diabetes, cells no longer respond to insulin. In both cases, there is a buildup of glucose in the bloodstream. Type 1 diabetes is most commonly seen in younger people, though it is not unlikely to see latent autoimmune diabetes in adults. The risk factors for developing type one diabetes include genetics,Show MoreRelatedObesity : A Serious Medical Condition876 Words   |  4 PagesObesity is a serious medical condition that requires treatment to lower the risk of metabolic and cardiovascular disorders. However, one in three people in the United States is clinically obese (Overweight and Obesity Statistics) and 10-25% of obese individuals are labeled metabolically healthy (Bluher). Obesity is clinically diagnosed with a body mass index (BMI) of a score of 30 or greater in reference to the total weight in people’s body compared to their height (Overweight and Obesity Statistics)Read MoreEssay On Diabetes761 Words   |  4 Pagessecretion which results in the metabolic derangements associated with T1DM. Normally, hyperglycemia leads to reduced glucagon secretion; however, in patients wi th T1DM, glucagon secretion is not suppressed by hyperglycemia (Holt, 2004). The resultant inappropriately elevated glucagon levels exacerbate the metabolic defects due to insulin deficiency. In type 2 diabetes these mechanisms break down, with the consequence that the two main pathological defects in type2 diabetes are impaired insulin secretionRead MoreDiabetes Mellitus ( Dm ) Is A Metabolic Disorder Caused By Pancreatic Disorders1103 Words   |  5 PagesDiabetes Mellitus (DM) is a metabolic disorder caused by pancreatic dysfunction resulting in absence or insufficient insulin secretion. Different categories of DM are as follows; type 1 DM, type 2 DM, other specific type and gestational DM (GDM) (Huether McCance 2012). Type 1 DM is caused by autoimmune where there is no insulin production, type 2 DM happens later in life due to insulin resistance from obesity, low level of HDL(good cholesterol), or polycystic ovary disease (Blair, 2016). OtherRead MoreNonalcoholic Fatty Liver D isease Essay1285 Words   |  6 PagesNonalcoholic Fatty Liver Disease, one of the most common liver disorders, can have several causes, such as congenital, pharmaceutical, or other miscellaneous sources, but the most clinically important etiology is metabolic disorder. Metabolic Disorder, also known as syndrome X, is a collection of symptoms that occur in clusters, and cause a patient to have a higher risk of heart disease, stroke, and diabetes. Metabolic syndrome has several hallmark signs. Many of these conditions can occur aloneRead MoreAn Accurate Prediction And Diagnostic Of A Disease Essay1050 Words   |  5 PagesAbstract—Diabetes is one of the leading causes of death, disability and economic loss throughout the world. Type 2 diabetes is more common (90-95% worldwide) type of diabetes. However, it can be prevented or delayed by taking the right care and interventions which indeed an early diagnosis. There has been much advancement in the field of various machine learning algorithms specifically for medical diagnosis. But due to partially complete medical data sets, accuracy often decreases, results in moreRead MoreDiabetes Is A Disorder Of Too Little, Too Much Or Ineffective Use Of Insulin1187 Words   |  5 Pages Diabetes Mellitus is a disorder of too little, too much or ineffective use of insulin. The different classifications of this are know as type I diabetes or IDDM (insulin dependent or juvenile diabetes), type 2 diabetes or NIDDM (non-insulin dependent diabetes or adult on-set), and gestational diabetes mellitus. There is also pre-diabetes, which is the term used to indicate the condition of impaired glucose balance, impaired fasting, or tolerance of glucose. This is more of a risk factor for a possibleRead MoreAssessment Of Acute Phase Protein1216 Words   |  5 PagesSupervisor Dr. Khalid Hussein Introduction and literature review: Diabetes mellitus is a metabolic disorder of multiple etiologies. It is characterized by chronic hyperglycemia together with disturbances of carbohydrate, fat and protein metabolism resulting from defects of insulin secretion, insulin action or both.(1) Type 2 diabetes (formerly called non-insulin-dependent or adult onset diabetes) is caused by the body’s ineffective use of insulin. It often results from excessRead MoreDiagnosis Of Diabetes Mellitus ( Dm )843 Words   |  4 PagesDiabetes or clinically referred to as Diabetes Mellitus (DM), is part of several groups of metabolic illnesses where there are high glucose levels for an extended period of time. Diabetes happens if there is not enough insulin produced by the pancreas or the body cells are not adequately responding to the insulin produced. (Ciccone, 2016 p510-511). Delving into its early history, diabetes was one of the early illnesses described, from a tablet found in Egypt from the year 1500 BC that statedRead MoreWhat Is Diabetes? Types Of Diabetes Essay911 Words   |  4 PagesWhat Is Diabetes? Types Of Diabetes By Harshad Jethra | Submitted On June 05, 2015 Recommend Article Article Comments Print Article Share this article on Facebook Share this article on Twitter Share this article on Google+ Share this article on Linkedin Share this article on StumbleUpon Share this article on Delicious Share this article on Digg Share this article on Reddit Share this article on Pinterest Expert Author Harshad Jethra Diabetes is also referred to as diabetes mellitus, and mayRead MoreDiabetes Mellitus : A Major Public Health Problem Worldwide Essay1480 Words   |  6 PagesDiabetes Mellitus has increased in recent years due to bad eating habits and inactivity. Diabetes Mellitus is a major public health problem worldwide. Improved testing accuracy has improved which has confirmed more cases. There are two types of diabetes. In this paper I will explain the differences in both types of Diabetes and complications that are commonly associated with this disease, as well as treatment and plan of care for this disease. (American Medical Association) Type I Diabetes

Gender Wage Gap From A Sociological Perspective Essay

INTRODUCTION What is the social problem? The gender wage gap in America is a social problem that has existed since women entered the workforce. According to the National Committee on Pay Equity, for every dollar earned by a man, a woman made 78.3 cents in 2013 (Leon-Guerrero, 2016). Data from 1983 to 1998 and concluded that women workers in their prime earning years make 38% of what men make. During the 15-year period, an average prime-age working woman earned only $273,592 compared with $722,693 earned by the average working man in 1999 (Leon-Guerrero, 2016). The wage gap affects women of color in a more profound way that it does non-hispanic white women. Hispanic women are making 53%, African American women are making 64%, and Asian American women are making 87% of white men’s earnings each year (AAUW, 2013). The gender wage gap from a sociological perspective: Different reasons are given in order to explain the gender wage gap. Some of reasons include: Women work for a shorter collective time in order to give birth and raise their families. Women’s work has less value than that of their male counterparts. The sexual division of labor, which assigns tasks to individuals on the basis of gender, creates blue and pink collar work and, thus, the devaluing of women’s labor. Aside from these valid points, the pay gap cannot be explained away. Women’s professions continue to be associated with smaller wages than men’s professions. Teaching, for example, is a female-dominatedShow MoreRelatedGender And Work : Women s Roles1618 Words   |  7 PagesBridget Steele Dr. Katie Worman Ross SOC 4043 7 October 2017 Gender and Work Midterm Gender and work exist sociologically as a way to maintain both authority and inequality. Women’s roles throughout history shed a light on the expectations and stereotypes that exist today; however, navigating a gendered economy and overcoming sex segregation continues to be a challenging task for most women. Wages continue to be uneven, and wives continue to bear most of the child rearing and domestic responsibilitiesRead MoreThe Gendered Society by Michael Kimmel770 Words   |  3 Pageseliminate the wage differences between men and women. Although this is a good first step there is still a lot that must be accomplished in order for their to be equality on wages between males and females. Michael Kimmel’s book The Gendered Society discusses this issue within Chapter 9: Separate and Unequal. Coming at the issue from a very sociological perspective Kimmel argues that the wage gap is a â€Å"[†¦] major consequence of the combination of sex segregation and the pers istence of archaic gender ideologies†Read MoreThe Role Of Women During The Civil War1595 Words   |  7 Pagesthe first policy regarding equal pay was introduced opening the gate from other policies, such as Pregnancy Discrimination Act of 1978 and the Family Medical Leave Act of 1993. However, women are still being undermined in the work force with the wage gap between women and men. Many argue that a wage gap does exist where women are working hard but getting payed less leading to poverty. On the other hand, others argue that the wage gap is merle a myth and is impractical in today s society. ContributingRead MoreGender Inequality : Gender Pay Gap975 Words   |  4 PagesThe gender pay gap in Hollywood The gender pay gap is the difference in pay earned by men and the pay earned by women.( Pay Equity Commission, 2012). There are various ways in measuring the pay gap between genders, such as full- time or full- year wage. Statistics Canada data ( 2012) displayed that the gender pay gap in Ontario was 26% for full- time and full- year employments, which means for every C$1 earned by a man, a woman earned 74 cents( Pay Equity Commission,2012).The pay gap has been narrowingRead MoreGender Gap In Pay1574 Words   |  7 PagesIntroduction Gender Pay Gap also referred to as Gender wage gap, gender income difference or male-female income difference refers to the difference between the earning of men and women (Victoria, 2006). The European Union defines the Gender Pay gap as the difference between men and women’s hourly earnings (OECD, 2012). The difference may be measured on hourly, weekly, monthly, or yearly earning. The difference is expressed as a percentage of the men’s earning. However, the difference varies from one industryRead MoreThe Impact Of Female Incomes On The Workplace1405 Words   |  6 Pagesglobally, despite occupation and education. Although the distance is becoming smaller between genders, Canada’s gap is greater than the national average. Many theories that attempt to explain the differences in female wages, however, these theories do not fully account for the income differences women experience. With the relationship of monetary values and power as a social status indicato r, the wage gap of female income demonstrates their subordinate rank to male counterparts in Canada. This thesisRead MoreGender Pay Gap : Inequity, Work And Society1482 Words   |  6 PagesGender Pay Gap: Inequity, Work and Society In Australia over the last 20 years, it is documented that a person’s income and wages, differs based on one’s gender, known as the gender pay gap (The Conversation, 2017; Workplace Gender Equality Agency (WGEA), 2017c). This paper will discuss what a gender pay gap is, various economic explanations for this gap, summarise sociological responses, and identify possible policy recommendations and their implications. The gender pay gap is generally measuredRead MoreSociological Perspective On Health And The Health Care Essay1184 Words   |  5 PagesSociological Perspective on Health and the Health Care Overview The â€Å"Sociological Perspective on Health and the Health Care† introduced perspectives about social structure, and social relations. The readers learn the sociological theory and the main misconceptions related to health care, and their policies. It provides an explanation of the production and the distribution of health care services. Firstly, structural functionalism focuses on individuals and groups in society and how it maintainsRead MoreReflections on the Gender Wage Gap Essay1123 Words   |  5 PagesThe gender wage gap is a complicated issue that has persisted despite the Equal Pay Act of 1963 that promised equal pay for equal work. According to the U.S. Bureau of Labor Statistics, in 2010, women on average earned 81 cents for every dollar men earned, creating concern among scholars, policy makers, and the press, and lingering questions as to cause (2011). While the wage gap has narrowed considerably in the nearly 50 years since the passage of the Equal Pa y Act of 1963, many contend that theRead MoreSociological Imagination : An Important Part Of Understanding Society1577 Words   |  7 Pagespersonalities and behaviors according to socialization, which are interactions with others that helps develop individual characteristics. A well known sociologist C. Wright Mills, uses all these terms to create sociological imagination that involves personal and public issues. Sociological imagination focuses on problems that society faces as whole which impacts individual’s lives, than just focusing on personal issues caused by mistakes one makes him/herself. Sociology is a concept that makes individuals

Ethics in Leadership Free Essays

Ethics in Leadership Ethics, as defined by Richard daft, is â€Å"the code of principles and values that governs the behavior of a person or group with respect to what is right or wrong† (Daft, 2011, p. 445). Ethics play the most important role in any business, and are the key to its success. We will write a custom essay sample on Ethics in Leadership or any similar topic only for you Order Now Every company expects a standard pattern of behavior from their employees on some common grounds. In order to define ethics in leadership, we must first define leadership. Leadership is defined as â€Å"an influence relationship among leaders and followers who intend real changes and outcomes that reflect their shared purposes† (Daft, 2011, p. ). A dynamic leader operates with a high sense of ethics, integrity, and possesses high moral standards. True leaders have an appreciation for learning, take risks, and understand the importance of change and when it is necessary. Leadership, in a sense, is never a finished product, but rather, it is an ongoing process that continuously needs refinement. Leaders are aware of what they value and recognize the importance of ethical behavior. â€Å"Leaders come in all shapes and sizes but all good leaders possess leadership style and actions that exhibit both their values and their ethics† (Daft, 2011, p. ). Since we have defined le adership as the â€Å"influence relationship among leaders and followers, ethical leadership is about leaders trying to influence people to act in an ethical manner† (Daft, 2011, p. 5). Some believe that ethical leadership is only a matter of leaders having good character. By being a person of strong character and having the right values, an ethical leader can use these characteristics to set an example for others. Without taking anything away from those characteristics, the reality of ethical leadership is far more complex. Also read: Advantages and Disadvantages of Ethics in Business Ethical leaders embody the purpose, vision, and values of an organization and of its followers. Ethical leaders connect the goals of the organization with that of the company stakeholders and employees. We’ve learned in this class that true ethical leaders â€Å"have to discover their own personal ethical values and actively communicate those values to others through both words and actions† (Daft, 2011, p. 447). One of the most famous examples of a company not showing ethical leadership is in the company Enron. The Enron Corporation was an energy trading and communications company based out of Houston, TX. By 2001, Enron employed around 21,000 people and was listed as the seventh largest company in America. Enron’s executives practiced accounting methods that falsely inflated the company’s revenues, which eventually led to bankruptcy and the collapse of the corporation in December 2001. In the case of Enron, the employees agreed to a set of values that were not demonstrated and led by the executives of the company. The leaders of Enron did not act in a manner that sets the example for the rest of the organization. Bad leadership and a lack of leadership ethics at Enron caused the eventual collapse of the company in 2001. How to cite Ethics in Leadership, Essay examples

From Shadows to the Spotlight free essay sample

I sat facing the board quietly doing my work.My teacher asked how I liked the new school. I simply replied, â€Å" It’s nice.† I tried to focus back on my work but got distracted by a cluster ofkids in the back whispering. I struggled to catch every detail of the conversation but definitely held on to the phrase, â€Å"new girl†. That was me. The new girl who moved across the state in seventh grade to a new town, a new district,not knowing anyone. It seemed like I was different than everyone. My hair was cut in a boyish looking crop cut that showed off my very long skinny neck. I resembled a giraffe, or so I was told. The boys in the back of the class didn’t know I was listening, but one of them made a comment, â€Å" Why are the new girls never good looking? This one’s just weird. We will write a custom essay sample on From Shadows to the Spotlight or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page †The next day I had no one to sit with at lunch. When I asked a group of girls if I could sit with them, they laughed and asked who I was. I couldn’t understand what it was about me that everyone disliked.I realized that no one was going to like the â€Å"new girl† with the weird style and the even weirder ideas, including but not limited to: writing songs, talking about horses, and trying to imagine the end of the world. For the next few weeks I sat, silently doing homework in the corner trying not to draw attention to myself, until some students came around to talk to us about student council. This organization met once a week and planned upcoming school events . Anything was better than sitting in that class working to drown out the whispers that seemed to smother me. So I joined. The first meeting was on a Wednesday. I quietly walked into the health room and stood amazed at the amount of laughter and commotion that came from the room. As I walked in the laughter seemed to stop, and I could feel every eye in the room on me. I tried to find a table to sit at by myself, but they were all filled with unfamiliar faces. As I started to turn around, finally one of the students offered me a seat next to her and asked me my name. Every student in the room was so welcoming and showing an expressed interest to get to know me. Sarah gladly helped me find my way around the next few days until I got the hang o f where I was going. During my two years in the Student Council, I went from the quiet girl who sat in the back to the president of the Council. I was invited to leadership trainings where I learned that everyone has issues fitting in.When I entered high school, I became the vice president for my class, and my principal even asked me to become a special leader. In high school I thought that the whispering would stop especially since I was a recognized leader instead of the new girl with a giraffe neck, but there are still a few who are critical of me. Now, however, I have learned that those who are critical of others are self conscious themselves. Whether it is the person is teasing me from across the classroom, or the girl who laughs at me as we pass in the hallway, we all have our own stories, our own backgrounds, and our own insecurities. Today as a leader in my school, I work to help students accept themselves and others or who they are. When I see a student looking for a seat or a partner to work w ith, I smile and ask â€Å" Would you like to sit with us?†

A Male Dominated Business World

A Male Dominated Business World Free Online Research Papers The business world today is far different from what it once was. Women have fought years to try and become equals in what was a mostly a male dominated business world. Now that they have gotten their foot in the door they want more. This means that they do not just want entry-level jobs, they want the managerial and executive positional that have usually been reserved for men. The old way of doing things is over and the business world has to adjust for the way that women operate. One of the largest concerns in business between men and women is their decision processing. In this paper I will argue the position that gender differences influence are likely to cause unethical actions to occur. An example of this conflict is seen in an article that was run in 1997 in the New York Times. This article discusses how male executives from Detroit’s â€Å"big three† auto makers entertain their potential clients through the lure of sex and alcohol. A poll taken in this article states, â€Å"that 49 percent of the men polled had entertained clients in the top-less bars, but only 5 percent of 66 saleswomen had (Meredith). It also states that after looking at expense reports from the previous year it was found that some executives had spent some $40,000 in this type of entertainment. Since these bars are right down the road, executives say that this is the easiest place to meet and work out possible deals. After reading this article, one thing that comes to mind is the differences in the choices that men and women made with this unethical behavior. I consider entertaining at a top-less bar an unethical practice because I do not believe that business should be con ducted in this type of forum. According to Dane Peterson, â€Å"gender differences in ethical beliefs are largely determined by how males and females perceive acceptable behavior for them by society† (47). The male executives in this article believe that taking other males to a top-less bar is acceptable by society because supposedly all men go to them one time in their lifetime. Women however see the situation in a very different light. They believe that this is a very degrading activity to conduct a business environment. This is why it is not very common for women to take potential clients to a top-less bar. A person’s perception of acceptable behavior is typically a normal facet of their everyday life. Michael Betz says, â€Å"the ‘gender socialization’ approach asserts that the sexes bring different values and traits to their work roles, which, in turn, differentially shape their work-related interests, decisions, and practices† (322). For a normal male, interests usually include women, sports, and alcohol. Because of these interest males try to include them whenever possible in a setting when other males are present. The reason that the male executives from the auto firms chose to take their potential clients, which were usually male, to a top-less bar is because they shared similar interest and it made getting to know one another better. This is also the case of why many business deals are constructed at sporting events where there is usually alcohol and women around to make the environment more to the liking of males. Men and women have different views on how they should strive to succeed in business. Betz says, â€Å"men are more likely to work long hours and break rules because men view achievement as competition, as a game to be won. Conversely, woman are though to place less emphasis on competitive success and more on doing task well and promoting harmonious relationships† (322). In the New York Times article it states that when the CEO’s of the three auto manufactures were asked if they condoned lunches at top-less bars they said not at all, and if people from the company were practicing that type of entertainment to bring in business they will be dismissed. Most of the executives that were hosting these parties were male. They did not care if they were breaking the rules through an unethical action; all they cared about was the competition of getting another client. They were not interested in getting to know their new friends or how much they spent to get them, they just wanted their business. If presented with the same situation a woman would not go to such extravagant measures to buy a client. A woman in business tries to establish a long-standing relationship with the client. This attention to detail is what makes them so appealing because they cannot rely on excessive spending to attract prospective clients. 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Free Research Paper

Free Research Paper Free Research Paper Free Research Paper What is my opinion about free research paper?   I do not like it.   I think that free research paper is good only when used as an example of the format.   Otherwise, it should not be copied and submitted as your own. Most universities have a style guide detailing formatting and presentation requirements for academic research paper writing (spacing, required sections, maximum length, etc.) which you will need to follow. Getting a copy of this early, and writing all your chapter drafts in the approved style, can save a lot of time later. If you ask your supervisor or other students, you may be able to obtain an electronic file formatted in the required paper style. If your university has no particular rules for research paper formatting and presentation, then your professional judgment and the rule of consistency should be employed. Read other English research papers in your library and journal articles in order to ascertain general standards apply in your discipline and structure of headings best helps the clarity of the text. Watch for good and bad examples of the use of bold and italic type, font sizes, and so on. Writing a research paper consult with your adviser as much as possible, it will help you avoid many mistakes. Research Paper Ideas Finally, you should read a hard copy of your research paper writing from start to finish, rechecking your paper structure, arguments and looking for grammatical problems. (Some people can edit academic research paper writing successfully on screen. However, most people are more accurate in editing a printed copy of the paper, and it is the printed copy that your examiners will read, so we recommend using a hard copy for final editing.) Your final draft should ideally be fully edited by someone else who is unconnected with the research, and who can read the paper from start to finish, concentrating on spelling, grammar, formatting, expression and presentation. This stage is important for all students in obtaining a final meticulous check, but particularly important if English is not your first language. This final 'editor' may be a friend or family member, or even a professional editor. It should be a native English-speaker if possible, and should certainly be someone who writes well and who is capable of careful attention to detail. If you need research paper help, you can freely ask us for assistance.   We are open 24/7 to help you with research paper writing at any time of day and night.   High quality research paper is a guarantee of good grade and your excellent academic record. Do not hesitate to contact us if you need more information about our research paper writing service.

Assignment 3 Essay Example | Topics and Well Written Essays - 500 words - 4

Assignment 3 - Essay Example Garstein et al. studied the development of temperament across four cultures and found different temperaments in infants and adults in every culture (55). They found that Japanese and Russian infants were known to have â€Å"the highest and the second highest levels of fearfulness, respectively†; while, U.S. and Polish infants received â€Å"relatively lower ratings from their caregivers† (55). Super et al. (136) also studied cross-cultural differences in temperament in children belonging to seven western cultures and found that the participants â€Å"showed both general tendencies and culture-speciï ¬ c patterns† in their behavior. McCrae et al. studied the nature versus nurture debate and agreed with the fact that, along with biological factors that are responsible for the makeup of personality, â€Å"the intrinsic maturation of personality is complemented by the culturally conditioned development of characteristic adaptations† (173). Similarly, Wood an d Eagly studied cross-cultural difference of men and women in non-industrial societies, and found that they showed different attitudes towards â€Å"the economic and social structural aspects of societies† (699). These studies strengthen the idea that culture differences are equally important to study if we want to understand the variations in temperament globally. I have personally experienced that my friends belonging to different cultures have different temperaments which includes the level of happiness and sorrow they express; fright or boldness they show; and, anger or patience with which they handle things. For example, three of my friends who belong to Europe get panicked over little things; while, two of my friends belonging to Asia laugh over even big problems. My European friends are way too liberal about their lifestyle, like coming back home late in the nights and staying in apartments other than their parents’. On the

The Use of the Internet for Purchasing Goods and Services Has Enormous Essay

The Use of the Internet for Purchasing Goods and Services Has Enormous Potential - Essay Example The relationship marketers’ efforts are supported by frequent catalog mailings and e-mail campaigns both of which are designed to cause inbound telephone sales and interactive websites, which allow customers to purchase products directly over the Internet. BP & S would like to address the department named customer sales and marketing. This department is aimed at fetching the customers for its products and services. It markets its products and services over the internet for selling its products. The online technologies would act wonders for BP & S enterprise in giving them a global stand and make them quite susceptible to attract competition. Presently it caters to a limited amount of consumers. Its desire to enlarge its wings to international market makes sure that the global demands of the consumers would result in fostering standard practices in line with international standards. The products would be made to compare with the competitors and would further add the brand and quality for sale in the international market. The international consumers would be at ease to purchase products at their convenience and would get across its message with the help of online technologies. Its products would fetch better acceptability in the foreign market and would comprise quality and international standards in the making of things. Rendering to international customers and consumers is quite a challenge for any enterprise as they perceive the products and services of other countries with extreme competitive motives and continuous comparisons with their usual practices. The brand image of BP & S would accelerate the products sale and push its image into the international market for better collaboration and sale. Collaboration with international suppliers and vendors for sale would result in making immense profits and would compose better deals for making profits.

Collapse of the Pension Schemes Case Study Example | Topics and Well Written Essays - 1250 words

Collapse of the Pension Schemes - Case Study Example The court did not oblige the government to provide for the compensation of all the victims. The Prime Minister stated that his government has already set up 1.8 billion pounds for its Financial Assistance Scheme. Even though he sympathized with them, the Prime Minister expressed that the solution should be affordable. He also expressed his concern over the decision which may hold the government always responsible for the collapse of any pension scheme which would mean billions of pounds exacted upon the government. Conservative leader David Cameron called for discussions among the government, opposition and representatives of the victims of the collapsed pension scheme to come with compensation packages. David Laws, Liberal Democrat Work and Pensions spokesman, expressed his intent to call for the amendment of the Pensions Bill so compensations could be provided. John Hutton, Work and Pensions Secretary of the Government, stated that he government would carefully consider the ombudsman's report. Society owes a big debt to the victims of collapsed pension schemes since these people have been paying taxes. Even though resources are limited, they still deserve help. The government has to set a good example by helping these hardworking people and think of creative ways to solve the pensions crisis. Henry Bradley and Bob Duncan expressed their delight over the decision. The Guardian: Pensions - Back to Basics John Benson, a victim of the collapsed pension scheme, was delighted over the decision of the high court after having suffered so much. All those affected are entitled to two kinds of justice- individual and social. The former concerns their right to receive pension because they paid their dues while the latter concerns the principle that people who have been working hard all their life are entitled to a decent living. The question of who is responsible and to what degree is still unclear even after the judgment but the court has ruled that the government is partly responsible for encouraging the people to invest in such schemes. The work and pensions secretary, John Hutton, is now responsible for the compensation of the affected person due to legal and humanitarian considerations PM Blair's concern regarding the ruling also deserves attention as it may provide the employer the opportunity to transfer the burden of compensation to the government. The government should see to it that the taxpayers are well informed about the repercussions of employers collapsing pension schemes even though it this possibility has already been minimized. Governments are still the only reliable form of material security. The Turner Commission report and the ruling recognize the role of the government in providing that security. On whether the government should compensate The dilemma that now faces us is whether the government should provide for the pension of its constituents who have become victims of collapsed pension schemes. It has been argued that these people deserve some form of compensation because they paid their dues and have been good taxpayers and it is therefore only right for them to be given what is due to them. If the government does take this responsibility, then

Case Study On A Patient With Oesophagitis Nursing Essay

Case Study On A Patient With Oesophagitis Nursing Essay The patient was a female, age 89, with a BMI of 15.4 kg/m2 (underweight). Her presenting complaint was nausea and vomiting, bringing up coffee ground vomit, fatigue and loss of appetite since two days ago. Her past medical history included atrial fibrillation, paranoid psychosis and iron deficiency anaemia. She also had a cholestectomy done in year 2000. She was single and lived alone; she neither smoked nor drank. There was no relevant family history recorded for her case. On admission she was taking medication stated in Table 1 below. She was known to be allergic to ciprofloxacin. Table 1 Repeat medication taken on admission Drug Dose Digoxin 125 Â µg once daily Lisinopril 2.5 mg once in the morning Furosemide 40 mg once daily Clopidrogel 75 mg once daily Quetiapine fumarate 125 mg twice daily Tramadol hydrochloride 100 mg twice daily Codeine phosphate 60 mg one to be taken as required Paracetamol 500 mg four times daily Folic acid 5 mg once daily Ferrous fumarate 322 mg twice daily (Last prescription dated three months ago) Clinical data and diagnosis On admission, her temperature was 36.4Â °C, pulse was 83 beats per minute, and her blood pressure was 124/46 mmHg. Her Abbreviated Mental Test (AMT) score was 7 out of 10, indicating mild confusion. A full blood count, renal function test, liver function test, and an electrocardiogram (ECG) were carried out. Her liver function test came back normal. The ECG showed some ST depression, but the patient denied any chest discomfort. Her haemoglobin levels were low at 9 g/dl (11.5-16.5 g/dl), while platelets were low at 108109/l 150-400109/l). her plasma urea was elevated at 38.2 mmol/l (2.5-7.5 mmol/l), and her creatinine was 273 Â µmol/l (50-80 Â µmol/l for female). Her creatinine clearance was calculated to be 8.1 ml/min, which indicated severe renal impairment. The diagnosis was acute renal failure, and gastritis or peptic ulcer disease. Clinical progress On day 1, patient was dehydrated and had some upper abdominal discomfort (Dyspepsia). The plan was to stop tramadol, clopidogrel, lisinopril and furosemide, due to the coffee ground vomit and acute renal failure. Two units of RCC (Red cell concentrate) and IV fluids were given. A urinary catheter was used to monitor urine output. Patient was continued on ferrous fumarate and given gaviscon 10mls. Quetiapine fumarate was not given as it was not available. On day 3, patient was paranoid; as quetiapine fumarate was still not available, haloperidol 1 mg was given as an intramuscular injection according to the hospital guidelines. Her haemoglobin levels were back to normal (12 g/dl) and her creatinine clearance improved to 33.3 ml/min; measurements were taken again because the values were so different. The catheter was taken out, but she was to receive subcutaneous fluids hourly. Patient was passing black stools. She was given Peptac 10mls for abdominal discomfort and was scheduled for an endoscopy the next day. Quetiapine fumarate was given on day 4 and patient was taken off haloperidol. On day 6, the patients confusion was thought to be influenced by digoxin; levels were checked and found to be 1.1 Â µg/l (0.5-2.0 Â µg/l); however dose of digoxin was decreased to 62.5 Â µg. a rectum examination was conducted to make sure patient was not bleeding from the lower gastrointestinal tract. The gastroscopy report came back stating patient had grade D oesophagitis (Reflux oesophagitis), that is an extenxive mucosal breaks engaging at least 75% of oesophageal circumference. She was also found to have a large chronic duodenal ulcer, non-bleeding with visible vessels. The plan was to start the patient on IV proton-pump inhibitor (PPI, pantoprazole 8 mg/hr) for 72 hours, oral omeprazole 20 mg daily, and eradicate H. pylori if infection was present (CLO test). On day 9, the CLO test came back negative. Patient was taken off IV PPI and put onto oral PPI (Omeprazole 40 mg daily). A repeat endoscopy was scheduled for the week after. Disease Overview Prevalence Oesophagitis is the inflammation of the lining of the oesophagus, usually caused by irritation due to stomach acid reflux.1,2 It is included under the boarder term of gastro-oesophageal reflux disease (GORD), which also includes endoscopy-negative reflux disease.3 In the UK, there is a 28.7% prevalence of GORD, and the risk is found to increase with age, especially for those over 40 years of age. There is an estimated of over 50% of GORD patients between 45 and 60 years of age.4 About 25 to 40% of people with GORD are found to have oesophagitis on endoscopy.5 Pathophysiology, risk and diagnosis Acid reflux can occur because of incompetence of the lower oesophageal sphincter, a transient complete relaxation resulting from a failed swallow, that is, a swallow without the usual peristalsis wave (Found in 65% of patients). It can also be caused by a transient increase in intra-abdominal pressure (17% of patients), or a spontaneous free reflux due to the lower oesophageal sphincter having a low resting pressure (18% of patients).6 Possible risk factors for GORD are pregnancy, excess alcohol consumption, smoking and hiatus hernia. Obesity is thought to be a risk factor, as well as certain foods like onions, citrus fruits and coffee. Drugs that are thought to relax the lower oesophageal sphincter like calcium channel blockers are thought to play a role in promoting GORD. There is however very limited evidence to support these claims.4,5 It is now thought that more than 50% of GORD risk is genetic, as it is found that a first degree relative of a person with GORD is four times more at risk of getting the disease.4 Diagnosis of GORD is based mainly on the patients symptoms, predominantly acid regurgitation or heartburn.7 An endoscopy is usually the main diagnostic procedure done to confirm GORD. Pharmacological treatments and mechanisms of action The main drug used for this disease is a proton-pump inhibitor (PPI). PPIs are one of the most prescribed drugs for the treatment of acid-peptic diseases, including GORD and peptic ulcer disease.8,9 They are substituted 2-pyridyl methysulfinyl benzimidazoles, with pKa around 4, and have a very short plasma half life of one to two hours. They are weak bases that are lipophilic, which allows them to cross the membranes of the parietal cells easily. Once inside the parietal cells, where the pH value is less than 4, they protonate into the activated tetracyclic sulphenamide form of the drug and accumulate inside the cells. Here they form covalent bonds with the cysteine residues in the hydrogen/potassium adenosine triphosphatase (H+/K+ ATPase) enzymes, forming disulphide bonds, inhibiting the acid secretion activity of the pump irreversibly. Due to the covalent bonds, their duration of action exceeds their plasma half life. To resume acid production, the parietal cells must then generate , or activate, new proton pumps.8,9 Examples of PPIs are omeprazole, lansoprazole, pantoprazole, and rabeprazole, the last of which has a pKa of 5, and is activated at a broader range of pH compared to the other three, leading to a higher acid-suppression activity. The common side-effects of PPIs are nausea, diarrhoea, abdominal pain and headache. Diarrhea seems to occur because of a change in the gut flora brought about by the PPI, and appears to be age-related.8 PPIs, especially omeprazole, are known to alter the activity of cytochrome P in the liver, an important consideration for patients taking drugs with narrow therapeutic windows like warfarin and phenytoin. They also cause a prominent gastric pH increase, and are able to inhibit or decrease the absorption of weak bases that require acid for absorption, like iron salts, griseofulvin, and vitamin B12.8 Other drugs that may be used in this case are H2 receptor antagonists, which inhibit the secretion of acid by stopping histamine from binding to the H2 receptors on the parietal cells; and prokinetic drugs, usual examples like cisapride, metoclopramide and domperidone, which work by increasing the pressure of the lower oesophageal sphincter, and accelerating gastric emptying.10 Evidence for treatment of the condition The National Institute for Health and Clinical Excellence (NICE) guidelines state that, for the management of oesophagitis on endoscopy, patients are to be given full dose PPI for one to two months. If there is a response to the treatment, low dose PPI is given, probably on an as required basis. If there is no response, the dose of PPI is doubled for another month, before switching to low dose PPI. If there is no response to the doubled dose of PPI, treatment is then switched to a histamine H2 receptor antagonist or a prokinetic.11 Klinkenberg-Knol EC et al1 compared the effects of omeprazole and ranitidine in a randomised, double-blind, endoscopically-controlled trial done on patients with reflux oesophagitis. Omeprazole was given at a dose of 60 mg daily while ranitidine was given at 150 mg twice daily. The symptoms were evaluated before starting the trial, and at the second, fourth and eighth week. Endoscopy was done at the start of the trial, and repeated during week 4, with another after 8 weeks if there was an absence of healing at week 4. For patients taking omeprazole, 19 out of 25 patients improved from Grade 2 or 3 (erosions or ulcerations) to Grade 0 or 1 (erythema and friability)12 after 4 weeks; while for patients taking ranitidine 7 out of 26 showed similar improvement (P = 0.002). At week 8, corresponding improvement was shown in 22 out of 25 for the omeprazole group, and 10 out of 26 for the ranitidine group (P = 0.001). Omeprazole showed a significantly higher healing rate, which was reflected in a better improvement of reflux symptoms as well. Patients receiving omeprazole experienced a more profound and faster relief of heartburn, which was the most common symptom complained by the patients (P = 0.0001). After 2 weeks, 92% (23 out of 25 patients) of patients receiving omeprazole reported that their reflux symptoms were either gone or had improved, while only 65 % (17 out of 26) of the ranitidine group reported the same (P = 0.01). This study however, only showed the superiority of omeprazole over ranitidine in the short term treatment of reflux oesophagitis. Further studies were needed to evaluate the effects of omeprazole in long term management and at a lower dose. Havelund T et al12 performed a double blind study on patients with Grade 1, 2 and 3 reflux oesophagitis. Patients were allocated randomly in this study to a treatment with omeprazole (40 mg once daily), and ranitidine (150 twice daily), for a period of 12 weeks. It was found that patients treated with omeprazole had a faster response to the treatment than those taking ranitidine (P < 0.0001). For the omeprazole group, healing rates were reported at 4, 8 and 12 weeks to be 90%, 100% and 100% respectively for those with Grade 1 reflux oesophagitis. For Grade 2 and 3, corresponding healing rates were 70%, 85% amd 91%. While for the ranitidine group, healing rates were 55%, 79% and 88% for Grade 1, and 26%, 44% and 54% for Grade 2 and 3. This pointed to a superiority of omeprazole at a lower dose (40 mg) over ranitidine. Sandmark S et al13 did a similar study, but with an omeprazole dose of 20 mg daily. Healing of oesophagitis was targeted in this study to be a complete healing of all ul cerative and erosive lesions in the oesophagus. At 4 weeks, healing rates were shown to be 67% in the patients taking omeprazole and 31% in those taking ranitidine (P < 0.0001). Corresponding healing rates were 85% (Omeprazole group) and 50% (Ranitidine group) after 8 weeks (P < 0.0001). This was also reflected in a more profound and faster- improvement in reflux symptoms in the patients taking omeprazole (51% by the end of the first week compared to 27% for patients taking ranitidine). Robinson M et al14 conducted a study to compare, in patients with erosive oesophagitis the efficacy and tolerability of omeprazole at a dose of 20 mg daily to ranitidine at a dose of 150 mg twice daily together with a prokinetic drug metoclopramide at a dose of 10 mg four times daily. It was found that healing rates for omeprazole were significantly greater than that for ranitidine in combination with metoclopramide. Omeprazole also provided a more profound relief for patients with reflux symptoms. More side effects and treatment-related withdrawals were found among the patients allocated the ranitidine-metoclopramide combination. Omeprazole was thus found to be more effective and better tolerated. Iskedjian M and Einarson TR conducted a meta-analysis15 of the three drugs cisapride, omeprazole and ranitidine for GORD treatment. At 12 weeks, 95% of patients were cured in the omeprazole group (40 mg daily), 81% in the ranitidine group (600 mg daily), and approximately 60% in the cisapr ide group (40 mg daily). In mild GORD, healing rate was 56% for cisapride versus 38% for ranitidine, while healing rates for cisapride and omeprazole showed no significant difference. In severe GORD, the healing rate for cisapride was only a half of that of omeprazole (43% versus 87%), while showing no significant difference when compared to that of ranitidine (50%). Thus it was concluded that omeprazole is favoured for treating severe GORD, while cisapride may be that of mild GORD. Vigneri S et al16 compared 5 maintenance therapies after an initial treatment of omeprazole 40 mg daily for 1 to 2 months, and healing was confirmed by endoscopy. Patients were then randomly assigned 12 months of treatment in the 5 following groups: cisapride (10 mg three times daily), ranitidine (150 mg three times daily), omeprazole (20 mg daily), ranitidine and cisapride, or omeprazole and cisapride. At 12 months 54% of the cisapride group, 49% of the ranitidine group, 80% of the omeprazole group, 66% of the ranitidine-cisapride group, and 89% of the omeprazole-cisapride group were found to be in remission at 12 months of maintenance therapy. Omeprazole showed a significantly better efficacy than cisapride (P = 0.02), and ranitidine (P = 0.003). Ranitidine-cisapride combination therapy was found to show a more profound improvement than ranitidine alone (P = 0.05). Omeprazole-cisapride combination therapy showed better efficacy than cisapride (P = 0.003), ranitidine (P < 0.001), an d also ranitidine and cisapride combination therapy (P = 0.03). Omeprazole as monotherapy or in combination with cisapride is found to be more effective for maintenance therapy of reflux oesophagitis, compared to ranitidine or cisapride alone. Omeprazole in combination with cisapride shows more efficacy than ranitidine and cisapride. The effects of newer PPIs lansoprazole (30 mg daily), rabeprazole (20 mg daily) and pantoprazole (40 mg daily) were compared with that of omeprazole (20 mg daily), ranitidine (300mg daily) and placebo in randomised clinical trials brought together by Caro JJ et al.17 The healing rate ratios noted for the newer PPIs as well as omeprazole were as follow: lansoprazole 1.62; rabeprazole 1.36; pantoprazole 1.60; and omeprazole 1.58. There was a greater decrease in the heartburn symptoms in patients taking PPIs than those taking ranitidine (P < 0.002), as well as in the healing of ulcers (P < 0.05), and relapse (P < 0,01). Compared to placebo, the PPIs obtained a much more profound relief of reflux symptoms (P < 0.01), healing of ulcers (P < 0.001) and relapse (P < 0.006). From this study, it was found that there is not much difference between the newer PPIs and omeprazole when it comes to relief of reflux symptoms, ulcer healing and rate of relapse, while all PPIs are better than ranitidi ne and of course, placebo in terms of treatment for erosive oesophagitis. Kahrilas PJ et al18 compared esomeprazole and omeprazole efficacies in reflux oesophagitis patients. It was found that more patients (P < 0.05) on esomeprazole 40 mg and esmoprazole 20 mg were healed after 8 weeks of treatment compared to omeprazole (94.1% and 89.9% compared to 86.9%). Adverse effects were common in both treatments. Esomeprazole was found to have a greater efficacy compared to omeprazole in reflux oesophagitis and both have a similar tolerability profile. Rohss K et al19 showed that esomeprazole at 40 mg daily had better acid control than omeprazole 40 mg daily. Since maintenance of intragastric pH > 4 is important for the effective management of GORD, the mean percentage of a 24 hour period with intragastric pH > 4 was taken as an indication of the efficacy of the treatments. Measurements were taken on day 1 and day 5, and on both days esomeprazole showed a greater mean percentage (P < 0.001) at 48.6% and 68.4% versus 40.6% and 62.0% for omeprazole. Wahlqvist P et al20 compared,from the perspective of the National Health Service (NHS),the cost effectiveness of the actue treatment of esomeprazole (40 mg daily) with omeprazole (20 mg daily) in reflux oesophagitis patients.It was estimated that, taking into consideration of the healing probabilities over 8 weeks, treatment with esomeprazole saves up toa total of 1290 pounds compared to treatment with omeprazole. Esomeprazole was found to provide a greater effectiveness at a lower cost. This is reflected in another study conducted by Plumb JM and Edwards SJ,21 which found that esomeprazole is cost effective in comparison to all other PPIs for the treatment of reflux oesophagitis. Conclusion The treatment given to this patient was appropriate in terms of the algorithms stated in the NICE guidelines; she was started on a full dose PPI after eosophagitis was confirmed on the endoscopy. As stated above, PPIs are proven to have superior effects in comparison with histamine H2 receptor antagonists and prokinetic drugs, both providing relief of reflux symptoms but not healing the oesophagitis itself.10 Among all the PPIs currently available, esomeprazole, the S-isomer of omeprazole, has been found to show more improvement than all other PPIs. Current studies have shown that the treatment of reflux oesophagitis with esomeprazole is more cost effective than treatments using any other PPI, providing a greater healing rate at a lower cost. Thus it might be in the interest of the NHS to treat this patient with esomeprazole than omeprazole. (2271 words)

Symbols and Symbolism in Nathaniel Hawthornes The Scarlet Letter :: Scarlet Letter essays

Symbolism in The Scarlet Letter      Ã‚  Ã‚  Carl Jung believed that the source of symbols is universal. Symbols arise from the collective unconscious common to all humans everywhere. Joseph Campbell's research supports this theory; he traces universal archetypes through the stories, myths, and artwork of various cultures. While most work done with symbolism has focused on the universality of symbols, Nathaniel Hawthorn focuses on their personal, subjective meanings.    A universal symbol arises from the symbol's relationship to reality; thus, such a symbol remains the same across cultures and with different individuals. While symbols can be created, such created symbols are subjective and must be given meaning within their context and because the context is different among individuals and societies and can vary over time, the meanings of the symbols are, likewise, highly variable.    In The Scarlet Letter, the symbol of most importance is the letter A which Hester Prynne is condemned to wear, having been found guilty of adultery. Literally, the letter A is an arbitrary visual representation of particular sounds used in languages. Nothing in the shape of the letter A or any other aspect of its being represents adultery. This shape is agreed upon by people who use the Roman alphabet to begin the series of marks that visually signifies the word adultery. This is not a universally symbolic relationship. The letter A means nothing in itself until the Puritans agree to a meaning in order to mark Hester and this meaning is altered according to the mindset of those interpreting it. Hester with this "mark of shame upon her bosom" is meant to "be a living sermon against sin" (59) yet the residents of Boston "had begun to look upon the scarlet letter as the token, not of that one sin . . . but of her many good deeds since. . . . The scarlet letter had the effect of the cros s on a nun's bosom. It imparted to the wearer a kind of sacredness, which enabled her to walk securely amid all peril" (149). Some people begin saying that A stands for "able" (148).    Another example of the changeable symbolism of the letter A is the astronomical event witnessed by Arthur Dimmesdale and others on the night of Governor Winthrop's death. Dimmesdale as:    a man rendered morbidly self-contemplative . . . had extended his egoism over the whole expanse of nature. Symbols and Symbolism in Nathaniel Hawthorne's The Scarlet Letter :: Scarlet Letter essays Symbolism in The Scarlet Letter      Ã‚  Ã‚  Carl Jung believed that the source of symbols is universal. Symbols arise from the collective unconscious common to all humans everywhere. Joseph Campbell's research supports this theory; he traces universal archetypes through the stories, myths, and artwork of various cultures. While most work done with symbolism has focused on the universality of symbols, Nathaniel Hawthorn focuses on their personal, subjective meanings.    A universal symbol arises from the symbol's relationship to reality; thus, such a symbol remains the same across cultures and with different individuals. While symbols can be created, such created symbols are subjective and must be given meaning within their context and because the context is different among individuals and societies and can vary over time, the meanings of the symbols are, likewise, highly variable.    In The Scarlet Letter, the symbol of most importance is the letter A which Hester Prynne is condemned to wear, having been found guilty of adultery. Literally, the letter A is an arbitrary visual representation of particular sounds used in languages. Nothing in the shape of the letter A or any other aspect of its being represents adultery. This shape is agreed upon by people who use the Roman alphabet to begin the series of marks that visually signifies the word adultery. This is not a universally symbolic relationship. The letter A means nothing in itself until the Puritans agree to a meaning in order to mark Hester and this meaning is altered according to the mindset of those interpreting it. Hester with this "mark of shame upon her bosom" is meant to "be a living sermon against sin" (59) yet the residents of Boston "had begun to look upon the scarlet letter as the token, not of that one sin . . . but of her many good deeds since. . . . The scarlet letter had the effect of the cros s on a nun's bosom. It imparted to the wearer a kind of sacredness, which enabled her to walk securely amid all peril" (149). Some people begin saying that A stands for "able" (148).    Another example of the changeable symbolism of the letter A is the astronomical event witnessed by Arthur Dimmesdale and others on the night of Governor Winthrop's death. Dimmesdale as:    a man rendered morbidly self-contemplative . . . had extended his egoism over the whole expanse of nature.

The Ttc: Private, Public, or Private-Public Partnership?

In July 2012, the TTC was evaluated and given a disappointing grade by TTCriders Group based on its performance at five aspects. These five aspects are about fares, transit expansion, accessibility, service frequency, and environmental impact (â€Å"TTC gets†, 2012). Unlike any other major city in North America, the TTC fares covered 70% of its operating cost, which was the highest fare box ratio within the 11 major North American cities (See Appendix 1). After derailed for 16 months, transit expansion plan finally came back on track, still with concerns about certainty of funds.Due to budget constraints, the target timeline of making all new and existing subway accessible has been pushed back several times from 2020 to 2024, then to 2025. The TTC ridership increased by 12. 5% in 2011 while service levels only rose by 8. 4%, resulting in insufficient service to connect our neighborhoods. As for the environmental impact, the TTC collected no data for this purpose (â€Å"The st ate,† 2012). All these issues are mainly accounted for prolonged budget deficits, which the TTC has been struggling for many years.HISTORY OF THE TTC The Toronto Transportation Committee (TTC) is a public transport service agency established in 1954, the third largest transit system in North America that operates streetcar, transit bus, and rapid transit service (subway and RT) in Toronto. The TTC consists of four repaid transit service lines with 69 stations, 149 bus routes and 11 streetcar lines, making 243 connections among them. In 2011, the ridership went up to 500. 2 million, which exceeded all historical records.The TTC service covers the Greater Toronto Area benefited 4. 5 million people. Particularly, the TTC provides Wheel-Trans service that is responsible for door-door accessible transit service for physically disabled people, 2. 7 million trips made through this service in 2011 (â€Å"2011 TTC,† 2011). Toronto Private Transportation Companies 1849-1921 The W illiams Omnibus Bus Line was the first private-owned transportation company in Toronto, which carried passengers in stagecoaches drawn by horses erving a limited area along Young street in 1849. With the population growth, Williams Omni Bus Line was heavily loaded. The city then gave the first transit franchise for a street railway to Alexander Easton’s Toronto Street Railway (TSR) in 1861. After the franchise expired in 1891, the city passed on the right to a new company, the Toronto Railway Company (TRC), under James Ross and William Mackenzie. The TRC made the first electric car ran on August 15, 1892 to meet the franchise requirement.The city limits had extended greatly by 1912. The city attempted many times to force TRC enlarge its serve area, and failed. In order to build several routes and better serve the greater area, the city created its own street railway operation, the Toronto Civic Railways (TCR). By 1921 when TRC’s franchise expired, the city created the Toronto Transportation Commission combined with the TCR (Filey, 1996). Toronto Transportation Commission 1921- 1954 Toronto Transportation Commission went through boom times and down times from 1921 to 1954.Streetcars and railways served progressively in the extended Toronto area. There were many remarkable milestones during this period such as: 575 new â€Å"Peter Witt† street cars entered service in 1921; first gasoline-electric hybrid bus entered service in 1926; in 1927, TTC expanded its lines of service with Island ferry, hydro-electric railway, and other intercity bus service; TTC overcome the stock crash in 1929 and made improvements; 745 PPC streetcars, which are also called â€Å"red rocket†, entered service in 1938; The great moment came on Sep. 8, 1949, that the city of Toronto was symbolized with its opening ceremony of â€Å" Canada’s First Subway†; in 1954 Toronto Transportation Commission was renamed as Toronto Transit Committee (â€Å"A c avalcade,† 1954). TORONTO TRANSIT COMMITTEE AND ITS BUDGET ISSUES Financial Situation at Beginning From the early 1950s, Toronto Transit Committee had been operated by the supervision of Metropolitan Toronto, which was under the auspices of Province of Ontario who united Toronto with other 12 suburbs. Since the opening of its first subway in 1954, TTC had planned to expand its subway due to increasing needs of the largely adjacent Metro area.This plan was facing obstacles because of the quadrupled bus service and the pressure from Metro Toronto to set up unprofitable service to the suburbs. The development of the TTC went forward because of the subsidy of Metro Toronto as well as the Province of Ontario, making the entire capital budget came from taxpayers. In the 1970s and the 1980s, the Toronto Transit Commission was seen worldwide as a ‘transportation showcase’. From 1979 until 1990, it won awards after awards for safety and design (â€Å"A BRIEF,† 2012) .From 1972, the TTC’s operating profit was greatly affected by the request from the City’s political pressure, which was to eliminate the fare zone system to prevent the suburban paying an additional fare. By the late of 1980s, the subsidies from Metro Toronto and the Province was up to a quarter of the taxpayers’ money, which was 32% of the TTC total revenue, however, the subsidy level within the North American cities was still the lowest (â€Å"A BRIEF,† 2012). Budget Cuts from the Province By the late 1990s, budgets shortage became a major issue for the TTC.Previously the TTC’s subsidies were split in halves provided by the Province and the City. On Feb. 18, 1996, the newly elected government of Mike Harris ended the province subsidy for the TTC. In 1998, provincial government put an end to the federal system of Metro Toronto and let Toronto become a unified City. The result was a significant cutback in transit services. The City of Toronto†™s subsidy of the TTC was roughly $150 million, and the TTC had a continental high farebox recovery of 82%. With passengers paying far more for far worse service, the TTC’s ridership had dropped to roughly 360 million (â€Å"A HISTORY,† 2012) (See Appendix 2).From that point on, the TTC has been always struggling among its fare box recovery, city subsidy, and possible subsidy from the province of Ontario. The TTC would sacrifice its frequent service and routes to save its operation cost. The TTC also have many employees working overtime to compromise the labor cost, saying that this way can be more cost efficient than hiring more employees. Nevertheless, the TTC was renowned because of its sunshine list that has more and more employees every year earning more than $100,000 annually. Other ProblemsAlong with struggles for its budget subsidies, the TTC also had been dragged off by other problems such as service cuts, fare hikes, and union strikes. In February 2012, The TTC reduced its frequency service on more than 35 routes in order to meet its targeted operating budget (â€Å"TTC bus,† 2012). In November 2009, the TTC board discussed a fare increases proposal that would generate $62 million (â€Å"TTC fare,† 2009). This fare hike was implemented on January 3, 2010 (Litwinenko, 2009) (See Appendix 3). The bargaining between the TTC and its union had been on and off for decades.In March 2011, at the request of Mayor Rob Ford, the Ontario government agreed to ban transit strikes in Toronto and would pass a bill to set the TTC as an essential service. In a long-run, critics argued that this would cost taxpayers more because TTC contract disputes could cause bigger raise to settle in the arbitration (â€Å"Liberals close,† 2011). OPTIONS FOR THE TTC Given the facts that the TTC consistently facing budget shortage, frequent service reduction and routes cut, and union issues, the discussion of finding solutions for the TTC has bee n ongoing for a long time.Some people think that privatizing the TTC would make the TTC operating efficiently and profitably in the hands of private company. Others argue that private sector emerging in a public transit could be a better option, giving the reason that private sector infuse profitable drives and boost skills in a public transit system. Many others defend that the TTC should stay public in order to serve better for the public rather than only chasing profit as what happened in private companies. Each of them gives insights of this transportation crisis. Privatizing the TTCThe voices of privatizing the TTC is not sound nowadays comparing to 1990s. Corcoran (1990) stated blankly â€Å"mass transit and mass losses go hand in hand†. He doubted the reason of government so heavily involved in public transportation and the seemingly inherent unprofitable operations. Despite the fact that government rejected the proposal by five developers for investment to build the s ubway extension, a public transit system proved its ability in managing this mass system, which was badly managed, underfinanced, poorly planned, and heavily subsidized. Private-Public PartnershipWith regards to privatizing the TTC, many people generally meant to privatize parts of the TTC because they still want the TTC remain the function to serve and benefit the public. Which parts should be privatized could be a complex process of evaluation. City councilor Karen Stintz thought â€Å"adding some private-sector appointees could boost skills on the TTC board without reducing its accountability to the public. Private-sector members could contribute project management, financial and customer service skills† (Kalinowski, 2010). Staying Public Staying public remains its power in many people’s thoughts towards the TTC.These people think public transit should benefit the public in its full strength. Serving the TTC riders at its very best could be conflict sometimes with g aining profit through the operation. Knowing and still offering some money-losing services to benefit its needed riders differentiate the public system from the private or so-called private-public partnership system. â€Å"Keep TTC public†, the message was given through a coalition, the public transit alliance with the members from the Toronto Environmental Alliance, the Amalgamated Transit Union, Local 113, and community activists.They held a $500,000 ad campaign for â€Å"Keep TTC public† to claim that private or private-public partnership can be a disastrous experiment for Torontonians, and the TTC should stay public (Yuen, 2010). The video of â€Å"Keep TTC public† presented compelling reasons against transit privatization, compared with other cities’ transit system that were in either private or private-public partnership. The examples used were London, Melbourne, Auckland, and Vancouver. In 2003, a Private-Public Partnership was introduced in London transit system. This partnership ended in 2009 because the 30 years contacted of ? 7 billion was used up in 7. 5 years, and even overspent more than ? 1 billion. Private companies ran Auckland transport by using the zone system. Due to the tickets difference, riding the similar distance as from Scarborough to Etobicoke would cost $16. 5 in Auckland. When Melbourne government decided to privatize its transit system, its original objective was to reduce the city’s subsidy and increase the quality of service by using the private company. By 1999 when the privatization became effect, the subsidy to the transit system doubled the previous level when it was in public.Till 2010, comparing between Melbourne and Toronto, the subsidy to Melbourne transit system was 4 times than the subsidy for the TTC, while the ridership of Melbourne transit system was just 1/3 of the TTC. Vancouver Canada line was another example for PPP (Private-Public Partnership) which drown money from the bus fa res to subsidize this rapid transit line. This video logically presented the historical cases from different angles to demonstrate the disability of the private system to public transit, giving an inevitable statement that the private company operates for the profit rather than the benefit to the ublic (â€Å"Keep TTC,† 2010). CONCLUSION In December 2011 the 2012 Budget Committee meeting, the TTC presented its less services on many routes because of the subsidy budget cut (Munro, 2011). It is a definite scheme that the TTC will still be facing various problems due to its political context, budget structure, service range, and union issue, simply put as its complexity. Looking back its history and steps of its developments, the TTC managed to meet the service requirement and survived in public for today’s economy. However, the debate of whichever is the best solution for the TTC will still be ongoing.There is no simple answer for this question, but only hopes that peopl e wish the TTC carry on its responsibility in better serving the people in Toronto. REFERENCES: A brief history of transit in Toronto. (2012). Transit Toronto. Retrieved from: http://transit. toronto. on. ca/spare/0012. shtml A calvalcade of progress. (1954). TTC. ca. Retrieved from: http://www. ttc. ca/About_the_TTC/History/cavalcade_of_progress. jsp A history on fares on the TTC. (2012). Transit Toronto. Retrieved from: http://transit. toronto. on. ca/spare/0021. shtml Corcoran.T, (1990). Privatizing the TTC would relieve strain on subway service. The Globe and Mail. Retrieved from: http://search. proquest. com. ezproxy. library. yorku. ca/business/docview/385631727/1383962EB1D56AD7336/2? accountid=15182 Filey. M, (1996). The TTC story. Toronto, Ontario: Dundurn Press. Retrieved from: http://www. ttc. ca/About_the_TTC/History/The_first_75_years. jsp Kalinowski. T, (2010). TTC board could could be public, private mix: Non-elected members, bring new skills: Stintz. Toronto Star. Ret rieved from: http://search. proquest. com. ezproxy. ibrary. yorku. ca/docview/812554793? accountid=15182 KeepTTCPublicToronto, (2010, September 17). Keep TTC public. Video retrieved from: http://www. youtube. com/watch? v=xAmnmehAy3w Liberals close debate on bill declaring TTC essential service. (2011). The Canadian Press. Retrieved from: http://www. cp24. com/liberals-close-debate-on-bill-declaring-ttc-essential-service-1. 614350 Litwinenko. J, (2009). TTC fare hike approved. Blogto. Retrieved from: http://www. blogto. com/city/2009/11/ttc_fare_hike_approved/ TTC bus service cut back. (2012). Toronto Star.Retrieved from: http://search. proquest. com. ezproxy. library. yorku. ca/business/docview/921300938/138368A888C7C5B89BC/2? accountid=15182 Munro. S, (2011). Can the TTC survive budget 2012?. Torontoist. Retieved from: http://torontoist. com/2011/12/can-the-ttc-survive-budget-2012/ TTC fare hike is unavoidable. (2009). Toronto Start. Retrieved from: http://search. proquest. com. e zproxy. library. yorku. ca/business/docview/439627577/1383691789B38A6B670/8? accountid=15182 2011 TTC operating Statistics. (2011). TTC. ca. Retrieved from: http://www. TTC. caTTC gets failing grade from TTCriders group. (2012). City News Toronto. Retrieved from: http://www. citytv. com/toronto/citynews/news/local/article/215620–ttc-gets-failing-grade-from-ttcriders-group The state of public transit in Toronto. (TTCriders, 2012). Retrieved from: http://www. ttcriders. ca/wp-content/uploads/2012/07/The-State-of-Public-Transit-in-Toronto-July-2012. pdf Yuen. J, (2010). Keep TTC public-coalition. Toronto Sun. Retrieved from: http://www. torontosun. com/news/torontoandgta/2010/09/20/15415186. html APPENDIX 1 REVENUE/COST RATIOS – CANADATTC Montreal Ottawa Vancouver 70% (2011) 56% (2009) 43% (2009) 48% (2009) REVENUE/COST RATIOS – U. S. TTC? Atlanta Chicago Los Angeles New York Philadelphia Boston Washington 70% 29% 40% 29% 54% 38% 42% 45% (2011) (2009) (2009) (2009) (2009) (2009) (2009) (2009) Source: City of Toronto Toronto Transit Commission 2011-2020 Capital Plan, http://www. toronto. ca/budget2011/pdf/presentation11_ttc. pdf APPENDIX 2 TORONTO STATISTICS FOR 1921-2004 APPENDIX 3

Things You Need to Know About an Education Paper

Things You Need to Know About an Education Paper Things You Need to Know about an Education Paper Writing on an education topic may be very interesting and challenging at the same time, as it has a lot of issues to discuss. Some may be asked to describe latest innovations in teaching, others should share their experience in education and the rest needs to represent a certain thesis or statement. There is often a task to make surveys and examine different groups of people to come to a certain result. However, it is necessary not only to possess great writing skills but also to be a psychologist to be able to communicate with students or people of older age. That is why completing an education paper is one of the most challenging tasks any student has to face during college years. How an education paper should look like Despite the fact that every research paper differs, there are still a few common patters you need to follow to complete a great work on education. Its regular structure includes: It should be brief and laconic, conveying all the information you want to share with the reader; Introductory section. It can be called a business card of your whole work, as the reader decides whether he is interested in the subject and whether your paper is worth spending time on. Make sure you provide only main information on the topic, adding interesting details and value to the research; Body paragraphs. They are the skeleton of your work and contain a different number of paragraphs, depending on the quantity of arguments you have. However, you should always remember that this section should be a combination of a practical research and a theoretical part. First, you make your personal conclusions and then you back them with credible sources. Used methodology should also be included to this section; As all of you know, this section should be as laconic as possible and contain a summary of the work you have done. Paraphrase your thesis statement, write about the outcomes of your research and discuss the results. You may also write how your approach differs from those, which were introduced before. Useful tips Complete a deep analysis of the topic, gathering all the information you can find. However, you need to concentrate only on credible sources, even if they are taken from different websites; Make a plan of your work to always know what to write about; Select several aspects or key points to concentrate on; Always compare different sources to be sure that you are using honest information and actual data; Use infographics if appropriate. Charts and tables will help you to convey your thoughts; Always reread your paper to make sure that your research is interesting and useful; Spend some time and download similar examples online. They may be of a great help and you will be able to understand what the reader is expecting. It may be a work on higher education, an economic research and so on; Useful phrases, which you can use to open and close your paper may include: ‘In the first place..’, ‘Based on..’, ‘First and foremost’, ‘To conclude..’. Mistakes to avoid Choosing a very general topic, as it will be very difficult for you to concentrate on the subject; Collecting information from doubtful sources, like forums, internet magazines and so on; Leaving the task for the last minute; Adding too much data to the text. The reader will be easily bored if you fill your research with lots of numbers, charts and graphs; Not paying attention to grammar and lexis. Popular topics for your education research paper System of higher education; How government influences secondary education; Standards of education across the world; Quality of educational materials; Advantages of home schooling; Education as a way to prevent violence.

Free Essays on Gender Discrimination At The Work Place

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Precis & Commentary Essay Example | Topics and Well Written Essays - 1000 words

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