Ancient art Essay Example | Topics and Well Written Essays - 500 words

Ancient art - Essay Example The statues being both Roman replicas represent goddesses. Aphrodite is most probably an amulet; protector of women and marriage in Syria and Egypt, many wedding contracts in the first centuries CE included a small statue as part of dowry. The statue being entirely nude provides the pretext for observation of the female body, the perfect body of a goddess for that matter. She wears only gold bracelets and is about to remove her sandal leaning on a pillar. Holding either an apple or a ball of makeup in her hand she is gracefully leaning to depict the balance and elegance of the goddess Aphrodite and the beauty of her naked body. Being a gift prior to marriage the statue represents the beauty and charm of the female body and might be considered a charm of reproduction for healthy and beautiful babies. Tyche, being the goddess of good fortune and strongly tied to Antioch is the protector of the city. Gracefully sited on a rock with crossed legs and a crown of crenulated towers to represent the city walls she is dressed with a lavish drapery, a symbol of abundance. She is holding a sheaf of corn in her right hand to symbolise wealth and welfare. The sculpture is thought to have been created for the celebration of the city of Antioch besides the river Orontes in the third century BCE.

Globalisation Causes Poverty Research Paper Example | Topics and Well Written Essays - 2000 words

Globalisation Causes Poverty - Research Paper Example There is a continuous discourse on the fight against poverty of international financial organizations and there are political elements in this debate, as well. Arguments against Poverty caused by Globalization According to Basu (2006) globalization and poverty are two different concepts. Globalization has almost become an indefinable term due to its ubiquity while the world poverty is a reality, the real causes of which are still hidden in large part. Basu (2006) argues that poverty does not come from globalization. Globalization only increases the degree of integration between countries. The policies adopted by governments of these countries causes poverty. Collier and Dollar (2002) supports the view by pointing out that European Union is also a form of globalization, which has not increased incidences of poverty among member countries, rather decreased it. According to Collier and Dollar (2002), it is agreed by economists that governments must eliminate barriers to free trade and o vercome protectionism of the past. The real cause of poverty within the third world countries is above all the overpopulation phenomena (Collier and Dollar, 2002). Collier and Dollar (2002) argues that causation of poverty is the fact that contraceptive devices are denied to the masses in these countries. Rather than holding globalization accountable, funds in these countries should primarily be used to create family planning centers to enable these people to have only maximum two children as is the case in Western countries (Cline, 2010).  According to Cline (2010), barring globalization or resorting to philanthropy cannot solve this problem of poverty in third-world countries. The other phenomenon which has... According to Basu (2006), globalization and poverty are two different concepts. Globalization has almost become an indefinable term due to its ubiquity while the world poverty is a reality, the real causes of which are still hidden in large part. Basu (2006) argues that poverty does not come from globalization. Globalization only increases the degree of integration between countries. The policies adopted by governments of these countries causes poverty. Collier and Dollar (2002) supports the view by pointing out that the European Union is also a form of globalization, which has not increased incidences of poverty among member countries, rather decreased it. According to Collier and Dollar (2002), it is agreed by economists that governments must eliminate barriers to free trade and overcome protectionism of the past. The real cause of poverty within the third world countries is above all the overpopulation phenomena (Collier and Dollar, 2002). Collier and Dollar (2002) argues that causation of poverty is the fact that contraceptive devices are denied to the masses in these countries. Rather than holding globalization accountable, funds in these countries should primarily be used to create family planning centers to enable these people to have only maximum two children as is the case in Western countries. According to Cline, barring globalization or resorting to philanthropy cannot solve this problem of poverty in third-world countries. The other phenomenon which has increased with the globalization is world population.

Cost Effectiveness of Dialysis for ESRD Patients

Cost Effectiveness of Dialysis for ESRD Patients From 2002-2009 diabetic nephropathies represented 41% of all end-stage renal (ESRD) patients in St. Lucia, which is significantly higher when compared with global distribution. Renal replacement therapy for ESRD is resource intensive, consuming a significant part of the health budget. Financial pressures on the health system continue to increase in the face of the global financial crisis, yet cost-effectiveness studies of ESRD treatment options are not only scarce but nonexistent in the Eastern Caribbean. A retrospective approach to data collection was used and a Markov model of cost, quality of life and survival will be developed to compare hemodialysis and pharmaceutical management of ESRD among diabetics. Micro-costing was used to assess the cost of hemodialysis for ESRD over the 8 year period. While preliminary findings have not identified whether or not hemodialysis for diabetic nephropathy is cost-effective the economic burden of hemodialysis for diabetic nephropathy was signif icant: EC$6.9 million, in St. Lucia for the 8 year period. Pre-emptive procedures need to be considered for the treatment of diabetes to delay onset or progression of ESRD. From a medical as well as fiscal perspective, prevention is the most cost-effective intervention. The health system in St. Lucia needs to focus attention on effective prevention strategies as the mean age among diabetic ESRD patients is 56 years (2.3SD). This age group is representative of a significant part of the countrys labour force and, if left unchecked, could have serious implications for economic development. Introduction End-stage renal disease (ESRD) and its precursor, chronic kidney disease (CKD), are globally emerging as a significant public health problem, with increasing morbidity and mortality as well as economic implications for healthcare (Szucsa et al., 2004). The World Health Organizations 2002 estimate indicated that globally CKD contributes to over 850,000 deaths and over 15 million disability-adjusted life years, with epidemic rise of ESRD in multiple regions in the world (WHO, 2003). The report also predicted that by 2010 more than 2 million people would require maintenance dialysis worldwide, and global estimates indicate that approximately 30% of patients with ESRD suffer as a consequence of diabetic nephropathy (Zelmer, 2007). The economic pressures of ESRD treatment on the collective health system are well documented. Haller, et al. (2011) identifies it as resource intensive, requiring substantial amounts of finite healthcare funds to treat a small percentage of the population. In 2005 alone, care for ESRD patients in Canada represented 1.2% of all healthcare expenditure, despite a 0.092% incidence of the disease (Zelmer, 2007). In St. Lucia, chronic renal insufficiency as a result of diabetes, hypertension, autosomal dominant polycystic kidney disease, and sickle cell disease are the main reasons for starting dialysis treatment in patients with kidney function failure. This is similar to the findings of Perovià ¡ and Jankovià ¡ (2009). In addition to being a chronic disease with significant morbidity impact, ESRD also involves high-cost treatment options (Zelmer, 2007), which are often limited in developing countries such as St. Lucia. Yet cost-effectiveness studies of the modalities of treatment are few and limited, especially in developing countries (Haller, 2011). Previous research has been conducted to identify the economic impact of the estimated health-care costs for ESRD, as well as the cost-effectiveness of various alternatives for renal replacement therapies; however, similar studies have not been replicated in the Eastern Caribbean. The findings are especially relevant to the health system in St. Lucia, as the incidence of diabetes continues to increase in the Caribbean Region (Henry, 2004). Additionally, the recent decision to expand the dialysis service to two new facilities without understanding the scope and magnitude of the total economic burden of ESRD could prove to be challenging. Cost-effectiveness is the fastest growing field in health research and it embodies a form of full economic evaluation that looks at cost and consequence of health programmes or treatment (Muennig, 2008). Cost-effectiveness analysis (CEA) of intervention programmes as a valuable tool employed by decision-makers can be used to appraise as well as possibly improve how the health system operates. Its application allows policy makers to identify which interventions provide the highest value for money and assist in helping to select interventions and programmes that maximize health for the available resources. Health economists are able to purchase the most health under a fixed budget, prioritizing services within the health sector. CEA therefore requires information to indicate the extent to which current and potential interventions are effective for improving population health, and which resources are required to implement the interventions, i.e., costs (Muennig, 2008). Referring to Palmers 2005 definition that states cost-effectiveness studies compare costs with clinical outcomes measured in natural units, like life expectancy or years of diseases avoided, Glassock (2010) noted that the totality of costs may not necessarily be captured. The inclusion of cost means that the design of the study will incorporate cost-unit analysis as a tool to examine the economic impact of dialysis for ESRD patients with diabetes and cost effectiveness to determine the quality adjusted life year (QALYs) or health related quality of life (HRQoL) for that population. The main outcome measure will focus on costs per quality-adjusted life years ($/QALYs), similar to a study conducted in Austria (Haller et al., 2011). Glassock (2010) notes that community willingness-to-pay is the threshold value used to determine cost effectiveness. He goes on to note that these values vary globally, and are estimated at  £30,000/QALY in the United Kingdom, 40,000/QALY in Europe, Aus $5 0,000/QALY in Australia, and US $90,000/QALY in the United States (Glassock, 2010). In the absence of a national threshold value, one can be established using GDP as an objective economic benchmark, (Eichler, et al., 2004). Cost will be viewed from the perspective of direct spending on health care for dialysis, coupled with the indirect costs of productivity losses due to premature death and short- and long-term disability. The impact of mortality costs as the sum of the discounted present value of current and future productivity losses from premature deaths will be measured from an incident-based human capital approach, drawing from a similar study conducted in Canada in 2000 (Zelmer, 2007). Muennig (2008) posits that because it is often difficult to account for all cost, and the time and resource constraints associated with micro-costing, certain assumptions related to costs are often made during cost-effectiveness analysis. This paper serves to examine the cost-effectiveness of hemodialysis among type 2 diabetics in St. Lucia over an 8 year period (2002-2008). Employing the use of CEA, it aims at comparing the cost and effects or outcomes (cost-effectiveness) of hemodialysis for diabetic nephropathy using the comparator of doing nothing, which in this case is the pharmaceutical management of patients with diabetic nephropathy to delay progression of ESRD. The findings will also help to inform those making policy decisions, and may be useful in establishing a set of priorities for further research, prevention programs, and in the planning of alternative treatments to help alleviate that burden. Perspective of the Study Cost effectiveness of dialysis for ESRD patients with diabetes in St. Lucia will be analyzed from a government perspective. This requires conducting cost analysis that measures the recurring direct and indirect cost of providing the service. In the region, specifically in the country under study, health care organizations rarely know the cost of the service provided and rarely employ the tools needed to assess that cost on a regular basis. In a globally operating economic society, economic trends have made it imperative for both profit and non-profit organizations that provide services, including government agencies, to assess the cost of clinical services provided. Finance for health is not infinite and with substantial budget cuts in the health service industry, there is increasing pressure for health care facilities to become more accountable and efficient with the funds allocated to health care (Basch, 1999). Health economics recognises the need for health services to be provided in a manner that is not only efficient but sustainable. Measuring, understanding and documenting the cost of services makes it easier to improve cost-efficiency of these services; it also highlights the funding needs of the sector and by extension, the government. It also provides an opportunity to establish fees for clients that are based on realistic site costs. Previous studies on cost-effectiveness of treatment options for ESRD have compared different modalities of dialysis or transplantation (Haller et al.; Gonzalez-Perez et al., 2005, Yang et al., 2001). Treatment modalities for ESRD patients in St. Lucia are either hemodialysis or pharmaceutical management. The analysis of hemodialysis versus pharmaceutical management to delay ESRD progression hinges on the fact that the current capacity of the Renal Unit in St. Lucia cannot provide dialysis for all ESRD patients. In an interview dated December 14, 2010 with the head of the Nephrology Unit, Victoria Hospital, Saint Lucia, it was indicated that while dialysis is offered, the increasing ESRD population means that patients are placed on a waiting list if they are not able to commence treatment due to unavailability of space (Olivert Dupree, 2010). If a patients prognosis requires immediate dialysis, he is treated at the private facility and the government absorbs that cost. But it is quit e clear that hemodialysis, like pharmaceutical management, is not the optimal treatment option for ESRD; rather, the optimal protocol is transplantation. The health system in St. Lucia is mandated by its objectives to improve the health of the population and consequently needs to ensure that its limited resources are not devoted to expensive interventions with small effects on population health, while at the same time low cost interventions with potentially greater benefits are not fully implemented (Ministry of Health, Human Services, Family Affairs and Gender Relations, 2000). Methods Data Sources The study population comprises of ESRD patients with diabetic nephropathy. Patients were considered depending on whether they received hemodialysis or whether their diabetes was being pharmaceutically managed to delay ESRD progression. Data was collected retrospectively and the study population was selected from the only public Renal Unit which forms part of the general hospital, Victoria Hospital. While there is another Renal Unit in St. Lucia that offers dialysis, it is a part of the private hospital, which did not wish to participate in this study. Of the 111 patients on dialysis, 45 were due to diabetic nephropathy and 19 were actively receiving dialysis at the time the study was being conducted. The nephrologists identified 12 ESRD patients who were not receiving dialysis but were being managed pharmaceutically. All diabetics who are or have been on dialysis with end-stage renal disease for the period 2002-2009 and were receiving dialysis due to diabetic nephropathy were included in the study. Persons were excluded from this study if they were on dialysis prior to being diagnosed with diabetes. The comparator group differed from the hemodialysis group only in the form of treatment that they are receiving, and consisted of all patients with ESRD due to diabetic nephropathy who are not receiving dialysis but whose diabetes is aggressively managed with medication to delay ESRD progression. Other variables were considered in the study and a standard questionnaire was administered to the study population to obtain data on the socio-economic status of individuals. A pool of eight persons from those who were on dialysis for reasons other than diabetic nephropathy served as a pilot test group for the socio-demographic questionnaire. This group was similar to the study population in terms of gender, education, socio-economic status and geographic location (Table 1). Content analysis was used to evaluate the information obtained from the socio-demographic questionnaire. All study participants received a letter concerning anonymity and confidentiality and informed consent was obtained prior to participation. Ethical approval was obtained from the IRB at St. Georges University and the ethics committee of the Ministry of Health in St. Lucia. A literature review conducted relied upon peer-reviewed economic evaluations of dialysis treatment modalities among diabetic patients. Ebscohost and PubMed were searched using the keywords cost-effectiveness, dialysis, end-stage renal disease, and diabetic nephropathy and was limited to articles published in the last 12 years (2000-2011). Some articles, if they were published outside of the selected timeframe, were accepted based on the strength and relevance of their findings. Articles were included if they had the keywords in the subject headings as well as focusing on Renal Replacement Therapy/economics, Renal Dialysis/economics, Hemodialysis Units, or Kidney Failure. If they included the term peritoneal dialysis or hemodialysis they were also selected. Exclusion criteria comprised of non-English articles and those that did not compare treatment options. A total of 379 articles were identified but 31 were selected as being relevant. Models Used Chronic conditions such as ESRD require continuous treatment and as a consequence, the cost-effectiveness of treatment options over a period of time for a cohort of patients employs the use of the Markov model to investigate long term costs and outcomes. The Markov model developed for this study describes the process of care noting that patients began their progression through the model in either of two states, hospital hemodialysis or pharmaceutical management of type 2 diabetes to delay ESRD progression, with death signifying the end of the cycle. Data on health care costs, transition to other health states and quality of life were inputted into the Markov model. Data was obtained from the Renal Unit at the Victoria Hospital, the public health facility. Data on quality of life was obtained using the 15D, a multidimensional, standardised generic instrument to measure quality or health-related quality of life (Sintonen, 2001). The 15D was used since it combines the advantages of a profile and single index score measure that describes the health status by assessing 15 dimensions. The mean score value for each dimension was used to determine the health related quality of life in the study population. The use of the 15D to measure quality of life outcome was reported in terms of QALYs, a measure of the burden of disease that included the quality and quantity of life lived against a monetary value, medical treatment or intervention. The mean score value for each dimension measured by the 15D was used to determine the health-related quality of life of the study population using the scale provided by Sintonen (2001). The findings were standardized against the burden of disease markers identified by the WHO. Costs and Analysis Cost-effectiveness, examined from a governmental perspective, used the clinical records of the Division of Nephrology patient registration and billing systems at the Victoria Hospital coupled with information from published studies on survival and quality of life among diabetic nephropathy patients. The model used included the direct health service costs associated with the treatment options, and an annual cost per patient was calculated for each health state in the model. Direct healthcare costs associated with dialysis use included costing regular dialysis sessions, complications of the dialysis, such as clotting of the fistula or hypotension episodes, laboratory tests and services required as a consequence of dialysis and medication use as a result of treatment. Assumptions were made on the regularity of direct healthcare cost associated with dialysis, such as that involving laboratory testing and blood transfusions. Micro-costing, collecting data on staffing, consumables, capital , and overheads were used to determine the cost of one session of hemodialysis (Table 2). Structured interviews were used to obtain details regarding staff time allocated to dialysis activities, as well as the regularity of other services used as a result of the treatment options. Capital items were identified as the building space allotted to the Unit for treatment, and equipment such as the dialysis machines and air conditioner unit. Costs have been reported in Eastern Caribbean Dollars (EC) presented at the 2008 level and an equivalent annual cost calculated using a 3 percent discount rate over the predicted life span. Muennig (2008) argues that a governmental perspective can include some aspects of transportantion costs. Evidence from the Minstry of Communication and Works and the Transport Board implies that there is no nationally agreed-upon policy for transport costs. There are variations across St. Lucia in terms of mileage costing; therefore for the purposes of our analysis, transport costs are excluded. The study reviewed costs over an 8 year period (2002-2009). This time frame was partly determined by the availability of the data two years after the programme was initiated and the assumptions made with reference to the analysis were tabulated (Table 3). Incremental costs per QALY gained will be calculated by using the estimates of costs and QALYs for each of the two modalities obtained from the model, and the findings were presented as incremental costs per QALY ($/QALY). The threshold value used to determine cost effectiveness of the intervention was established based on the recommendations of the Commission on Macroeconomics and Health, and CHOICE, which uses gross domestic product (GDP) as an indicator to determine cost-effectiveness. They established that an intervention was highly cost-effective if cost per QALY was less than GDP per capita, it was cost-effective if it was between 1 and 3 times the GDP per capita but was not cost-effective if it was more than 3 times GDP per c apita (WHO, 2011). A one-way sensitivity analysis will be used to investigate variability in the data, varying the discount rate from 3% to 5%, then age weights and finally, the disability weights. A final sensitivity analysis of mortality rates will be conducted since the assumption was that the mortality rates for hemodialysis were the same as those of pharmaceutical management of ESRD diabetics. Based on that assumption it becomes important to identify whether any one of these factors, discounted rates, age weights, and disability weights independently affected the data. Multiple linear regressions will be used to identify how the variables and assumptions affected dialysis lifetime. Preliminary Findings Demographic Characteristics The socio-demographic characteristics of the study population are presented in Table 4. According to the modalities compared the mean ages were 52 years (SD 10.06) for hemodialysis patients and 42 years (10.34SD) for patients who were being pharmaceutically managed. Briefly 62% of the patients were male (Figure 1), 40% had completed only primary level education and 20% had received no formal education. Married patients made up 46.7% of the study group and 26.7% were currently employed; but of these patients 80% of them received some form of family support or National Insurance Corporation (NIC) compensation. There was little variation between the groups (hemodialysis and pharmaceutically managed) in terms of employment and education. ESRD, as a consequence of diabetic nephropathy, represents 41% of all patients who have received hemodialysis for the period 2002-2009 (Figure 2). The end of that 8 year period mortality rate among that population is 53% with the average age of death at 57 years and average dialysis lifetime of 3 years. Costs A list of the parameters used to determine cost is presented in Table 2 and total yearly cost for the period is presented in Table 3. The total cost of dialysis for diabetic nephropathy was EC$6.9 million. From a governmental perspective, in 2009 the total cost of dialysis for diabetic nephropathy patients with ESRD totalled EC $1,002,597.23, accounting for approximately 2.27% of all healthcare expenditure for 0.01% of the population. Secondary and tertiary care services accounted for 59% of the total health budget for 2001-2002, 60% for 2002 -2003 and 64% for 2003-2004. Primary care services accounted for 22% in 2001-2002, 22% 2002-2003 and 18% for 2003-2004 (Figure 3). Discussion This is the first study of its kind in the region. It is able to serve as a precursor to further research and therefore is poised to help guide policies on how cost-effectiveness studies are done in the region. Additionally, there will be future application to decision-making in healthcare. While the absence of other studies that compared the treatment modalities used in this study serves as a limitation to this paper, it remains the only viable comparator that was available to the researcher, and being the first of its kind allows it to inform the existing research. The preliminary findings of this paper have significant implications for health and the operations of the dialysis unit. The literature from other studies (Haller et al, 2011; Zelmer, 2007) indicates that the average lifetime on dialysis is 7-10 years, with survial rates lower among senior adults, aged older than 65 years. The inverse seems to be suggested by the preliminary findings, with an average lifetime of 3 years in patients less than 57 years. The deviation may be attributable to younger persons being less compliant with regular dialysis sessions and the strict dietary and lifestlye adjustments that dialysis requires. Further research would need to be conducted to validate these findings. The economic burden of ESRD for diabetic nephropathy is significant: EC$6.9 million, in St. Lucia for the 8 year period (Table 2). While the focus of this study is on the cost-effectiveness of dialysis, the data identified that health services accounted for most of the observed costs. The governmental perspective of the research restricts the papers ability to adequately address the diabetic nephropathy related morbidity and premature mortality among the study population and the substantial burden that it places on society. The early indicators suggest a need for the effectiveness of the programme to be examined against its objectives and how its outcomes compare with other units within the region or the privately operated unit in St. Lucia. In 2006 Government health expenditure per person per year was EC$499.50 (Ministry of Health, Human Services, Family Affairs and Gender Relations, St. Lucia). Yet for that corresponding period, government spending for dialysis per person per year was EC$48,597.81 (Figure 5), for 0.0014% of the population. St. Lucias GDP for that period is estimated as $6,037.00 PPP (EC$16,299.90) and total expenditure on health is estimated as 6.3% of GPD (Table 5). While cost-effectiveness has not been conclusively established, using the threshold value of GDP as an economic estimate to determine cost-effectiveness, a cost-effective programme is one that is between 1 and 3 times the GDP per capita (WHO, 2011). The National Strategic Health Plan 2006-2011 (2006) posits that the Ministry of Healths actions have not been consistent with its declaration of a commitment to Primary Health Care (PHC) as part of its strategy for National Health development. Health spending continues to increase in the areas of secondary and tertiary care and less of the health budget is spent on primary care. The expansion of hemodialysis to meet the growing ESRD population, and an increased incidence of diabetic nephropathy in St. Lucia has implications for the findings of this study. It is important that focus is directed at primary and secondary interventions aimed at reducing cost of diabetic care and consequently complications from diabetes, such as diabetic nephropathy. Primary interventions are the most cost-effective and as such health promotions to reduce risk of developing diabetes, a risk factor for ESRD, needs to become part of the mandate of the Ministry of Health. A policy on chronic diseases develop ed within the primary healthcare plan that currently exists would help guide that focus. The study was limited by the accuracy and quality of the data, which Basch (1999) argues is a recurring problem in developing countries. There are limitations and difficulties in any attempt to calculate the mean cost of a dialysis session, especially in public facilities where cost is subsidized, as every facet of care and cost associated with the session must be taken into consideration. Consequently, assumptions were made on cost for direct and indirect services related to treatment options compared in this study. Assumptions are justified as this is a non-funded research with time constraints and a need to reduce cost drivers. The study was also limited in its perspective as it could not present on national costs from a societal perspective such as the patients ability to work or opportunity costs. Costs from the private facility could not be used as they did not wish to participate in this study. The inability to capture their costs is relevant as they are used by the government to provide dialysis for ESRD patients whose prognosis prevents them from being placed on a waiting list; this cost is incurred by the government. A patient who commenced dialysis at the private facility and transferred to the Renal Unit at the government facility is not distinguished in the patient register. The strength of the research lies in the use of triangulation to gather and analyse data to ascertain their common conclusion, effectiveness based on costs, and QALYs. Decrop (1999) concurs that one of the main ways to avoid the contentious issue of validity and reliability is the use of triangulation. Triangulation involves the use of multiple data sources in the investigation of a research question for justification or clarification, which in this case involved utilizing primary and secondary data, as well as information from the attending physician. Denzin (1978) also claims that triangulation limits personal and methodological bias as well as enhances the studys generalizability. The use of the Markov model is an inherent strength of the study. Gonzalez-Perez, et al. (2005) argue that the models ability to prognosticate relative effectiveness and cost overtime makes it appropriate for modelling chronic treatment options such as Renal Replacement Therapy (RRT). Cost-effectiveness to determine QALYs as well as the use of a standardized instrument to measure QALY also strengthens the findings of the research. The 15D is recognised as generally being a small measurement burden to both respondents and researchers. As an evaluation tool it is highly reliable due to its repeatability of measurements with minimized random error. The results generated are valid because of the degree of confidence that researchers can place in the inferences that are drawn from the scores. Sintonen (2001) posits that as an instrument to measure cost-effectiveness, it is particularly suitable for calculating quality-adjusted life years (QALYs). While the majority of cost-effectiveness analysis of treatment modalities for diabetic nephropathy focuses on the disease at its latent or progressed stage, Glassock (2010) noted that a study by Gearde et al. (2008) identified that early detection of diabetic nephropathy and intensive pharmaceutical interventions are not only cost effective but significantly reduces the risk of ESRD among type 2 diabetics. These findings are replicated in two studies by Keane and Lyle (2003) and Szucs, et al. (2004) who found that Losartan reduced the incidence of ESRD among diabetics. They went on to argue that proteinuria, which is the single most powerful predictor of CKD in type 2 diabetes, is a simple and inexpensive screening test, and early detection can lead to the early administration of drugs that have been proven to reduce ESRD incidence. Mann, et al. (2010) argue caution against population based screening for CKD, and advocate that screening, as a secondary intervention, should focus on at-risk populations. Their study concluded that targeted screening of people with diabetes is associated with an acceptable cost per QALY in publicly funded healthcare systems. Such an approach can be adopted in the health system in St. Lucia. Cost-effectiveness analysis is able to provide valuable insight to prioritizing within healthcare and so the findings of this research will be able to provide evidence to support efficiency in the use of limited resources. Policy-makers would be able to use these findings to review the decision to expand the number of hemodialysis centres in St. Lucia. Further research to identify more cost-effective treatment options would be the first step to improving efficiency of resource allocation. The preliminary findings have not identified whether or not hemodialysis for diabetic nephropathy is cost-effective. The domination of hemodialysis as a treatment modality for ESRD, despite the plethora of studies that have identified it as the least cost-effective of RRTs (Haller, et al., 2011; Just, et al., 2008, Kontodimopoulos Niakas, 2008), provides the health sector with the evidence needed to revise treatment protocols and an opportunity to improve cost-effectiveness of ESRD treatment. This can be achieved by reducing the use of hemodialysis and introducing as an alternative peritoneal dialysis, which has been cited as being the most effective of dialysis options. Just, et al. (2008) caution that the economics of dialysis in the developing world, where labour may be cheaper than the importation of equipment and solutions, may lead to the perception that peritoneal dialysis is more expensive than hemodialysis. They go on to note that this is not conclusive as there is a dearth in economic evaluations in developing countries to substantiate that view. As an alternative, a well developed CKD Care Program is able to significantly reduce the probability of developing ESRD among at risk populations, as well as significantly lower healthcare costs among ESRD patients (Wei et al., 2010). There is a need to expand the services offered by the Renal Unit as well as its coverage to help achieve that end. Conclusion of Preliminary Findings Despite a declared commitment to Primary Health Care (PHC) as a strategy for National Health development, the Ministry of Healths actions have not been consistent with its declaration. Secondary and tertiary care service is posing a great financial burden on the health system, as purported by the preliminary findings of this paper. Evident in the resource allocations for health in St. Lucia, Primary Care Services are allocated a decreasing or stagnant proportion of the health budget, considered against a decreasing allocation of total public expenditure to health. A sustainable health system needs to maximize the use of health resources, creating a more efficient health system that is capable of providing quality health services in a cost-effective manner in order to maximize population coverage. Primary health care needs to become the thrust used to promote efficiency in health as it is recognized as the most cost-effective of interventions. References Basch, P. (1999). Textbook of International Health

Fantasy Worlds in The Garden Party and Her First Ball by Katherine Mans

In the short stories ‘The Garden Party’ and ‘Her First Ball’, both written by the well-known New Zealand author Katherine Mansfield, the importance of detail lies in several fields. As Mansfield herself states, â€Å"there is an indefinite value and delight in detail† and this is shown constantly as she uses it much effectively to portray themes, provide us with a contrast between the two different settings and also paint us a clear picture of the protagonists’ fantasy worlds. Mansfield shows and doesn’t tell. In both the short stories, she plunges you straight into the imaginative and personified worlds of the protagonists and then the plot follows. The detailed description of the â€Å"perfect day for a garden-party† depicts Laura’s imaginations and excitement for this whole wonderful occasion. Every little detail such as the â€Å"green bushes bowed down as though they had been visited by the archangels† and the fact that the roses understood they â€Å"are the only flowers that impress people at garden-parties† adds to the angelic aura that Laura seems to have put forward so that we as the readers understand better her excitement and great anticipation. She is untainted by the worldly matters such as class distinctions at this point as she is still in her own imaginative world of â€Å"archangels.† Similarly for Leila in Her First Ball, everything is so magical, exactly the way it is in a fairyland. Everything around her is so strikingly new and enthralling. It is Leila’s first ball, and her first exposition to society. Mansfield describes the young girl’s emotions and excitement in so much detail that it incarcerates us in the quaint fantasy world of Leila. Just like Laura, we also sense Leila’s innocence, because â€Å"her first real partner was th... ...escribed in colours of youth, innocence and purity: â€Å"pink and silver programmes†, â€Å"pink and white flags†, â€Å"pink velvet cloak†, â€Å"pink pencils† and â€Å"pink chairs†. Then the contrast sets in with black dispelling this girlish innocence and the carefree atmosphere: the black velvet cloaks of the mother, the fat man’s black suit and the black night, which is threatening. We are held up in the joy and anticipation of Leila’s first ball and with this detail, Mansfield crushes us. This contrast forces us to conclude that nothing can be held, nothing lasts forever. Whatever era we live in, the impermanence of life is what affects every living thing on this planet. All in all, every minute detail in ‘The Garden Party’ and ‘Her First Ball’ is very much significant in that detail is the medium through which Mansfield ‘speaks to our minds’. Not by telling us, but showing us.

Personal Writing †Learning to understand Essay

As usual George stopped at the local sweet shop on his way to school. It was the same old woman at the counter: Mrs. Meridew. She never smiled or thanked anyone. Gorge was not really bothered by this since he only went to the shop to buy sweets. â€Å"50p of ‘Cola Bottles’ and 20p of the ‘Suga Snakes’.† George always ordered the same thing so the old woman had started packing his sweets before he had finished telling her his order. As he headed out of the door, with the sweets safely in his pocket, he saw his older brother, David, walking to school with a girl he had never seen before. She was short, about five feet tall, with auburn hair. She was walking behind David and she occasionally ran ahead to say something and then returned to her position, behind him. He watched them both turn onto the school road and then made his way to the school as well. He got to the school gates just in time to see them both entering through the main entrance and going to their separate classrooms. He didn’t see either of them for the whole day. George got home at around 4 o’clock and called for his brother who appeared not to be home. His parents were at work so it was just him and Ginger, his old and fragile cat. He got changed and made himself something to eat when he heard the front door open and the voice of his brother calling for him. David was not looking his normal self. His face was seemed as though he was hypnotized and his eyes were full of exhaustion. He dropped his bag and without another word, he made his way upstairs, supposedly to his room. After about half an hour, George decided to check on how his brother was. He quickly climbed up the stairs and walked into David’s room without knocking. David was at his desk and as soon as he saw George standing in the doorway, he rushed to clear everything, from his desk, out of site. â€Å"Why didn’t you knock?† David screeched. â€Å"Why does it matter? It only could if you had been doing something, eh?† George was getting cheeky. There was just a look of plain rage on David’s face. George thought it would be the best thing to leave the room, so he did, and went downstairs. He knew now that there was something suspicious going on between David and the girl he had seen walking with him. He just needed to read those letters to find out what was going on. He shouldn’t really interfere with his brother’s life, should he? Suspiciousness got the better of George and the following morning, he was going to try hard to get his brother out of the house, but David left much earlier than normal without George even trying. This was his perfect chance to read those notes David had been writing yesterday evening. He hurried up the stairs and scampered along the landing to David’s room. He had to open the door quietly since his mum was still asleep in the room next door. David had evidently cleaned up his room before leaving; the bed had been made and all his belongings were in position. George went straight for David’s desk and started to empty its contents onto the floor. The pile he was making was getting bigger, but there was no sign of any sort of abnormal letters or pieces of writing. Could he have known that George was going to rummage through his room? George started to replace everything back into David’s desk as it was before his careless search. Just then, there was the sound of the front door being swung open very loudly. He knew at once what had happened. David had realized that he had left George at home and now had rushed back to make sure he didn’t go through his room. † GEORGE! WHERE THE HELL ARE YOU!† David was screaming at the top of his voice. George could hear him running around looking for him downstairs as he was stuffing all of the bits of paper and books into David’s desk. George heard him running up the stairs and his speed of clearing up the mass got faster, but not quite fast enough as David burst in the room. His hair was in a state and his face was burning with fury. He was very wheezy and was spitting at odd moments. George felt nothing, but the greatest fear, as his brother looked as though he would murder him, there and then†¦

Marketing and Online Social Networks

INTRODUCTION Situation Synopsis: Competitors have developed different approaches to attract consumers in the online dating market; some of which have been copying eHarmony’s product features and using alternative strategies to attract singles. Company’s Current Strategy: eHarmony uses a focused differentiation strategy. It focuses on singles seeking a serious relationship and long-term compatibility. It distinguished itself from other sites by using a unique matching algorithm. They have also invested substantial resources into marketing and R&D. Problem Statement: eHarmony has opened the door to their competition by declining potential customers as a way to ensure quality control. eHarmony's CEO must decide how to react to imitations of its business model, encroachment by competing models and the rise of free alternatives. ANALYSIS 1. EXTERNAL ANALYSIS 1. General External Environment Demographic: †¢ Age 40 and 50 year olds becoming the fastest growing segment †¢ Age structure: 60% of eHarmony users were women †¢ Members reflect the geographic distribution of the US quite well Legal †¢ Lawsuits for discrimination, etc. †¢ Privacy settings Socio-Cultural: †¢ Average age to get married is increasing †¢ The marriage rate had reached its lowest point in recorded history †¢ Cultural changes and economic factors had a substantial effect on the marriage market †¢ Fluctuating divorce rates †¢ One-fifth of marriages were initiated through online encounters Technological: †¢ Increasingly sophisticated communication and recording technology †¢ R: relationship dynamics, physical attraction, and couples †¢ Must obtain patents for matching systems Global: †¢ Competitors have expanded globally 2. Industry Situation Analysis 1. 2. 1 Industry Structure The online personals industry can be segmented into 4 different categories where the 3 main players; eHarmony, Match, and Yahoo! Personals are represented by the Paid Do-it-yourself category: †¢ Paid Do-it-yourself Sites †¢ Free Do-It-Yourself Sites †¢ Niche Sites †¢ Online Social Networks 1. 2. 2 Industry Direction and Trends Competition is steadily increasing. Many companies within this industry try to develop new approaches in an attempt to divert customers away from market leaders such as eHarmony. Some either put up few barriers to join or allow people to join for free. The industry is expected to rise and perhaps double by 2012. Trends that may be important for this industries future include the following: †¢ Subscribers to these sites tend to be repeat users †¢ 40 to 50 year olds are the fastest growing segment †¢ Marriage rate has reached its lowest point in recorded history †¢ Divorce rates are constantly fluctuating 1. 2. 3 Industry Economics The online personals market grew very slowly, reaching only $40 million in 2001. In 2007, as a result of changing attitudes amongst consumers, the industry increased to $900 million. Observers have predicted that the industry may double in size by 2012. 1. 2. 4 Industry Driving Forces Internet: As the number of people becoming internet savvy increases, so does the number of potential customers for online personals. †¢ Globalization: Some competitors, for instance Match, have already branched out to markets overseas. †¢ Industry Growth Rate: Industry expected to double by 2012. †¢ Who buys & how it is used: Online personals are most popular for middle-aged (40-50) peoples. Used to find potential mates for those seeking various different types of relationships. †¢ Marketing Innovation: â€Å"eHarmony is one of the few online companies that made offline marketing work and pay for itself. Many companies end up spending large quantities on their marketing strategies but do not necessarily acquire more customers. †¢ Changes in Societal Concerns, Attitudes & Lifestyles: More and more people are becoming internet savvy therefore increasing the market potential for online personals. 1. 2. 5 Key Success Factors (See Appendix A) 1. 2. 6 Strategic Groups Map (See Appendix B for Strategic Groups Map) Cost to join and barriers to join an online personal site are the two dimensions which are relevant to a firms’ performance within this industry. Harmony possesses the highest membership fees in the industry along with particularly high barriers to join. Even their direct competitors; Match and Yahoo! Person als differ from eHarmony in that they have much lower barriers to join as well as lower sign up fees. Most of their indirect competitors are free and have little to no barriers to join. 1. 2. 7 Strategic Issues in the Industry †¢ Industry was plagued by people misrepresenting themselves and putting false personal information †¢ Users are concerned about the privacy of their information †¢ Level of customer dissatisfaction remains high . 2. 8 Opportunities & Threats Opportunities: †¢ This industry will continue to rise in popularity due to increasing usage of computer technology. †¢ Due to it being a more affordable means of match making, people will generally turn to online personals as opposed to other offline services. Convenience also plays a factor. †¢ Increasing their market share, catering to more market segments. (Niche markets). Threats: †¢ Online personals sites with more resources pose a threat to those lacking resources. †¢ Security issues linked with sharing information on online personals. Online dating scams) †¢ Reduction of barriers could also mean expanding globally before other competitors capture foreign market segments. 3. Competitive Situation Analysis 1. 3. 1 Competitive Forces (See Appendix C for analysis). After analyzing Porter’s five forces it is concluded that the online personals industry is attractive. 1. 3. 2 Competitive Approaches †¢ Match: They target individuals looking for â€Å"enduring romance†. They have also expanded their markets overseas. †¢ Yahoo! Personals: The types of consumers they target are not specified in the case. Although they have expanded their markets overseas †¢ Online Social Networks: relies on viral process through which friends encourage their friends to join. 1. 3. 3 Competitive Strengths & Weaknesses (See Appendix D) 2. INTERNAL ANALYSIS 2. 1 Company Situation/Resources Analysis (See Appendix E) 2. 2 Operations Analysis: not applicable to this case 2. 3 R Analysis †¢ E-Harmony Labs: In which scientists study different aspects of love (Biological, sociological, and neurological foundations of love) †¢ Scientists continue to do research on physical attraction. They believe that the initial encounter is the crucial in determining the long-term success rate of relationship. †¢ Invested heavily on studies on couples. These studies analyzed how relationships were affected after specific life stages, for example, after a first child is born. 2. 4 Procurement Analysis: not applicable to this case 2. 5 Marketing and Competitive Position †¢ Successful marketing formula: the use of testimonials enabled their offline marketing efforts to pay for itself. †¢ Competitive position: â€Å"matching on the basis of long-term compatibility. †¢ Focus on direct-response marketing and only work with firm’s who truly understand this form of advertising. †¢ They purchase media at lower rates. †¢ Advertise only on national cable networks and avoid broadcast television. (Less costly approach) †¢ ? of budget spend on TV and radio advertising, ? is spent on Internet search and banner ads (expensive). 2. 5 HR Analysis The co mpany grew to 230 employees, half of whom were in customer service. They also employ a team of uniquely positioned research psychologists. 2. 6 Managerial Preferences/Values Analysis The CEO, Greg Waldorf values the exclusivity of the site. †¢ Their customers values long term relationships. 3. APPRAISAL OF STRATEGIC ISSUES 3. 1 Evaluation of Current Strategic Performance 3. 1. 1 Strategic Resources: Tangible †¢ Financial: Ability to generate internal funds: marketing campaign paid for itself within the first week †¢ Borrowing capacity: Received 3 million from an investment firm at start up †¢ Technological: Scientifically produced matching algorithm *** Organizational Resources and Physical Resources do not apply to this case Resources: Intangible †¢ Human resources: knowledgeable team of psychologist †¢ Innovation resource: labs were tasked with studying the biological, sociological, and neurological underpinnings of love †¢ Reputational resources: eHarmony’s focus on serious relationship resonated well with faith communities Capabilities: †¢ Marketing: Highly successful marketing formula †¢ R: secured a patent for the matching algorithm †¢ Strong vision *** Distribution, Human Resources, Management information systems, Management, and Manufacturing do not apply to this case Core Competencies: Sustainable Competitive Advantage: †¢ Patented matching system and guided communication system †¢ Unique positioning of its team of research psychologists †¢ Successful marketing formula *** Value Chain does not apply to this case 3. 1. 2 Financial †¢ Borrowing capacity: Received $3 million from an investment firm at start up. †¢ Opportunity Cost: Declines to sell memberships to at least one million people annually costing the company an estimated $100 million per year. Break Even: By early 2002 registrations had grown to over 300,000 allowing the firm to break even that year and become cash flow positive the next. †¢ Fixed Costs: Advertising: Marketing expenses reaching as much as $80 million per year, firm profitability depended on efficient customer acquisition 4. FORMULATION AND DISCUSSION OF STRATEGIC ALTERNATIVES 4. 1 Option 1: Reduction of Barriers Pros: †¢ Allowing more subscriptions will increase revenues †¢ Cost eff ective †¢ Would tap into niche markets such as the gay and lesbian communities (largest niche market). User satisfaction increase when there are more users †¢ Denies competitors a chance to grow (Chemistry) Cons: †¢ Current members will not be as confident when recommending matches †¢ Less exclusive †¢ Spend money in R: New matching models 4. 2 Option: Broadening Customer base to include casual daters Pros: †¢ Strong point of differentiation: Introducing the matching algorithm to the casual dater segment †¢ Allowing more subscriptions will increase revenues Cons: Undermining its credibility with individuals seeking individuals seeking long-term commitment †¢ Exposure to more competitive rivalry †¢ Spend money in R: New matching models 4. 3 Option 3: Growing a new business based on R Pros: †¢ Greater audience which allows for more subscriptions thus an increase in revenues †¢ Reducing risk of being trampled by competitors by dive rsifying Cons: †¢ Can tarnish eHarmony’s reputation and name brand †¢ Risky because it may not gain as much as what was anticipated †¢ Growth strategy may not be concrete . 4 Option 4: Rapid Geographic expansion Pros: †¢ Enables them to take control of target segments before their competitors do †¢ Increases their geographic scope which translates to increased revenues Cons: †¢ The matching portfolio may not cater to foreign markets (Different cultures etc. ) †¢ Large investment in R in order to create new algorithms †¢ Must take into account politics, religion, culture 5. STRATEGY RECOMMENDATION Since its inception, the company has declined to sell memberships to at least one million people who sought to become paying customers. As a result, the opportunity cost of this decision has lost the company an estimated $10 million in revenues per year. eHarmony should continue to focus on it’s vision in creating long-term relationships, however while reducing the amount of barriers they have instilled in order to become a member. By reducing their barriers not only will they increase their market share, they will be able to cater to more market segments (niche markets). Reducing their barriers could also involve expanding their services globally before other competitors capture significant foreign market segments. On that note, they can also deny their competitors a chance to grow. This will also satisfy their current users since there will be a greater selection. On the other hand some users may not take well to the idea, but as long as eHarmony maintains some element of control regarding who is accepted the changes may not be noticed. To conclude, we believe the R expense of creating a new algorithm will prove to be a worthy investment. [pic]

Free Essays on Dr. Martin Luther King Jr. And Nonviolent Direct Action

Dr. Martin Luther King Jr. and Nonviolent Direct Action Nonviolent direct action is a means of reform introduced long ago, which is still in use today. The most well-known use of nonviolent direct action was by Dr. Martin Luther King Jr. in the 1960’s during the civil rights movement. King was amongst very few civil rights leaders who did not believe in using violence or other immoral behavior to achieve the moral desire of desegregation. King made use of nonviolence to demand a negotiation from those communities that refused to negotiate, and to end violence against the blacks, without using violent means to do so. Nonviolent direct action is a method which was first used by Gandhi. As King was searching for a way to put an end to the white racism and segregation in Montgomery, he read speeches and essays by Gandhi and Thoreau on civil disobedience, and began to discuss the idea of a nonviolent resistance movement with his wife, Coretta King (Sitkoff 48). Determined to devise a strategy, King also studied speeches on the application of Gandhian tactics to the race problem, and other historical examples of direst mass action. Being an educated man, he was well aware that acting violent and extreme against the whites would result only in imprisonment, and would not allow the blacks to gain respect or consideration, and he knew he had to use this information to form a plan that would force the blacks to be heard, and force the whites to see the harsh magnitude of the racial problems in the south. There are four basic steps to any nonviolent campaign, according to King, and these steps are: (1) collection of the facts to determine whether injustices are alive; (2) negotiation; (3) self-purification; and (4) direct action (McQuade and Atwan 737). Direct action creates a crisis and establishes tension which causes a community that has avoided negotiation to be forced to acknowledge and confront the issue at hand. Those involved in ... Free Essays on Dr. Martin Luther King Jr. And Nonviolent Direct Action Free Essays on Dr. Martin Luther King Jr. And Nonviolent Direct Action Dr. Martin Luther King Jr. and Nonviolent Direct Action Nonviolent direct action is a means of reform introduced long ago, which is still in use today. The most well-known use of nonviolent direct action was by Dr. Martin Luther King Jr. in the 1960’s during the civil rights movement. King was amongst very few civil rights leaders who did not believe in using violence or other immoral behavior to achieve the moral desire of desegregation. King made use of nonviolence to demand a negotiation from those communities that refused to negotiate, and to end violence against the blacks, without using violent means to do so. Nonviolent direct action is a method which was first used by Gandhi. As King was searching for a way to put an end to the white racism and segregation in Montgomery, he read speeches and essays by Gandhi and Thoreau on civil disobedience, and began to discuss the idea of a nonviolent resistance movement with his wife, Coretta King (Sitkoff 48). Determined to devise a strategy, King also studied speeches on the application of Gandhian tactics to the race problem, and other historical examples of direst mass action. Being an educated man, he was well aware that acting violent and extreme against the whites would result only in imprisonment, and would not allow the blacks to gain respect or consideration, and he knew he had to use this information to form a plan that would force the blacks to be heard, and force the whites to see the harsh magnitude of the racial problems in the south. There are four basic steps to any nonviolent campaign, according to King, and these steps are: (1) collection of the facts to determine whether injustices are alive; (2) negotiation; (3) self-purification; and (4) direct action (McQuade and Atwan 737). Direct action creates a crisis and establishes tension which causes a community that has avoided negotiation to be forced to acknowledge and confront the issue at hand. Those involved in ...

Effect of the music Essays

Effect of the music Essays Effect of the music Essay Effect of the music Essay There will be a difference between how participants perform on anagram tests depending on whether they are in a condition which has a fast music, slow music or no music played.  PB2: Explanation of Direction of Hypothesis.  The hypothesis is non-directional because a study by Mayfield and Moss (1989) found that when participants underwent a task with either fast or slow music they found fast music acted as a cause of stress and slowed down how fast they could perform the task. However a study by Stough et al. (1994) found that when participants did an IQ test in either silence or with Mozart playing in the background there was no effect on the results. Also a study by Turner at al. found the level of music caused a slower response time in the study. PB3: Identification of Research Method/ Design.  The research method design being used is experimental. A laboratory experiment is going to be used. The task will take place in the form of a sheet of 30 anagrams. The design is going to be a repeated measures experiment.  PB4: Evaluation of the Advantages and Disadvantages of the Chosen Research Method.  One disadvantage of the research method is that it is not like real life. In a real situation participants may not have to be sat down doing a task with just music playing in the background. Their may be other confounding variables such as the volume of the music. Therefore it will have a low ecological validity. An advantage of this study is that it is replicable; therefore confirmation of the results will be possible. This will ensure that the study is reliable.  Another advantage is that laboratory experiments involve the most control over variables and therefore it will give most confidence that the IV has caused changes in the DV.   B5: Identify Potential Sources of Bias in the Investigation and Any Possible Confounding Variables.  One source of bias within the investigation could be that the extent of participants vocabulary is unknown and therefore some of them may never have come across some of the more complicated words. Therefore the subjects studied by participants are of importance. Participants may be of varying intelligence and therefore this will mean they will be tested for intelligence rather than the effect of the music. Another source of bias is if participants are informed about the aims of the study, to investigate how music affects performance of a task, they may conform to how they believe they should behave in the study. For example some one in the loud music category may purposely try less hard on the task as the believe themselves to do worse at the task. These demand characteristics may cause a bias in the results.  PB6: Explain What Procedures Will Be Adopted to Deal With These. To deal with the issue of the length of the words in my anagram tests I will use words of short length only ensuring participants have a larger chance of being familiar with the words. A frequency table for word use will be used to do this. To deal with issue of varying intelligence within the participants should have to complete the task in all three conditions however this would be of no use as then participants will experience order effects and already have knowledge of the answers on the anagram tests, so therefore I will have to ensure that participants will be of as equal as possible intelligence, this can be done using participants from the same school and of the same age. To deal with the second source of bias participants will not be told the true aims of the experiment until they have completed it to prevent demand characteristics.  PB7: Select An Appropriate Level of Statistical Significance To Be Researched Before the Experimental/ Alternative Hypothesis.  An appropriate level of statistical significance is a level of P0.05.  PB7: Identify Any Relevant Ethical Issues and Discuss the Steps to be taken to Deal with These.  One ethical of this experiment is that participants may feel inadequate if they find difficulty in completing the task. However participants should be explained to fully that the task is to test the effect of music and not personal ability. Another ethical issue is that participants will not be told the true aims of the experiment. If told that they were doing a task on the effect of music this may cause participants behave in a way in which they believe they should behave, demand characteristics. For this reason participants will be deceived this may be viewed a deception. To overcome this once the task is completed all participants will be debriefed and told the real aim of the study.  Another ethical issue is that as participants will be deceived they will not be given the chance to give an informed consent before the task begins. This will be dealt with by offering participants the chance to withdraw their data after the investigation when they have been informed of the real aims of the study.

Amazon Database Essay Example for Free

Amazon Database Essay Amazon.com is developing a system to gather and keep massive amounts of intimate information about its millions of shoppers, including their religion, sexual orientation, ethnicity and income. The database, which would combine information disclosed voluntarily by customers with facts gleaned from public databases, conceivably would give Amazon a larger or more detailed profile of its customers than any other retailer. The Seattle-based company, with 59 million active customers, said it has no immediate plan to implement such a program. Its ability to do so emerged in a detailed patent application with the U. Patent & Trademark Office, disclosed Thursday. A privacy expert said customers should be wary about Amazon having the capability to gather such a large amount of detailed information. She said the data could end up in the hands of the myriad retailers that do business with the company, or with government officials or hackers. â€Å"Amazon never ceases to amaze me,† said Lillie Coney, associate director of the Electronic Privacy Information Center in Washington, D.C. â€Å"If they create this database, it will be used for other purposes. †¦ They are really creating something worth a great deal of value that will help their company.† The patent disclosure comes at a time of heightened awareness over online security and a rash of recent security breaches. AOL recently published a list of more than 650,000 user queries that revealed names, addresses and Social Security numbers, and the company this week apologized and removed the data, but it’s unknown how many copies of the sensitive information were made. Amazon’s pending patent, which would bar competitors from replicating the company’s process for gathering information, details how it could compile data from customers to create a profile of products that a person might want to buy. Such a database would include the gender, date of birth, interests, occupation, education, income level, residence, race and ethnicity of customers for Amazon’s â€Å"gift clustering† program. Customers already willingly disclose some personal information on the site — to create a â€Å"wish list† of desired products, for example. The larger potential database would go beyond that. â€Å"Even if a customer does not know demographic information or interest s of a possible recipient, the system may be able to access such information from a user profile for the recipient, from past ordering patterns of the recipient, or from publicly accessible databases,† the patent application said. Company spokeswoman Patty Smith said Amazon.com has â€Å"no current plans† to implement such a system. â€Å"Not every company uses a patent it has in its name, but it may have a patent in portfolio,† Smith said. â€Å"Who knows 10 years down the road or five years down the road? It might be good to implement. We want to protect our intellectual property.† Smith said the document released Thursday is an addendum to a patent Amazon sought in October 2000 and received in February of this year. She said much of what was in the original patent was also disclosed Thursday, but she didn’t have details on what was new. Smith said that six years ago Amazon was â€Å"trying to figure out ways to make it easier for customers to find information† on the company’s wish list feature for gifts. â€Å"Amazon is always careful how it uses customer data so the customer experience will be as good as it can be,† she said. The system described in the patent would give shoppers, with the click of a mouse, additional detailed information at the discretion of the gift recipient. Amazon already groups or clusters gifts, such as camping items or back-to-school goods, and then suggests them to buyers based on generic factors such as price, the relationship between the giver and receiver or the recipient’s age or gender. The patent disclosure also comes at a time when Amazon, originally an online bookseller in 1995, is moving into new ventures to boost profits. The company’s stock took a huge hit last month after Amazon reported disappointing second-quarter earnings and company executives said there would be continual heavy spending on technology. Amazon recently started its own toy and food stores. The patent application, filed Dec. 9, 2005, by Amazon inventor Amit Agarwal but made public Thursday, could take years to be approved, according to Brigid Quinn, a Patent & Trademark Office spokeswoman. Quinn said there’s a backlog of more than 700,000 patent applications, and the agency reviews about 300,000 a year. â€Å"It’s in the early stages. It’s not even on an examiner’s desk yet,† Quinn said. â€Å"But they could use it without it being patented. The patent only prevents others from using it.† Greg Linden, a former technology team leader at Amazon, said it sounds to him like Amazon is just protecting its wish list feature. Linden, founder of Findory.com, an online news site, also warned not to read too much into a patent application because lawyers â€Å"throw in everything they can think of† to keep competitors from copying an idea. Read more: http://www.seattlepi.com/business/article/Amazon-database-would-put-shoppers-intimate-1211419.php#ixzz24rlGoBic http://aws.amazon.com/solutions/case-studies/amazon-oracle/ AWS Case Study: Amazon.com Oracle DB Backup to Amazon S3 Amazon.com is the world’s largest online retailer. In 2011, Amazon.com switched from tape backup to using Amazon Simple Storage Service (Amazon S3) for backing up the majority of its Oracle databases. This strategy reduces complexity and capital expenditures, provides faster backup and restore performance, eliminates tape capacity planning for backup and archive, and frees up administrative staff for higher value operations. They were able to replace their backup tape infrastructure with Cloud-based Amazon S3 storage, eliminate backup software, and experienced a 12X performance improvement, reducing restore time from around 15 hours to 2.5 hours in select scenarios. As Amazon.com grows larger, the sizes of their Oracle databases continue to grow, and so does the sheer number of databases they maintain. This has caused growing pains related to backing up legacy Oracle databases to tape and led to the consideration of alternate strategies including the use of Cloud services of Amazon Web Services (AWS), a subsidiary of Amazon.com. Some of the business challenges Amazon.com faced included: Utilization and capacity planning is complex, and time and capital expense budget are at a premium. Significant capital expenditures were required over the years for tape hardware, data center space for this hardware, and enterprise licensing fees for tape software. During that time, managing tape infrastructure required highly skilled staff to spend time with setup, certification and engineering archive planning instead of on higher value projects. And at the end of every fiscal year, projecting future capacity requirements required time consuming audits, forecasting, and budgeting. The cost of backup software required to support multiple tape devices sneaks up on you. Tape robots provide basic read/write capability, but in order to fully utilize them, you must invest in proprietary tape backup software. For Amazon.com, the cost of the software had been high, and added significantly to overall backup costs. The cost of this software was an ongoing budgeting pain point, but one that was difficult to address as long as backups needed to be written to tape devices. Maintaining reliable backups and being fast and efficient when retrieving data requires a lot of time and effort with tape. When data needs to be durably stored on tape, multiple copies are required. When everything is working correctly, and there is minimal contention for tape resources, the tape robots and backup software can easily find the required data. However, if there is a hardware failure, human intervention is necessary to restore from tape. Contention for tape drives resulting from multiple users’ tape requests slows down restore processes even more. This adds to the recovery time objective (RTO) and makes achieving it more challenging compared to backing up to Cloud storage. Advantages with Amazon Web Services Amazon.com initiated the evaluation of Amazon S3 for economic and performance improvements related to data backup. As part of that evaluation, they considered security, availability, and performance aspects of Amazon S3 backups. Amazon.com also executed a cost-benefit analysis to ensure that a migration to Amazon S3 would be financially worthwhile. That cost benefit analysis included the following elements: Performance advantage and cost competitiveness. It was important that the overall costs of the backups did not increase. At the same time, Amazon.com required faster backup and recovery performance. The time and effort required for backup and for recovery operations proved to be a significant improvement over tape, with restoring from Amazon S3 running from two to twelve times faster than a similar restore from tape. Amazon.com required any new backup medium to provide improved performance while maintaining or reducing overall costs. Backing up to on-premises disk based storage would have improved performance, but missed on cost competitiveness. Amazon S3 Cloud based storage met both criteria. Greater durability and availability. Amazon S3 is designed to provide 99.999999999% durability and 99.99% availability of objects over a given year. Amazon.com compared these figures with those observed from their tape infrastructure, and determined that Amazon S3 offered significant improvement. Less operational friction. Amazon.com DBAs had to evaluate whether Amazon S3 backups would be viable for their database backups. They determined that using Amazon S3 for backups was easy to implement because it worked seamlessly with Oracle RMAN. Strong data security. Amazon.com found that AWS met all of their requirements for physical security, security accreditations, and security processes, protecting data in flight, data at rest, and utilizing suitable encryption standards. With the migration to Amazon S3 well along the way to completion, Amazon.com has realized several benefits, including: Elimination of complex and time-consuming tape capacity planning. Amazon.com is growing larger and more dynamic each year, both organically and as a result of acquisitions. AWS has enabled Amazon.com to keep pace with this rapid expansion, and to do so seamlessly. Historically, Amazon.com business groups have had to write annual backup plans, quantifying the amount of tape storage that they plan to use for the year and the frequency with which they will use the tape resources. These plans are then used to charge each organization for their tape usage, spreading the cost among many teams. With Amazon S3, teams simply pay for what they use, and are billed for their usage as they go. There are virtually no upper limits as to how much data can be stored in Amazon S3, and so there are no worries about running out of resources. For teams adopting Amazon S3 backups, the need for formal planning has been all but eliminated. Reduced capital expenditures. Amazon.com no longer needs to acquire tape robots, tape drives, tape inventory, data center space, networking gear, enterprise backup software, or predict future tape consumption. This eliminates the burden of budgeting for capital equipment well in advance as well as the capital expense. Immediate availability of data for restoring – no need to locate or retrieve physical tapes. Whenever a DBA needs to restore data from tape, they face delays. The tape backup software needs to read the tape catalog to find the correct files to restore, locate the correct tape, mount the tape, and read the data from it. In almost all cases the data is spread across multiple tapes, resulting in further delays. This, combined with contention for tape drives resulting from multiple users’ tape requests, slows the process down even more. This is especially severe during critical events such as a data center outage, when many databases must be restored simultaneously and as soon as possible. None of these problems occur with Amazon S3. Data restores can begin immediately, with no waiting or tape queuing – and that means the database can be recovered much faster. Backing up a database to Amazon S3 can be two to twelve times faster than with tape drives. As one example, in a benchmark test a DBA was able to restore 3.8 terabytes in 2.5 hours over gigabit Ethernet. This amounts to 25 gigabytes per minute, or 422MB per second. In addition, since Amazon.com uses RMAN data compression, the effective restore rate was 3.37 gigabytes per second. This 2.5 hours compares to, conservatively, 10-15 hours that would be required to restore from tape. Easy implementation of Oracle RMAN backups to Amazon S3. The DBAs found it easy to start backing up their databases to Amazon S3. Directing Oracle RMAN backups to Amazon S3 requires only a configuration of the Oracle Secure Backup Cloud (SBC) module. The effort required to configure the Oracle SBC module amounted to an hour or less per database. After this one-time setup, the database backups were transparently redirected to Amazon S3. Durable data storage provided by Amazon S3, which is designed for 11 nines durability. On occasion, Amazon.com has experienced hardware failures with tape infrastructure – tapes that break, tape drives that fail, and robotic components that fail. Sometimes this happens when a DBA is trying to restore a database, and dramatically increases the mean time to recover (MTTR). With the durability and availability of Amazon S3, these issues are no longe r a concern. Freeing up valuable human resources. With tape infrastructure, Amazon.com had to seek out engineers who were experienced with very large tape backup installations – a specialized, vendor-specific skill set that is difficult to find. They also needed to hire data center technicians and dedicate them to problem-solving and troubleshooting hardware issues – replacing drives, shuffling tapes around, shipping and tracking tapes, and so on. Amazon S3 allowed them to free up these specialists from day-to-day operations so that they can work on more valuable, business-critical engineering tasks. Elimination of physical tape transport to off-site location. Any company that has been storing Oracle backup data offsite should take a hard look at the costs involved in transporting, securing and storing their tapes offsite – these costs can be reduced or possibly eliminated by storing the data in Amazon S3. As the world’s largest online retailer, Amazon.com continuously innovates in order to provide improved customer experience and offer products at the lowest possible prices. One such innovation has been to replace tape with Amazon S3 storage for database backups. This innovation is one that can be easily replicated by other organizations that back up their Oracle databases to tape. Amazon Database. (2016, Dec 09).

Social Change Research Paper Example | Topics and Well Written Essays - 1000 words

Social Change - Research Paper Example The system depends on satellites to provide precise location and time data to the specified users (Helms 20). GPS-consumer products that exist in cell phones and smart phones accompany the technology. It is through this technology that turn-by-turn directions of everything that the consumer is looking for is available to the car dashboards, smart phones and iPhones among others (Kaplan and Hegarty 13). Navigation for a long time has been considered a skill up to now. It required a lot of knowledge and effort to interpret the maps in the past. The end of the 19th century and the entry of the 20th century emerged with a new technology that bridged the distance between an ordinary person and a knowledgeable navigator. (Roy and Beringer 32) This technology refers to the global positioning system. The technology has made navigation simple because with a single click on the screen; every person can find the intended way via a complex system that consists of satellites. The system works through receivers that translate satellite data and give precise positions of the features in question (Sherman 45). The first people to come up with the idea of the GPS were the military personnel and proof that the system worked in 1991.The American forces found it difficult to navigate through the desert terrain due to the lack of landmarks, the introduction of the technology made it easy for the forces to navigate with ease through any terrain that they came across with a lot of ease. The exact accuracy of this technology in the navigation sector showed the power of the GPS technology (Sonokpon 32). The technology also has a lot of impact on the economy of the country. Many companies are turning the GPS technology for collection of accurate and useful relevant geographic information data to improve their market targets (Hannon 50). A good example is the airport sector where an airline is in a position to find out the shortest possible distance between two

To what extent are our sexualities fixed at birth Essay

To what extent are our sexualities fixed at birth - Essay Example Significantly, scholars have debated on whether one's sexuality is fixed at birth or not, and one dominant argument is that being a man or a woman is not a fixed state, as it is a becoming or a condition actively under construction. According to major French feminists like Simone de Beauvoir, one is not born, but becomes, a woman. "So we cannot think of womanhood or manhood as fixed by nature. But neither should we think of them as simply imposed from outside, by social norms or pressure from authorities. People construct themselves as masculine or feminine. We claim a place in the gender order - or respond to the place we have been given - by the way we conduct ourselves in everyday life." (Connell, 4) Therefore, one's sexuality is not completely fixed either by birth or by upbringing, and it is fundamental to realize to what extent are our sexualities fixed at birth. This paper makes a reflective analysis of the question to what extent our sexualities are fixed at birth. Gender is not fixed by nature alone, i.e. one does not completely assume one's manhood or womanhood by birth. It is also determined by what is imposed on an individual from outside, including the social norms and pressure from authorities. Understanding gender is essential to realize to what extent our sexualities are fixed at birth and it is common that people claim a specific place in the gender order which they enjoy in their daily life. Significantly, most of the people willingly accept this gender order and enjoy the gender polarity. It is also important to realize that sexual pleasure is frequently organized around gender polarity in Western culture. However, there are also several cases of gender ambiguities and there are masculine women as well as feminine men. According to psychological researches, the great majority of people combine masculine as well as feminine characteristics, rather than being all one or all the other. Therefore, a thorough understanding of the sexuali ty of human beings - as it is created at birth and as it is formulated all through the stages of development in human beings - is essential and a clear understanding of the term gender is also crucial. "In its most common usage, the term 'gender' means the cultural difference of women from men, based on the biological division between male and female. Dichotomy and difference are the substance of the idea Gender is, above all, a matter of the social relations within which individuals and groups act. Gender relations do include difference and dichotomy, but also include many other patterns Gender is the structure of social relations that centres on the reproductive arena, and the set of practices (governed by this structure) that bring reproductive directions between bodies into social process." (Connell, 8-10) Therefore, it is important to recognise that one's sexuality or gender refers to the structure of social relations based on the reproductive arena and it is a set of practices which determine the reproductive distinctions between men and women. A reflective analysis of the definition of gender confirms that there may be striking difference in the gender patterns from one cultural context to another. It is also essential to

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DYADIC RELATIONSHIPS and (B) CHARISMATIC AND TRANSFORMATION LEADERSHIP - Case Study Example e to share their part of version over a particular issue; this gives subordinates confidence and sense of ownership that they are a valuable part of the organisation. And, at the same time, this brings total and practical rather than superficial participation in decision making, besides, this exchange relationship motivates them to avail more subordinate autonomy. In these times, many would not disagree that organisations succeed when they allow their organisational leadership to extend autonomy and ensure the concept of decentralisation aggregately. 2. Comment on â€Å"Dyadic relationships typically progress through a series of ups and downs with shifts in attitudes as the two parties attempt to reconcile their desire for autonomy with their desire for closer involvement† The LMX theory is under-developed. It has yet to fully define the all areas and way exchange relationships evolve over time (Yukl, 2010, p.239). This theory suggests that exchange relationships construct and evolve in a very smooth but continuous fashion, taking their base from the initial impressions. However, some longitudinal studies contend that the LMX relationships develop faster and remain stable. But, other researches do not agree with this claim, they contend that dyadic relationships undergo a series of ups and downs, where roles of behaviours cannot be undermined. The closer elaboration surfaces some facts. Without any doubt, perceptions play a vital role in developing or dissolving any exchange relationships. Many further studies within this area would greatly be helpful in analysing and understanding the each party’s perceptions of the relationships. Charismatic leaders are by nature transformational (Lussier, 2010, p.349). However, not all transformational leaders become successful in achieving their transforming results via the charismatic of their personalities. Charismatic leaders prefer to promote their personal image and identification in contrast to transformational

Introduction to European Studies Essay Example | Topics and Well Written Essays - 1500 words

Introduction to European Studies - Essay Example (Mukherjee, 22) But it should be remembered that the idea of Europe, as we know it today, was still in its infancy dealing in ideologies and fundamentals that are not much different from the rest of the known and civilized world. As late as the beginning of the 1700 AD there were still the practice of feudalism in one form or another, there were states that used bonded labours and encouraged slavery, woman rights were not known and structural academic movements were still at bay. This society needed a thrust to start off. And that thrust was inspired from a political movement in England. The Act of Union was passed in British Council whereby four states, England, Ireland, Scotland and Welsh came together to form a political union know as United Kingdom of Great Britain. Subsequent Act of Union was passed in 1707 and 1800 and this was the point of a growing concept which ultimately is on its way towards a unified European Union in the 21st Century. The perception of a common fiscal policy has been granted by most of the states of Europe and Union of European could be within striking distance. However, this modern concept of unification of states is a step towards a better and mutually prosperous situation but at the same time it should be kept in mind the development of Europe as a concept or idea started with other variables too. (Mukherjee, 81) The concept of Europe as a unified cultural sect started along the path of the 1700s and the basic idea of Europe is that unified perception of thought process bounded by cultural, social, religious and political homogeneousness. There are other variables to develop this homogeneousness of states in Europe whereby the idea could be put forward. Religion One such variable is the growth of Christianity as a binding force. It is obvious that religion played an enormous part as the determining factor of conceptualising the unified idea of Europe. The Eight Crusades were just a beginning of this bonding. Though Christianity has changed face along with time and space and at present there are three major distributaries of the religion viz. Roman Catholic, Protestant and Greek Orthodox it cannot be denied that Christ as a Prophet, despite being Semitic by anthropological diversity, it should be noted and the fact that should indulged in this conception, influenced all the tribes of Europe be it Nordic, Alpine or Caucasian. Although, no one can ignore that during the inquisition period this religion did enough to set back the clock for Europe, at least scientifically. But this same inquisition period can be put forward to ensure the bondage that that spread across Europe with the substantial feel of brotherhood. Political Apart from the Act of Union in Great Britain there came another exemplary act that forced all Europe to reconsider their usual concept of life and perception of politics all at the same time all over Europe. This was the French revolution of the late 18th Century. On 20 September 1792 the National Convention abolished the monarchy and declared France a republic. Due to the emergency of war the National Convention created the Committee of Public Safety, controlled by the Jacobin Robespierre, to act as the country's executive. Under

Research topic related to intelligence collection Paper

Topic related to intelligence collection - Research Paper Example Proper intelligence is an inevitable component of the defense system of all governments in the world to evaluate the threat by external as well as internal elements and to protect their countries from exposure to attacks by terrorists. In this context, the development of technology is a crucial factor for enabling nations to monitor and exercise surveillance over the activities of various organizations that sponsor and promote terrorism and other subversive activities. Intelligence collection is a process of â€Å"collection, processing, integration, evaluation, analysis and interpretation of available information concerning foreign nations, hostile or potentially hostile forces or elements or areas of actual or potential operations† (Forcese 2011, 181). For obtaining such intelligence and to ensure the safety of their citizens, countries deploy modern technology. The effective collection of intelligence by the US government through Unmanned Aircraft System has enabled the cou ntry to attain a high level of operational success in the global war on terror. Human history, right from its initial stage has evidenced the use of human intelligence for the purpose of obtaining the movements of their enemies for preparing for offensive tactics in wars. Similarly, in order to fight terrorism, countries also need to collect intelligence on various terrorist organizations and evaluate their strategies for offensives to properly counter the problem of terrorism. In his message to war fighters, Joseph Reynes Jr., Major General USAF, states that proper surveillance can facilitate the â€Å"prediction of an adversary’s behavior and the formulation and execution of preemptive activities to deter or forestall† offensive attempts by such adversaries (Commander’s Handbook for Persistent Surveillance 2011). This handbook has been developed with an intention to provide an overview of the present systems of surveillance as well as discusses future needs for

Managerial Acconting Essay Example | Topics and Well Written Essays - 2500 words

Managerial Acconting - Essay Example Product prices mean both fixed and variable factors and the cost unit bears a full burden of all the costs. The paper focus to illustrate the validity of the variable and absorption models of costs of production, which determines the levels of profitability of a product. It outlines the justification for difference in profits when using variable and absorption costing systems. It is imperative to note the main difference in profits when using variable and absorption costing systems. In absorption costing methods, fixed overhead costs are applicable to manufacturing costs, calculated per unit. That is, fixed costs divided by the units manufactured and sold over a period considered during costing. It results to the cost, per unit, of every unit that the firm manufactured or sold over a period. In variable costing, the fixed overhead is applied as a lump sum expense, rather than a unit. The fixed overhead include the summation of all variable costs such as raw materials and supplies among other costs. A sum of fixed overhead costs over a period is added. Instead of figuring the expenses on a unit basis, they are subtracted from the revenue as a lump sum figure. The unit profit calculated under absorption costing, therefore, is lower than that calculated under variable costing. Managements have interests that each product should have its total cost, both fixed and variable, and still generate profits. For every business, generating profits is the key target. If a product does not give benefits, then the management may consider discontinuing production over time. That implies that a product needs to recover all the costs involved in its production as well as provide returns to warrant profitability. Not all the goods provide the same contribution towards profitability. Some products may sell at a cost that covers variable costs to the maximum levels but fail to meet

Research topic related to intelligence collection Paper

Topic related to intelligence collection - Research Paper Example Proper intelligence is an inevitable component of the defense system of all governments in the world to evaluate the threat by external as well as internal elements and to protect their countries from exposure to attacks by terrorists. In this context, the development of technology is a crucial factor for enabling nations to monitor and exercise surveillance over the activities of various organizations that sponsor and promote terrorism and other subversive activities. Intelligence collection is a process of â€Å"collection, processing, integration, evaluation, analysis and interpretation of available information concerning foreign nations, hostile or potentially hostile forces or elements or areas of actual or potential operations† (Forcese 2011, 181). For obtaining such intelligence and to ensure the safety of their citizens, countries deploy modern technology. The effective collection of intelligence by the US government through Unmanned Aircraft System has enabled the cou ntry to attain a high level of operational success in the global war on terror. Human history, right from its initial stage has evidenced the use of human intelligence for the purpose of obtaining the movements of their enemies for preparing for offensive tactics in wars. Similarly, in order to fight terrorism, countries also need to collect intelligence on various terrorist organizations and evaluate their strategies for offensives to properly counter the problem of terrorism. In his message to war fighters, Joseph Reynes Jr., Major General USAF, states that proper surveillance can facilitate the â€Å"prediction of an adversary’s behavior and the formulation and execution of preemptive activities to deter or forestall† offensive attempts by such adversaries (Commander’s Handbook for Persistent Surveillance 2011). This handbook has been developed with an intention to provide an overview of the present systems of surveillance as well as discusses future needs for

The Rights of Prisoners Essay Example for Free

The Rights of Prisoners Essay A person convicted to spend time in jail has become part of the sanctions given in the society in order to create and maintain peace and order. People who are subjected to be imprisoned are called prisoners and are treated differently from the rest of the society. There are several reasons for doing so and the primary of which is the need to separate those who have the tendency to act against the other people. However, it remains that the prisoners are, and should be, given several rights despite their condition and state because this is inherent and is attached to them wherever they go. First, the prisoners remain their citizenship and while they are given a punishment according to the Constitution, these individuals are also extended the right to the protections that are included within the same. In article 10 of the International Covenant on Civil Rights and Political Rights, it is stated that â€Å"All persons deprived of their liberty shall be treated with humanity and with respect for the inherent dignity of the human person† (Office of the United Nations High Commissioner for Human Rights). While it is accepted that prisoners have to be placed in jail and lose their liberty, the sense of humanity and dignity that is inherently with them as a person is not lost. They deserve the kind of treatment that they have as persons and this includes their rights as human beings. Likewise, the conferment of rights on prisoners is seen as an active response to the conditions and the environment which they live in (Swaaningen 139). Second, it is seen that â€Å"jail should not just be about punishment, but about retraining and rehabilitating prisoners† (BBC News). Prisoners should still be given their fundamental rights in order for them to gain personal development that leads to their rehabilitation and retraining. They have to be given the fundamental rights they acquired as a person in order for them to also be responsible and obligatory for the actions they take. This is a step that is required in order for them to step into rehabilitation and retraining for their selves. However, this is limited based on the needs and conditions of the prisons where they are placed (Bergman Bergman-Barrett 545). Third, even the Supreme Court, the highest body in the judicial branch, recognizes the rights of the prisoners. This is evident in the ruling that they made in response to the arguments made by the Bush Administration that â€Å"enemy combatants do not have a right to habeas corpus† (Los Angeles Times). The SC is firm in their decision that the prisoners are given the rights that they have regardless of the crimes committed. Being an important body in the judiciary, the voice of the SC is given much weight in discussing whether the prisoners’ rights are recognized or not. On the other hand, there are arguments made against the provision of rights for the prisoners. The cause of which stems from the crime that the prisoners have committed and the need for them suffer punishment (Johns). However, this simply begs the question and does not seek to resolve the need for reforming the prisoners. Likewise, it fails to see the humanistic side of the problem and is also evident of the insufficiency of understanding the nature of human rights to be universal.