Thursday, December 26, 2019
The Test On 99shape Dataset - 924 Words
which classified into nine classes, with eleven shapes in each. Shapes in the same class are in different variant form, including occluded, noised, rotated, etc. Other databases including MPEG-7 Shape Dataset [5], Articulated Dataset, Swedish Leaf Dataset and Brown Dataset are used to have further experiments. Similar to [13], Precision and Recall is used for benchmark for the reason of fair comparisons. C. Results and Discussion Table I shows the optimal result from test on 99shape dataset. The numbers of points we sampled from the shapes are 50, 50 and 25 for RSD, RAD and TF respectively. For the articulated dataset, 45, 35 and 45 points are sample for RSD, RAD and TF. Retrieval result on articulated dataset was presented in Table I. We have noticed that result on 99shape from RAD is slightly better than RSD, while on articulated dataset RSD performs slightly better than RAD. During the above experiment, we tried to normalize the descriptors and found that experiment on 99 shapes received little influence from normalization while result from articulated dataset has some improvement. From the Table I, our algorithm has a almost 100% correct classified rate for Human and Wrench. We noticed that the Airplanes class is of the lowest correct rate except for the top 3 ranks. And the hit rate declined rapidly which make it singled out from the Table I. The matching distance in this class is carefully investigated and the distance revealed that our descriptorsShow MoreRelatedStandardized Databases And Benchmarks For Experiment979 Words à |à 4 Pagesdifferent methods may have different assumptions on shapes. A commonly used database is 99shapes, by Kimia et al. It contains ninety nine planar shapes which classified into nine classes, with eleven shapes in each. Shapes in the same class are in different variant form, including occluded, noised, rotated, etc. Other databases including MPEG-7 Shape Dataset [5], Articulated Dataset, Swedish Leaf Dataset and Brown Dataset are used to have further experiments. Similar to [13], Precision and Recall is used
Wednesday, December 18, 2019
Essay on Horror Movies An Art Form - 463 Words
Ever since the advent of celluloid films, horror movies have always held a fascination for viewers. Just why do people pay good money to be scared out of their wits? Apart from its entertainment value, the horror movie satisfies certain primordial needs in man. Through the horror movies, one is able to come to grips with ones personal demons, fear of death and other irrational phobias and in the process achieve a catharsis. Far from being morbid, such movies actually affirm life for the movie-goer, for he is able to emerge from the dark into the light, both literally and figuratively, having explored the world beyond our normal perception as well as the deep recesses of the human soul and say, Its good to be alive. Horrorâ⬠¦show more contentâ⬠¦And that is the greatest fear of all. In the horror movie, however, death is not the be all and end all; it could be the start of a diabolical way of `life, as a vampire, zombie or a resurrected creature as in the case of Frankensteins creation. Such creatures are a travesty of life and their very presence serves to reaffirm our humanity and provide us with a catharsis for our fear of death, for there are worse things, after all. At the most basis level, horror movies are about the age-old fight between good and evil. At a deeper level, however, the beast within us is the evil that we have to conquer. This is exemplified in such movies of spiritual possession as The Exorcist and The Omen. A variation of the possession myth is the myth of transfiguration or metamorphosis. Dracula transfigure his victim with a bite; the full moon transforms a mere mortal into a lethal lycanthrope; a potion facilitates Dr Jekylls metamorphosis into the evil Mr Hyde. These monsters are a symbol of the duality of human and reflect mans constant struggle within himself. The horror movies of the past ten years of so have tended to be more violently graphic and visceral - a reflection of modern times, perhaps. Think of the blood and gore, of the violent deaths at regular intervals in such movies as the Friday the Thirteenth series, I KnowShow MoreRelatedChildren Who View Media Violence1133 Words à |à 5 Pages1) In 1999 a study was done stating that fifty-two percent of children who watched horror movies/TV shows, would wake up in the middle of the night with night terrors. Another study was conducted in 2003, this time it was based off of psychology. AllPhsych Online, is an online classroom mostly focused on psychology, states that ââ¬Å"children who view media violence are more likely to have increased feelings of hostility, decreased emotional response to the portrayal of violence and injury that lead toRead MoreHorror Movies Are All the same1163 Words à |à 5 Pages Horror movies generally are all the same. They all have been based off of something that has already happened or a previous movie. Society has paid to be entertained by these gruesome stories that we all truly fear. Before movies, people would purchase books of similar traumatic events to read in their spare time for amusement. It has been said by the Filmmakers IQs horror film lesson (2012), that writers such as Bram Stoker created graphic novels that would grab the audiences attention forRead MoreEssay on The Art of Horror Films1194 Words à |à 5 PagesHorror movies generally are all the same. They all have been based off of something that has already happened or a previous movie. Society has paid to be entertained by these gruesome stories that we all truly fear. Before movies, people would purchase books of similar tramatic events to read in their spare time for amusement. Writters such as Bram Stoker created graphic novels that grabbed peoples attention for years to come. But the horror movie, The House Of The Devil(1896), was noted as beingRead More The Blair Witch Project Essay1035 Words à |à 5 Pagescat versions were made. Movies such as I Know What You Did Last Summer and Urban Legend all followed the same teen slasher format. Nothing is being left up to the movie viewerââ¬â¢s imagination anymore. Everything for the past thirty years was spelled out and given to the viewer, leaving the identity of the killer as the only form of mystery. The genre of horror was losing a very important battle. The bone-chilling movies of the past were giving way to the comedic teen movies of the present. à à à à à WithRead MoreDifferent Forms Of Entertainment For Many Different Types Of People1144 Words à |à 5 PagesThere are many forms of entertainment for many different types of people. The two forms of entertainment that I would like to discuss are books and movies, both of which I love. Though both of these subjects have their differences, they also have similarities. Some of which we do not even think about. The purpose of this essay is not to persuade anyone to like books better than movies or visa versa, (even though my heart belongs to books) but to simply tell about their similarities and differencesRead MoreEssay about Apocalypse Now1649 Words à |à 7 PagesApocalypse Now I have always enjoyed movies. But at some point I started to think of movies as more than just entertainment. I began to view them as a movie critic would, rather than just a casual viewer. Because of this perspective, I think of Apocalypse Now as one of the best American made movies I have ever seen. As a student of and an active participant in the late twentieth century media age, I feel justified in making this statement. In my lifetime of observation of American mediaRead MoreAlfred Hitchcock s Psychological Pressure, Mystery, And Wit1430 Words à |à 6 Pagesintrigued the audiences of his day as well as audiences of the 21st century. These elements of Hitchcockââ¬â¢s films have also inspired the genre of horror films that many know well today. Alfred Hitchcock, known for the false accusations and incredible suspense in his movies, was an extremely successful director and influenced the movie industry with his unique form of film entertainment. Alfred Joseph Hitchcock was born in London in August of the year 1899. He was the youngest of three children in a CatholicRead Moredisadvantage of movie762 Words à |à 4 Pagesan important art form, a source of popular entertainment, and a powerful medium for educating or indoctrinating citizens. Some films have become popular worldwide attractions by using dubbing or subtitles to translate the dialog into the language of the viewer. However films have become popular worldwide attractions but for me, films are problems that cause social evils. There are several reasons why films cause social evils. First of all, adultery and premature sex in movies is one of theRead MoreThe Rise Of Special Effects Make Up1411 Words à |à 6 Pagesfrom them. Every day was a new discovery and I could never get enough of it. As I grew older I strived to find that one art form that truly expressed me. It would be a long journey, filled with trial and error but I was more than ready for it. I was lucky to start my exploration at a young age. Starting early gave me time to excel and appreciate the different types of art forms out there. I was blown away with everything I tried and even got stuck on a few of them for years. No matter who I wentRead MoreThe Battle Of Algiers ( A Reenactment Of Algeria s Fight For Independence1328 Words à |à 6 PagesAn imperative aspect of art is that it is open to interpretation and analysis. If the piece of art is significant, it will be thought or emotion provoking and uncensored. It is not the role of art take cautious steps in an attempt to leave its audience unoffended, but rather to embrace diversity of thought and creativity to portray untainted ideas. Filmmakingââ¬âbeing a form of artââ¬âfollows the same guidelines and thus shapes society through its objectionable and often jarring subject matter. The Battle
Tuesday, December 10, 2019
Contemporary Indigenous Health Samples â⬠MyAssignmenthelp.com
Question: Discuss about the Contemporary Indigenous Health. Answer: Indigenous population living in remote communities suffer from poor health status and longevity as compared to other Australians, the imbalance is to be addressed by healthcare professionals by ensuring optimal quality care devoid of discrimination and injustice. Nurses play a significant role in the improvement of health and wellbeing of indigenous people, and they require both cultural respect and clinical skills to do so (Hunt et al. 2015). The RN Standards, UTS Graduate attributes, and Indigenous Graduate attributes guide decision making of nurses while caring for this section of the population. The present essay focuses on contemporary indigenous health and wellbeing from the nurses point of view and puts up a reflection on personal experience in this regard. The essay first highlights the assumptions made prior to providing nursing care for indigenous people. The second section of the essay reflects on personal experience using Gibbs reflection model. The consecutive part of th e essay puts forward an action plan based on the conclusion drawn from the reflection. The essay provides a logical conclusion to the comprehensive discussion. As a nurse, I understand that I am accountable for providing safe and high quality care to the patients presenting diverse health issues and concerns. In this regard, I would like to mention that I lacked a clear knowledge of the requisites of providing secured and culturally competent care to individuals belonging to the indigenous groups. Prior to delivery of care to the indigenous population, I had the assumption that I lacked adequate skills and knowledge imperative for caring for the indigenous population. I strongly felt that I was not well equipped and knowledgeable about the attributes one must possess while caring for the vulnerable population. At this juncture, I would like to highlight that I felt the need of addressing my inability to demonstrate appropriate skills while caring for an indigenous population. Communication, in my viewpoint, is the most crucial factor while a nurse is caring for a patient. I believed that I lacked effective communication skills that would en able me to care for patients from diverse backgrounds. According to Ramjan, Hunt and Salamonson (2016) nurses are to be aware of the differences in nonverbal and verbal communication needs of the indigenous and nonindigenous population. Further, they must appreciate the cultural and linguistic aspects of interactions demonstrated by this group. Recognizing chances of miscommunication is a crucial aspect that nurses must address while delivering care. Devitt et al. (2017) in this regard highlighted that nurses must understand the adverse consequences of communication breakdown when a patient is unable to express his viewpoints and opinions. Molloy (2017) pinpointed that effective health care communication between care providers and indigenous patients witnesses numerous challenges. These barriers are to be overcome at every stage by nurses in a competent manner. Prior to commencing CIHWB, I was apprehensive of the outcomes that were to be experienced as a result of caring for patients from the indigenous population. I was looking forward to translate my minimal skills and knowledge into practice. My aim was to learn from experiences and engage in professional development for future practices. I was hopeful that CIHWB would be a fulfilling experience, providing me the opportunity to determine my key strengths and weaknesses that I need to work on at an immediate basis. Coming to the next part of the essay, personal experience regarding CIHWB would be explained with the help of Gibbs reflective cycle. Reflective writing with the help of an established framework is a deliberate and active process of critically examining practice. A nurse is challenged to undertake the process of self-inquiry. Gibb's reflective cycle permits a systematic and structured analysis and reflection of any selected experience (McEwen Wills 2017). With this reflection, I would be able to look deep into my experience and feelings with successful interpretation of the same. The key events from CIHWB summer sessions pertained to experiences of patient care through which I got wide exposure to diverse, challenging clinical scenarios. These scenarios were significant to my continual learning process as a nurse for fostering professional development. We were provided with various opportunities to demonstrate our critical thinking skills and decision making ability. One particular scenario that was significant in this context would be explained in here. On my third day of CIHWB session I was placed at the recovery room where a 31 year old woman, Ms. G, was recovering from surgery due to elective termination of pregnancy. Upon investigating I came to know that the patient had an indigenous background, living in a remote town of the state. As a result she had language barriers in communication and needed an interpreter to communicate her needs and opinions. Preoperatively, she had an interpreter present to engage in effective communication; however, the interpreter was not present in the recovery period. When she gained consciousness after surgery she saw a 3-year-old boy admitted at the next bed to hers. This made her distressed and started crying. She appeared to have no clear understanding of English language and all the attempts to console her went into vain. I gave best efforts to calm her down and help her in gaining control over her feelings; however, she was not ready to comprehend. I felt that the patient was upset upon seeing the boy in the recovery room and went to get a mobile screen for separating Ms. G from the boy. This however made the situation worse as she became more upset. Realizing the importance of the situation I called the concerned personnel to request the interpreter to visit the recovery room as I was not able to reassure the patient due to the communication barrier. It was disturbing to find that the 3 year old boy was also upset. The interpreter arrived soon after and helped the patient to verbalize that the presence of the child made her feel depressed as she had undergone pregnancy termination. I felt helpless as I was not in a position to understand the reason behind the patients disturbed emotional front. I also felt guilty of not being able to reassure her and calm her down. Further, I felt sorry for the 3 year old boy who was very much distracted by the surrounding environment. I was also concerned that the patient felt isolated when the screen was placed and might have felt judged due to her reactions. At this point, it would be essential to evaluate the experience and understand the implication for indigenous healthcare practice. Ms. G was in a vulnerable position due to her surgery at the recovery room and required the elimination of communication barriers. Though I attempted to resolve the issue by placing the screen, it only added to the anguish and stress suffered by the patient. It was, however, a good decision to call the interpreter upon applying critical analysis skills. In this manner I had been able to provide the patient with safe and companionate care. Analysis of the experience would help in drawing key messages from the scenario. According to Piercey and Robinson (2017) nurses are to be culturally competent while caring from patients from diverse ethnic backgrounds. Communication is perceived as the most basic component of cross culture care and nurses must be considering all possible mean of eliminating language barriers. I feel that I should have considered calling the interpreter right after the patient was brought in the recovery room. Though I have attempted to resolve the situation my ability to care for the patient proved to be insufficient. Chang and Daly (2015) suggested that nurses must address their deficits for ensuring that cross cultural and communication differences do not arise. Use of translators and interpreters is the best aid in this regard. Based on the literature at the time of analysis, it is clear that it would have been appropriate if I had called the interpreter for reducing the anxiety, stress and emotional pain felt by the patient under my care. In my opinion, it was in concern of both the patients to place the screen between them. Scarcity of resources might not enable the presence of an interpreter at certain point of time, but as advocates of patients a nurse must ensure to act in the patients best interest. Reflection on the nursing scenario entails changes to be brought in future practice based on RN Standards, UTS Graduate attributes and Indigenous Graduate attributes. As per the NMBA RN standard 1, nurses must engage in therapeutic and professional relationships. Further, as per standard 6, nurses must provide safe, appropriate and responsive quality nursing practice (Daly et al. 2017). I would adhere to these two standards in my future professional practice. The UTS Graduate attributes focus on ensuring that the graduates are well-rounded professionals who are ready to make a place for them in the respective domain in future. These attributes include communication and collaboration, Indigenous proficiency, professional competence, critical thinking, and leadership. As a healthcare professional, I would ensure that I demonstrate all these skills in due course of my practice. As per the Indigenous Graduate attributes, a graduate is to communicate effectively and ethically within Indig enous Australian contexts. Abiding by this statement, I would focus on engaging in effective communication with my clients from an indigenous background. At the end of the essay, it is to be concluded that as a healthcare professional delivering care to indigenous people, I would engage work in a more focused manner. The care process of a nurse is to be informed by attributes designed for ensuring indigenous health and wellbeing. I felt this reflective essay has been highly valuable in guiding my future practice. There lies immense scope of applying the key insights taken from the reflective work that would help in future professional development. This would be further informed by key nursing practice standards and attributes. References Chang, E. Daly, J., 2015.Transitions in Nursing-E-Book: Preparing for Professional Practice. Elsevier Health Sciences. Daly, J., Speedy, S. Jackson, D., 2017.Contexts of nursing: An introduction. Elsevier Health Sciences. Devitt, J., Anderson, K., Cunningham, J., Preece, C., Snelling, P. Cass, A., 2017. Difficult conversations: Australian Indigenous patients views on kidney transplantation.BMC nephrology,vol. 18, no. 1, p.310. Hunt, L., Ramjan, L., McDonald, G., Koch, J., Baird, D. Salamonson, Y., 2015. Nursing students' perspectives of the health and healthcare issues of Australian Indigenous people.Nurse education today,vol 35, no.3, pp.461-467. McEwen, M. Wills, E.M., 2017.Theoretical basis for nursing. Lippincott Williams Wilkins. Molloy, L., 2017. Nursing care and indigenous Australians: An autoethnography.Collegian,vol. 24, no. 5, pp.487-490. Piercey, C. Robinson, M., 2017. Indigenous nursing workforce, to achieve equality in healthcare services.Australian nursing midwifery journal,vol. 24, no.9, pp.39-39. Ramjan, L., Hunt, L. Salamonson, Y., 2016. Predictors of negative attitudes toward Indigenous Australians and a unit of study among undergraduate nursing students: A mixed-methods study.Nurse education in practice,vol. 17, pp.200-207.
Monday, December 2, 2019
The Problem of Bullying
Bullying is primarily based on intimidation and fear. The victim is physically assaulted or psychologically tortured to bring him or her to submission. In most of the cases, bullying involves verbal intimidation, physical assault and psychological torture. Victims of bullying are usually physically weak, socially disadvantaged, or both.Advertising We will write a custom report sample on The Problem of Bullying specifically for you for only $16.05 $11/page Learn More Since bullying takes various forms, it is not well defined by most laws (Ericson, 2001). However, it is obvious that most elements of bullying are criminalized in the United States. A person who is considered different among peers is likely to be a subject of bullying. While bullying is common among small children and teenagers, it is also found at the workplace. Supervisors and colleagues at the workplace may bully subordinates and other people who are not necessarily junior to them (Zapf E inarsen, 2001). For verbal, physical, or psychological abuse to qualify as bullying, it has to occur repeatedly (Rosenthal, 2008). The term bullying has is origin in Europe in the sixteenth century. It was associated with lovers, and particularly people who attempted to overprotect a target of their admiration. The first use of the term ââ¬Å"bullyâ⬠with its modern meaning was in the eighteenth century (Rosenthal, 2008). Since then, this term has been associated with repeated harassment or attack of a weaker person. When bullying continues into adulthood, the perpetrator is likely to be involved in crime. Most people who are bullies in their teenage years become criminals as adults, and are likely to be charged with assault and harassment in many cases. Childhood bullies may also propagate the vice as adults in their workplaces (Ericson, 2001). Some people use modern channels such as the internet to harass others by disseminating false or embarrassing information about their bullying victims. This is known as cyber bullying (Kowalski Limber, 2012). In California the senate has severally passed laws to deter bullying. Some of the bills passed recently in 2011 require all school administrations to deter bullying by developing and enforcing policies that protect schoolchildren from bullying. These laws were as a result of a suicide by a teenager known as Seth, who was harassed due to his unusual sexual orientation. Sethââ¬â¢s bullying continued due to the ignorance of his schoolââ¬â¢s administration and its failure to attend to the claims that the boy was a subject of overt bullying (Storey Slaby, 2008). Thus, Sethââ¬â¢s laws were designed to compel schools in California to modify their policies to cover gender and sexuality issues. A comprehensive state law on bullying was formulated and passed in 2003. This law covers all forms of bullying including harassment at the work place.Advertising Looking for report on social sciences? Let's see if we can help you! Get your first paper with 15% OFF Learn More Prior to Sethââ¬â¢s laws there was a vague definition of bullying laws in regard to sexuality. Sethââ¬â¢s case helped lobby for legislation of laws to protect people who could be easily targeted by bullies (Storey Slaby, 2008). Some states such as New Jersey are set to enact laws that will require schools to profile and report cases of bullying to the authorities (Storey Slaby, 2008). This will enable the authorities assess the prevalence of bullying incidences within the specific localities of their jurisdiction and react appropriately. While most states in the United States of America have laws to protect people from bullying, the federal government is yet to enact an anti-bullying law. In 1999 the state of Georgia was the first to pass an anti-bullying law. Since then, many states have followed suit by continuously passing anti-bullying laws (Zapf Einarsen, 2001). Although the federal government ha s never passed any laws specifically designed to counter bullying, some federal laws against harassment automatically criminalize some forms of bullying. Sexual harassment and physical harassment are criminal offenses in the United States according to the federal law. However, these laws may not cover cases of bullying among minors in schools. The reluctance of the federal government to enact such a law is because the particular legislation may be counterproductive. It is also possible for the enacted laws to contradict other regulations regarding the conduct of minors within learning institutions (Zapf Einarsen, 2001). While the legislature has made effort to pass laws against bullying in most states in the United States of America, the United Kingdomââ¬â¢s laws do not explicitly define bullying (School Amendment Act, 2011). In addition, there is no specific law intended to deter bullying as a defined offense. However, there are many laws that protect citizens from elements of bullying (Kowalski Limber, 2012). Some of the laws are universal, and are found in many countries around the world. Although the legislature in Britain has not passed anti-bullying laws, there are other institutions that have set regulations in order to minimize or eliminate bullying (School Amendment Act, 2011). This indicates that the United States of America is quite ahead of many other countries in enacting laws to protect children and adult citizens from any kind of harassment. Most societies consider bullying a usual occurrence among minors. Bullying is treated as a case of child delinquency or general indiscipline. While it is unacceptable to many parents, most guardians are lenient towards children who are bullies (Rosenthal, 2008). On the other hand, victims of bullying hardly report the problem to anyone. Although bullying is not considered a major social problem, it can be destructive to people, especially those people with special needs.Advertising We will write a custom report sample on The Problem of Bullying specifically for you for only $16.05 $11/page Learn More Furthermore, bullying metamorphoses into a tendency to commit crimes in later stages of life, particularly for those children who are not deterred from engaging in it (Rosenthal, 2008). With the awareness campaigns that are going on in the United States and other countries, the society is finally realizing that bullying is a serious problem and responding to it appropriately. Bullying has always been there throughout history of humankind. It may not be possible to completely eliminate bullying especially among siblings who have to live together and share many things. However, bullying in schools and workplaces can be eliminated by civil education and enactment of laws to discourage perpetration of the vice. One unique aspect of bullying is that it does not arise from the common imbalances in the society. Bullying is caused by stigmatization of certain gro ups of people, often based on their natural characteristics. Characteristics such as sexuality, race, size, and mental ability are some of the things that lead to cases of bullying. Only education can change the perspective of people towards bullying. Legislation of laws to deter people from bullying others may not prevent them from doing so. Harassment can be so discreet that it is impossible for any law to define it. When certain people are stereotyped and avoided, it is impossible to accuse the bully of any wrongdoing. However, the bully is in a position to hurt his or her victim through such actions. This kind of harassment can only be stopped by education of the people to eliminate stereotypes in the society. References Ericson, N. (2001). Addressing the Problem of Juvenile Bullying.à U.S. Department of Justice,à 6(27), 5-7. Kowalski, R. M., Limber, S. (2012).Cyberbullying bullying in the digital age. Chichester, West Sussex, UK: Wiley-Blackwell. Rosenthal, B. (2008).à B ullying. Detroit: Greenhaven Press.Advertising Looking for report on social sciences? Let's see if we can help you! Get your first paper with 15% OFF Learn More School Amendment Act, S. A. (2011, January 4). United Kingdom aAnti Bullying Laws.à BullyPolice.org. Web. Storey, K., Slaby, T. (2008). Eyes on Bullying . What Can You Do?.à IBM Global,à 5(5), 5-14. Zapf, D., Einarsen, S. (2001).à Bullying in the workplace. Hove, East Sussex, UK: Psychology Press. This report on The Problem of Bullying was written and submitted by user Naomi Velazquez to help you with your own studies. You are free to use it for research and reference purposes in order to write your own paper; however, you must cite it accordingly. You can donate your paper here.
Wednesday, November 27, 2019
Defining Wal-Mart
Defining Wal-Mart Wal-Mart is able to deliver their customers a quality product at low prices. Wal-Mart does this by being efficient. This efficiency shows how they are able to acquire goods from all over the world, and get them to stores, which in turn, are also all over the world. Only through a flawless logistical system is this ability able to send products to any location at a moments notice. Wal-Mart's effective logistical system lies in the flexibility it has when choosing suppliers. Wal-Mart will only pay the most competitive prices when negotiating with suppliers, and those suppliers know that. It would be simple for Wal-Mart to find a different supplier of a particular item with a lower price. This gives Wal-Mart a great amount of leeway when handling suppliers. Should a particular supplier know Wal-Mart has found a lower price, it will lower its own price accordingly. They know that Wal-Mart's logistical system can handle transition seamlessly and therefore they gain nothing by refusing to reduce their prices.English: Supermercado de Wal-Mart in Spring Branch...Another factor which allows Wal-Mart such low prices is that they buy in such large quantities that transportation from one end of the supply chain to another is not as costly for additional units. Wal-Mart buys in such quantities that they have the luxury of using bigger trucks which use less fuel to move their goods back and forth. Also, if they must resort to using shipping services to transport their items from one place to another, Wal-Mart will give them so much business they earn huge discounts. Wal-Mart is able to offer items much cheaper than competitors because their logistical system is so effective, and the reason it is so stems from its flexibility (Simchi-Levi, 2008). All of these elements together give a great deal of added value to the...
Saturday, November 23, 2019
Atticus Finch Biography
Atticus Finch Biography Atticus Finch is one of the greatest fictional figures in American literature. Both in the book and in the film, Atticus stands larger-than-life, bold-and-courageous against the falsehood and injustice. He risks his life and his career (seemingly without care), as he defends a black man against charges of rape (which were based on lies, fear, and ignorance). Where Atticus Appears (and Inspiration for This Character): Atticus first appears in Harper Lees only novel, ââ¬â¹Ã¢â¬â¹To Kill a Mockingbird. He is said to have been based on Lees own father,à Amasa Lee, (which puts a possible autobiographical slant to this famous novel). Amasa held a number of positions (including a bookkeeper and financial manager)he also practiced law in Monroe County, and his writing explored race-relations topics. When he prepared for the role of Atticus Finch in the film version,à ââ¬â¹Gregory Peck went to Alabama and met Lees father. (He appears to have died in 1962, the same year the Academy-Award-winning film was released). His Relationships During the course of the novel, we discover that his wife died, though we never find out how she died. Her death has left a gaping hole in the family, which has been (at least partially) filled by their housekeeper/cook (Calpurnia, a stern disciplinarian). There is no mention of Atticus in relation to other women in the novel, which seems to suggest that he is focused on doing his job (making a difference, and pursuing justice), while he raises his children, Jem (Jeremy Atticus Finch) and Scout (Jean Louise Finch). His Careerà Atticus is a Maycomb lawyer, and he appears to be descended from an old local family. Hes well-known in the community, and he appears to be well respected and liked. However, his decision to defend Tom Robinson against the false charges of rape lands him in a great deal of trouble. The Scottsboro Case, a legal court case involving nine black accused and convicted under extremely dubious evidence, occurred in 1931when Harper Lee was five-years-old. This case is also an inspiration for the novel.
Thursday, November 21, 2019
Discuss the events of one cardiac cycle (electrical and mechenical Essay
Discuss the events of one cardiac cycle (electrical and mechenical events) - Essay Example Cardiac muscles are myogenic, which means that their contractions are started by the muscle itself, the action beginning from the sino-atriol node. The first stage of the cardiac cycle is known as the ventricular filling, which involves the flow of blood from the atria to the ventricles. The other stages include the movement of blood from the right ventricle through the pulmonary artery and the left ventricle through the aorta (Guyton and Hall, 2006). The contraction of the heart muscles on the left and right atria, which contract at the same time, is known as the atria systole (Klabunde, 2012). The events begin with the electrical current, which stimulates the myocardium contracts the heart chambers. This is then followed by the mechanical events. The electrical currents of the heart begin at the Sino atria node where action potential is generated (Williams, 2001). In the Sino-atria node, there is a rich supply of cells, capillaries and nervous supply, and the electrical current travels across the right and left atria. The atria are separated from the ventricles by a non-conducting band of connective tissues. Between the cardiac muscles are disc called gap junctions that provide electrical resistance at a low rate. The stimulation of each muscle fiber causes an electrical current to pass over the whole heart hence no external stimulus is required. The wave reaches the atrio-ventricular nodes in the lower right atrium, where it delays for a short period of time before conduction to the ventricles through the bundles up the purkinje fibers (Klabunde, 2004). Delaying at the atrio-ventricular node allows enough time for blood in the atria to get into the right ventricles. The atrio-ventricular node may act as a pace maker, which makes the action potential slow and unstable, depolarization occurs constantly due to the fall of calcium and potassium ions and this effect on the resting potential affects the heart rate. The mechanical
Wednesday, November 20, 2019
Operating system memory management Essay Example | Topics and Well Written Essays - 2500 words
Operating system memory management - Essay Example It takes place in the following steps: The mapping from one address space to another is termed as binding. For a program to execute it must be copied into main memory at a particular location. Many instructions use "fixed" addresses these must be bound to "fixed" locations in the memory. This binding of instructions and data to memory addresses Dynamic loading involves loading routines into memory only when required. This is done during execution. Dynamic loading reduces the memory requirements of large programs. This is especially the case if there is a large set of infrequently used routines. Dynamic linking is often used for libraries. Only a "stub" of the library is kept in the programs image. When a program calls one of these routines, the routine is loaded and linked into memory. All programs share the one copy of the same library routine. Dynamic linking requires the operating systems intervention as sharing between processes is required. Implementation is done through memory tables to keep track of both main memory i.e. real memory as well as virtual memory. Also there is a unit MMU(Memory management unit) that performs the following tasks: Sometimes there may be a shortage of main memory due to the size of various applications and also in some cases several active processes may need to share memory at the same time. In such cases partitioning of memory is done. Partitioning refers to systematic division of memory into blocks so that a process may be allocated to a block. This is of various types: 1. Fixed partition memory management: This is the simplest memory management scheme for multiprogrammed system. Here the memory is divided into fixed partitions. This is done when the system is initialized and won't be changed during the system operation. This again of two types: Single partition allocation: Here the user is provided with a bare machine and has full control of entire memory space. It's advantages are: Maximum
Sunday, November 17, 2019
Sports minded individuals Essay Example for Free
Sports minded individuals Essay High school days are usually regarded as the most memorable moment in a studentââ¬â¢s life. For the conscientious group, it is a preparation for college life and a time to ponder on oneââ¬â¢s interest and career choice. For the less serious and happy-go-lucky young students, it is a time to establish close friendship and romantic relationship. For the sports minded individuals, it is a time to gear up and grab the attention of various college and university officials who may hand them their athletic scholarships. Regardless of whether students are deemed hard-working, lazy, diligent, or carefree, there is a special event in their life that will remain unforgettable ââ¬â the prom night. The summer of 2005 was not only spent swimming and sunbathing in the beach with my family and friends. I took advantage of the school break to scout for a reasonably priced and elegant prom gown. I spent many hours browsing the web for a suitable gown as I was undecided on whether to settle for a halter, strapless, off-shoulder, or V-neck gown. There were many times when I attempted to design my own evening wear but ended up tearing the paper and throwing them in the garbage can. I never realized that preparing for the prom was so difficult for a young high school lady. It was not only the gown that females need to prepare. The matching shoes and bag, earrings and necklace, hairstyle and make-up must also be an important part of our wardrobe. ââ¬Å"Ahhhâ⬠¦. I wish that I am a male and all I need to wear is a tux, a white shirt, ribbon, black shoes and socks. No need to wear any make-up and jewelry. All that is needed is a good haircut and a well-shaved faceâ⬠, I told myself while dropping to the bed when I reached a point of desperation in finding the right attire for me. Two weeks of my summer break was spent on learning how to do my own facial make-over. I had to call my friend, Gale to help me out as she was the most glamorous looking person in class. Gale never left home without fixing her hair and applying make-up. ââ¬Å"Owwâ⬠¦that hurts! â⬠I yelled as Gale plucked a fine hair in my eyebrow using a pair of tweezers. ââ¬Å"Hahahaâ⬠¦Donââ¬â¢t be a sissy, Faye! â⬠Gale uttered as she giggled at my reaction. ââ¬Å"Canââ¬â¢t you just use a thread instead? â⬠I asked as I vigorously massaged my eyebrow. ââ¬Å"Iââ¬â¢m not a beauty expert silly. It will only take a while and your virgin eyebrow will get used to thisâ⬠, Gale said as she continued to pluck more strands of hair from my eyebrow. ââ¬Å"Owwâ⬠¦Gale! â⬠I yelled again and massaged my eyebrow that has turned pinkish due to skin irritation and pain. Gale did not give up on me and she learned to ignore my deafening shout of pain. I am glad that my parents and younger brother were not at home at that time. I could imagine how much my brother would make fun of me and would mimic every action and words that I uttered. Towards the end of the eyebrow plucking session, I felt the cold sweat on my body and the discomfort in my tummy. When I felt the need to run to the restroom, I stood up but it was too late to control the unexpected. ââ¬Å"Pooootttâ⬠¦. pooottttâ⬠, the sound of my fart strikes the air. ââ¬Å"Yucckkkâ⬠¦. Faye! That was gross! â⬠Gale yelled as she covered her nose and walk towards to the window. ââ¬Å"Sorry Gale! â⬠I responded as my face turned pale. To blow the foul odor away, I grabbed a towel and wave it vigorously against the air. Just when I was about to wipe my sweat, Gale noticed something on my chair. ââ¬Å"Fayeâ⬠¦. whatââ¬â¢s this on your chair? â⬠she asked while looking closely at the chair I sat on. ââ¬Å"Goshâ⬠¦you peed on your chair! â⬠she uttered in disbelief as her blue eyes widened. Suddenly, I looked at her, gazed at the chair, touched the front and back side of my shorts and realized that I must have peed while Gale was plucking my eyebrow. While Gale was giggling, I quickly ran to the bathroom to change my shorts and underwear. It was an embarrassing experience for me considering that this was the only time Gale witnessed someone lose control of her bladder as a result of an eyebrow make-over. When I returned to my room, my chair was already clean and dry. Gale cleaned the mess that I created and I felt that I wanted to hide my face under my pillows and bed covers. Sensing my uneasiness and shame due to my silence, Gale tried to divert my attention by discussing the things that I must prepare for the prom. She also gave me tips on how to choose the right gown for my physique and how to fix my hair for the evening occasion. In spite of the humiliating incident, Gale continued to drop by our home to prepare me for the event. There was also a time when we listened to some popular songs and music that may be played during our prom. Then, we pretended to be the King and Queen of the night and we danced to the music of our favorite love song while we were singing together. Before the end of our summer vacation, I was able to apply my make-up and fix my hair with ease. It took some time before I was able to pluck and shape my eyebrow independently. There were many times when I asked Gale to help me and in every session I became wary of my bladder. I learned to take a break each time I find it difficult to tolerate the pain. The prom was indeed a memorable event in my life. Everyone was impressed with the changes in my appearance when they saw me dressed in halter gown, wearing a 3-inch high heeled pair of shoes, a make-up and an attractive hairdo. Gale became the prom queen and I became the girlfriend of the prom king a month after he unintentionally stepped on the hem of my gown that led me to lose my balance on the dance floor and bumped on the waiter who was serving drinks. Well, that was another embarrassing moment. Gale became my best friend and from time to time we both laugh as we recall the summer of our pre-prom preparation days.
Friday, November 15, 2019
Working With Multiracial Students Essay example -- melting pot, interra
America has always been considered the melting pot of the world, but in recent years with the climb in the number of interracial marriages, (Root 1996) American school systems must learn how to cater to the needs of multiracial students. In this paper, multiracial ââ¬Å"refers to people who are of two or more racial heritages. It is the most inclusive term to refer to people across all racial mixes. Thus it also includes biracial peopleâ⬠(Root 1996). Multiracial students face problems with developing their racial identity and feeling approval from peers who are not mixed, making their experiences in school more difficult especially in a social context (Gibbs 1990 as sited in moss and davis). For current and future educators, this means that there will be a growing need to support students from mixed backgrounds and create curriculums that cater to their needs as well as give those students positive perspectives on their racial make up. This paper will explore the complications that multiracial students face with their identity development and how schools and teachers can positively impact this development. Multiracial students face many problems coming to terms with their racial identity due to the inability to fall under a mono-racial category. In recent years, the amount of biracial births are out numbering the amount of mono-racial births, and these children will soon be entering the school system (Root 1996) with new unique problems when concerning their own racial identity. According to Poston, ââ¬Å"Racial identity is defined as "pride in one's racial and cultural identity" (1990, p. 152 as cited in counseling biracial students). Compared to mono-racial peers, multiracial students are faced with constant conflicts over how to embrac... ... all aspects that make up their racial identity (Root 1996). Multiracial inclusion can be laced into everyday activities and projects. Works Cited Harris, H. L. (2006). African american school counselors: Their perceptions of biracial individuals. Journal Of Professional Counseling: Practice, Theory & Research, 34(1/2), 1-19. Chiong, J. A. (1998). Racial categorization of multiracial children in schools. Greenwood Press Moss, R. C., & Davis, D. (2008). Counseling biracial students: A review of issues and interventions. Journal Of Multicultural Counseling & Development, 36(4), 219-230. Wallace, K. R. (2004). Working with multiracial students : Critical perspectives on research and practice. Greenwich, Conn: Information Age Publishing. Root, M., P., (1996) The multiracial experience: Racial borders as the new frontier. Copyright 1996 by Sage Publications, Inc.
Tuesday, November 12, 2019
Cystic Fibrosis
ââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬â- Introduction Cystic fibrosisà (also calledà CFà orà mucoviscidosis) is anà autosomalà recessiveà genetic disorderà that affects most critically theà lungs, and also theà pancreas,à liver, andà intestine. It is characterized by abnormal transport ofà chlorideà andà sodiumà across anà epithelium, leading to thick, viscous secretions. The nameà refers to the characteristicà scarringà (fibrosis) andà cystà formation within theà pancreas that was first recognized in the 1930s.Difficulty in breathingà is the most serious symptom and results from frequentà lung infectionsà which are treated withà antibiotics, therapies and several other medications. Otherà symptoms, includingà sinus infections,à poor growth, andà infertility affect other parts of the body. A breathing treatment for cystic fibrosis, usi ng a mask nebulizer and a ThAIRapy Vest A breathing treatment for cystic fibrosis, using a mask nebulizer and a ThAIRapy Vest CF is caused by aà mutationà in theà geneà for theà proteinà cystic fibrosis trans-membrane conductance regulatorà (CFTR).This protein is required to regulate the components of sweat,à digestiveà juices, andà mucus. CFTR regulates the movement ofà chlorideà andà sodium ions across epithelial membranes, such as the alveolar epithelia located in theà lungs. Although most people without CF have two working copies of the CFTR gene, only one is needed to prevent cystic fibrosis due to the disorder's recessive nature. CF develops when neither gene works normally (as a result of mutation) and therefore hasà autosomal recessiveà inheritance.CF is most common amongà Caucasians; one in 25 people of European descentà carries oneà alleleà for CF. Theà World Health Organizationà states that ââ¬Å"In the European Union, 1 in 200 0ââ¬â3000 new-borns is found to be affected by CFâ⬠. Individuals with cystic fibrosis can be diagnosed before birth byà genetic testing or by aà sweat testà in early childhood. Ultimately,à lung transplantationà is often necessary as CF worsens. ââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬â- Signs and symptomsThe hallmark symptoms of cystic fibrosis are salty tasting skin,à poor growth and poor weight gain despite a normal food intake,à accumulation of thick, sticky mucus, frequent chest infections, and coughing or shortness of breath. Signs and symptoms often appear in infancy and childhood, such asà bowel movement obstructionà in new-born babies. As the children grow, they must exercise to release the mucus present in the alveoli. Ciliatedà epithelial cells presentà in the patient have a mutated protein that leads to abnormally viscous mucus production.The poor growth in children typically presents as an inability to gain weight or height at the same rate as their peers and is occasionally not diagnosed until investigation is initiated for poor growth. The causes of growth failure are multifactorial and include chronic lung infection, poor absorption of nutrients through the gastrointestinal tract, and increased metabolic demand due to chronic illness. In rare cases, cystic fibrosis can manifest itself as a coagulation disorder. A double recessive allele is needed for cystic fibrosis to be apparent.Young children are especially sensitive to vitaminà malabsorptive disorders because only a very small amount of vitamin K crosses the placenta, leaving the child with very low reserves. Because factors II, VII, IX, and X (clotting factors) are vitamin Kââ¬âdependent, low levels of vitamin K can result in coagulation problems. Consequently, when a child presents with unexplained bruising, a coagulation evaluation may be warranted to determine whet her there is an underlying disease. Lungs and sinuses Lung disease results from clogging of the airways due to mucus build-up, decreasedà mucociliary clearance, and resultingà inflammation.Inflammation and infection cause injury and structural changes to the lungs, leading to a variety of symptoms. In the early stages, regular incessant coughing along with copiousà phlegmà production, and decreased ability to exercise are common. Many of these symptoms occur whenà bacteria that normally inhabit the thick mucus grow out of control and cause pneumonia. In later stages, changes in the architecture of the lung, such as pathology in the major airways (bronchiectasis), further exacerbate difficulties in breathing.Other symptoms include coughing up blood (hemoptysis), highà blood pressureà in the lung (pulmonary hypertension),à heart failure, difficulties getting enoughà oxygen to the body (hypoxia), and respiratory failure requiring support with breathing masks, such asà bi-level positive airway pressureà machines orà ventilators. Staphylococcus aureus, Haemophilus influenzae, andà Pseudomonas aeruginosaà are the three most common organisms causing lung infections in CF patients. In addition to typical bacterial infections, people with CF more commonly develop other types of lung disease.Among these isà allergic bronchopulmonary aspergillosis, in which the body's response to the commonà fungusà Aspergillus fumigatusà causes worsening of breathing problems. Another is infection with Mycobacterium aviumà complex (MAC), a group of bacteria related toà tuberculosis, which can cause a lot of lung damage and does not respond to common antibiotics. Mucus in theà paranasal sinusesà is equally thick and may also cause blockage of the sinus passages, leading to infection. This may cause facial pain, fever, nasal drainage, andà headaches.Individuals with CF may develop overgrowth of the nasal tissue (nasal polyps) due to inflammati on from chronic sinus infections. Recurrent sinonasal polyps can occur in as many as 10% to 25% of CF patients. These polyps can block the nasal passages and increase breathing difficulties. Cardiorespiratory complications are the most common cause of death (~80%) in patients at most CF centers in the United States. Gastrointestinal Prior to prenatal andà newborn screening, cystic fibrosis was often diagnosed when a newborn infant failed to pass feces (meconium).Meconium may completely block theà intestinesà and cause serious illness. This condition, calledà meconium ileus, occurs in 5ââ¬â10%à of newborns with CF. In addition, protrusion of internalà rectalà membranes (rectal prolapse) is more common, occurring in as many as 10% of children with CF, and it is caused by increased fecal volume, malnutrition, andà pressure due to coughing. The thick mucus seen in the lungs has a counterpart in thickened secretions from theà pancreas, an organ responsible for provi ding digestiveà that help break down food.These secretions block theà exocrineà movement of the digestive enzymes into theà duodenum and result in irreversible damage to the pancreas, often with painful inflammation (pancreatitis). Theà pancreatic ductsà are totally plugged in more advanced cases, usually seen in older children or adolescents. This causes atrophy of the exocrine glands and progressive fibrosis. The lack of digestive enzymes leads to difficulty absorbing nutrients with their subsequent excretion in the feces, a disorder known as malabsorption. Malabsorption leads toà malnutritionà and poor growth and evelopment because of calorie loss. Resultant hypoproteinemiaà may be severe enough to cause generalized edema. Individuals with CF also have difficulties absorbing the fat-soluble vitaminsà A,à D,à E, andà K. In addition to the pancreas problems, people with cystic fibrosis experience moreà heartburn, intestinal blockage byà intussusception , and constipation. Older individuals with CF may developà distal intestinal obstruction syndromeà when thickened feces cause intestinal blockage. Exocrine pancreatic insufficiency occurs in the majority (85% to 90%) of patients with CF.It is mainly associated with ââ¬Å"severeâ⬠CFTR mutations, where both alleles are completely nonfunctional (e. g. ?F508/? F508). It occurs in 10% to 15% of patients with one ââ¬Å"severeâ⬠and one ââ¬Å"mildâ⬠CFTR mutation where there still is a little CFTR activity, or where there are two ââ¬Å"mildâ⬠CFTR mutations. In these milder cases, there is still sufficient pancreatic exocrine function so that enzyme supplementation is not required. There are usually no other GI complications in pancreas-sufficient phenotypes, and in general, such individuals usually have excellent growth and development.Despite this, idiopathicà chronic pancreatitisà can occur in a subset of pancreas-sufficient individuals with CF, and is a ssociated with recurrent abdominal pain and life-threatening complications. Thickened secretions also may cause liver problems in patients with CF. Bileà secreted by the liver to aid in digestion may block theà bile ducts, leading to liver damage. Over time, this can lead to scarring and nodularity (cirrhosis). The liver fails to rid the blood of toxins and does not make importantà proteins, such as those responsible forà blood clotting. Liver disease is the third most common cause of death associated with cystic fibrosis.Endocrine Clubbing in the fingers of a person with cystic fibrosis Clubbing in the fingers of a person with cystic fibrosis Theà pancreasà contains theà islets of Langerhans, which are responsible for making insulin, a hormone that helps regulate bloodà glucose. Damage of the pancreas can lead to loss of the isletà cells, leading to a type of diabetes that is unique to those with the disease. This cystic fibrosis-related diabetesà (CFRD) shares characteristics that can be found inà type 1andà type 2à diabetics, and is one of the principal non-pulmonary complications of CF.Vitamin D is involved inà calciumà andà phosphateà regulation. Poor uptake of vitamin D from the diet because of malabsorption can lead to the bone diseaseà osteoporosisà in which weakened bones are more susceptible toà fractures. In addition, people with CF often develop clubbingà of their fingers and toes due to the effects of chronic illness andà low oxygenà in their tissues. Infertility Infertilityà affects both men and women. At least 97% of men with cystic fibrosis are infertile, but not sterile and can have children with assisted reproductive techniques.The main cause of infertility in men with cystic fibrosis is congenital absence of the vas deferensà (which normally connects theà testesà to theà ejaculatory ductsà of theà penis), but potentially also by other mechanisms such as causingà azoospermia,à te ratospermiaà andà oligoasthenospermia. Many men found to have congenital absence of the vas deferens during evaluation for infertility have a mild, previously undiagnosed form of CF. Some women have fertility difficulties due to thickened cervical mucus or malnutrition. In severe cases, malnutrition disruptsà ovulationà and causesà amenorrhea. ââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬â Cause CF is caused by aà mutationà in theà geneà cystic fibrosis trans-membrane conductance regulatorà (CFTR). The most common mutation,à ? F508, is a deletion (? signifying deletion) of three nucleotidesà that results in a loss of the amino acidà phenylalanineà (F) at the 508th position on the protein. This mutation accounts for two-thirds (66ââ¬â70%) of CF cases worldwide and 90% of cases in theà United States; however, there are over 1500 other mutations that can produce CF.Althou gh most people have two working copies (alleles) of the CFTR gene, only one is needed to prevent cystic fibrosis. CF develops when neither allele can produce a functional CFTR protein. Thus, CF is considered anà autosomal recessive disease. Theà CFTR gene, found at the q31. 2à locusà ofà chromosome 7, is 230,000à base pairsà long, and creates a protein that is 1,480à amino acidsà long. More specifically the location is between base pair 117,120,016 to 117,308,718 on the long arm of chromosome 7, region 3, band 1 and sub-band 2, represented as 7q31. . Structurally, CFTR is a type of gene known as anà ABC gene. The product of this gene (the CFTR) is a chloride ion channel important in creating sweat,à digestiveà juices andà mucus. This protein possesses twoà ATP-hydrolyzingà domains, which allows the protein to useà energyà in the form ofà ATP. It also contains two domains comprising 6à alpha helicesà apiece, which allow the protein to cross the cell membrane. A regulatoryà binding siteà on the protein allows activation byà phosphorylation, mainly byà cAMP-dependent protein kinase.Theà carboxyl terminalà of the protein is anchored to theà cytoskeletonà by aà PDZà domain interaction. In addition, there is increasing evidence thatà genetic modifiersà besides CFTR modulate the frequency and severity of the disease. One example isà mannan-binding lectin, which is involved inà innate immunityà by facilitatingà phagocytosisà of microorganisms. Polymorphisms in one or both mannan-binding lectin alleles that result in lower circulating levels of the protein are associated with a threefold higher risk of end-stage lung disease, as well as an increased burden of chronic bacterial infections. ââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬â Pathophysiology Molecular structure of the CFTR protein Molecular structure of the CFTR protein There are several mutations in theà CFTRà gene, and different mutations cause different defects in the CFTR protein, sometimes causing a milder or more severe disease. These protein defects are also targets for drugs which can sometimes restore their function. ?F508-CFTR, which occurs in >90% of patients in the U. S. , creates a protein that does notà foldà normally and is degraded by the cell.Other mutations result in proteins that are too short (truncated) becauseà productionà is ended prematurely. Other mutations produce proteins that do not use energy normally, do not allowà chloride iodideà andà thiocyanateà to cross the membrane appropriately,à or are degraded at a faster rate than normal. Mutations may also lead to fewer copies of the CFTR protein being produced. The protein created by this gene is anchored to theà outer membrane ofà cellsà in theà sweat glands, lungs, pancreas, and all other remaining exocrine glands in the body.Th e protein spans this membrane and acts as aà channelà connecting the inner part of the cell (cytoplasm) to theà surrounding fluid. This channel is primarily responsible for controlling the movement of halogens from inside to outside of the cell; however, in the sweat ducts it facilitates the movement of chloride from the sweat into the cytoplasm. When the CFTR protein does not work, chloride and thiocyanateà are trapped inside the cells in the airway and outside in the skin. Thenà hypothiocyanite, OSCN, cannot be produced by immune defense system.Because chloride isà negatively charged, this creates a difference in the electrical potential inside and outside the cell causingà cationsà to cross into the cell. Sodium is the most common cation in the extracellular space and the combination of sodium and chloride creates theà salt, which is lost in high amounts in the sweat of individuals with CF. This lost salt forms the basis for the sweat test. Most of the damage in CF is due to blockage of the narrow passages of affected organs with thickened secretions.These blockages lead to remodeling and infection in the lung, damage by accumulated digestive enzymes in the pancreas, blockage of the intestines by thick faeces, etc. There are several theories on how the defects in the protein and cellular function cause the clinical effects. One theory is that the lack of halogen and pseudohalogen (mainly, chloride, iodide and thiocyanate) exiting through the CFTR protein leads to the accumulation of more viscous, nutrient-rich mucus in the lungs that allows bacteria to hide from the body'sà immune system.Another theory is that the CFTR protein failure leads to a paradoxical increase in sodium and chloride uptake, which, by leading to increased water reabsorption, creates dehydrated and thick mucus. Yet another theory is that abnormal chloride movementà outà of the cell leads to dehydration of mucus, pancreatic secretions, biliary secretions, etc. Chr onic infections The lungs of individuals with cystic fibrosis are colonized and infected by bacteria from an early age. These bacteria, which often spread among individuals with CF, thrive in the altered mucus, which collects in the small airways of the lungs.This mucus leads to the formation of bacterial microenvironments known as biofilms that are difficult for immune cells and antibiotics to penetrate. Viscous secretions and persistent respiratory infections repeatedly damage the lung by gradually remodeling the airways, which makes infection even more difficult to eradicate. Over time, both the types of bacteria and their individual characteristics change in individuals with CF. In the initial stage, common bacteria such asà Staphylococcus aureusà andà Hemophilus influenzaeà colonize and infect the lungs.Eventually,à Pseudomonas aeruginosaà (and sometimesà Burkholderia cepacia) dominates. By 18 years of age, 80% of patients with classic cystic fibrosis harborà Ps eudomonas aeruginosa, and another 3. 5% harbor Burkholderia cepacia. Once within the lungs, these bacteria adapt to the environment and developà resistanceà to commonly used antibiotics. Pseudomonasà can develop special characteristics that allow the formation of large colonies, known as ââ¬Å"mucoidâ⬠à Pseudomonas, which are rarely seen in people that do not have CF. One way infection spreads is by passing between different individuals with CF.In the past, people with CF often participated in summer ââ¬Å"CF Campsâ⬠and other recreational gatherings. Hospitals grouped patients with CF into common areas and routine equipment (such asà nebulizers)à was not sterilized between individual patients. This led to transmission of more dangerous strains of bacteria among groups of patients. As a result, individuals with CF are routinely isolated from one another in the healthcare setting and healthcare providers are encouraged to wear gowns and gloves when examining p atients with CF to limit the spread of virulent bacterial strains.CF patients may also have their airways chronically colonized by filamentous fungi (such asà Aspergillus fumigatus,à Scedosporium apiospermum,à Aspergillus terreus) and/or yeasts (such asà Candida albicans); other filamentous fungi less commonly isolated include Aspergillus flavusà andà Aspergillus nidulansà (occur transiently in CF respiratory secretions), andà Exophiala dermatitidisà and Scedosporium prolificansà (chronic airway-colonizers); some filamentous fungi likeà Penicillium emersoniià andà Acrophialophora fusisporaare encountered in patients almost exclusively in the context of CF.Defective mucociliary clearance characterizing CF is associated with local immunological disorders. In addition, the prolonged therapy with antibiotics and the use of corticosteroid treatments may also facilitate fungal growth. Although the clinical relevance of the fungal airway colonization is still a ma tter of debate, filamentous fungi may contribute to the local inflammatory response, and therefore to the progressive deterioration of the lung function, as often happens with allergic broncho-pulmonary aspergillosis (ABPA) ââ¬â the ost common fungal disease in the context of CF, involving a Th2-driven immune response to Aspergillus. ââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬â- Diagnosis and monitoring CFTR gene on chromosome 7 CFTR gene on chromosome 7 Cystic fibrosis may be diagnosed by many different methods includingà newborn screening,à sweat testing, and genetic testing. As of 2006 in the United States, 10 percent of cases are diagnosed shortly after birth as part of newborn screening programs.The newborn screen initially measures for raised blood concentration of immunoreactive trypsinogen. Infants with an abnormal newborn screen need a sweat test to confirm the CF diagnosis. In many cases, a parent makes the diagnosis because the infant tastes salty. Trypsinogenà levels can be increased in individuals who have a single mutated copy of theà CFTRà gene (carriers) or, in rare instances, in individuals with two normal copies of theà CFTRà gene. Due to theseà false positives, CF screening in newborns can be controversial.Most states and countries do not screen for CF routinely at birth. Therefore, most individuals are diagnosed after symptoms (e. g. sinopulmonary disease and GI manifestations) prompt an evaluation for cystic fibrosis. The most commonly used form of testing is the sweat test. Sweat-testing involves application of a medication that stimulates sweating (pilocarpine). To deliver the medication through the skin, iontophoresisà is used to, whereby oneà electrodeà is placed onto the applied medication and an electric currentà is passed to a separate electrode on the skin.The resultant sweat is then collected on filter paper or in a capi llary tube and analyzed for abnormal amounts ofà sodiumà andà chloride. People with CF have increased amounts of sodium and chloride in their sweat. In contrast, people with CF have less thiocyanate andà hypothiocyaniteà in their saliva and mucus. CF can also be diagnosed by identification of mutations in the CFTR gene. People with CF may be listed in aà disease registryà that allows researchers and doctors to track health results and identify candidates forà clinical trials. PrenatalCouples who are pregnant or planning a pregnancy can have themselves tested for the CFTR gene mutations to determine the risk that their child will be born with cystic fibrosis. Testing is typically performed first on one or both parents and, if the risk of CF is high, testing on theà fetusà is performed. Theà American College of Obstetricians and Gynecologistsà (ACOG) recommends testing for couples who have a personal or close family history of CF, and they recommend that carrie r testing be offered to all Caucasian couples and be made available to couples of other ethnic backgrounds.Because development of CF in the fetus requires each parent to pass on a mutated copy of the CFTR gene and because CF testing is expensive, testing is often performed initially on one parent. If testing shows that parent is a CFTR gene mutation carrier, the other parent is tested to calculate the risk that their children will have CF. CF can result from more than a thousand different mutations, and as of 2006 it is not possible to test for each one. Testing analyzes the blood for the most common mutations such as ? F508ââ¬âmost commercially available tests look for 32 or fewer different mutations.If a family has a known uncommon mutation, specific screening for that mutation can be performed. Because not all known mutations are found on current tests, a negative screen does not guarantee that a child will not have CF. During pregnancy, testing can be performed on theà pla centaà (chorionic villus sampling) or the fluid around the fetus (amniocentesis). However,à chorionic villus samplingà has a risk of fetal death of 1 in 100 and amniocentesis of 1 in 200;à a recent study has indicated this may be much lower, approximately 1 in 1,600.Economically, for carrier couples of cystic fibrosis, when comparing pre-implantation genetic diagnosis (PGD) with natural conception (NC) followed by prenatal testing and abortion of affected pregnancies, PGD provides net economic benefits up to a maternal age of approximately 40 years, after which NC, prenatal testing and abortion has higher economic benefit. ââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬â- Management While there are no cures for cystic fibrosis there are several treatment methods. The management of cystic fibrosis has improved significantly over the past 70 years.While infants born with cystic fibrosis 70 years ag o would have been unlikely to live beyond their first year, infants today are likely to live well into adulthood. Recent advances in the treatment of cystic fibrosis have meant that an individual with cystic fibrosis can live a fuller life less encumbered by their condition. The cornerstones of management are proactive treatment ofà airway infection, and encouragement of good nutrition and an active lifestyle. Management of cystic fibrosis continues throughout a patient's life, and is aimed at maximizing organ function, and therefore quality of life.At best, current treatments delay the decline in organ function. Because of the wide variation in disease symptoms treatment typically occurs at specialist multidisciplinary centers, and is tailored to the individual. Targets for therapy are theà lungs,à gastrointestinal tractà (including pancreatic enzyme supplements), theà reproductive organsà (including (ART) and psychological support. The most consistent aspect of therapy in cystic fibrosis is limiting and treating the lung damage caused by thick mucus and infection. Intravenous,à inhaled, and oral antibiotics are used to treat chronic and acute infections.Mechanical devices and inhalation medications are used to alter and clear the thickened mucus. These therapies, while effective, can be extremely time-consuming for the patient. One of the most important battles that CF patients face is finding the time to comply with prescribed treatments while balancing a normal life. In addition, therapies such asà transplantationà andà gene therapyà aim to cure some of the effects of cystic fibrosis. Gene therapy aims to introduce normal CFTR to airway. Theoretically this process should be simple as the airway is easily accessible and there is only a single gene defect to correct.There are two CFTR gene introduction mechanisms involved, the first use of a viral vector (adenovirus, adeno-associated virus or retro virus) and secondly the use ofà lipo some. However there are some problems associated with these methods involving efficiency (liposomes insufficient protein) and delivery (virus provokes an immune response). Antibiotics Many CF patients are on one or moreà antibioticsà at all times, even when healthy, toà prophylacticallyà suppress infection. Antibiotics are absolutely necessary whenever pneumonia is suspected or there has been a noticeable decline in lung function, and are usually chosen based on the results of a putum analysis and the patient's past response. This prolonged therapy often necessitates hospitalization and insertion of a more permanentà IVà such as aà peripherally inserted central catheterà (PICC line) orà Port-a-Cath. Inhaled therapy with antibiotics such as tobramycin,à colistin, andà aztreonamà is often given for months at a time to improve lung function by impeding the growth of colonized bacteria. Oral antibiotics such as ciprofloxacin orà azithromycinà are given to hel p prevent infection or to control ongoing infection. Theà aminoglycosideà antibiotics (e. g. obramycin) with long-term use can causeà several side effects such as hearing loss, damaging theà balance systemà present in theà inner earà and producing many chronic kidney problemsà . To prevent theseà side-effects, the amount of antibiotics in the blood are routinely measured and adjusted accordingly. Other treatments for lung disease Several mechanical techniques are used to dislodge sputum and encourage its expectoration. In the hospital setting, chest physiotherapy (CPT) is utilized; a respiratory therapist percusses an individual's chest with his or her hands several times a day, to loosen up secretions.Devices that recreate this percussive therapy include theà ThAIRapy Vestà and theà intrapulmonary percussive ventilatorà (IPV). Newer methods such asà Biphasic Cuirass Ventilation, and associated clearance mode available in such devices, integrate a cough a ssistance phase, as well as a vibration phase for dislodging secretions. These are portable and adapted for home use. Aerosolized medications that help loosen secretions includeà dornase alfaà andà hypertonicà saline. Dornase is aà recombinantà human deoxyribonuclease, which breaks down DNA in theà sputum, thus decreasing itsà viscosity.Denufosolà is an investigational drug that opens an alternative chloride channel, helping to liquefy mucus. As lung disease worsens, mechanical breathing support may become necessary. Individuals with CF may need to wear special masks at night that help push air into their lungs. These machines, known asà bi-level positive airway pressureà (BiPAP) ventilators, help prevent low blood oxygen levels during sleep. BiPAP may also be used during physical therapy to improve sputum clearance. During severe illness, aà tubeà may be placed in the throat (a procedure known as aà tracheostomy) to enable breathing supported by aà ven tilator.For children living with CF, preliminary studies show pediatric massage therapy may improve patients and their familiesââ¬â¢ quality of life, though more rigorous studies must be done. Transplantation Lung transplantationà often becomes necessary for individuals with cystic fibrosis as lung function ceases andà exercise toleranceà declines. Although single lung transplantation is possible in other diseases, individuals with CF must have both lungs replaced because the remaining lung might contain bacteria that could infect the transplanted lung.A pancreatic or liver transplant may be performed at the same time in order to alleviate liver disease and/or diabetes. Lung transplantation is considered when lung function declines to the point where assistance from mechanical devices is required or patient survival is threatened. Other aspects Intracytoplasmic sperm injection can be used to provide fertility for men with cystic. .fibrosis Intracytoplasmic sperm injection c an be used to provide fertility for men with cystic. .fibrosis New-borns with intestinal obstruction typically require surgery, whereas adults withà distal intestinal obstruction syndrome typically do not.Treatment of pancreatic insufficiency by replacement of missing digestive enzymes allows the duodenum to properly absorb nutrients and vitamins that would otherwise be lost in the faeces. So far, no large-scale research involving the incidence ofà atherosclerosisà andà coronary heart diseaseà in adults with cystic fibrosis has been conducted. This is likely due to the fact that the vast majority of people with cystic fibrosis do not live long enough to develop clinically significant atherosclerosis or coronary heart disease.Diabetesà is the most common non-pulmonary complication of CF. It mixes features ofà type 1andà type 2à diabetes, and is recognized as a distinct entity,à cystic fibrosis-related diabetes (CFRD). While oralà anti-diabetic drugsà are somet imes used, the only recommended treatment is the use ofà insulinà injections or anà insulin pump,à and unlike in type 1 and 2 diabetes, dietary restrictions are not recommended. Development ofà osteoporosisà can be prevented by increased intake of vitamin D andà calcium, and can be treated byà bisphosphonates, althoughà adverse effectsà can be an issue.Poor growth may be avoided by insertion of aà feeding tubeà for increasingà caloriesà through supplemental feeds or by administration of injectedà growth hormone. Sinus infections are treated by prolonged courses of antibiotics. The development of nasal polyps or other chronic changes within the nasal passages may severely limit airflow through the nose, and over time reduce the patient's sense of smell. Sinus surgery is often used to alleviate nasal obstruction and to limit further infections. Nasal steroids such asà fluticasoneà are used to decrease nasal inflammation.Female infertility may be overc ome byà assisted reproductionà technology (ART) with the help of embryo transferà techniques. Male infertility caused by absence of theà vas deferensà may be overcome withà testicular sperm extractionà (TEST), collecting sperm cells directly from the testicles. If the collected sample contains too few sperm cells to likely have a spontaneousà fertilization,à intracytoplasmic sperm injectionà can be performed. Third party reproductionà is also a possibility for women with CF. ââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬â- PrognosisThe prognosis for cystic fibrosis has improved due to earlier diagnosis through screening, better treatment and access to health care. In 1959, the median age of survival of children with cystic fibrosis in the United States was six months. In 2008, survival averaged 37. 4 years. In Canada, median survival increased from 24 years in 1982 to 47. 7 in 2007 . Of those with cystic fibrosis who are more than 18 years old as of 2009; 92% had graduated fromà high school, 67% had at least some college education, 15% were disabled and 9% were unemployed, 56% were single and 39% were married or living with a partner.In Russiaà the overall median age of patients is 25, which is caused by the absence or high cost of medication and the fact that lung transplantation is not performed. Quality of life Chronic illnesses can be very difficult to manage. Cystic fibrosis (CF) is a chronic illness that affects the ââ¬Å"digestive and respiratory tracts resulting in generalized malnutrition and chronic respiratory infectionsâ⬠. The thick secretions clog the airways in the lungs, which often cause inflammation and severe lung infections. Therefore, mucus makes it challenging to breathe.If it is compromised, it affects the quality of life of someone with CF, and their ability to complete such tasks as everyday chores. It is important for CF pati ents to understand the detrimental relationship that chronic illnesses place on the quality of life. Havermans and colleagues (2006) have shown that young outpatients with CF that have participated in the CFQ-R (Cystic Fibrosis Questionnaire-Revised) ââ¬Å"rated some QOL domains higher than did their parentsâ⬠. Consequently, outpatients with CF have a more positive outlook for themselves.Furthermore, there are many ways to improve the QOL in CF patients. Exercise is promoted to increase lung function. The fact of integrating an exercise regimen into the CF patientââ¬â¢s daily routine can significantly improve the quality of life. There is no definitive cure for Cystic Fibrosis. However, there are diverse medications used such as, mucolytics, bronchodilators, steroids and antibiotics that have the purpose of loosening mucus, expanding airways, decreasing inflammation and fighting lung infections. ââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬â ââ¬âââ¬âââ¬âââ¬âââ¬âââ¬â-Epidemiology Mutation| Frequency worldwide| ?F508| 66%ââ¬â70%| G542X| 2. 4%| G551D| 1. 6%| N1303K| 1. 3%| W1282X| 1. 2%| All others| 27. 5%| Cystic fibrosis is the most common life-limiting autosomal recessive disease among people ofà Caucasian heritage. In the United States, approximately 30,000 individuals have CF; most are diagnosed by six months of age. Inà Canada, there are approximately 3,500 people with CF. Approximately 1 in 25 people of European descent, and one in 30 of Caucasian Americans, is a carrier of a cystic fibrosis mutation.Although CF is less common in these groups, approximately 1 in 46à Hispanics, 1 in 65à Africansà and 1 in 90 Asiansà carry at least one abnormal CFTR gene. Ireland has the world's highest incidence of cystic fibrosis, at 1:1353. Although technically aà rare disease, cystic fibrosis is ranked as one of the most widespread life-shortening genetic diseases. It is most common among nations in the Western world. An exception isà Finland, where only one in 80 people carry a CF mutation. In the United States, 1 in 4,000 children are born with CF. In 1997, about 1 in 3,300 Caucasian children in the United States was born with cystic fibrosis.In contrast, only 1 in 15,000 African American children suffered from cystic fibrosis, and in Asian Americans the rate was even lower at 1 in 32,000. Cystic fibrosis is diagnosed in males and females equally. For reasons that remain unclear, data has shown that males tend to have a longerà life expectancyà than females,à however recent studies suggest this gender gap may no longer exist perhaps due to improvements in health care facilities,à while a recent study from Ireland identified a link between the female hormone, estrogen and worse outcomes in CF.The distribution of CF alleles varies among populations. The frequency of ? F508 carriers has been estimated at 1:200 in northern Sweden, 1:143 in Lithuanians, and 1 :38 in Denmark. No ? F508 carriers were found among 171à Finnsà and 151à Saami people. ?F508 does occur in Finland, but it is a minority allele there. Cystic fibrosis is known to occur in only 20 families (pedigrees) in Finland. Hypotheses about prevalence Theà ? F508à mutation is estimated to be up to 52,000 years old. Numerous hypotheses have been advanced as to why such a lethal mutation has persisted and spread in the human population.Other common autosomal recessive diseases such asà sickle-cell anemia have been found to protect carriers from other diseases, a concept known asà heterozygote advantage. Resistances to the following have all been proposed as possible sources of heterozygote advantage: * Cholera: With the finding and discovery thatà cholera toxinà requires normal host CFTR proteins to function properly, it was hypothesized that carriers of mutant CFTR genes benefited from resistance to cholera and other causes of diarrhea. Further studies have not confirmed this hypothesis. Typhoid: Normal CFTR proteins are also required essentially for the entry ofà Salmonella typhià into cells,à suggesting that carriers of the mutant CFTR genes might be resistant toà typhoid fever. Noà in vivoà study has yet confirmed this. In both cases, the low level of cystic fibrosis outside of Europe, in places where both cholera and typhoid fever areà endemic, is not immediately explicable. * Diarrhea: It has also been hypothesized that the prevalence of CF in Europe might be connected with the development of cattle domestication. In this hypothesis, carriers of a ingle mutant CFTR chromosome had some protection from diarrhea caused by lactose intolerance, prior to the appearance of the mutations that created lactose tolerance. * Tuberculosis: Another explanation is that carriers of the gene could have some resistance to TB. ââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âà ¢â¬âââ¬â- History It is supposed that CF appeared about 3,000 BC because of migration of peoples, gene mutations, and new conditions in nourishment. Although the entire clinical spectrum of CF was not recognized until the 1930s, certain aspects of CF were identified much earlier.Indeed, literatureà from Germany and Switzerland in the 18th century warnedà Wehe dem Kind, das beim Ku? auf die Stirn salzig schmekt, er ist verhext und muss bald sterbeor ââ¬Å"Woe to the child who tastes salty from a kiss on the brow, for he is cursed and soon must die,â⬠recognizing the association between the salt loss in CF and illness. Dorothy Hansine Andersen Dorothy Hansine Andersen In the 19th century,à Carl von Rokitanskyà described a case of fetal death withà meconium peritonitis, a complication of meconium ileus associated with cystic fibrosis.Meconium ileus was first described in 1905 byà Karl Landsteiner. In 1936,à Guido Fanconià published a paper describing a conn ecting link betweenà celiac disease, cystic fibrosis of the pancreas, and bronchiectasis. In 1938à Dorothy Hansine Andersenà published an article, ââ¬Å"Cystic Fibrosis of the Pancreas and Its Relation to Celiac Disease: a Clinical and Pathological Study,â⬠in theà American Journal of Diseases of Children. She was the first to describe the characteristic cystic fibrosis of the pancreas and to correlate it with the lung and intestinal disease prominent in CF.She also first hypothesized that CF was a recessive disease and first used pancreatic enzyme replacement to treat affected children. In 1952 Paul di Sant' Agnese discovered abnormalities inà sweatà electrolytes; aà sweat testà was developed and improved over the next decade. The first linkage between CF and another marker (Paroxonase) was found in 1985, indicating that only one locus exists for CFà Hans Eiberg. In 1988 the first mutation for CF,à ? F508à was discovered byà Francis Collins,à Lap-Che e Tsuià andà John R. Riordanà on the seventh chromosome.Subsequent research has found over 1,000 different mutations that cause CF. Because mutations in the CFTR gene are typically small,à classical geneticsà techniques had been unable to accurately pinpoint the mutated gene. Using protein markers,à gene-linkageà studies were able to map the mutation to chromosome 7. Chromosome-walking andà -jumpingà techniques were then used to identify andà sequenceà the gene. In 1989 Lap-Chee Tsui led a team of researchers at the Hospital for Sick Childrenà inà Torontoà that discovered the gene responsible for CF.Cystic fibrosis represents the first genetic disorder elucidated strictly by the process ofà reverse genetics. ââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬â- Research Gene therapy Gene therapyà has been explored as a potential cure for cystic fibrosis. Ideally, gene therapy places a normal copy of theà CFTR gene into affected cells. Transferring the normal CFTR gene into the affected epithelium cells would result in the production of functional CFTR in all target cells, without adverse reactions or an inflammation response.Studies have shown that to prevent the lung manifestations of cystic fibrosis, only 5ââ¬â10% the normal amount of CFTRà gene expressionà is needed. Multiple approaches have been tested for gene transfer, such as liposomes and viral vectors in animal models and clinical trials. However, both methods were found to be relatively inefficient treatment options. The main reason is that very few cells take up the vector and express the gene, so the treatment has little effect. Additionally, problems have been noted in cDNA recombination, such that the gene introduced by the treatment is rendered unusable.With the help of theà Cystic Fibrosis Trust, which has a league of highly professional gene therapists, both somatic and Adeno -associated viral vector have made advances. Theà Adenoviridae, or more commonly known as the cold virus, is genetically altered, allowing the CFTR gene to enter lung cells. Small molecules A number ofà small moleculesà that aim at compensating various mutations of the CFTR gene are under development. One approach is to develop drugs that get the ribosome to overcome theà stop codonà and synthesize a full-length CFTR protein.About 10% of CF results from a premature stop codon in the DNA, leading to early termination of protein synthesis and truncated proteins. These drugs target nonsense mutationsà such as G542X, which consists of the amino acidà glycineà in position 542 being replaced by a stop codon. Aminoglycoside antibiotics interfere with DNA synthesis and error-correction. In some cases, they can cause the cell to overcome the stop codon, insert a random amino acid, and express a full-length protein.The aminoglycosideà gentamicinà has been used to treat lun g cells from CF patients in the laboratory to induce the cells to grow full-length proteins. Another drug targeting nonsense mutations isà ataluren, which is undergoing Phase III clinical trials as of October 2011. BIBLIOGRAPHY 1. BIOLOGY TEXTBOOK FOR CLASS ââ¬â XII (NCERT) 2. TRUEMANââ¬â¢S BIOLOGY FOR CLASS ââ¬â XII 3. SCIENCE REPORTER (September, 2007) 4. THE NEWYORK TIMES (December 22, 2009) 5. www. google. co. in/cysticfibrosis 6. en. wikipedia. org/wiki/Cystic_fibrosis 7. www. ncbi. nlm. nih. gov 8. www. cff. org/ 9. www. cysticfibrosis. com/ 10. www. cftrust. org. uk/
Sunday, November 10, 2019
Human Resources Information System (Hris) Essay
There are many different purposes, functions and components to HRIS software systems. Technology has been constantly expanding, and with all the new possibilities, companies are able to use these software systems to help their HR departments perform their jobs faster and easier. Large businesses want to make the most amount of money, by spending the least amount possible; with HRIS they are able to realistically achieve this goal. Businesses need to grow and expand or they will not succeed. The main purpose of an HRIS is so companies can use it internally to keep track of the storeââ¬â¢s budget, payroll and employee information more accurately and efficiently. Many large human resource organizations develop or buy these software systems to improve their HR operations while trying to keep the total operating costs low. The more a business can save on wages, the more it can spend on the company internally, to invest in improving the other departments as well. Some companies use HRIS systems to help them communicate worldwide; companies can have one business with several stores around the world that speak different languages. HRIS software systems main function is to help HR personnel handle and process large quantities of information that is tracked and updated automatically; this allows HR staff to focus on personal interaction with employees, instead of dedicating the majority of their time to paperwork. The key functions of an HRIS software system are to create and maintain employee record, adhere to legal compliance, forecasting for future planning, strategic alignment and enhanced decision making (Dessler, 2011, pg 61). The other functions that an HRIS system can perform include items such as control, effectiveness, flexibility, efficiency, responsiveness, accuracy, ease of use, automation, timeliness and process improvement (HR Systems Strategies Inc, n.d., pg. 1). The companies that are worldwide can use this to communicate the same thing to other countries with the HRIS system. HRIS software systems can have many components to it; however, not all companies require the same components. The general components that most large HR organizations have include a database to store employee information, time and labour management to track employee attendance, payroll to ensure employees are paid correctly and legally, benefits to ensure employees have appropriate benefits and retirement investments, recruitment to help build the companyââ¬â¢s workforce, training for new or promoted employees, organization charting and scheduling for employees shifts and breaks and an employee interface for employees to review personal information (Jennifer, n.d., pg. 1)(Dessler, 2011, pg 58). Some companies can develop their software systems to be capable of performing things such as a salary analysis, budget planning, job design and performance reviews (Cezanne, n.d., pg. 1). The cost of an HRIS software system can depend on many factors, such as how complex or simple it is and if it was specialized for your company or if it is a general system. Large companies such as fortune 500 can run systems around the tens of millions of dollars, but smaller companies can run systems for less than a thousand dollars (HRIS, HRMS and HR, n.d., pg. 1). The reality is that there are many different HRIS software systems for any price range, but however much you invest into it, is how much you will get out. The HRIS system that a company chooses should not be based on how complex the system is, but how beneficial the system will be to help improve the businesses HR department. The impact of technology has changed the role of HR in many different aspects. The most obvious positive effect of using technology in an HR department is the increase of accuracy and efficiency, which in turn reduces costs and improves results within the company. The use of technology makes it able for HR to dedicate less time to paperwork and more time to employee interaction (Hall, 2012, pg. 1). Works Cited ââ¬Å"Cezanne.â⬠Cezanne. Cezanne Software Limited, n.d. Web. 20 Sept. 2012. . Dessler, Gary , and Nina D. Cole. ââ¬Å"Human Resources Management and Technology.â⬠Human Resources Management in Canada. 11th Canadian Edition ed. Toronto: Pearsons Canada, 2011. 58,59,61,62, 63. Print. ââ¬Å"HR Systems Strategies Inc | HRIS Software Canada / US.â⬠HR Systems Strategies Inc | HRIS Software Canada / US. N.p., n.d. Web. 20 Sept. 2012. . ââ¬Å"HRIS, HRMS and HR software FAQà ¢Ã¢â ¬Ã¢â ¢s.â⬠Free HRIS HRMS and HR Software Buyers Guide. N.p., n.d. Web. 20 Sept. 2012. . Hall, James. ââ¬Å"Impact of technology on human resource management | Importance of Technology.â⬠Importance of Technology. N.p., 1 Mar. 2012. Web. 20 Sept. 2012. . Jennifer, Kristin. ââ¬Å"The Components of an HRIS System | eHow.com.â⬠eHow | How to Videos, Articles & More ââ¬â Discover the expert in you. | eHow.com. N.p., n.d. Web. 20 Sept. 2012. .
Friday, November 8, 2019
No Topic Example
No Topic Example No Topic ââ¬â Coursework Example I totally agree with the that MIS becomes very vital to any business MIS as a is very vital forany business student. It will give the business student the background they need to understand, assess, evaluate, and even apply emerging business information systems technology. The key highlight of the authorââ¬â¢s convincing opinion is that MIS course to any business school student is the epitome of expansion of business information and empowering any student in handling individual research and enhance their marketability in the job market in the future. The World has become very dynamic and competitive and one would agree with the author the increased international competition due to rapid technological transformation that place the spotlight on the business skills or preparation of the student to the job market, specifically the ability of the business to adapt to dynamic technological environment. This makes MIS thus becomes very relevant to any business student in acquiring skill s necessary in this the nature of organizations.Additionally, through critical analysis, the future business professionals require to be capable to understand, assess, analysis, and apply the dynamic and emerging business information technology to business. This makes MIS class the most important class an undergraduate business student will take. A student would thus need the knowledge of MIS as a course to attain the required skills. MIS majors are uniquely able to understand how information technology may contribute to an industry success, and how to create and apply business information technology focused business solutions.Work citedKroenke, David. "Chapter 1: The Importance of MIS."à Using MIS. Upper Saddle River, NJ: Prentice Hall, 2011. 1-23. Print
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