Saturday, October 5, 2019
Gun Control Essay Example | Topics and Well Written Essays - 750 words - 1
Gun Control - Essay Example The opponents of gun control argue that guns are necessary for self-protection. Furthermore, they would ensure self defense when police fail to provide protection to general public. The proponents of this view believe that a burglar will always be armed and it gives him a higher advantage than the common man. If the general public also is given guns it may counter balance the situation. However, evidently gun is not devised to threaten or injure someone but to kill; hence the free use of guns must be banned on the following grounds. In the first place, nobody takes serious care of guns that it has become a common utensil like knife or pen. Guns are very often misused by everyone especially school children. When they get emotionally upset, instead of seeking some counseling measures, they pick parent’s gun and shoot at their peers and teachers. As reported in the New York Times, in the 90s, the number of children carrying guns to the school was more than one lakh in the US. It is also reported that â€Å"both gun carrying and gun violence are phenomena almost entirely confined to world outside schools†(Cleck, cited in Texas Plan for guns in school may not comply with state law, Aug 19, 2008). The statistics clearly shows the incidents like shooting in a college of Alabama killing one woman wounding three on April 7th 2011. The killing of 12 elementary school students by a gun man in Rio De Jeniro, Brazil on April 8th stands on the top of all such incidents (School shootings, May 2, 2011). The practice of allowing children to get access to and use guns is not digestible for common sense. The argument that guns are necessary for self protection in the US can be severed by pointing that guns can’t be carried to all the places. The exponents of such an argument must answer how they would secure their lives in such a place. But no law prevents a person from carrying his body to anywhere. So, those who are worried about their lives may master som e martial arts so that they can well protect themselves from a person coming to assault them. Some others argue that since criminals have guns, the public also must be given them to counter balance the situation. There are people who have the license to use guns. But still there are incidents like bank robbery and house breaking. If the license to use guns would well tackle the situation there would have been much decline in bank robbery, house breaking and so on. But unfortunately that does not happen. Recently, in Florida the auto dealership Nation’s Truck offered an imprudent promise of giving an AK-47 rifle for those who buy a truck. The idiotic offer of the company must be condemned on the ground that it is easy such a mass destructive weapons to reach the hands of the terrorists. This would add an extra asset to the stock piling of the evil doers as increase in the number of weapons also increase violence and the killing of innocent people. This shows the narrow concept of the companies to increase their profit without giving any consideration to social responsibility. Only licensed companies and government must be given the privilege to deal in arms and ammunition. Further, licenses given in case of inevitable circumstances must be limited to handguns and not to mass destructive weapons. In brief, I affirm that guns or any weapons are the means of destruction and killing, not of construction and creation. They are even
Friday, October 4, 2019
Grand Opening and Market Briefing in East India Finance Company Assignment
Grand Opening and Market Briefing in East India Finance Company - Assignment Example The respective heads are advised to make their plans and suggestions in order to make this grand opening a success. The Store Manager and Store Assistant are advised to be prepared to take orders if they come their way during the event only. Sales should have clear-cut details regarding how they would deal with the interested retailers or business partner enquires. The most important aspect to raise the visibility of our company should be taken care of and a proper plan is expected from the Advertising Manager. All the other people who have been addressed in this letter are advised to be present at the meeting. It is expected that they provide their valuable suggestions to make the grand opening event a grand success. If anyone has any queries regarding their assigned duties and responsibilities can contact the General Manager and discussion regarding their doubts. The meeting is scheduled to take place at the company head office on 15th of June 2011 and everyone is expected to have their tasks ready by that day. The Following is the current position of our market hold. The figure depicts how we are performing in the northern territory of our city. All the concerned people to the company are requested to have a look at the trends and provide their observations to the management soon. As we see that our market share which was about 12% a year before has shot up to 14% this year. It is an improvement in terms of our expansion plans. However, if we look at the potential market that is available out there we see a great potential. We observe that we can double our market share if we are able to deliver what the customers are expecting out of us. Also, the number, of loyal customers needs to be increased in order to get a better grip on the market. The percentage of new customers that is slated to increase next year is also great i.e. 3.6% and if we deliver as per the market demands we can gain the first mover advantage. For our new range of products, we would like the respective department heads to plan out the best strategy to cover the still to be explored market segment of about 10.6%. Therefore the results are out and its time for us to be happy for our performance as well as its time for all the concerned people of the company to prepare the inroads for a brighter future of the company.
Thursday, October 3, 2019
Trusts and Pensions Essay Example for Free
Trusts and Pensions Essay Introduction After the World War II, western European governments had taken several measures to provide better working conditions and job security to their citizens. Some of such policies aimed to provide guaranteed minimum income to people, some policies guarantee old age benefits and social security insurance, while still some policies aimed to provide housing, healthcare etc. facilities to lower income people (Gough, 1987).   These policies worked smoothly till the late 1970’s but from the last two decades, when Western European states tried to maintain their economies according to the international competition (Rhodes, 1996); they had come to the conclusion that these welfare policies are responsible for slower economic growth and rising rate of unemployment.            The economy and the social cohesion of EU have the threats of steadily growing high unemployment. They now have set their target to raise the employment and the participation ratio in European labor market. But the most fatal problem is that, it will definitely take several years to solve. Similarly aging labor force is also one of the major dilemmas of European Union labor market. It has been estimated that only 50% of the citizens under the age bracket of 55 to 64 years are in work in developing countries as compared to 75% of 25 to 54 years old and this percentage shrinks further in EU countries, i.e. only 39% (Young, 2002). These figures depicted a serious dilemma because if these would not be improved then by 2050 EU would suffer a 6% decrease in population and sharp increase in pensions and health spending which will be escalated from current 15% of GDP to an estimated 22% (EU must reform labor markets to reduce unemployment). What is pension? An advantage, generally in terms of money, remunerated recurrently to retired workers or their dependents by private companies and government organizations (Ball, 2002). An alluring element to worker reparation packages are annuities. Companies are not obligated to set up pension rewards but do so to fascinate experienced workers (Armstrong, 2002). A particular figure of money has to pay into an annuity account which set up by the company. The company appoints a reliable committee, for the good management of the fund, which is known as â€Å"trustee†(Scrimshaw, 2001). It is their responsibility to spend the fund in different pecuniary schemes and stock market to flourish the fund on behalf of the company. The amount in this account can be raise due to the investments (Clark Whiteside, 2003). The amount credited into this account is non taxable to the company and to worker up to the time of retirement (INCOMES DATA SERVICES, 2002). At the time of retirement worker can get money that continues up to a certain period or can get in one go, on which he/she has to pay some tax. The worker may obtain more money than the company has just because of his / her long life. In case, if worker expires prior to complete payment of his / her pension, the dependants will receive the residue of annuity. A person can get more than one pension as he / she have served in several organizations (Esping-Andersen, 1999). About United Kingdom’s retirement funds: â€Å"1670s Royal Navy introduced first systematized pension scheme 1908 introduced first general old age pension paying a non-contributory amount of between 10p and 25p a week, from age 70, on a means-tested basis from January 1 1909 Pensions Day. This was introduced during the Liberal government of David Lloyd-George. Sir William Beveridge, father of the welfare state, was an adviser (Esping-Andersen, 1990). 1921 – To comply with some situations of pension schemes a tax deduction permitted by approving Finance Act. 1925 – For those who receive  £250 per annum and for physical workers, a contributory State system has been approved as Contributory Pensions Act. According to this Act the pension was 50p per week at the age of 65.  1942 – A report was presented by Sir William Beveridge as Social Insurance and Allied Services with some proposals of state welfare. 1946 – Before 1946 the pensions were  £1.30 for a single person and  £2.10 for a married couple, started after the age of 65 years, in case of men and after the age of 60 in case of women. In 1946 UK government had introduced contributory pensions for all the workers 1947 the finance Act of 1947 had curtailed the maximum amount of tax relief on pensions 1959 Government has introduced a new pension scheme, which was called the Graduated Pension. It includes the people between the income bracket of  £9 to  £15 per week (Able Smith Townsend, 1961) 1975 Yet another pension Act, which was introduced in 1978, the Social Security Pensions Act was presented and it finally replaced the graduated pensions scheme. 1995 the Pensions Act of 1995 had set up new ideas and schemes for compensation and had changed the previous compensation method (Pierson, 1996) 1999 A new amendment in Pensions Act was introduced which guaranteed some minimum income to the needy pensioners. This was known as Minimum Income Guarantee (MIG) 2001 – A new pension scheme, especially tailored for low earning males and female workers was introduced, which was called stakeholder pensions 2002 State Second Pension Scheme was introduced which replaced Serps 2003 Introduction of the Pension Credit, which will bring half a million pensioners into means-testing†. (http://news.bbc.co.uk/1/hi/business/2488513.stm)            Now recognition of requirements has been clear by most of the countries for persons to get further of a function in supplying their pension profit.            The scheme of retirement on the basis of stipulation on occurrence between transfers of profit experiences calamity due to long life escalation. Existence of a very small number of employees sustaining every retired worker can be known by â€Å"fresh arithmetic†as functioning people decreasing as long-lived-ness perdurable increasing (Hawksworth, 2000).            The tendency is ready to persist. The transfer of pension to self-supporting is a resolution, by which the management constructs the organizational and pecuniary foundation to facilitate and convince workers to protect and spend possessions for their personal pension (Brooks, Regan Robinson, 2002)            The management proposal to prepare the new annuity scheme and to persuade the improvement of a formation for annuity administered by other institutions is a remarkable prototype of this (Kelly, 2002).            This denotes actual prescience. Almost 16.3 per cent of inhabitants of the world produce by India and its old age citizens are, alone, 12.5 per cent of the world’s old age public. The incessant decease and birth ratio by additional public ingenuity and fitness will transform the comparatively present young generation of India which makes 70 million public above 60 years of age and less than 10 per cent out of them could hardly have pension. Rest of 90 per cent depends on their jobs or support by family. The fact, divulge through a joint research by the Pension Fund Regulatory and Development and Asian Development Bank, that after the retirement 71 per cent people depends on their family in bucolic areas and 59 per cent in metropolitan areas (Jackman, 2002).            The central idea of restructuring of retirement income articulate by the Old Age Social and Income Committee i.e. â€Å"economic security during old age should necessarily result from sustained preparation through life-long contributions†and that â€Å"the government should step in only in case of those who do not have the sufficient incomes to save for old age†(Allen, 2002).            The preface of the described input, completely subsidized, personal retirement account annuities, along with the finance administration of these designated to confidential finance supervisors suggested by the Old Age Social and Income Committee in the subsequent statement.            To raise the retirement income coverage, minimize the function of the state as retirement fund supplier and lessen the non subsidized annuity legal responsibility is the main objective to restructure any retirement fund.            The preface of the latest annuity scheme would capture the raise in the unsupported annuity legal responsibility of the government workers retirement fund by including the new government workers joining workforce from January 1, 2004; minimize the function of the government in sustaining the other untenable significant advantage of retirement fund legal responsibility, which would eventually drop on the government; grant worldwide access to public, facilitate individuals who do not have access to any means of transportation to construct the possessions for old-age benefits, and once the latest scheme reconciled, the government could have better resources to believe intensification the methods tested levy-funding retirement fund for persons who do not have sufficient earnings to self-supporting their old-age benefits.            As these seem individual parts of the scheme, one has to take emphasizing the importance of the whole view to look how the apparently individual parts of the scheme are, in fact, mutually dependent.            When alter in the retirement fund scheme is visualized there are always trepidation. The primary consternation is regarding the modification in retirement fund plan of government workers (TUC, 2002).            This has to be sighted in the outline of the untenably of the present defined benefit retirement fund. As stated by to the World Bank, for the Central government, the retirement fund proposal articulated as a share of GDP twice among 1995 and 2000.            The World Bank statement also specify that outlays on annuity for government workers are expected to develop quicker at the state level where service further than twice in three decades, leveling off just lately, and that the upcoming development in the retirement fund law would mirror this (Wallis, 2002).            The shift to define contribution retirement fund for new workers is a step to alleviate this. The transition can be successfully level by professional finance administration and the controlling of the collected retirement fund on a constant basis (Pickering, 2002). In April 2005 an annuity supervisory body launched for trade which is formed by the 2004 Pensions Act. The superior importance on engaging genuine threat to affiliates’ advantages is obvious that the latest restrict method cause to feel itself in the pension realm as its primary semi annual functions under control by the body. To get the exact scenario of the present pension reform, the body compiled and tested the system information on an extensive array; the body is emergent and printing operation rules, aid to explicate the errands of entrusted managers and supervisors under the recent Act; and the body is efficiently functioning to minimize the threats. The mismanagement, swindle and mis-commitment are the major threats tried by the companies, and the body has the workforce to face them. The under financing, is still, the major lone threat dealing with all proposals presenting described advantages. The previous least subsidy requirement has not offered enough shelter against this threat and the truth is that most of the DB systems are presently low subsidized is not in argument. Assessing the extent of scheme shortfall is not a better solution, yet, as a collection of variables has to be measured – such as upcoming investment income, no body knows that when he / she will dies. Whichever procedure is applied, the numbers provide reason for trepidation. It has been anticipated, for instance, that the total scheme deficits of the FTSE 350 companies amount to  £72bn. The new legislation, coming into force at the end of 2005, requires schemes and sponsoring employers to confront and tackle this issue (Whiteside, 2003). Legal Requirements According to the latest ‘scheme specific’ financing administration, all proposals presenting described advantages will have to make a careful evaluation of their legal responsibilities, ascertain the measure of any financing deficit and suitable measurements will have to take to eradicate it. To measure the proposal’s legal responsibilities is the primary action in this regards is mandatory. There are no predefined rules to measure the responsibility, but, it is expected that all proposals should be evaluated as shortfall arise either due to the completion of the scheme and their accumulated rates. The entrusted management will calculate that how much financing is required to offer for the committed pension profits to pensioner as the scheme gets mature. The entrusted administration is also responsible to describe the sequential steps should be taken through a declaration of financing rules and work out the payment plan of contributions. And they also liable to arrange these papers and make sure that all supporting companies are harmonized with the contents.  A practical revival strategy should be taken place if resources are not enough, as many proposals are in unavoidable situation, due to the low financing. It should be predefined that how much financing is required and when. The recovery plan must contain an attested strategy by a statistician as further aid entails to attain the requisite level of financing. It is mandatory that the complete statistical assessment should be done in three to four years. And this assessment must contain all the required reports to facilitate the entrusted management to judge that how much development is done and how efficient. The translucency is also required for latest financing rule as further aspect. The copies of different reports achieved by the complete statistical assessment should be given to all members. And a yearly report should be distributed to all associates and recipients of benefit, which describes the development and efficiency status of any proposal. Transforming functions There are different roles which facing confronts due to the necessities of financing of the latest proposal. The prime resolutions should be passed by the entrusted managers (Storper Salais, 1997). The statistician is liable to give guidance to help them pass the resolutions. Whereas, the companies have no authority to intervene the entrusted managers’ role, but should, in several situations, bargain to locate a safe path to lead. To eradicate the shortfalls and to meet the requirements of financing entrusted managers are more influential than companies (Ward, 2002). As the entrusted managers are not necessarily be an economist or financial expert, so it is essential to them that they have to get guidance and work with a statistician or financial expert as and when required. A statistician should be well in communication. Companies have to be more liberalize with entrusted managers regarding their pecuniary matters rather they were behaving in past (CIPD, 2002) Functioning with the Controller The Retirement fund Controller’s primary task in this zone will be to collect data vis-à -vis present proposal financial support and the deed that proposal are taking to deal with their shortfalls. The task of accumulating and scrutinizing the yearly proposal incomes is running smoothly and the collection of data associated to financial support is continue as when and how much more support require. For instance, the presentation of an alternative arrangement to gain the funds back is mandatory by the entrusted managers, in a specific period of time. If they fail to fulfill the requirements of the contract they must inform the controller about it. Statistician or financial experts are also supposed to perform in the same way, in case, if they fail to attest the computations which are applied to achieve the precise financial support. The controllers are also interested to be notified if any task undone at companies end, in prolong period. Controller’s Authority When the statistician and entrusted managers are fail to complete their task according to the latest rules – in case, as the company unable to perform as per the contract – the controller has the right to interfere to drive the functions in a right direction. The controller can instruct about the computation to get the desired financial support, if required, or in case of a shortfall, guidance should be given by the controller, when or how to be eradicated. Controller can alter the upcoming accumulation of incomes or a new plan can be applied, when it seems to be impossible. However, the controller intends to use these powers sparingly and only as a last resort. Their focus will always be on identifying potential risks, and working with trustees, employers and advisers to develop solutions and, ultimately, to secure a prudent level of funding. When Controllers Can Interfere? Some particular situations can make the controllers to look into the matter personally. For example, unbelievable information, reports regarding financial support as mentioned above, business reformation and other controllers report. To settle down the situation, reckon when and how to interfere into the matter, controller recommends the utilization of assure timely events. By the help, of different kind of events method, controller visualizes the working. In the first event, entrusted managers recognized the aim of desired financial support. Generally discussion, if controllers realize this has been place too low, controller may need to see at the proposal narrowly, while controller will obtain further issues into account – in case, it may be satisfactory for a powerful company to define their target at a lesser point than a feeble company. The other kind of event associated to the new strategy. When the period is more than a decade, for instance, or if it suggested an impractical point of assist in the upcoming, controller may need to converse it in more detail. In general terms, then, controller are expected to see narrowly at proposals with less desire financial support and even more regain strategy, while controller will obtain a realistic and profitably responsive method. The defined levels of the timely event situations, and the kind of interference that could effect, are concerns that we wish to converse truthfully with the business. A draw up paper defined how we propose to apply our authority is obtainable for free discussion During the contribution of public administration expert, association want to place annuity and retirement issues as part of complete recompense and service policies, sustaining the accomplishment of organizational objective by encountering the requirements of their present and upcoming workers. This points out that these policies need to be customized to the situation of each business. There emerge to be three essential parts, and it is in these three zones that public administration expert can and is earning a main payment: There is an obligation for obvious and converse retirement fund and recompense strategy objective, level to the requirements of the business and its employees. Public administration expert require cultivating their panel and line associates on the context for and satisfied of these objective. Suitable retirement fund preparations can support a fit mental agreement, and aid a company succeeds in the rising ‘war’ for trained workforce and ability. With a getting old labor force, extra expandable method to annuity and retirement are turn into a essential part of useful resourcing policies. Business requires planning and put into practice suitable system to provide these policies. Suppleness and option in terms seem to be significant mechanism of these plans according to the requirements of further varied workers. We are ever more noticing organizations working more than one annuity plans and/or mix plans, and proffering workers retirement fund selections – all as element of inclusive supple benefits and complete recompense programs. Public administration expert are performing an important function in cultivating administrator and workers, facilitate them to take on private liability and make well-versed options as to the manner they desire to function and shift into retirement, with the suitable retirement fund provision to attain this. Price for Companies and Workers In all the investigation of tendency and foretells in work-related annuity provision, the related concerns of rising plan expenditure and governmental and bookkeeping necessities summit the lists of causes for transform. As PWC’s assessment of European pensions remarks, the option for national and work-related plans in all countries â€Å"is stark: higher taxes and contributions, or less generous pensions.†(Thompson, 2002). Companies expenditure increasing The chief financial officer of British Airways described on the day that the airline reported an annual loss of  £200 million that, ‘the change to a defined contribution pension for future staff is a necessary response to the competitive environment in which BA operates’. Correspondingly Geoff Pearson of Sainsbury’s informed public administration that the untenable expense of servicing their concluding salary scheme show the way to its closure to new candidate in April 2002 (CIPD, 2002). To protect the defined echelon of advantage and retirement fund the company tolerates all the threat of administration annuity investments according to the defined benefit. The workers of an engineering company â€Å"Pearson†have discovered that the complete safe business is not available on this earth. The wrapping up of their plan with a considerable shortfall could perceive them mislay up to half of the worth of their annuity ‘assurance’. The risk management even mendacity with the employer and just normally notified and erudite experts. According to the defined contribution plans, the worker has to take all the threats. Spend too conventionally and the growth of your own finance is very low. You have to face the fear of losing a considerable sum of your investment, when you spend your funds in a risky business. As the profit of your spending is below average, you either need to raise your payments or eventually get a low annuity, a truth that most of us realize when we gets the yearly statement of annuity, the plans purchase by our funds this year will be presently disturbing about (Merrick, 2001). When the stock market was at its peak, there is a better chance for intrepid workers that they can earn good profit in a defined contribution plan, where they reserve the surplus profits, rather than in a defined benefit scheme, where additional profit were reserved as a excess by the employer and might be utilized to support contribution holidays (Dore, 2000). That is the main reason of general shift to defined contribution plans in the 1990s allured slight interest and disagreement. As the present market state of affairs is totally change. Summary of Present Scenario The secure, trustworthy, if you are not capable to understand, comfort-blanket annuity atmosphere that persist for full-time, white-collar workers in numerous great corporations in the post-war years is well and truly over (Watson, 2001). We can quarrel on the reasons and whether under the new accounting law FRS 17 is just a cover up for primitive recompense- and financial prudence, but we are not interested to bring the atmosphere back into going to be able to wish that environment back into fortitude. Annuities have and are transforming. We may make the rules simpler, but we can not disregard the reality that Maxwell and the mis-selling scandals happened. We cannot retain the getting old people, any more than we can push our baby-boomer principles of frugality, faithfulness and tardy enjoyment onto the more globally minded, self-assured, but short-termist and doubtful, approaches and inspiration of Generation Y.  References            Able Smith, B. Townsend, P. (1961). The Poor and the Poorest. London, Bell.            Allen, A. (2002) Silver lining,  People Management. Vol 8, No 17, 29 August            Armstrong, M. (2002) Employee reward. 3rd ed. London, CIPD.            Ball, S. (2002) Pensions compulsion and compulsory contributions, Employee Benefits. July.            Brooks, R. Regan, S, Robinson, P. (2002) A new contract for retirement. London, IPPR.            CIPD (2002) Reward management: survey report. London, CIPD.            CIPD (2002) Perspectives: HRH: a work audit. London, CIPD.            Clark, G.L. Whiteside, N. (2003), Pension Security in the 21st  Century, Oxford, OUP            Dore, R. (2000). Stock Market Capitalism: Welfare Capitalism. Japan and Germany Versus the Anglo-Saxons. Oxford, OUP.            Esping-Andersen, G. (1990). Three Worlds of Welfare Capitalism. Princeton, NJ / Oxford, Princeton University Press/ Polity Press.            Esping-Andersen, G. (1999). Social Foundations of Post-Industrial Economies. Oxford, OUP.            EU must reform labor markets to reduce unemployment, Management- Issues. http://www.management-issues.com/display_page.asp?section=researchid=1190# Retrieved December 5, 2006            Gough, I., (1987), Welfare State, The New Palgrave, A Dictionary of Economics, vol. 4, London: Macmillan.            Hawksworth, J. et al. (2000) The European pensions and savings revolution. London, PriceWaterhouseCoopers.            Jackman, R. (2002) The global retirement crisis. Washington DC, Centre for Strategic and International Studies.            INCOMES DATA SERVICES (2002) Pensions in practice 2002/3. London, IDS.            Kelly, R. (2002) A better choice of pension, Financial Times.            Merrick, N. (2001) Benefits in the limelight, Employee Benefits, April.            Pickering, A. (2002) A simple way to better pensions, Norwich, Stationery Office.            Pierson, P. (1996). A historical institutionalist analysis, Comparative Political Studies, 29, 2.            Rhodes, M. (1996), A New Social Contract? Globalisation and West Welfare States, European University Institute, EUI Working Paper RSC No. 96/43.            Scrimshaw, A. (2001) Pensions. London, CIPD.            Storper, M. Salais R. (1997). Worlds of Production: The Action Frameworks of the Economy, Cambridge, MA, Harvard.            Thompson, P. (2002), Total reward. London, CIPD.            TUC. (2002) Prospects for pensions. London, TUC, June.            Wallis, S. (2002) Annuity rip-offs, Observer. 29 August.            Ward, S. (2002) Planning your pension. London, TUC/Kogan Page.            Watson Wyatt. (2001)  Playing to win: strategic rewards in the war for talent. London, Watson Wyatt.            Whiteside, N., (2003), Historical perspectives on the politics of pension reform in Clark and Whiteside Pension Security in the 21st  Century, Oxford, OUP            Young, G.  (2002) The implications of an ageing population for the UK economy. London, Bank of England.
Anaesthesia and Associated Infection: An Unrecognized Source
Anaesthesia and Associated Infection: An Unrecognized Source Hospital acquired infections (HAIs) are preventable diseases and place anenomrous socio-economic burden on economy. It is well established that intensive care units (ICU) are epicenters of cross infections and bacterial resistance, but a little is known about the role of anaesthesia atmosphere in this process. Intraoperative environment due to several reasons serves as risk factor for HAIs. [1-3] Immune suppression associated with general anaesthesia, aerosolized particles and healthcare tools used within the anaesthesia workstation area, may also be linked with development of HAIs [4]. There is high probability of patient contamination during the practice of anaesthesia due to rapid patient care combined with frequent contact with potential sources of bacterial transmission. HAIs are more common in countries with poor socioeconomic status where disposable or single use only items are re-used many times. Hospital acquired infections caused by various infectious organisms including ba cteria, virus, fungi and parasites, all of which flourish on suitable reservoirs, such as medical equipment. Precautions are recommended for all patients regardless of their diagnosis or presumed infectious status when there is a possibility of contact with blood, body fluids, non-intact skin and mucus membranes. Preventive measures should be based on the likelihood of an infectious agent being present, the nature of the agent and possibility of dispersion. A standard set of precautions should be established for every invasive procedure with additional risk assessment of each patient. FACTOR RESPONSIBLE FOR CROSS INFECTION Intravascular catheter Stopcocks used for injection of medication, administration of intravenous (IV) infusions, and collection of blood samples represent a potential portal of entry for microorganism into vascular access catheters. Stopcocks should be capped when not being used. â€Å"Piggyback†systems (a side port on a primary infusion set) are used as an alternative to stopcocks but also have risk of infection. Modified piggyback systems have the potential to prevent contamination at these sites. Use of needleless connectors or mechanical valves appears to be effective in reducing connector colonization as compared with standard stopcocks. To reduce intravascular catheter related infection change needleless components of catheter at least every 72 hour, minimize leaks and breaks in the system, scrubbing the access port with an appropriate antiseptic and accessing the port only with sterile devices. Contamination of drugs Drugs and fluids need safe handling by anaesthesiologist and should follow protocols for preparation and administration to prevent contamination. Infusion setswith side port (preferably needle-free Luer injection devices)for drug administration and self-collapsible intravenous fluid bags, so no need of air venting which prevent entry of air born infectious particles into fluids. Connection and injection ports in intravenous lines should be kept least.Prepared syringes and needles should be kept in a clean sterile container and capped. Care must be taken when drawing drugs. Single used ampules should be discarded after required amount of drug is drawn up and not re-used for next patients. Syringes and needles must not be used for multiple patients once connected to a patient’s vascular lines or infusions. Injection port kept free of blood and covered with a cap when not in use. After use all syringes and needles should be discarded into an approved sharp container. Unsafe use and disposal of sharps Inadvertent injury or inoculation with infected blood is an occupational hazard and present a significant risk to anaesthesiologist. These are mainly caused by needles during venipuncture, drug administration and during recapping of needles. These should be prevented by adhering to guidelines and standards regarding this. Sharps must not be transferred between personnel and handling should be kept minimum. Needle must not be bent or broken prior to use or disposal. Movement within the theater complex Restricted movement in and out of operating theater reduces airborne contamination. Door should be closed and eatable items should not be allowed inside O.T complex. Patient’s dress should be changed before transferring to O.T complex. Visitors should change into theater suits and wear designated footwear. Order of patients Patients likely to disperse microbes and at risk to others should be scheduled last in the operating list. In between successive patients, transmissions of infection are airborne or on surfaces and object that have been contact with patients. Cleaning of the operating theater between all patients should be undertaken. When there is visible contamination with blood or others body materials, the area must be disinfected according to local protocols and then cleaned with detergent and water. Floors of the operating room should be disinfected at end of each session. Anesthetic equipment Either by direct contact with patients or indirectly via splashing, by secretion or from handling anaesthetics equipment may become contaminated. All used equipment’s or its parts must be assumed to be contaminated and disposed of or, if reusable, undergo a process of decontamination. Areas of anaesthetics machine and monitoring equipment which are touched by gloved hand that has been in contact with blood or secretion, should be regarded as contaminated and should be cleaned as early as possible. Equipment that touches intact skin or not touches the patient at all but visibly contaminated is cleaned at the end of day or whenever visibly contaminated. This includes non-invasive blood pressure cuffs and tubing, pulse oximeter probes and cables, stethoscopes, electrocardiographic cablesetc. Oxygen mask and tubing should be single-patient use products. If reused it must be cleaned and sterilized if possible or according to manufacturer’s instructions. Anaesthetic face masks are usually in contact with intact skin; these are frequently contaminated by secretions from patients and have been implicated in causing cross infection.[5]Airways and tubes readily contaminated with transmissible organism and blood and should be single-use type.[6, 7] Supra-glottic airways commonly used are re-usable design; therefore they should be sterilized but no more often than the manufacturer recommends. A supraglottic airway used for tonsillectomy or adenoidectomy should not be used again (due to risk of Prion Disease). Laryngoscope blades are regularly contaminated with blood due to penetration of mucous membranes, which places these items into a high–risk category.[8] Decontamination and disinfection between patients are ineffective, leaving residual contamination that has been implicated as source of cross infection.[9, 10] So proper cleaning of laryngoscope blades is important before decontamination /sterilization particularly around light sources or articulated section. ForAnaesthetic machinesManufacturers cleaning and maintenance policesshould be followed, and bellows, unidirectional valves and carbon dioxide absorbers should be cleaned and disinfected periodically. Bacterial/viral filter is used between patient and circuit to prevent air born transmission of microorganism. Surfaces of anaesthesia machines should be cleaned on daily basis with an appropriate disinfectant.Anaesthesia breathing system actsas important reservoir for microorganism if used for longer period or used without filter. It is recommended that an appropriate filter should be placed between the patient and breathing system for each new patient. It is claimed that hydrophobic filters have better performance than most electrostatic filters, the clinical relevance yet to be established. [11, 12] Departments may follow the manufacturer’s recommendations for use but if visibly contaminated or used for highly infectious case, the circuit should be changed between patients and safely discarded. Bougies re-use has been associated with cross infection.[13]Gum elastic bougie may be disinfected up to five times or according to manufacturer recommendation and stored in a sealed packet. Preferably single-use intubation aids are employed when possible. INFECTIOUS COMPLICATION OF REGIONAL ANAESTHESIA Infectious complication of regional anaesthesia includes abscess formation, necrotizing fasciitis, meningitis, arachnoiditis which can lead to paralysis and death. The rate of spinal- epidural abscess or meningitis occurrence has been reported to be 1:10000 to 1:40000.[14, 15]Potential routes might be contaminated syringes, catheter hubs, local anaesthetics or breaches in aseptic technique.The suggested mechanism of hematogenous infection of central nervous system caused by subarachnoid or epidural puncture might be an accidental vessel puncture lead to introduction of blood into the intrathecal space. Staphylococcus aureus is the organism most commonly associated epidural abscess and often this infection occurred in patient with impaired immunity. Meningitis follows dural puncture is typically caused by alpha-hemolytic streptococci, with the source of organism the nasopharynx of the anaesthesiologist. [14] WHAT IS THENEED? Anesthesiologist’s are insensitive regarding prevention of infection in anaesthesia atmosphere in many institution of our country. Excessive movement in Operation Theater complex, drug bags or edible items in operative room and poor compliance with cap and mask by anaesthesiologist are also contributing factors. Equipment’s are used repeatedly without cleaning/sterilization e.g. Face mask, ventilator circuit, bougie, tubes etc. Stress should be given on preventive medicine in medical and nursing curriculum. Irrespective of specialty infection prevention should be a part of the teaching curriculum. Hospital must dedicate time to re-educating and re-training their staff in infection prevention. Various studies shows that, in spite of increase in knowledge scores regarding infection prevention, doctors were least compliant of the HCW in infection control practices. [16, 17] Early detection with surveillance and screening are the important step in the prevention of hospital acquired infections. Prevention of cross infection is by isolating the affected patients, educating the public/ healthcare professionals, appropriate use of antibiotics, meticuloushand hygiene and appropriate cleaning and decontamination of the environment and medical equipment Three main techniques are important to prevent infection transmission from provider to the patients. These include aseptic practice, proper hand hygiene, and appropriate barrier techniques are recommended by Centers for Disease Control and Prevention. References Madar R, Novakova E, Baska T. The role of non-critical health-care tools on the transmission of nosocomial infection. Bratisl Lek Listy 2005;106:348-50. Maslyk PA, Nafziger DA, Burns SM, Bowers PR. Microbial growth on anaesthesia machine. AANA J 2002; 70:53-6. Lessard MR, Trepanier CA, Gourdeau M, Denault PH. A microbiological study of contamination of the syringes used in anaesthesia practice. Can J Anaesth 1988;35:567-9. Hajjar J, Girard R. Surveillance of nosocomial infections related to anaesthesia. A multicenter study. Ann Fr Anesth Reanim 2000,19:47-53 MacCallum FO, Noble WC. Disinfection of anaesthetic face masks. Anaesthesia 1960; 15: 307. Miller DH, Youkhana I, KarunaratneWU,Pearce A. Presence of protein deposits on cleaned re-usable anaesthetic equipment. Anaesthesia 2001; 56: 1069–72. Chrisco JA, Devane G. A descriptive study of blood in the mouth following routine oral endotracheal intubation. Journal of American Association of Nurse Anesthetists 1992;60:379-83. Phillips RA, Monaghan WP. Incidence of visible and occult blood on laryngoscope blades and handles. Journal of American Association of Nurse Anesthetists 1997;65:241-6. Ballin MS, McCluskey A, Maxwell S, Spilsbury S. Contamination of laryngoscopes. Anaesthesia 1999;54:1115-6. Esler MD, Baines LC, Wilkinson DJ, Langford RM. Decontamination of laryngoscopes: a survey of national practice. Anaesthesia 1999;54:587-92. Wilkes AR. Breathing system filters. British Journal of Anaesthesia. CEPD Review. 2002;2:151-4. Wilkes AR, Benbough JE, Speight SE, Harmer M. The bacterial and viral filtration performance of breathing system filters. Anaesthesia 2002;55:458-65. 33- Jerwood DC, Mortiboy D. Disinfection of gum elastic bougies. Anaesthesia 1995;50:376. Horlocker T T, Wedel D J. Infectious complication of regional anaesthesia. Best Pract Res Clin Anaesthesiol 2008;22:451-75. Moen V, Dahlgren N, Irestedt L. Severe neurological complications after central neuraxial blocksdes in Sweden 1990-1999.Anaesthesiology 2004;101:950-9. Gupta A, Kapil A, Lodha R, Sreenivas V. Knowledge, attitude and practice towards infection control among healthcare professionals. Nat Med J India 2013;19:76-81. Suchitra JB, Lakshmi Devi N. Impact of education on knowledge, attitudes and practices among various categories of health care workers on nosocomial infections. Indian J Med Microbiol 2007;25:181-7
Wednesday, October 2, 2019
The Primal Scattering of Languages: Philosophies, Myths and Genders :: Philosophy Philosophical Papers
The Primal Scattering of Languages: Philosophies, Myths and Genders ABSTRACT: In After Babel, George Steiner recounts ‘two main conjectures’ in mythology which explain ‘the mystery of many tongues on which a view of translation hinges.’ One such mythic tale is the tower of Babel, which not only Steiner, but also Jacques Derrida after him, take as their starting point to approach the question of translation; the other conjecture tells of 'some awful error [which] was committed, an accidental release of linguistic chaos, in the mode of Pandora’s Box' (Steiner). This paper will take this other conjecture, the myth of Pandora, first woman of the Greek creation myth, as its point of departure, not only to offer a feminized version of the primal scattering of languages, but to rewrite in a positive light and therefore also toreverse the negative and misogynist association of Pandora with "man’s" fall. But, rather than exposing the entrenched patriarchal bias in mythographers’ interpretations of Pandora, my for emost aim is to pose, through her figure, questions about language and woman, and, by extension, the mother tongue and female sexuality. In After Babel George Steiner recounts "two main conjectures" in mythology which explain "the mystery of many tongues on which a view of translation hinges". One such mythic tale is the tower of Babel, which not only Steiner, but also Jacques Derrida after him, take as their starting point to approach the question of translation; the other conjecture tells of "some awful error [which] was committed, an accidental release of linguistic chaos, in the mode of Pandora's Box" (Steiner 1975:57). This paper will take this other conjecture, the myth of Pandora, first woman of the Greek creation myth, as its point of departure, not only to offer a feminized version of the primal scattering of languages, but to rewrite in a positive light and therefore also reverse the negative and misogynist association of Pandora with man's fall. Rather than adopting the patrilinear account Derrida or Steiner give as regards the origin of translation, I will use the figure of Pandora to combine, and rewrite, aspects both of the Babel myth and the Oedipus myth. This is because, whilst Babel is associated with loss, the loss of one tongue, and Oedipus is associated with lack, man's castration anxiety, Pandora's box has been associated with both: the threat of linguistic chaos, i.e. the loss of understanding, and the threat of woman's sexuality, i.
Tuesday, October 1, 2019
Anabolic Steroids :: essays research papers fc
In today’s modern age muscle supplements have become the answer for many young people to develop the body which they want to achieve. Younger users are taking supplements without thinking about the consequences that go along with taking them. Young athletes are choosing to buy muscle substances that they know nothing about. To get to the solutions on how to fix the supplement problem among young athletes, it is most important that we educate both the athletes, and their parents about the risks involved with taking muscle supplements. It is vitally important to understand what the supplements are and why athletes take them. Creatine is an amino acid that is produced in the liver, pancreas, and kidneys, and it helps muscles replenish adenosine triphosphate (ATP), which fuels muscle contraction (Balsom). Creatine was made famous by the Major League Baseball player Mark Maguire, who openly shared with the public his daily use of Creatine. Mark Maguire broke the record for homeruns hit in a season, and since then Creatine has become the most widely used supplement out on the market. No one is sure about the long term side effects of Creatine. Some scientists believe that when being used by young athletes it may stunt the growth of the adolescent. Some of the short term side effects include cramps, especially in the legs, and upset stomach. I used Creatine when I was 16 years old, and built up an extra 15 pounds of muscle while on the supplement. My main sport was soccer, and the extra muscle was great and helped me tremendously at first. Then problems started occurring in the lower half of my body. My legs would cramp while I was in the middle of a game, which had never happened to me before. It was then that I realized that Creatine was causing the cramps. Soccer requires a large amount of running, and with constant leg cramps I was unable to perform at the level I needed, so I stopped using the supplement. Within two weeks I had lost the extra 15 pounds, which was disappointing, but I was cramp free in the legs, which was a relief. Several of my friends who played football were also using Creatine, but the sport they played required less running, and more muscle. Therefore the supplement aided them in becoming better football players. The key to using supplements lies in the results you want to achieve, and the risks you are willing to take.
Boston Tea Party, Tea Essay
Attention Getter: You probably wouldn’t believe me if I told you that a drug that creates the same signaling activity in the brain as cocaine is sold legally on almost every street corner across the nation. This is a fact however, and the drug is caffeine. It is one of the main ingredients in coffee, and is currently the most frequently used recreational drug in the world. Establish Credibility: I personally consider myself a coffee expert, and have been drinking at least one cup of coffee almost every morning for the last three years. Relate to the audience: Now, I know not every one of you drinks coffee but as you can tell by the multiple Dutch Bros, Starbucks, and other coffee shops around town it is a very big part of our culture today. Preview: Throughout the course of this speech, I will discuss three major points relating to coffee. First, I will give some information on the history of coffee and when it first came into human culture, followed by the positive health benefits and some of the negative health risks associated with coffee. [First of all, I’m going to talk a little bit about the historical side of coffee and how it first got popular in our culture. ] Body I. Main Point: To understand why coffee is such a big part of modern day society, we must first understand where it originated. A. Sub-point: Coffee was first cultivated on the Arabian Peninsula in the 15th century. 1. Supporting details: Not only were the Arab’s the first to cultivate coffee, but they also were the first to trade coffee. 2. By the 16th century, the popularity of coffee was already expanding and Persia, Egypt, Syria and Turkey all had discovered about the amazing beverage. Sub-point: By the 17th century coffee was still gaining notoriety around the world, however it was still not a household favorite as it as today. 1. Supporting Details: Coffee houses started sprouting up everywhere in the 1700’s, however tea was still the most popular drink around. 2. In 1773 a heavy tax on tea was inflicted by King George, which led to a pretty famous revolt called The Boston Tea Party. 3. Since people couldn’t afford tea after the tax, coffee quickly took over as the most popular morning beverage across the world, and remains the most popular today. Although coffee has been drank for hundreds of years, the majority of its health benefits have only recently been discovered in the last few decades. ] II. Main Point: The majority of people drink coffee just to get through each day, however it does have many positive benefits to your health. A. Sub-point: Within just the last few years alone there has been research done showing that coffee may protect against type 2 diabetes, liver cancer, and Alzheimer’s disease. 1. Supporting details: According the Centers for Disease Control and Prevention, liver cancer is the ninth leading cause of cancer and coffee has been shown to reduce risk of liver cancer by 40%. 2. Drinking coffee reduces the risk of diabetes as well, which is a common risk factor of liver cancer. B. Sub-point: One of the other medical uses of coffee is in preventing Alzheimer’s disease and dementia. 1. Supporting details: The most common neurodegenerative disease and number 1 cause of dementia is Alzheimer’s. 2. There is no cure for Alzheimer’s, however it has been shown that coffee drinkers have up to a 65% lower risk of getting the disease. [You might be thinking coffee is a miracle drink after some of those statistics, however it also has many negative effects on health as well. ] III. Main Point: There are a great deal of health issues that can result from drinking coffee, with some of the most common being addiction, insomnia and increased blood pressure. A. Sub-point: As a college student, one of the last things you will ever want to experience is insomnia, but it is a regular side effect of coffee. 1. Supporting details: By blocking certain receptors in the brain, coffee prevents chemicals that induce sleep from being used. B. Sub-point: Another widely studied effect of coffee, specifically caffeine, is how addictive it is. 1. Supporting details: Caffeine stimulates the central nervous system and regular use will result in a physical dependence. 2. If a regular coffee drinker doesn’t have their daily cup, they will feel fatigued, irritable, and experience headaches within the first 24 hours. Conclusion 1. Transition Signal: In conclusion, coffee isn’t for everyone but if you do choose to consume it, you at least now know how it affects you. 2. Summary of Main Points: Throughout this speech we looked at how coffee first gained popularity in the human race, some of it’s positive health benefits as well as some of the negatives. 3. Call to Action: Even if you’ve never been a fan of coffee, try drinking a cup before your next study session and see if you still don’t like it. 4. Memorable end: Although it may be addicting and cause serious potential health problems, there must be something special about coffee considering over half of adults in the U. S. drink it daily. References: 1) â€Å"Coffee Acts Just like Cocaine, Says Scientist. â€Å" BeverageDaily. com. Beverage Daily, 02 Sept. 2002. Web. 12 Nov. 2014. 2) Goldschein, Eric. â€Å"11 Incredible Facts About The Global Coffee Industry. †Business Insider. Business Insider, Inc, 14 Nov. 2011. Web. 12 Nov. 2014. 3) Gunnars, Kris. â€Å"13 Proven Health Benefits of Coffee†Authority Nutrition. N. p. , n. d. Web. 12 Nov. 2014. 4) â€Å"The History Of Coffee. †– National Coffee Association. NCA, n. d. Web. 12 Nov. 2014. 5) Stromberg, Joseph. â€Å"This Is How Your Brain Becomes Addicted to Caffeine. †Smithsonian. N. p. , 9 Aug. 2013. Web. 11 Nov. 2014. 6) Van Dam, Rob. â€Å"Ask the Expert: Coffee and Health. †The Nutrition Source. Harvard School of Public Health, n. d. Web. 09 Nov. 2014. 7) Weber, Belinda. â€Å"Coffee Consumption Cuts Liver Cancer Risk. †Medical News Today. MediLexicon International, 22 Oct. 2013. Web. 12 Nov. 2014. .
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