Monday, September 30, 2019

My Spring Break

My Spring Break Excited for the spring break? Spring Break or Midterm Break, as some people call it, is a week given to the students at universities and schools in some countries. People usually go out of the city to relax and enjoy their time. The vacation meets with the weekend holiday of St. Patrick's day. Therefore, I decided to go with my sister to watch the parade in South Boston. Going there was challenging for us. While we were in the train station, everyone was going in the same direction. We were in the middle of the crowd when suddenly everyone stopped.It was really crowded and we couldn't move until the train came and some people got on it. When we got close to the train, we had to wait for another one. The transit police were telling people to move forward for more space to the upcoming crowed. Finally, we got on the train with all that pushing from people. It took us 30 minutes to arrive at our destination. It was my first time seeing the parade. I did not know what to expect there. My sister and I stood there for about an hour waiting to see something until one man shout â€Å"I see the flags†.At that moment, I was very excited to see what was next. A three young men appeared holding huge flags. That was followed by different performances such as Irish traditional music and dancing. Also, the parade included some soldiers' groups from the Army and the Navy. Furthermore, there were several politicians who participated in the parade as well. It was fascinating to watch all of that. You can tell that the people were ready to celebrate. On our way, we noticed how most of them were wearing green and heading there with family and friends.Some of them wore big green hats and necklaces, especially the kids. Others wore unusual costumes and painted their faces. People were getting drunk and enjoying their time. The day was not only celebrated by the Irish but also by people from different countries. In conclusion, going to the parade was a great ex perience for me. I learned about the Irish culture and religion. Additionally, I realized how it is important for them to celebrate this day. It was great sharing that with them and getting to know them up close. I definitely enjoyed my day.

Ap Euro Calendar Dbq

Explain the reasons for the adoption of a new calendar in revolutionary France and analyze reactions to it in the period 1789 to 1806. The adoption of the revolutionary calendar to replace the Gregorian calendar took place on November 24, 1793 by the National Convention. This new calendar lasted until Napoleon I abolished it in 1806. The new calendar was a adopted in revolutionary France for many reasons including secular ideas and political reasons. There were also many reactions to the change of calendar between 1789 and 1806 such a criticism.There were many secular-slanted ideas that were adopted into the new calendar during revolutionary france. In 1789, the Cahier de doleances (report of grievances), from the Third Estate of Chateau-Thierry, said that they asked for the number of religious holidays be reduced because each of them enchains the activity of a great people, being of considerable detriment to the state and the numerous disadvantages of idleness. This shows that the n ew calendar was more secular because of the decrease in the amount of religious holidays (Document 1).The illustrations of newly named months also show that the new calendar shows more secular-slanted ideas. The new months are named for prosperity and things they are known for. For example, the month of Fructidor which is the month of harvest is between August 18 and September 16, which harvest time. This shows a more secular calendar because the months are associate France with French stuff, instead of the old months being named after religious people (Document 4).In a letter to the National Convention from a peasant from Etampes, it says that with nine long, hard days of labor, the simple citizens want small distractions on their day of rest. During the use of the new calendar in France, people went to church a lot less because with the new calendar they would only go every tenth day, instead of going on Sundays during the Gregorian calendar (Document 7). Government officials in t he French town of Steenwerck, Picardy, said that people spend less time in the temple celebrating the tenth day and revolutionary festivals as an affront to republicans.This shows that the new calendar was more secular because with the new calendar people began to go to church less (Document 10). The new calendar in revolutionary France, showed how France started to move towards a more secular world. A lot of people agreed with the adoption of the new calendar by revolutionary France for many reasons. Gilbert Romme, head of the calendar reform committee, believed that the church calendar was born among ignorant people. He said â€Å"Time opens a new book for history, and it must use a new pen to record the annals of a regenerated France. What Romme means by this is that since France is going through new times, they need to change the calendar to fit it (Document 2). In â€Å"Instruction Concerning the Era of the Republic and the Division of the Year† which was a decree of th e National Convention, it said that the new calendar will eliminate incoherence and inexactitude. This means that with the new calendar people will be more exact and orderly because of more work days. It also states that the new calendar will show the character of our revolution (Document 5). In the letter to the National Convention from the village of St.Quirin, it says how the people spend their day of rest. In the letter it says that they honor the memory of the generals who have become martyrs and they read aloud the republican accomplishments. The people of the village of Quirin supported the new calendar because they got the tenth day off (Document 6). Many people agreed with the change to the new calendar in revolutionary France because, they thought it was needed since france was going through new times, they also thought the more work days will make people work better, and because some people thought that the tenth day was great.Until the new calendar was abolished by Napol eon I in 1806, it received a lot of criticism. Pierre-Joseph Denis, a former Girondin imprisoned during the Terror and then recalled to the National Convention, wrote in Opinion on the Decades that the new calendar was an act of despotism forced on the people, and the festivals based on it were detestable. Denis is criticizing the new calendar because he thinks that it was unfair that the new calendar was forced upon them (Document 8).Francois-Sebastien Letourneux, Minister of Interior, criticized the new calendar because he thinks that the interval between days of rest is too long. Letourneux said that the artisan and farmer can not work nine days in a row (Document 9). In an article in Gazette de France, it talks about the return to the Gregorian calendar. It says that the new calendar was so weak that when it fell, it didn't even offer us an opportunity to exclaim about the fragility of human things.The article also says that it was sad that the names of the festivals were not no t devoted to the benefactors of humanity, but were devoted to the cabbages, the turnips, and the artichoke (Document 11). Abbe Sieyes wrote in response to the Committee of Public Instruction's proposal for a new calendar, that it is not needed. Sieyes believed that there was no reason to differentiate ourselves from everyone else (Document 3). Many people didn't agree with the idea of the new calendar, which was the reason it only lasted until 1806.The new calendar was adopted in France for many reasons including to have more work days and to get rid of some of the holidays. Some people agreed with the new calendar because they thought that it was needed since France was changing and others agreed with it because they thought that with more work days, people will be more exact and will get more work done. Some people criticized it because they thought that nine straight days of work a week was bad for the farmers and artisans and because the new calendar wasn't needed.

Sunday, September 29, 2019

Erickson’s stage of development

Discussion In this third module, we are discussing the human socialization process and how it influences our psychosocial development. After you have read the reading assignment and lecture for the module, please respond to all parts of the discussion by Saturday, December 7, 2013: 1. Identify and describe Erikson's stages of development as each applies to your own personality formation. How did success at one stage prepare you for meeting the next challenge? What do you anticipate for stages you have not yet reached? 2.As you progressed through each stage, how did the agents of socialization change as to their level of influence? For any stages you have not yet reached, which agent(s) do you predict will be the most influential? 3. Look in the Argosy University online library and the Internet for information on â€Å"feral children. † Explain why feral children are used as examples of young people for whom the socialization process has been stopped. Stage 1: Infancy†the challenge of trust (versus mistrust). Between birth and about eighteen months, infants face the first of life's challenges: to gain a sense of trust that heir world is a safe place.Family members play a key role in how any infant meets this challenge. I believe I was very well nurtured at this stage of my life. I have a very loving and caring family. I felt very comfortable with the ones who showed me the love I needed to blossom. Even at this early age I was ready for stage two. Stage 2: Toddlerhood†the challenge of autonomy (versus doubt and shame). The next challenge, up to age three, is to learn skills to cope with the world in a confident way. Failure to gain self-control leads children to doubt their abilities. My family never howed any doubts as to my abilities on any situation.Stage 3: Preschool†the challenge of initiative (versus guilt). Four- and five-year-olds must learn to engage their surroundings†including people outside the family†or experienc e guilt at having failed to meet the expectations of parents and others. At this stage of my life I did struggle at first. I was not sure how to interact with different people. My family always assured me that being myself would benefit me in the long run. I remember feeling guilty after making a project for my mother. I did not believe it turned out as ell as the others, which made me feel a little inferior to the rest.Again, my mother and family assured me all was well. Stage 4: Preadolescence†the challenge of industriousness (versus inferiority). Between ages six and thirteen, children enter school, make friends, and strike out on their own more and more. They either feel proud of their accomplishments or fear that they do not measure up. I guess at this stage of life I felt proud and yet fearful I did not measure up. Even though I was always proud I still felt like I had to be a chameleon and blend in with a variety of ifferent people. Stage 5: Adolescence†the challe nge of gaining identity (versus confusion).During the teen years, young people struggle to establish their own identity. In part, teens identify with others, but they also want to be unique. Almost all teens experience some confusion as they struggle to establish an identity. Through my teen years I was all over the place with my identity, I was a Jock, stoner, the losing end. I quit school because I loved to party with the stoners and whatever other crowd was partying. Stage 6: Young adulthood†the challenge of intimacy (versus isolation). The challenge for young adults is to form and keep intimate relationships with others.Making close friends (and especially, falling in love) involves balancing the need to bond with the need to have a separate identity. I struggled with this part of my life. You never know who your true friends are. Girlfriends came and went. I lived to party and didn't care about serious relationships. I became a father at 21 with my first of four. That did not slow me down at this stage either; I battled addiction and was not very reliable at all. The one who suffered the most was my daughter. So I was not really prepared to move on in ife. Stage 7: Middle adulthood†the challenge of making a difference (versus self- absorption).The challenge of middle age is to contribute to the lives of others in the family, at work, and in the larger world. Failing at this, people become self-centered, caught up in their own limited concerns. In this stage I started to see the light but still back peddled at times. I got married to the love of my life, had two beautiful girls with her. Things went well for a while but the old mike reared his ugly head causing mistrust and a lot of heartache and anguish in the house. I could not hold a Job. Partying became my life again. I sought help and rekindled the flame with the wife and then BAM, right back to the old ways.I had a son during a brief break up with the wife. This caused more strain and str ess. The story could go on and on. I finally got myself right, but it was too late. The people who loved me still loved me but would not trust me again. I am still doing very well at this point, going to school, working etc. Stage 8: Old age†the challenge of integrity (versus despair). Near the end of their lives, people hope to look back on what they have accomplished with a sense of integrity and satisfaction. For those who have been self-absorbed, old age brings only a sense of despair over missed opportunities.My anticipation at this point for this stage is too Just continue doing what I am doing and complete everything I start. Will I be a success? Who knows, only time will tell. A feral child is a human child who has lived isolated from human contact from a very young age, and has no (or little) experience of human care, loving or social behavior, and, crucially, of human language. Some feral children have been confined in isolation by other people, usually their own par ents. In some cases, this child bandonment was due to the parents rejecting a child's severe intellectual or physical impairment.Feral children may have experienced severe child abuse or trauma before being abandoned or running away. Depictions of Feral Children Myths, legends, and fictional stories have depicted feral children reared by wild animals such as wolves and bears. Legendary and fictional feral children are often depicted as growing up with relatively normal human intelligence and skills and an innate sense of culture or civilization, coupled with a healthy dose of survival instincts. Their integration into human society is also made to seem relatively easy.These mythical children are often depicted as having superior strength, intelligence, upbringing they represent humanity in a pure and uncorrupted state, similar to the noble savage. Feral Children in Reality In reality, feral children lack the basic social skills that are normally learned in the process of enculturati on. For example, they may be unable to learn to use a toilet, have trouble learning to walk upright, and display a complete lack of interest in the human activity around them. They often seem mentally impaired and have almost insurmountable trouble learning human language.The impaired ability to learn anguage after having been isolated for so many years is often attributed to the existence of a critical period for language learning at an early age, and is taken as evidence in favor of the critical period hypothesis. It is theorized that if language is not developed, at least to a degree, during this critical period, a child can never reach his or her full language potential. The fact that feral children lack these abilities pinpoints the role of socialization in human development. https:// www. boundless. com/sociology/understanding-socialization/the-role-of-socialization/ feral-children/

Impact of gamma rays on the germination

To find out LD50 dose for the seed and urther investigate the influence on germination and seedling parameters. The experimental results revealed that the percentage of germination had decreased after irradiation and the effect become stronger with increase of gamma dose. Parameters such as germination percentage, speed ot germination, mean daily germination, peak value and germination value had significantly decreased with increased irradiation doses. Similarly seedling parameters viz. , Root length, Shoot length, Vigour index and Root/Shoot length ratio expressed higher reduction at higher doses as compared to non irradiated control.The study clearly indicated ncrease in the deleterious effects of gamma irradiation at regular intervals, with attainment of LD50 at a dose of 1. 50 kGy. Keywords: Gamma irradiation, Groundnut, Seed germination, Groundnut (Arachis hypogaea L. ) is popularly known as peanut. It is one of the world ‘s most popular oil seed crops, cultivated in more than 100 countries of six continents. It is the single largest source of edible oils in India and constitutes roughly about 50 percent of the total oilseeds production.Among the major Groundnut growing states there has been consistent increase in area under cultivation in Andhra Pradesh. The groundnut seed mainly comprised of protein, fat, carbohydrate which make it sensitive to radiation induced stress. Among the environmental stresses, the radiation is the most important factor, which limits production of groundnut. This would result in drastic reduction in crop yield and magnitude of reduction would depend on groundnut varieties. Not only the yield of Groundnut but also the quality of products decreases under radiation stress.The seed stage is a convenient phase in the plant's life cycle for use in radiological studies to determine relative radio sensitivity of species and the effects of various actors on radio sensitivity. Earlier experiments in this field have indicated that io nizing radiation could cause permanent genetical effects, lethal or beneficial mutations, morphological modifications and other effects in plants. Several factors may be involved in the inhibition of germination and the growth of the plants from seeds following their exposure to high irradiation doses.A number of radiobiological parameters are commonly used in early assessment of effectiveness of radiation. Methods based on physiological changes such as inhibition of seed germination and hoot and root elongation have been reported for detection of irradiated legumes. Therefore, in present study the response of groundnut seed (cv. Narayan') to gamma radiation stress on germination and seedling parameters of groundnut was investigated compared to non irradiated seed. ASIAN J. EXP. BIOL. SCI. VOL 4 (1) 2013 61 Impact of Gama Rays on the Seed Germination and Seedling Parameters of Groundnut (Arachis Hypogaea L. †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ M. Aparna et al. MATERIALS AND METHODS T he material for the present study comprised of seed of groundnut variety Narayan'. 100 seeds were taken in 0. 1 mm thick polythene bags of 1 5 X 22cm dimension and ealed. The bags were exposed to gamma irradiation wit n doses ot O 1. 30, 1. 50, 1. 70, 1. 90, 2. 10 and 2. 30 kGy. Samples were irradiated in continuous gamma sterilization plant (GC 5000, designed by Board of Radiation and Isotope Technology, Mumbai) with 444 TBq (12000Ci) and Cobalt60 source with a specific activity of 3. 01 kGy/hour at Quality Control Laboratory, Acharya N.G. Ranga Agricultural University, Rajendranagar, Hyderabad- 500 030 and were compared with the observations made on untreated control. The material for irradiation was placed in an irradiation chamber located in vertical drawer inside the Lead flask. Radiation field was provided by a set of stationary Cobalt60 source placed in a cylindrical cage. The source was doubly encapsulated in corrosion resistant stainless steel pencils and was tested in acco rdance with international standards. Two access holes of 8 mm diameter were provided of service sleeves for gasses, thermocouple etc. Mechanism for rotating/stirring samples during irradiation is also incorporated. The quantity of absorbed dose (kGy) can be defined as the amount of energy absorbed per unit mass of the matter at the point of interest. The experiment was carried out as per Completely Randomized Design CRD). The irradiated seed along with nonirradiated control were sown in petridishes in the laboratory. Data on germination and seedling parameters were recorded seven days after sowing under ambient condition. Germination percentage was calculated using the formula as per ISTA [10].Speed of germination of the given sample was calculated according to the formula given by Maguire [16]. Similarly, other germination parameters viz. , Mean daily germination, Peak value (Edwards [9]) and Germination value (Czebator [7]) were calculated. Seedling parameters like Shoot and root length were measured using ten seedlings ollected at random from each sample on 7th day from the seeds subjected to germination test. The shoot and root length were measured in centimeters (cm) using a scale and root/shoot length ratio was calculated using the estimates of seedling length.

Saturday, September 28, 2019

Different Views on Affirmative Action Essay

This paper will discuss the different views on affirmative action. I will go over both views of this issue, and will explain which side my personal views fall on. I will also discuss the pros and cons of affirmative actions, and the effects it has on the workplace. â€Å"In its tumultuous 45-year history, affirmative action has been both praised and pilloried as an answer to racial inequality. The â€Å"affirmative action† was first introduced by President Kennedy in 1961 as a method of redressing discrimination that had persisted in spite of civil rights laws and constitutional guarantees† (Brunner, 2008). Affirmative action is a highly controversial policy that is designed to help minorities gain access to jobs and schools, etc. that they normally would not be able to enter into. â€Å"Affirmative action generally means giving preferential treatment to minorities in admission to universities or employment in government and businesses. The policies were originally developed to correct decades of discrimination and to give disadvantaged minorities a boost. The diversity of our current society as opposed to that of 50 years ago seem to indicate the programs have been a success. But now, many think the policies are no longer needed and that they lead to more problems than they solve† (Messerh, 2008). The benefits were very great for minorities at one time. There was a time when minorities and women faced an uphill battle for equality in the workplace and in education. The majority of people believed that the better paying jobs should not only go to white men; but that they were the better qualified candidates. â€Å"Keep in mind that all people have more shared than different characteristics, and no group is biologically superior to another. Nevertheless, racism, the belief that some racial groups are inherently inferior to others, has been common and is used to justify discrimination and equality† (Lauer & Lauer, 2006, p. 225). This belief was spurred on by racism and sexism in the past. â€Å"Focusing in particular on education and jobs, affirmative action policies required that measures be taken to ensure that blacks and other minorities enjoyed the same opportunities for promotions, salary increases, career advancement, school admissions, scholarships, and financial aid that had been the nearly xclusive province of whites. From the outset, affirmative action was envisioned as a temporary remedy that would end once there was a â€Å"level playing field† for all Americans† (Brunner, 2008). I think that this policy was a good idea to begin with. There were many people back in the 50’s who would go out of their way to make sure that blacks were not able to raise above their â€Å"born into roles†. At the time, a law like this was needed very bad. It was very important at that time in our history to include every one of all races and sexes. I believe that we have now reached a time in our history, where inclusion is at an all time high nationwide. This brings us to the problems that affirmative action has caused in our society. The biggest problem is reverse discrimination. â€Å"Affirmative action leads to reverse discrimination. Affirmative action is designed to end discrimination and unfair treatment of employees/students based on color, but it in effect does the opposite. Whites who work harder and/or more qualified can be passed over strictly because they are white. Contrary to many stereotypes, many minorities fall into the middle or upper class, and many whites live in poverty. Unfortunately, the way things are set up now, a poverty-stricken white student who uses discipline and hard work to become the best he can be can be passed over by a rich minority student who doesn’t put in much effort at all† (Messerh, 2008). Many people do not want to admit to this problem; however, affirmative action has created discrimination of the majority. If a person is a white male, they may actually be looked over for the simple fact that a university or company does not have enough minority employees. This is a discriminatory practice in the process. â€Å"By the late 70’s, however flaws in the policy began to show up amid its good intentions. Reverse discrimination became an issue, epitomized by the famous Blakke case in 1978. Allan Blakke, a white male, had been rejected two years by a medical school that had accepted less qualified applicants – the school had a separate admissions policy for minorities and reserved 16 out of 100 places for minority students. The Supreme Court outlawed inflexible quota systems in affirmative action programs, which in this case had unfairly discriminated against a white applicant. In the same ruling, however, the Court upheld the legality of affirmative action per se† (Brunner, 2008). I personally feel like affirmative action has also lowered the quality within the universities and in the workplace. â€Å"Affirmative action lowers standards of accountability needed to push students or employees to perform better. If a minority student can get into Harvard with a 3. 2 grade-point average, why should she push herself to get a 4. 0? Although some students or employees are self-motivated, most people need an extra push or incentive to do their best, by setting lower standards for admission or hiring, we are lowering the level of accountability. We should reward hard work, discipline and achievement, we shouldn’t reward a student simply because he or she is a certain race, nor punished because he or she isn’t† (Messerh, 2008). All positions regardless of what it is, is better filled by filling it with the best and most qualified applicant. The best tool against discrimination and unfair hiring practices, would be to make sure all of our lower, middle, and high schools are up to par in order to create the best applicants overall.

Harley Davidson Company Essay Example | Topics and Well Written Essays - 750 words

Harley Davidson Company - Essay Example A value chain analysis is the analysis of the activities that take place in this company that gives it a competitive advantage over those in the same industry. Michael Porter identified that all companies have primary and support activities that help in developing their core competencies in the industry. This analysis is a useful tool for defining a firm’s core competencies by identifying the cost advantage and differentiation. Cost advantage primary objective is comprehending costs and getting them from the value adding processes. There are several cost drivers related to the value chain processes, Harley Davidsons economies of scale, its capacity utilization, level of vertical integration, market entry timing, its geographic location and the firm’s policies regarding cost management. When these drivers of costs are properly managed, the company obtains a cost advantage over its competitors. Differentiation focuses on those related with core competencies that help the company attain an edge in performance. The uniqueness drivers for a company is made up of integration, location, interrelationships, scale and institutional factors. To achieve different degrees of differentiation, the company may amalgamate frontward, recede or implement novel technologies and use advanced delivery channels. SWOT Analysis Harley Davidson derives its strengths from the corporate culture, corporate resources and corporate structure. In their corporate culture, the company empowers their employees by building relationships for promoting stronger bonds between the top management and employees. The cooperate structure is composed of overlapping functions that embody the marketing and sales departments. The functional circle in the structure is named the Leadership and strategy council(LSC) Model. This circle facilitates decision making in the firm. The corporate resources are also a source of their strength and are represented by the marketing department, finance, resea rch and development, HRM department, operation and logistics and their information systems. Their strengths are derived from all these departments performing their roles in product offering. For example, the marketing department has created a niche in the market for those customers who have a preference for heavyweight motorcycles, their prices are affordable for customization as well as personalization of the bikes. They have opened business branches around the world, and the customer capacity is large. The human resource has empowered the workforce by motivation. Their weakness remains in the reality that it needs to upsurge its sale so that they can retain their market share in the U.S especially at this economic slump. Recently it has been losing the market share due to the failing economy. The research and development department needs to design environmental friendly motorcycles. The current society is empowered to conserve the environment and a lot of people want to buy produc ts that are friendly to their surroundings. Their information system did not use their systems properly to manufacture energy saving motorcycles. From the weaknesses lies the opportunities for the company to identify and formulate strategies that will help it achieve a competitive edge against the

Friday, September 27, 2019

Identification and analysis of DNA repair mechanisms Thesis

Identification and analysis of DNA repair mechanisms - Thesis Example In both of these cases, DNA repair systems involve the use of the Mre11/Rad50/NBS1 complex. This project aims to identify and examine what DNA repair systems are present in the cells of Schizosaccharomyces pombe and how these contribute to resistance to treatment with nucleoside analogues. This information should help to provide further insight into the way in which human cells are able to develop resistance to this form of treatment, and perhaps provide some indication of a method to prevent this. Table of Contents Abstract 2 Introduction 4 DNA repair and cancer 6 DNA replication 7 DNA repair 9 MRN Complex 11 Topoisomerase inhibitors 13 Nucleoside analogues 15 Involvement of DNA repair 17 Project System 20 Aims and Objectives 21 References 22 Introduction In everyday life, cells are exposed to external and internal agents that cause thousands of DNA mutations per day. These mutations range from being small, such as affecting a single nucleotide, to large mutations where accurate rep air can be difficult. For the accurate propagation of the genetic information within cells, it is essential that the body has mechanisms of repairing damage in a reliable manner. However, while many methods for DNA repair exist, these are not always successful and mutations can accumulate, resulting in the development of cancer (Helleday et al., 2007). Understanding these processes, why they occur the way that they do and what can be done to influence these is crucial for knowing the way that cancer occurs, and determining methods of treating it effectively. In our modern society, cancer has remained one of the most well studied diseases and perhaps one of the least understood. The fundamental aspects of cancer are damage in the DNA of a cell that results in a lack of control over cell growth and replication, as well reducing the likelihood that cells will enter apoptosis. These cells are able to proliferate well beyond the normal constraints of the tissue that they are in (Loeb and Loeb, 2000). With high levels of replication and low cell death, abnormal cells build up within the body and interfere with body functions. The exact mechanisms that causes these mutations to occur, and allows the cells to break free of the cell control pathway are the focus of much current research into cancer, as understanding these pathways may help to develop treatment or prevent cells from entering this state. Cancer is a disease where mutations in DNA accumulate to the point that traditional controls over cell behaviour can be bypassed, often involving the accumulation of mutations in genes responsible for the birth or death of the cell, as well as controls over the cell cycle (Lengauer et al., 1998). Research indicates that the tumours developed as the result of cancer are heterogeneous (Loeb et al., 2003). Because of this, cancer needs to be thought of as a collection of disease rather than a single disease (Huang et al., 2006). This is an important factor when studying can cer, as it explains why some mechanisms are prevalent in some forms of cancer, but not others. Genetic instability is thought to be one of the driving factors of the development of tumours and this in turn is driven by DNA damage and errors in the replication machinery. However, spontaneous mutation is only one aspect of the puzzle, and the prevalence of cancer development and succession of mutations

Essay on the Movie Minority Report (2002) Example | Topics and Well Written Essays - 1250 words

On the Movie Minority Report (2002) - Essay Example Under great protest, the husband is arrested and incarcerated, away from harm. When Cruise's character, John Anderton, begins to question the validity of the Pre-Crime system, he is soon himself targeted as an "enemy of the state", as it were. He notices that the female precog has an extra vision; one that is not registered on the official Pre-Crime system, and begins to investigate. This brings about the events that lead to the conclusion of the film; the founder of Pre-Crime is himself shown as no more than a murderer. After losing everything in the pursuit of this truth, including his eyes, Anderton regains the most important part of his life: his family. This is only possible after he has accepted that his kidnapped son would never return to him. After this devastating realization, Anderton is able to make a new beginning; his wife returns to him, and they have the promise of a new child. The precog siblings are also able to make a new beginning in a sort of paradise setting, secluded from the world that would exploit them. When the corruption of those in power is exposed in the film, those who suffer, namely John Anderton and the precogs, find peace. In this way, the sacrifice of the good results in corruption, while the exposure and punishment of the corrupt means peace and redemption. I. THE ROLE OF POWER AND POLITICS In terms of politics, power is a prominent theme in the film. This manifests itself in a variety of ways. Most obviously, the powers that be in terms of the Pre-Crime Department are corrupt. Secondly, there are underlying elements of social and personal morality that seek to overthrow and expose the corrupt power that rules, as well as often oppress society and also individuals. Thirdly, some authors have suggested an underlying religious theme of suffering and redemption. The most direct manifestation of political power in the film is the founder of Pre-Crime. Like many politicians, he hides the true corruption of his past under a veneer of creating the perfect, crime-free world. In this, he succeeds only for a while. The film appears to suggest, according to Tricia Snell (2007), an underlying social code of morality that continually attempts to restore the good where it has been corrupted. The main power in the film is the Pre-Crime Department. It has however itself been corrupted by means of a murder its founder committed. The representative of morality in the film is John Anderton, who has himself been so damaged by crime that he initially fails to recognize the corruption of the one thing that still provides meaning to his life. After losing his son and wife, Anderton is blind to the faults of his one remaining anchor in life. When this final connection betrays him, Anderton is forced to use his inner sense of morality as a new anchor in a world that has betrayed him on both a personal and professional level. Snell (2007) also mentions the issue of human rights in terms of how the precogs are practically imprisoned and drugged for life in order to serve the well-being of humankind. The rights of the precognitive siblings are sacrificed for the right of society to a crime-free life. In this, Anderton serves as the connection between restoring the rights of the precogs and exposing the corruption of the Pre-Crime

Thursday, September 26, 2019

Employee Benefits Essay Example | Topics and Well Written Essays - 1500 words

Employee Benefits - Essay Example In 1998 and 2000, other revisions on worker remuneration were effected. There was a proposition in 2002 to modify employee share based compensation. Actuarial gains and losses concerning employee benefits were acknowledged in 2004. In 2007, ceilings were introduced into defined benefit assets and funding requirements. In 2009, the ceilings on defined benefit assets and funding requirements were published as exposure drafts and discount rate for employee benefits using market yield corporate bonds was proposed. IAS 19 final interpretations were also published in 2009. The objective of IAS 19 Employee Benefits is to provide guidelines to both business and non-business organizations on how to measure, present and disclose the expenses of providing employee benefits. IAS 19 covers all known employee related expenditures. The employee benefits are expenses incurred by entities in exchange of services rendered by their employees. They include salaries and wages, profit sharing plans, compensated absences, leaves, deferred compensation programs, bonuses and free or subsidized good or services given to employees. It also covers various benefits paid to employees. The benefits are medical and life insurance benefits, pensions, house benefits, jubilee benefits, post employment medical and life insurance as well as termination benefits (Deloitte 2010c). IAS 19: Employee benefits suggest that organizations should acknowledge a liability or an expense resulting from consuming the service of an employee in the year in which the service was consumed. Therefore, IASB and IAS 19 recognize expenses incurred on the employee benefits on the year in which it occurred. The measurements, presentation and disclosures covers definite accounting period only. Measurement is defined as an action to obtain a magnitude of a given item or process. Therefore, employee benefits measurement is an attempt to assign value to what employees

Coping with a diagnosis of breast cancer, what axilliary surgery is Essay

Coping with a diagnosis of breast cancer, what axilliary surgery is necessary and arm morbitity following surgery - Essay Example Non-invasive breast cancer does not have the ability to spread to other parts of the body, while the invasive type can spread to other body parts. There are no major known causes of breast cancer, but the aspects of age and family history among others increase the likelihood of developing it. Treatment of breast cancer employs a combination of surgery, radiotherapy, and chemotherapy. Nonetheless, this essay is divided into three major parts. The first part focuses on the coping strategies of women diagnosed with breast cancer. The second part discusses axillary dissection as an option for invasive cancer and sentinel node metastasis. Finally, the third part focuses on lymphoedema, and seeks to establish whether an individual diagnosed with breast cancer is at risk of arm mortality after breast cancer surgery. This essay draws from different journal articles that address the major issues in the essay. These articles provide knowledge that provides answers to the questions raised in ea ch of the three parts of this essay. What coping strategies are used by women when diagnosed with breast cancer? My aim in this section is to describe the paper by Drageset, Lindstrom & Underlid (2010) and consider how this work answers the question. In their work â€Å"Coping with breast cancer: between diagnosis and surgery† published in the Journal of Advanced Nursing, Drageset, Lindstrom & Underlid (2010) had the main aim of investigating and reporting on the coping strategies that women use in the period between when they are diagnosed with breast cancer and when they go for surgery. This therefore, includes the experiences of the women, their pain, and quality of life. In order to report on this, the researchers adopted the qualitative descriptive design, and data collection was by individual semi-structured questions. Only 21 Norwegian women newly diagnosed with breast cancer and awaiting surgery were interviewed. The findings of Drageset, Lindstrom & Underlid (2010)

Thirteen Days Research Paper Example | Topics and Well Written Essays - 250 words

Thirteen Days - Research Paper Example He is facing world war 3 in the near future. They have to come up with a quick plan on how to stop the war heads from being operational. President Kennedy does not want to invade Cuba, though the chiefs of staff really think that invading Cuba would be the best solution at the moment. He says the same course of events led to the break out World War 1. This time the risks were high because nuclear weapons were involved. They settle on blockade as the first measure which technically is an act of war that would help remove the missiles from Cuba as well as avoid war. They agree not to call it a blockade but quarantine. This is where the US navy ships will stop any ships that enter Cuban water for inspection to make sure they are not carrying any lethal weapons into Cuba. Cuban ambassador to the US at first assures president Kennedy that there are weapons in Cuba but they are only for defensive but not offensive purposes, which the president sees as lies and sends US ambassador to the UN Mr. Aldai Stevenson to a council meeting where he roughs up the Cuban ambassador with questions to categorically state if whether there are nuclear weapons placed in Cuba by the Soviet Union or not. The ambassador avoids the questions and says that the American government was spreading malicious information to incite nations. Throughout the entire process president Kennedy is pressurized by the chairman of Joint Chiefs of Staffs, General Maxwell Taylor to hasten an invasion before the whole chance of removing the missiles from Cuba become impossible. The president does not wish to subject innocent American citizens to an act world war 3. But all the same information starts spreading fast across all the American states about the possibility of a world war 3 which drives a major panic to the people who now shop for food stuff and other things in plenty just case a war breaks

Wednesday, September 25, 2019

How does my school compare with other schools in the U.S Essay

How does my school compare with other schools in the U.S - Essay Example In some respects there are some schools like the universities who have access to technology but there are many websites that they block. According to Hermida the ones that are blocked have to do with sexually explicit content, womens history, religious sites, drugs and pop culture (Hermida, 2003). These sites are basically blocked because the government does not want Saudi people getting ideas that may mean they go against their religion. This is very different from U.S. education because in the U.S. there are some things that are blocked by education like pornography sites but for the most part students have access to many things that will enhance their learning. According to the Saudi government the reason why these sites are blocked is because they want to preserve their customs and their religion. When they block a site it makes sure that their people will remain loyal to their religion. This is very important on Saudi Arabia (Hermida). There is a question about the technology situation. It is one thing to have technology but if it is censored it seems that this defeats the purpose. In the U.S. students can find out about people and situations that are different from their own. In Saudi Arabia they cannot. This may mean that the Saudi children do not receive the same type of education as those in the U.S. because they lack the flexibility of the Internet. When someone takes an engineering course or something to do with business they are able to use the full technology in that area. This means that it will be offered to men more than it will be offered to women. It seems that the Saudis know that men will need to have a better understanding of the Internet because they will be doing business on a global basis. It is important to keep in mind that the goal of education in Saudi Arabia is very different than the goal of the U.S. In the U.S. people go for education because they want to advance their career or

Googles Organizational Culture Research Paper Example | Topics and Well Written Essays - 1250 words

Googles Organizational Culture - Research Paper Example Google has always stood up for its role while bringing about a difference on how people are able to access information with ease. Before its entrance into the market, a variety of search engines existed such as Yahoo but has for one reason prevailed above them as most people seek its services in preference to others. This is due to its efficiency as well as relevance in the market now that it has tried to adopt a model keen on capitalizing on all the present opportunities in the market. One of the greatest advantages derived from it is due to its speed and reliability. While trying to keep abreast with technology a move to hire the best skill was welcomed. So as to maintain their motivation a step to reward staff has helped to a great deal now that all are trying their best while enhancing the overall outcome. The management thus no longer needs to struggle more as is the norm in most organizations leading to a relaxed workplace sparing creativity as all pursue what they love. In mos t formal organization one is expected to put on an official dress; casuals dress is sometimes worn only on festive seasons but isn’t the case in Google owing to staffs putting on casuals at any one point. Some are likely to be seen with skating boards as well as other gaming types of equipment and tools and has to a great extent helped while creating a relaxed mood (Wakefield, Blegen, Uden-Holman, Vaughn, Chrischilles & Wakefield). It thus emerges that perhaps the best way to encourage productivity is by availing such an environment.

Tuesday, September 24, 2019

Politics of Equality Essay Example | Topics and Well Written Essays - 1750 words

Politics of Equality - Essay Example "Democratic societies are those in which the authority of those who govern is derived from the will of the people (typically determined by some form of vote). These societies are liberal to the extent that they are organized to guarantee basic liberties (such as freedom of expression, and religious practice) as well as various protections (for example, against discrimination, coercion, and abuse) to all society members in pursuit of a good life." (Shweder, Minow, and Markus 2004 P. 2). The differences among the liberal democracies in the modern world have been the primary cause for different experiences for the minority groups. The 'culturalist' ethos of 'multiculturalism has been a relevant issue in the Politics of Migration and Ethnicity, though 'culturalism' cannot be regarded as equivalent to 'culture'. One of the most essential consequences of the hiatus of the discussions on the changing configurations of the power relations of economic, political, and cultural elements has bee n the need for meaningful discussions about 'cultural difference' in relation to the politics of equality and justice. ... tural differences, one of the essential questions for the Politics of Migration and Ethnicity to consider is whether it is enviable for us now to abandon the politics of equality in favour of cultural differences. To answer to this essential question, this profound analysis of the topic presumes that it is extremely desirable for the Politics of Migration and Ethnicity now to abandon the politics of equality in favour of cultural differences. The essential question whether it is enviable for us now to abandon the politics of equality in favour of cultural differences engages one in an examination of the challenges on multiculturalism in contemporary liberal democracies. Cultural diversity is the crude reality of modern era which is the product of various processes such as globalisation and growing migration across borders. In this rapidly globalising world, the mounting number of people migrating to better destinations, due mainly to labour market opportunities abroad and political turmoil back home, has resulted in an important global situation of 'one nation and many cultures'. These realities of the modern multicultural environment also raise central questions concerning politics of equality and cultural differences. "Given global economic developments and emerging cultural and political trends, liberal democracies face not only burgeoning numbers of immigrants, but also their own hidden assumptions about the scope and limits of tolerance for cultural diversity. The particular history (or lack of history) of prior struggles over racial and religious diversity within each nation sets the legal and political framework for responses to current immigrants." (Shweder, Minow, and Markus 2004 P. 4). Therefore, the central issues of the cultural differences in the

Employee Relations Assignments One Case Study Example | Topics and Well Written Essays - 2000 words

Employee Relations Assignments One - Case Study Example I identified UK Leasline as the most appropriate organization that could help the small business to accomplish its goal. The company offers capital to businesses in the UK at affordable terms, and I needed to purchase the office equipment at hire purchase to pay through installments as the business expanded. However, it was difficult to acquire the credit facilities since my business was a start up and therefore there was no collateral. I had to negotiate with the credit appraisal team for to prove that my business had the potential of growing to a substantial size to repay the borrowed capital. I knew that after launching the business, there were high chances for it to grow gain the capacity to negotiate better for loans. However, to get to that point, I had to use negotiation techniques so that I could not loose the opportunity. Since I had no tangible property but ideas, there was no need to negotiate with the credit appraisers. The appropriate person was the credit manager, who on the other hand was not directly concerned with issues regarding credit appraisals. But I had to proof my case to him and negotiate a deal because when I contacted the junior officers, they asserted their principles of collateral as well as offering credit to continuing businesses. With such principles, I could not excel in business. I consideredI considered myself successful even before I engaged in the negotiation process since I had the conviction that my idea was prudent and that anyone else who would give it a critical thought would find it an inventive decision. I remembered what a teacher who was my mentor once commented that I was a critical thinker. I had developed a close relationship with him because of the way I approached issues with sophistication. These memories gave me confidence and motivation to go ahead with my aspiration. On the other hand, I had witnessed start up businesses becoming successful, especially the ones that dealt with the same field as my intended undertaking. This meant that the business could attain sustainable profitability while on the other hand continuing to repay the equipments acquired on credit. I intended to show the senior credit officer my business plan and explain my vision to him so that he too could visualize my idea. I always though of how I would be happy after accomplishing my mission. However, I knew that there were drawbacks that could become a hindrance to my efforts of acquiring the loan. In the first place, I had no track record of previous loans that I had successfully repaid. This lowered my chances of proofing my credibility. Nevertheless, my age was an indicator of insufficient experience in handling large sums of money or managing a business on my own. I remembered how one of my friends took over the management of his father's business after he was taken ill, which led to its collapse. The business had been established through a loan for the purchase of equipment. To make the matter worse, the head of the credit appraisal team in UK Leasline worked in the company that issued the loan as a credit appraiser at the time. Only three years had passed from the time the business collapsed, which led to the demotion and eventual termination of all the credit appraisers that were involved in the appraisal of my friend's father to qualify for a loan. The dilemma in this situation was the fact that the head of the team who was to appraise my

Monday, September 23, 2019

Inferential Statistics Essay Example | Topics and Well Written Essays - 750 words - 1

Inferential Statistics - Essay Example i-standard multi-drug regime which aims at reversing transcription by either preventing further viral DNA elongation, inhibiting protease, binding the viral DNA enzyme, using brad spectrum inhibitors all in attempt to keep the HIV virus from multiplying (UCSF, 2010). Primarily, low t-cell count is the sole determinant of the progression and infection rate of the HIV and AIDS patients, and the only option the patients have is taking the standard-multi drug regime which have adverse side effects. However, the new developed powerful drug will helps raise t-cell counts in AIDS patients and retard disease progression for those who have been in decline for years or months therefore offering the same level of efficiency derived by taking â€Å"cocktail† of powerful medications. The new drug is believed to be as efficient as the standard multi-drug regimen. With the average efficiency of the new drug  µ1 and  µ2 being the average efficiency of the latter, the hypothesis will be represented as follows: Considering that the new drug’s efficiency will be compared to the multi-drug regimen, an applicable definition of efficiency will be considered. In this respect, efficiency will be defined as the drug’s ability to produce certain effects on the patient without respect to the quantity administered (Pokrovskii & Kompaniets, 2008). The 60 AIDS infected persons will be selected through random assignment which will be targeted from the Annual AIDS campaign day where all countrywide affected and infected persons gather. At the campaign, the new drug benefits and possible side effects will be clearly elaborated and patients interested in both control and experimental group asked to volunteer. A group of 100 patients have to be tested for their t-cells blood counts. Among them, 20 of them must have been in decline for months or years. From the names, 30 patients will randomly be picked as the Control Group including 10 patients among the tested 20 who have been in decline for

Reserch proposal Dissertation Example | Topics and Well Written Essays - 2750 words

Reserch proposal - Dissertation Example Recently Saudi airlines have been criticized to be losing its customers due to their inferior customer service quality and poor price strategy. Customer is the heart and soul of any business organization, and if they are not pleased with the service or end product, then the business is doomed to failure. Any business needs to be revolving around the key concepts of customer satisfaction and customer loyalty. If customers are satisfied about a product or service, they keep coming back for more and also can attracts more customers from the potential market. Big airline companies like Saudi airlines, need to keep monitoring their quality of service in order to be top in the airline industry. They should make best use of the CRM programs to enhance their customer relation as well as profitability. According to (Avidian Technologies,2004) â€Å"Good CRM allows all of the information obtained to be shared among both the sales force and the entire company. The right CRM software should com bine all the elements of Customer Relationship Management, Sales Force Automation (SFA), and Contact Management†. Research Context I)Aim and Objective of the study The aim of this research is to assess the importance of the quality of service in improving customer service and loyalty in an airline service company. ... 2) To identify the research questions needed to be put forward in order to establish the research study. 3) Prepare a research design and data collection method. Specifically the questions which will be put forward in the research proposal will be as follows. 1. To what extend is the customers of Saudi Airlines satisfied with the customer service delivered by them? 2. Are the customers of the Saudi Airlines at the risk of leaving the airline? II) Relationship of service quality with customer satisfaction and loyalty Customer satisfaction is a very important criterion in any airline service, as this is the factor which helps in building the loyalty and the goodwill for the company. An unsatisfied customer is the root cause for the degradation of any service based industry. A good customer service is not just about profitability, but it is about how much value a business gives to its customer needs and requirements. Customer service definitely has to have access to the customer marketi ng database. Saudi Airlines being a top listed airline did not give much attention on the needs of the customer but took them for granted. It is seen that many complaints occur from customer as to flight delays, low service from cabin crew, inferior seating arrangements and poor welcoming services A customer is paying for a quality travel and if the airline is not considering on the quality of service, then they will lose the current customers as well as the potential future ones too. They have to know what each customer has bought in the past, and what they would expect in future. They have to have a record of past complaints and compliments. Customer is the soul of a business firm, and if they are treated well, then

Sunday, September 22, 2019

Company Performance Essay Example | Topics and Well Written Essays - 1250 words

Company Performance - Essay Example It is calculated by getting the difference of the current assets from the value of our stock and any prepayments the company has made. Their total is then divided by the totals for the current liabilities to get the quick ratio (Needles and Powers, 2010). In other words the formula for calculating the quick ratio can be given as, This is the ratio of the company’s current debt to the amount of capital they have invested in the company. This is calculated by dividing the total debt that a company owes their creditors to the amount they have invested in the business (Banjerjee, 2005). It is given by, The company has a total debt ratio of 30.25 in comparison to the industry’s 31.96. This implies that there are other companies that have greater debts than it since their value is less than the industry’s. This ratio is also referred to as the stock turnover and is the ratio of the sales a company makes in a certain trading period to the totals of their inventories. It is calculated by dividing the total number of sales made in the period over the total recording’s of sales made (Clarke, 2002). Thus, it is calculated using the formula, The company has a sales turnover of 3.53 in contrast to the industries 4.15. This means the company is performing dismally when compared to the industry since their indexes are lower (Banjerjee, 2005). It is a measure used in accounting to quantify the effectiveness of a firm in giving out credit facilities along with the collection of debts. It is a ratio that describes the level of activity within an organization (Clarke, 2002). It is calculated using the formula, The company has a receivables turnover ratio of 7.52 which is low compared to the industry’s 19.51. This implies that the company should make a reassessment of their debt collection policies to ensure their money has been collected and is bringing gains to the firm. This is the ratio of the sales the company

Ethical issues Essay Example for Free

Ethical issues Essay 1. Environmental Hazards: The pollutants that business industry dumps into the environment are more than just ugly nuisance; they are killers. For example, air pollution has been found to be related to deaths from bronchitis, heart disease, as well as emphysema, and several types of cancers. Studies by the American lung Association have concluded that between 50 to 120,000 thousand deaths a year are linked to the air pollution that are disbursed by air from manufacturing companies. Ant there is little doubt that the depletion of the ozone is caused by atmospheric pollution. According to Coleman/ Cressey (2001), The contamination of our waters with poisonous waste, for example, lead, mercury and dumping radioactive materials at sea to include the sinking of certain types of vessel, has already taken many lives. Thus, alone the American industry creates 3000 new chemicals every year, and most of the hundreds of thousand of chemicals used by industry have never been thoroughly tested to find out how dangerous they really are. For example, Dell Computer has come increasing scrutiny for its failure to take a leading role in reducing the amount toxic materials in the production of computers. All so, Dell Computer is using prison inmates (cheap labor) to handle the recycling of computers component parts. Not only is Dell violating environmental laws and contributing to improper disposal of computers that contain high contents of mercury, but also is endangering the inmates health. (Ferrell, Fraedrich, Ferrell, 2005). The growth of our ecological problem actually started in the 1960s, which prompted groups and individuals to lobby congress to establish laws to protect the public and impose stiff penalties on those businesses that violated the laws. Out of this era came the Radiation Control for Health and safety act of 1968, Clean Water Act of 1972, and Toxic Substance Act of 1976. (Ferrell, Fraedrich, Ferrell, 2005). The responsibility of enforcing these laws is entrusted to (EPA), Environmental Protection Agency. Even businesses of today, continue to behave in total unethically manner when it come to pollution. Many large corporation dont have pollution control program and/or mechanism in place that places value on the environment, be it land, sea or air pollution. But, most violators of the Acts receive  just a slap on the wrist. Businesses are more concern about their own self-interest of profits. Thus, continue to show little regards to the fact they are destroying the environment as well as depleting precious resources. Furthermore, the present contemporaries are incline to affluent life style and their materialistic greed have made them careless about the environment. Just as the rules are written for ethical behavior and left open for ones own interpretation and compliance, the same could be said in reference to the pollution control Act, there is a right and wrong way to demonstrate environmental awareness, but organizations continue to ignore the fact that we are on a path of depleting our precious environment. 2. Equal pay for women. I believe that not only must the hierarchical nature of the division labor between the sexes be eliminated, but the very division of labor between the sexes itself must be eliminated if women are to attain equal social status with men and if women are to attain the full development of their human potential. (Hurst, 1998). Throughout history, women were directly involved in production. When the industrial revolution occurred, single women and children were recruited for example from New England to work in textile factories in Rhode Island. Supervisory positions were held by men. Female workers were paid only half of what men were paid, even though they made up approximately 75 percent of the workers (Eisler, 1977). Men were concerned about the entrance of women into the labor market because they felt that it would have a depressing effect on their wages. They fought to keep women out of the craft unions that later developed. Women held strikes in the 1830s and 1840s to protest reductions in wages, speed-ups in work pace, and working hours (Dublin, 1970). Wars change the face of a nation, to include the workforce. During the World War II, jobs held formerly by men were accessible to women. The influx of women into the labor force has continued in recent years. In general, women tend to concentrate in white-collar and service occupations, while men are  more spread out between white collar and blue-collar positions. A decline in occupational segregation has occurred in broad occupational categories, largely because of shifts in technology and organizational structures. But despite these general improvements, women still are found disproportionately in certain occupations such as nursing, teaching and hold only a small percentage of positions as computer specialists, scientist and engineers. Similarly, a man and woman may be both be in sales, but the woman is much more likely to be in clothing sales, while the mans is involved in selling of stocks and bonds. Craft occupations are another group of occupations in which women continue to be severely underrepresented (Herz, Wootton, 1996). According to a US Department of Labor (1996) report, in 1979, women who worked full time made about 63 percent of what men did, but in 1995, women earned about 75 percent as much as men. However, this decline may be due more to decreases in the earnings of men, in general, than it is to real improvement for women (Bernhardt et al., 1995). The Equal Pay Act of 1963 (EPA) guarantee that women holding essentially the same jobs as men will be treated with respect and fairly compensated regarding all rewards of work: wages, salaries, commissions, overtime pay, bonuses, premium pay, and benefits. However, comparisons cannot be made across different companies. Interestingly, employers may pay workers of one gender more than another on the basis of merit, seniority, quality and quantity of production, or any other factor other than sex. Given that women are still reaching a glass ceiling, particularly when it comes to upper management, CEO positions, these allowed practices are still discriminatory practices. How is equality of position established? By determining and setting criteria for skill, effort, responsibility, and working condition. Ivancevic (2004) maintains that the difference in wages includes also any type of compensation such as vacations, holiday pay, leave of absence, overtime pay, lodging, food, reimbursement for clothing or other expenses. In order to close the remaining earning gap, the concept of equal pay for equal jobs to be expanded to include equal pay for comparable jobs has become more widely  accepted. 3. Women comparable worth in the job market: The concept of comparable worth maintains that since females are discriminated in the labor market we have to look at the worth and intrinsic value of the job, and although jobs may be dissimilar in content (i.e. nurse and plumber), both are important to society and the organization. My wife maintains that she thinks that the garbage man/woman has a much greater worth and value (what would happen if the garbage wouldnt be picked up?) than a doctor, for example, for she seldom goes to the doctor, at least not weekly. Even when men take womens work, they are on top of the pay scale. The solution to the erosion of inequality is, regardless whether viewed from the perspective of equal pay or comparable worth, that womens real wages have to rise faster than mens whose wages dont have to fall. Though laws now prohibit employers from paying a woman with the same qualification less than a man who does the same work. In support of women rights, I would like to see the law expanded to guarantee that the jobs in which most workers are mostly women are paid at roughly the same rate as comparable jobs in which most workers are men. My own personal experience of equal pay and comparable worth is linked to the military pay system. This particular pay system is a product of across the broad theory, that regardless of gender, the pay at this particular rank is the same for both male and female. There are four major factors that govern advancement for the sexes: education, time in service, training, and experience, though there are special incentives for those with critical skills. In other words, all jobs in this particular specialty are to be considered to be equal in pay for all. Therefore it is my belief regardless if you are male or female with identical qualification and capable of performing at the next level there should be no hesitation in advancement. It has been proven time and time again throughout ranks of military professionals, that women are just as capable and sometime more capable than men at performing the same job, but at a higher rate of success and enthusiasm. In closing, the net worth should be based on the value each job (not female or male) renders to the organization. Reference Bernhardt, Martina Morris, and Mark S. Handcock. 1995. Womens Gains or Mens Losses? A Closer Look at the Shrinking Gender Gap in Earnings. American Journal of Sociology 101:302-28. Dublin, Thomas. 1979. Women at Work. New York: Columbia University Press. Eisler, Benita, ed. 1977. The Lowell Offering. Philadelphia: J.B. Lippincott. Herz, Diane E., and Barbara H. Wooton. 1996. Women in the Workforce: An Overview. Pp 44-78 in The American Woman 1996-7, edited by C. Costellor and B.K Krimgold. New York: Norton. Hurst, Charles E. 1998. Social Inequality: Forms Causes and Consequences. Allen Beacon: Needham Heights, MA. Invancevich, J. M. 2004. Human Resource Management. (9th ed). New York: McGraw Hill/Irwin. U.S. Department of Labor, January 1996. Employment and Earnings. Washington, D.C: Government Printing Office.

Saturday, September 21, 2019

Internal and external data Essay Example for Free

Internal and external data Essay The Bowmer and Kirkland human reasources department will collect and use external labour market information for planning in the business. Unemployment statistics : The current labour market figures show that in the east midlands current unemployment is only 4.1%, this means Bowmer and Kirkland may have difficulty finding people to employ as so many already have a job. As the higher the unemployment rate the more people there will be for Bowmer and Kirkland to employ.The unemployment rate of the east midlands is 1% lower than that of the whole UK. In Derbyshire alone the unemployment rates are paticually low and numbers are still falling. Although rates are low, GDP per head still lags behind the UK and European averages, skill levels and productivity in manufacturing are also below average. 31.6% of people working in east midlands have no qualifications compared with 28.9% of England, so when Bowmer and Kirkland need to emply someone it will alot of the time also include the costs of training them up. So in conclusion the unemployment rates in the east midlands could cause a problem when it comes to Bowmer and Kirkland recruiting staff. For a start there are only 4.1% people avaliable to work, and they have got appreciate that not all that 4.1% will have the knowlage and skills recuired to work at Bowmer and Kirkland. This will result in costing Bowmer and Kirkland alot of time and money, mainly on training. One way of getting round the low unemployment rates would be to take staff they already have and train them up for hiarachy positions. Although this will leave another problem of having to find someone to fill their origional position, so they cant win really. Employment and Unemployment in the construction industry : In the last few years turnover has gone up and the ammount of people employed has remained static. The avaliability of contructors in the labour market is a problem to Bowmer and Kirkland as there are not alot of qualified workers out there so most of there employees have the standard ammount of GCSEs and A-levels. However Bowmer and Kirkland can train people up. The business in the local area that Bowmer and Kirkland are compeating for for the same employees are, Thorntons, Denby pottery, Rolls royce, these are the major compaines in this area, but construction companies down to Birmingham also cause competition for workers. Internal information The Bowmer and Kirkland human reasources team will also collect and use Internal staffing information for planning in the business. Labour turnover : Bowmer and Kirkland measure Labour turnover because they believe it is important to know how many people they need in the business. This also allows them to be able to compare their figures to other industrys and see how they match up. From the figures they have 20% of people have left the company this year, the main few reasons people are leaving are to branch out and move on, some are only probation periods and dont have their contract renuied, and some could have been sacked or made redundant. Although saying that some of them sometimes come back to the company depending on why they left. If someone is wanting to leave they have to hand in a 4 week or week notice and have the exit interview. Bowmer and Kirkland do this so they can see if there is a trend in why people are leaving, then they may be able to do something about it. For example most of the leavers may be from one department, and it may narrow down to the fact they are all finding better paid jobs elsewhere, so then Bowmer and Kirkland can sort out that problem. Bowmer and Kirkland however see this as a good thing as this means they can bring in new people/staff and they will bring in new ideas to the company. Bowmer and Kirkland on average employ 20 25 new starters each month, the majority of them have minimum qualifications and 10% are usually apprentices, however Bowmer and Kirkland will train them up. Sickness and Accident rates : Bowmer and Kirkland dont compare their Sickness and Accident rates against the national average. However they compare it internally within the company. They have weekly reports to monitor staff absences and the health and safety department monitor all their staff accidents. Of course if someone is found to be having an unusual ammount of absences they will have to have words with them and see the reason behind this as it would not be good for the company. Age, Skills and Training : Bowmer and Kirkland look at their demographic trends. Within the company 92 % of their employees are male and only 8 % female, this is purly because of the concept of he industry, it is more appealing to the male population. Also new training scemes are being used more in Bowmer and Kirkland now so the older generation is being left behind slightly, for example Modern apprentaships.

Ethics As Applied To Pain Management

Ethics As Applied To Pain Management Critically evaluate the available evidence regarding the justice beliefs in context of chronic low pain in terms of Mrs. Alices case study. Introduction The relief of pain is a core ethical duty in medicine(Johnson2007, P.1). There are many ethical issues associates with pain management. So it is important that the health care professionals should understand the ethical principles, which may help to deal with problem effectively, (Please appendix: 3 for principles of ethics related to medical practice). The people in the world have different views related to justice and injustice. They could describe numbers of examples of injustice and justice which might drawn from personnel experience or from the society .It is interesting to know that most people tend to uphold a the view of justice beliefs in the world that isthey live in a world where people generally get what they deserve, Lerner and Millier (1978,p.1030), Haferand Begue(2005). The justice beliefs are individually associated with psychological adjustment and it could be a reflection on objective assessments of the justice received by other human beings, Sutton et al.(2008) The multifaceted nature of chronic pain is influenced by pain beliefs Sloan et al. (2008). McParland and Knussen (2010) reported that a justice belief also has influence in experience of chronic pain and pain behaviors. The people who have justice belief s are motivated to belief that the world operates in a fair and legitimate manner (Sutton et al.2008), and they will be able to pursuits long-term goals and maintain physical and psychological well being,( Kathleen and Claudia 2005;Laurin et al.2011;Dalbert 2002). The human perceive injustice when they expose to a situation primarily characterised by violation from human rights or to challenge the just world beliefs. Fetchenhauer and Huang(2004). 2. Aims of the assignment The assignment aimed to explore the available evidence regarding the impact of justice beliefs in chronic pain sufferers and their reaction to injustice based on Mrs. Alices Case study. The assignment also aimed to evaluate the evidences on ethic principles. Case study Mrs. Alice is a 39-year old nurse, mother of two, who has been suffering from low back pain for last two years. The patient has no specific medical history. She attended the general practice in past in intermittent bouts. She was taking analgesics that did not make any difference for her pain. The x-ray was normal. She has been subjected to persistent suspicions of malingering from doctors and employers, as she has no objective finding. Mrs Alice currently presenting with the statement that everyone misunderstood my pain as moaning but I am in pain, might be they didnt understand me properly 3. Search Strategy A literature search was done using Science direct, pub med, google scholar, Medline, Ovid for relevant studies done in past 5 years. But this assignment only included one quote from 1978, which is relevant for this review. The key words included for the search were justice beliefs, injustice, justice, pain, pain management, chronic pain, unfairness and combination of these words. The search was limited to studies conducted in human beings and published in English. There was lack of literature regarding chronic back pain to assess the influence of injustice and justice beliefs. Hence searches were extended to other chronic pain conditions. Each of the papers were analysed for validity and rigour according to the framework given by (Rees 1997, cited in Taylor 2009). See appendix 2. The strength of evidence was established using the Hierarchies of evidence framework Dawson (2004). See appendix 1. 4. Literature Review McParland and Knussen (2010) conducted a cross sectional questionnaire design to find out the impact of general and personal beliefs to moderate psychological distress in the experience of chronic pain. The study was conducted in support groups, from national chronic pain organisation in Scotland. The recruited participants were from arthritis and fibromyalgia groups and they were asked to complete the questionnaires. The findings from the study suggests that strong general justice belief is beneficial for psychological well being in the context of chronic pain and it helps cope with pain intensity and disability. Table:1 McParland and Knussen (2010,p. 72) The study used reliable self-report questionnaires to collect data from samples. See appendix 5 for questionnaires used in the study. The use of reliable tools for the study could the increase the internal validity of the study and maximizes the value of the results. The conducted study was using the samples from National chronic pain organization in Scotland so the beliefs could be influenced by cultural and educational factors of the area. The beliefs could differ in different ethnic populations Sloan et al. (2008). As the study was conducted in United Kingdom the results would be more applicable for clinical practice for this country. There are some weak points for this study as mentioned the questionnaires wre given to interested patients from the group. This might attract samples that have strong personal and general beliefs into the study. This way of sample recruitment might bias the result and affect the validity. The sample was collected from community support groups of arthritis and fibromyalgia where they receive personal and social support from health professionals. This could be argued that these patients might already affect psychosocial distress because of their condition. Mcparland and Knussen (2010) that people experience less psychosocial distress when they hold strong personal beliefs. So there could be a chance for bias in sample selection that affects the validity of the study results. The accuracy of the completed questionnaires is uncertain as participants might already suffer psychological distress or pain. The self-report questionnaires could naturally bias the persons feeling at the time the y complete the questionnaire as the participants were requested to complete and return the questionnaire by post. It would be better if the researcher asked to complete the questionnaires in a controlled time and site. This method biases the data collection and could affect the validity and reliability of the result. More over the researcher and assistant met the participants to introduce the study and given contact details. So the study was not blinded. According to just world theory the people who has strong belief just world will be motivated to defend their belief when they encounter any evidence of injustice McParland (2011). They might find a positive explanation for injustice that is occurred and blame themselves. The reviewed study also agreed that justice beliefs in the recruited sample helped to cope with pain intensity and disability. Mrs Alice believed that she would receive a fair approach from health professionals but she experienced unfairness and injustice with the treatment. It is interesting to note that the way she tried to defend her feeling they didnt understand me properly. The reaction with injustice might not be the same in chronic pain sufferers. The chronic pain sufferer who perceives injustice or unfairness can influence their physical and mental health. This is also proposed in Perceived Unfairness Model, Jackson et al. (2006). See appendix 4 for perceived unfairness model. The recurrent episodes of perceiving unfairness (ie. Micro Agressions) can be coupled with helplessness, lack of control and compromise to physical health, (Jackson et al. 2006; Zempsky 2009). Sullivan et al. 2008; Sullivan et al.2009 also reported that perceived injustice has an impact on pain severity in samples after muskuloskeletal injury. Based on hierarchy of evidence the strength of evidence achieved for this is level 2b. So there is a need for further stronger studies to elucidate the role of justice beliefs in psychological distress, pain variables and disability. McParland et al. (2010) conducted a study to investigate the impact of justice and injustice in context of everyday life of a chronic pain sufferer. The samples from general practice recognized chronic pain as a major problem in United Kingdom. The participants recruited from different socio-economic areas upper (n=5), middle (=4), lower (n=6) to explore the impact of justice and injustice from different viewpoint. The study examined injustice related concepts like fairness, deservingness and entitlement. The finding from the study is presented in Table 2. Table:2 The main findings from McParland et al. (2010) -The justice related issues in chronic pain sufferer influenced by their social and personnel concerns and needs. -The concepts fairness, deservingness, entitlement of was dominated in participants and reflected in terms of distributive justice prin ­ciples equality and need. -The middle and lower socio economic class samples presented with egotistic construction of justice in terms of equality and need. -The chronic pain appeared as a social problem as much as a medical problem This study was conducted, as a semi-structured interview by the interviewer, which could perceive appropriate feelings of the participants that may not be possible in self-report questionnaire. It is worth mentioning that the study carefully examined the mental status of the participants and ensured the appropriateness of samples for interview. The justice beliefs, psychological distress and pain variables are interrelated McParland and Knussen (2010). Choosing the appropriate study sample is essential to achieve accurate and trusted study results. The sample size of this study was small (n=15) would affect the validity of the study. More over the recruited sample were between ages 18-65. McParland and Knussen (2010) reported that people get strong personal and general beliefs when they get older. So inclusion of these age groups (18-65) could affect the rigor of the study and validity of result. The study was exploring the ideas of injustice in chronic sufferer based on their socio-economic classes. The chronic pain sufferers from different socio-economic classes evaluated injustice based on their on social concerns and needs. The sample response highlighted that chronic pain sufferers are facing social issues which might due to injustice, that could contributing to their chronic nature of pain. So chronic pain should consider as a social problem as much as medical problem. Social issues can cause chronic pain or chronic pain can cause social issues. The heath care professionals can play a role to minimize the injustice from medical filed and they also can play a role to minimize the chronic pain too. McParland et al. (2010) highlighted that chronic pain sample experienced social issues due to injustice. In Mrs. Alice case she has the right to get appropriate treatment but her autonomy has been removed and felt unfairness. The experience of unfairness and unrelieved pain would make an impact of her family finance and employment. These factors also costs disability care and benefit system. So there is a need to uphold ethic principle, which is the duty of care to protect the patient from harm (Non-maleficence). The appropriate pain management respects the ethic principles, which included autonomy, non-maleficence, fairness and duty of care. McParland and Knussen (2009) presented a research report after conducted a second phase for the above study, which aimed to explore the justice related concept in chronic pain using Q methodology. The sample included chronic pain sufferers (n=33), spouses (n=9), health professional lecturers (n=15) and members of public (n=22). The participants are provided a grid with 47 comments ranging from +5 to -5. See appendix 5 for grid. In Q factor analysis eigen values >1 represented participants with similar concepts about injustice related to chronic pain. This study analyse six factors with eigen value >1. See table 3 for analysed factors. Participants expressed concepts of injustice in related to chronic pain in terms of blame, victimisation and perceive neglect of need after Q factor analysis. Table:3 McParland and Knussen (2009,p.1-4) The factors emerged after Q factor analysis 1) Pain is normal. Its not about injustice 2) Pain is awful. Its societys fault 3) Chronic pain is not your fault, but it is your responsibility to address it 4) Its not fair. There should be a cure for pain 5) If you are unlucky enough to suffer chronic pain, you deserve help 6) There is hope that the injustice of chronic pain will be rectified . There are some good points about this study. The statistical analysis was presented in a clear and meaningful way. The study used Q methodology, which assess the subjective viewpoints effectively like life experience, stress, satisfaction etc. , Noori (2008). So the Q methodology was an appropriate method to find the participants view about injustice that increases internal validity and maximise the result strength for the study. One of the weak points in this study was that the chance of selection bias as the study sample was recruited from primary, secondary care, support group and public from United Kingdom. The method of sample selection might extract data based on nations culture and beliefs. The beliefs could be influence by cultural and educational factors, also differ in different ethnic populations Sloan et al. (2008). Thus recruiting sample from specific population could limit extrapolating the results into general population. But will promote applicability of this study to UK population. The chronic pain sufferer from the study sample expressed concepts regarding injustice as blame victimisation and perceived neglect of need. McParland and Knussen (2009) reported that the sufferers perceived injustice when they perceived something wrong, might be about pain or related to pain management or lack of acceptance from society or influence pain in everyday life. Miler (2001) also reported that people perceives injustice when they go through sufferings that would originate from an undeserved manner. The reflection of this statement could find from Mrs. Alices case when she perceived unfairness in her treatment. The life with chronic pain may lead to significant loss to finance, employment and independence (Harris Barton 2003). These losses can be permanent or temporary, Evans et al. (2001). Its a human tendency that putting blame on others when they feel a discrepancy in their life. The chronic pain sufferer who blames others for their situation could experience more depression, stress and weak response to treatment, Sullivan et al. (2008). Sullivan et al. (2008) also reported that when chronic pain patients perceive injustice they may focus on injustice happened rather than their treatment or rehabilitation processes. According to hierarchy of evidence used in this assignment, this research report achieved level 2c. This research is still continuing, awaiting more interpretation and analysis related to concepts of injustice among chronic pain sufferers. In future more evidence-based studies should be considered to revel the complex nature of injustice in chronic pain sufferers. Zempsky (2009) presented an article, which was reinforcing the importance of fostering trust and justice in the treatment of chronic pain conditions. The article discussed a case of a 19-year-old man with sickle cell disease presented with progressive leg and back pain. The patient appeared in emergency department with pan score 9-10 but appeared in a relax manner. He was using headphone and singing songs. The perceived disbelief by clinical staff sent him into waiting room and received requested dose of morphine with doubt and disdain after several hours. In this case the clinical staff stigmatised the patient as a drug seeker or drug abuser and neglected the intensity of pain. The patient who is in pain expects justice and fairness with their treatment, where they could express their problem. They anticipate that the health care staff will listen, understand, treat with empathy and approach them in a non-judgemental way, Serpell(2011). When patients feel injustice, the situation ca n link with psychological and physical abnormalities. In case of chronic pain perceived injustice can leads to stress severe pain and disability, Zempsky (2009). This article emphasized that pain is an individual experience, which a person sometimes not able to express as well as they felt. There are chances for underestimating pain by health professionals even tough patients express the pain as they felt. Patients in chronic pain sometimes dont present with signs autonomic response (changes in blood pressure, pulse, sweating etc.) or behavioural features (moaning, wincing), Serpell (2011). The healthcare professionals should understand that severe pain with absence of physiological and behavioural changes is common in chronic pain conditions, Zempsky (2009). When we consider the case of Mrs Alice the physician might not recognise the pain appropriately. According to Notcutt (2011) there is lack of formal and continuous education regarding the pain and its management among health professionals. The American academy of code of ethics for pain management mentioned that the practitioners are responsible for maintain their professional competence and they are obligated to reveal their education, training, experience and continuous education to public. The pain management field is fast growing and moving towards more effective treatment modalities. So it emphasis the importance of continuous education for all who works in this field. The practitioners who abstain from continuous education may cause harm to the patient ( maleficence), which is against the ethic principles. Mrs Alice might be poorly managed or abandoned due to lack of knowledge of chronic pain management among health professionals. The principles of ethics emphasize that the pat ients in chronic pain are entitled to get fairness in their treatment, which is beneficial for the patient by minimising harm (non-maleficence). The pain management practitioner or all working in for pain management should keep good understanding of ethical framework regarding pain management. Notcutt (2011), presented structured criteria to face with clinical ethics situation. See appendix 7 for criteria. It is not always easy to deal with situation because of many reasons. The proper understanding of basic principles will tackle the situation appropriately. Lauris et al (2005) presented an approach for ethical reasoning and a comparison of clinical and ethical reasoning. See appendix 8 9. According to hierarchy of evidence reviewed in this assignment this article achieved level 5. So there is a need for clinical experimental studies to reinforce these findings. Sullivan et al. (2009) conducted a study to evaluate the role of pain and perceived injustice in posttraumatic stress. The samples were 112 individuals who attended rehabilitation clinics after whiplash injuries. In logistic examination the perceived injustice appeared as a unique predictor for persistence of posttraumatic symptoms. The study emphasise the importance of effective interventions which is intending to manage perception of injustice in case of posttraumatic stress after whiplash injuries. See the results in table 4. Table:4 Sullivan et al. (2009,p.329) There are some weak points for this study. The sample recruited from rehabilitation clinics where they provide multidisciplinary rehabilitation programme for patients after whiplash injuries. It could be argued that these patients might already influence by the rehabilitation programme. So the sample might not represent a generalisation of the study that result into a general population. The sampling also biased the inclusion of more female participants (76 women, 36 men), according to Sullivan et al. (2008) the men perceive more injustice than women. This would affect the internal validity of the result. The participants were asked to complete questionnaires to assess physical, cognitive and affective variables related to their posttraumatic stress. This would have been done better if the data collected based on structured interview as self-report questionnaires could naturally biased by peoples feelings at the time they complete it. Hence the method of data collection might bias th e result and affect the result validity. The identification of problems related to perception of injustice helps to identify the reason for suffering among chronic pain sufferers. Mrs. Alice perceived injustice might be due to poor interaction from practitioners or due to the attitude of negativity from practitioners. The interaction between practitioners and patients is imperative in management of chronic pain. All health care professionals should understand as part of patient treatment we have a duty of care to work towards their beneficence. The other issue might happen because of the attitude of negativity towards the patient from health care professionals. The negativity could develop due to patients appearance (eg. Obesity) or due to behaviour. The health care provider should understand listen and provide them justice in their treatment and uphold the principle of duty of care. Based on hierarchy of evidence used in this assignment, the strength of evidence achieved for this s tudy is level 2b. Further studies should be considered based on weak points of the present study. Conclusion The people who believes in just world uphold the concept that they live in a world where people generally get what they deserve. Lerner and Millier (1978,p1030). The people who have justice beliefs could be able to pursuits long-term goals and maintain physical and psychological well being, (Kathleen and Claudia 2005; Laurin et al. 2011; Dalbert 2002). McParland and Knussen (2010) conducted a cross sectional study and reported that justice beliefs have influence in experience of chronic pain and pain behaviours. The study proved that strong justice beliefs are beneficial for psychological well being and helped to cope with pain intensity and disability. The also reported that older people uphold stronger justice beliefs and experience less pain. Human beings perceive injustice normally when they expose to a situation primarily characterised by violation from human rights or to challenge just world beliefs, Fetchenhauer and Huang (2004). According to just world theory the people who h as strong belief in just world motivated to defend their belief when they encounter any evidence of injustice, McParland (2011). The chronic pain sufferers who perceive injustice or unfairness can influence the physical and mental health (Jackson et al.2006; Sullivan et al.2008; Sullivan et al.2009; zempsky2009). Mc Parland et al. (2010) reported that justice related issues in chronic pain sufferers influenced by their own social and personal concerns and needs. McParland and Knussen (2009) reported that the participants expressed concepts regarding injustice related to chronic pain in terms of blame, victimisation and perceived neglect of need. The case of Mrs. Alice highlighted that she perceived unfairness in her treatment. The reason for perceived unfairness could be the attitude of health professionals. It is essential to analyse the route cause of this attitude in order to implement efficient pain management among chronic pain sufferers. Some of the problems could be poor interaction between practitioners and patients or could be a attitude of negativity towards the patient from health care professionals or lack of individualised care plan for pain management or lack of knowledge to manage the pain, Notcutt (2011). According to Notcutt (2011) there is lack of formal and continuous education regarding pain and its management among health professionals. The appropriate pain management respects the ethic principles which includes autonomy, non-maleficence , fairness and duty of care. The reviewed studies proved that justice beliefs and perceived injustice are relevant among chronic pain sufferers. So it would be necessary to conduct more experimental studies to find more about role of perceived injustice and justice beliefs  among chronic pain sufferers. The proper understanding of these subjects would be more  helpful for efficient management plan for chronic pain sufferers. 6 References Dalbert,C. 2002 Beliefs in a Just World as a Buffer Against Anger. Social Justice Research, 15(2), pp.123-145. Dawson A 2004 Asthma in the Australian indigenous population: a review of the evidence. The international electronic journal of rural and remote health research. [cited 18th November 2009] Available from internet: Evans, T. H., Mayer, T. G. and Gatchel, R. J. 2001 Recurrent disabling work-related spinal disorders after prior injury claims in a chronic low back pain population. Spine, 1(3), pp.183-189. Fetchenhauer, D. and Xu, H. 2004 Justice sensitivity and distributive decisions in experimental games. Personality and Individual Differences, 36(5), pp.1015-1029. Hafer, C. 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Appendices Appendix 1:Hierarchy of evidence Hierarchy of evidence Level of Evidence Description 1a Systematic review of randomised, controlled clinical trials (RCT) 1b Individual randomised controlled clinical trial 1c All or none 2a Systematic review of cohort studies 2b Individual cohort study (including low-quality RCT) 2c Outcomes research 3a Systematic review of case-control studies 3b Individual case-control study 4 Case series, poor quality cohort and case-control studies and reviews 5 Expert opinion without explicit critical appraisal Appendix 2: Framework for critiquing quantitative research (after Rees 1997) Focus In broad terms what is the theme of the article? What are the key words you would file this under? Are the key words in the title a clue to the focus? How important is this focus for clinical practice? Background What argument or evidence does the researcher provide that suggests this topic is worth exploring? Is there a critical review of previous research on the subject? Are the gaps in the literature or inadequacies with previous methods highlighted? Are local problems or changes that justify the study presented? Is there a trigger that answers the question why did they do it then? Terms of reference Does the researcher state terms of reference? This will usually start with the word to e.g. the aim of this research was to examine/determine/compare/establish/etc. In the case of clinical research there may only be a statement of the hypothesis or hypotheses that the researcher(s) wished to test. Is it possible to identify dependent and independent variables Remember level 1 questions will not have both, neither will a correlation study. Are there concept and operational definitions? Study design What is the broad research approach? Is it experimental? Descriptive? Action research or audit? Is it quantitative or qualitative? Is the study design appropriate to the terms of reference/hypothesis/research question? Data collection methods What tool of data collection has been used? Has a single method been used, or triangulation? Has the author addressed the issues of reliability and validity? Has a pilot study been conducted? Have strengths and limitations been recognised by the author? Ethical considerations Were the issues of informed consent and confidentiality addressed? Was any harm or discomfort to individuals balanced against benefits? Did a local ethics committee consider the study?