Friday, October 18, 2019

Analyze one week of world economy Essay Example | Topics and Well Written Essays - 500 words - 3

Analyze one week of world economy - Essay Example For Instance, Shares in the US fell to about 1.6% with those in China dropping to 2.1% (FXSreet n.p). Essentially, the US economy in the last week had a negative economic index after weeks of positive show in the market. The -4 index manifest in the world largest economy is still the best in many years after the 2008 recession. The US economy has in the past week suffered significantly with numbers dropping in key sectors of the economy effectively slowing growth. The snow and bad weather has been sighted as one of the negative consequences weighing down on the US economy in recent weeks. The labor market registered lower work rates with a significant number of people filing for unemployment benefits. Despite the numerous challenges experienced in the last week, the stock market was bully on 5th registering positive indices. Though the Japanese economy gained the most among the world largest economies, the EU remained extensively versatile and bullish. The rate of inflation registered a negative value in the last week with unemployment falling significantly. The monetary regime in the EU has remained relatively stable to the dollar effectively making the banks to lower the interest rates. Japan was bullish in the market based on a number of fundamental facts (FXSreet n.p). To begin with, The Japanese economy registered a fall in the rate of inflation, though not to the expected levels. The low oil markets impacted positively to the market with most of the prices falling. While the Chinese president announced of the intentions to grow the economy by 7%, various departments of the economy recorded negative numbers with the overall impact being 2.1% (Economic Calendar n.p). The rate of inflation was high with unemployment rates remaining on a downward trend. It is imperative to note that the Chinese market has suffered a number of setbacks and going by the

Thursday, October 17, 2019

Diversity in Law Enforcement Annotated Bibliography

Diversity in Law Enforcement - Annotated Bibliography Example people belonging to different races and working in law enforcement agencies and to identify the various strategies that are being used by these agencies in order to attract as well as hire individuals belonging to different races in law enforcement agencies. The researchers identified that there is a lack of communication between the recruiters of law enforcement agencies and institutions that belong to racial minorities and they even identified that lower level of information is being supplied to racial minority communities and their institutions. The research article titled â€Å"Gay men in the police: identity disclosure and management issues† was authored by Rumens et al. and published during the period of 2012 (Rumens, 2012). The purpose of this research article was to focus on the research conducted to identify the ways individuals belonging to the LGBT groups were managed when they disclosed that they were gay or lesbian. The researchers identified that police officers who belonged to the LGBT group did not face difficulties in disclosing their sexual orientation and were looking for ways to disclose this information. The research even states that disclosed identities can be managed well in organizations that follow an open culture. The researchers conclude that it is quite difficult for gay police officers to integrate in an organization where masculinity is valued and empowered. Sadler, M. S., Correll, J., Park, B., & Judd, C. M. (June 01, 2012). The World Is Not Black and White: Racial Bias in the Decision to Shoot in a Multiethnic Context.  Journal of Social Issues,  68,  2, 286-313. The research titled â€Å"The World Is Not Black and White: Racial Bias in the Decision to Shoot in a Multiethnic Context: was authored by Sadler et al (Sadler, 2012). The purpose of this research was to identify the racial biasness that is experienced by police officers while they make the decision of shooting or not shooting possible offenders. The researchers identified

Characteristics of Business Leadership Term Paper - 1

Characteristics of Business Leadership - Term Paper Example The Byte shop purchased their first fully assembled computer. It is here that the Apple Corporation became founded. The name was based on Jobs favorite fruit and the logo selected to play on the name of the company and the word byte (Lee, 2001). His highly innovative ideas of personal computers took him into changing the software industry and computer hardware. His invention changed the people idea of a Pc from a huge mass of vacuum tubes used by giant corporations to a small item used by the ordinary people. His development of the software for the Macintosh brought the use of windows interface and use of mouse that set a bar for all interface in software application (Halliday, 2003). One significant challenge Apple faces is Jobs himself. Majority of people believe he is Apple, and he has attracted a devotion of followers better known as the Mac faithful and recently the iphone and iPod fanatics. He is like a secular messiah to his followers and a cult leader to his competitors. The unmatched record of Apple’s products got found under his leadership and whose desire for sleek gadgets is unique in the business world (Halliday, 2003). The markets also are hyper about Jobs. To the world whenever he became faced with sickness the Apple share prices decline. The shares of the company significantly dropped by as much as 10 percent after the announcement of his medical leave. Rumors’ were also said that the company would be sued by its investors, who were unhappy with it’s about face on the health of its chief executive. Investors complained that the company was slow to tell about Steve Job’s honest medical status, and to incorporate a succession plan after his treatment of cancer. This is because of his influential role in vetting the organizations future designs (Lee, 2001). The other challenge was the lack of product blockbusters that will excite Apple lovers. Analysts believe that the company has no announcement to

Wednesday, October 16, 2019

Analyze one week of world economy Essay Example | Topics and Well Written Essays - 500 words - 3

Analyze one week of world economy - Essay Example For Instance, Shares in the US fell to about 1.6% with those in China dropping to 2.1% (FXSreet n.p). Essentially, the US economy in the last week had a negative economic index after weeks of positive show in the market. The -4 index manifest in the world largest economy is still the best in many years after the 2008 recession. The US economy has in the past week suffered significantly with numbers dropping in key sectors of the economy effectively slowing growth. The snow and bad weather has been sighted as one of the negative consequences weighing down on the US economy in recent weeks. The labor market registered lower work rates with a significant number of people filing for unemployment benefits. Despite the numerous challenges experienced in the last week, the stock market was bully on 5th registering positive indices. Though the Japanese economy gained the most among the world largest economies, the EU remained extensively versatile and bullish. The rate of inflation registered a negative value in the last week with unemployment falling significantly. The monetary regime in the EU has remained relatively stable to the dollar effectively making the banks to lower the interest rates. Japan was bullish in the market based on a number of fundamental facts (FXSreet n.p). To begin with, The Japanese economy registered a fall in the rate of inflation, though not to the expected levels. The low oil markets impacted positively to the market with most of the prices falling. While the Chinese president announced of the intentions to grow the economy by 7%, various departments of the economy recorded negative numbers with the overall impact being 2.1% (Economic Calendar n.p). The rate of inflation was high with unemployment rates remaining on a downward trend. It is imperative to note that the Chinese market has suffered a number of setbacks and going by the

Tuesday, October 15, 2019

Characteristics of Business Leadership Term Paper - 1

Characteristics of Business Leadership - Term Paper Example The Byte shop purchased their first fully assembled computer. It is here that the Apple Corporation became founded. The name was based on Jobs favorite fruit and the logo selected to play on the name of the company and the word byte (Lee, 2001). His highly innovative ideas of personal computers took him into changing the software industry and computer hardware. His invention changed the people idea of a Pc from a huge mass of vacuum tubes used by giant corporations to a small item used by the ordinary people. His development of the software for the Macintosh brought the use of windows interface and use of mouse that set a bar for all interface in software application (Halliday, 2003). One significant challenge Apple faces is Jobs himself. Majority of people believe he is Apple, and he has attracted a devotion of followers better known as the Mac faithful and recently the iphone and iPod fanatics. He is like a secular messiah to his followers and a cult leader to his competitors. The unmatched record of Apple’s products got found under his leadership and whose desire for sleek gadgets is unique in the business world (Halliday, 2003). The markets also are hyper about Jobs. To the world whenever he became faced with sickness the Apple share prices decline. The shares of the company significantly dropped by as much as 10 percent after the announcement of his medical leave. Rumors’ were also said that the company would be sued by its investors, who were unhappy with it’s about face on the health of its chief executive. Investors complained that the company was slow to tell about Steve Job’s honest medical status, and to incorporate a succession plan after his treatment of cancer. This is because of his influential role in vetting the organizations future designs (Lee, 2001). The other challenge was the lack of product blockbusters that will excite Apple lovers. Analysts believe that the company has no announcement to

Great Expectations Essay Example for Free

Great Expectations Essay Task: How does the novel present Pips relationship with Magwitch, when he meets him in the graveyard and later when Magwitch returns form abroad to see Pip?  Great Expectations is a novel that is set in the late 1860s, in Victorian society, during the start up of the industrial revolution, which was speedily changing society. In chapter 1 of Great Expectations, the reader meets a young boy, Phillip Pirrip, although he is known as Pip, due to the reason that he cant pronounce his full name. The fact that this issue is introduced to the reader right at the beginning of the story, and that the story is narrated by Pip and his own voice, is attention grabbing; his youthful innocence and naivety is interesting, and immediately gets the reader close to the character. Dickens introduces Pip at a graveyard, where he sets the scene. Pip is visiting the graves of his deceased family, trying to find his identity as well as remind himself and imagine what his parents looked like. Pip is an image of vulnerability, and this is a target for ambiguity to come. Dickens does not state that Pip is an orphan; instead he allows his powerful use of words to demonstrate this. My first fancies regarding what they were like, were reasonably derived from their tombstones. The shape of the letters on my fathers, gave me an odd idea that he was a square, stout, dark man, with curly black hair Also Georgina wife of above, I drew a childish conclusion that my mother was freckled and sickly. Dickens introduces Pips childish imagination into the sequence. Dickens implies that Victorian life and society was like this; there were masses of orphans, like Pip, due to numerous epidemics sweeping the nation, diseases like cholera and smallpox which were rife, and regarded as a universal struggle, this resulted in high mortality rates. You were generally considered lucky if you survived the high mortality rates. The involvement of this fact early on shows that death, and poverty was an everyday occurrence; it wasnt an unusual nature, hence the matter of fact writing. The weather in this scene creates a solemn yet dramatic tone. A negative pattern exhibiting raging storms, adding to the bleak and cold winters day atmosphere is vividly painted. It is a gloomy Christmas Eves day. Pip ventures out into these eerie unknowns, which later on prove to be a symbol that his life is going to change drastically too, where peril and ambiguity await. This also reinforces Pips perception on his situation. While Pip is attempting to bring up recollections at the graveyard, he is surprised by an escaped convict who jumps out rather cynically, from a savage lair, among the looming mists and graves, scaring Pip. The opposite usage of some comedy, at the beginning, and a sharp dramatic twist is attention grabbing. A contrasting backdrop, on to which the messages of the tale can unfold, is created. The reader can tell that the mysterious man is a convict because of the way he is described. His condition is in disarray because of the poor living conditions in the hulks. They were overcrowded, leading to diseases that ended up killing many of the prisoners, and there was malnutrition from poor food. Hard labour was primed everyday too. He has escaped from prison and the hulks (old ships moored on the coast), whilst awaiting exile (to penal colonies in Australia) for 14 years hard labour. (Returning before the end of his term he will face execution). A fearful man, all in coarse grey, with a great iron on his leg. A man with no hat, and with broken shoes, and with an old rag tied round his head. This gives us an insight into the harsh conditions that were faced by prisoners during these times. This plight is shown further more; by the way this convict- Abel Magwitch is portrayed ferociously and pathetically. The harsh and unjust judicial system at the time was the cause of this. Forging banknotes (like Magwitch had done) carried the same penalty as murder! Criminals were brutalised. They were not given chances to reform, instead faced beatings, as forms of punishment. At least 10 hours of daily hard labour was forced on prisoners. Soaked in water, and smothered in mud, and lamed by stones, and cut by flints, and stung by nettles, and torn by briarsand glared and growled. Dickens gives Magwitch with animal like qualities, and so we are provided with a greater understanding that he is at the end of his tether. He is a human that has literally been weathered, like a mere object. A man with no hat and with broken shoessoaked in water, smothered by mud, and lamedlimped and shivered. Magwitch is desperate. This is shown by the way he speaks to Pip aggressively, and threatens him keep still you little devil, and also by the way he roughly handles Pip. The man, after looking at me for a moment, turned me upside down and emptied my pockets. When he tips Pip upside down a piece of bread falls out of his pockets. Magwitch scurries towards this. He ate the bread ravenously. The reader is reminded of his desperate, animal like status, and his plight. The tentative weather mirrors Magwitchs character-a vast wilderness in the vein of a storm, which rushes into Pips life, suddenly, causing an upheaval of ambiguity like disturbance. Dickens tries to connect the characters with a descriptive background, to create a realistic character, building up a reinforced feeling to the passage, which ties in with characters personalities. Upon discovering that Pip lives with Joe- who is a black smith, Magwitch continues to act aggressively towards Pip, as he is useful to him. He makes a threatening demand. You get me a fileYou get me wittlesYou bring them both to meor Ill have your heart and liver out. He continues to threaten Pip, telling him that he can even be hurt in his own home if he betrays the convict. He tells Pip that he is not alone, and if he gets caught then the man along side Magwitch will attack him. A boy may lock his door, may be warm in bed but that young man will softly creep and creep his way to him and tear him openin comparison with which I am a angel. Pip is petrified. The prospect of this occurring (made worse by his youthful innocence), has given way to the sensation of helplessness that clearly covers him. His eyes looked most powerfully into mine, and mine looked most powerfully up into his. This highlights a key detail of status/position that will be seen in depth throughout the story; its a running thread for which it is a major theme. This is the first landmark of Magwitch and Pips relationship. It is one of intimidation, and fear.

Monday, October 14, 2019

Modified Radical Mastectomy for Contralateral Breast Cancer

Modified Radical Mastectomy for Contralateral Breast Cancer Abstract Breast cancer is the most common malignancy in women worldwide. With improving survival figures and early breast cancer detection, treatment related long term adverse effects of radiotherapy have become a concern. Contralateral breast cancer due to scatter radiation from during radiotherapy of diseased breast is one of them. This prospective clinical study was conducted to measure the dose received by the contralateral breast and compare the different techniques which influence this dose. It was found that in post mastectomy patients, treatment with telecobalt medial tangential field contribute more dose to contralateral breast compared to supraclavicular field and lateral tangential fields. The mean dose received by contralateral breast during irradiation of chest wall was 168.29 cGy which 3.36 percentage of the prescribed dose. Key Words; contralateral breast dose, breast malignancy, thermoluminescent disc, scattered radiation Introduction Breast cancer is the most common malignancy among the women worldwide. [1] With improved survival figures due to early breast cancer detection and multimodality treatment, long term adverse effects in the form of second malignancy of contralateral breast (CLB) has become a concern. In patients getting radiotherapy to the affected breast, CLB also receives radiation in the form of scattered radiation due to scattered from primary. Second malignancy is a late sequel of radiation appearing at an interval of 10-15 years. [2, 3, 4, 5, 6, 7] Since breast is highly radiosensitive structure this dose to CLB is a major concern especially in younger women and patients with longer life expectancy. Although radiation induced malignancy is a stochastic effect but the intensity increases linearly with increase in dose. [8] Studies have measured CLB dose on phantom and patients and have observed that the dose to CLB is more for medial tangential (MT) than supraclavicular field (SCL) field and later al tangential (LT) field. In our centre 22% of female patients are suffering from breast cancer and majority of them belong to low socio economic status and presented with advanced disease. In the present study we measure the dose to CLB in patients receiving radiotherapy following modified radical mastectomy (MRM). The radiation dose to CLB were measured with the help of CaSO4: Dy thermoluminescent discs (TLD). The TLD are highly sensitivity and can measure even very small doses. Materials and methods Measurement of CLB was done in 25 patients undergoing for EBRT by cobalt teletherapy machine (THERATRON 780 C and E) following MRM. Precalibrated TLD (9mmÃâ€"13mm) were placed on the surface of CLB. Total three discs were placed one at the nipple and other vertically on either side of nipple 3 cm apart. We tried our best to place the TLD on the same position each time. Skin tattooing was done to demarcate the exact position at the first sitting and this was used subsequently to replicate the position. After delivery of radiation dose for a particular field the discs were removed and another set of three discs were placed for next reading. In this way total six discs were used daily, three for SCL field and three for MT or LT field as MT and LT fields were treated on alternate days and SCL field was treated daily. For MT and LT fields breast cone was used for half beam block. Total dose delivered was 50 Gy in 25 fractions, 2 Gy per fraction, 5 fractions per week in 5 weeks. The expos ed TLD were stored in radiation free zone and the readings were taken after 24 hours and within 7 days after exposure because after seven days the TLD start to loose electrons. The scattered dose received by TLD were measured on NUCLEONIX TL 10091 TLD reader. After one set of measurement, the discs were annealed by heating 400 degree celcius and then used for next measurement. For each patient, measurements were carried out at first week, third week and last week, total three times during the course of treatment. Statistical Analysis Mean dose calculation received by CLB. Total dose received by CLB, this was calculated by multiplication of mean dose to number of fractions. The percentage of radiation dose received by CLB with respect to the prescribed dose to diseased breast (Total doseÃâ€" 100 / prescribed dose to diseased breast). We also stratified data based on gantry angle at which EBRT was delivered (≠¤50 degree and > 50 degree). The statistical software SPSS version 20.0 was used for the data analysis. Results The age wise distribution of patients and the mean dose received by CLB is shown in table 1. 19 out of 25 patients in our study were 50 years or younger. 52% patients had left sided breast cancer. Table 2 shows the contribution of SCL, MT and LT field dose with the gantry angle at which the radiation dose was delivered. Total dose received by CLB varies from 1.22% to 5.82% of the prescribed dose of 50 Gy to the affected breast. Mean total dose received by CLB was 105.55 cGy with MT field followed by SCL field, (33.96 cGy) and LT field {(28.97 cGy) as shown in table 2. This data shows that the maximum contribution of dose to CLB was with MT field followed by SCL field and LT field. Mean dose with all three fields received by CLB was 168.48 cGy with SD  ±62.23 which corresponds to 3.36% of prescribed dose to affected breast. 11 patients were treated on cobalt unit with gantry angle ≠¤ 50 degree having 3.00% contribution of CLB dose (table 3). 14 patients treated with gantry angl e > 50 degree had 3.79% contribution of CLB dose (p=0.199). The mean, median and range were 3.66, 3.34 and 4.60 respectively. Discussion It is well known that exposure to ionizing radiation causes carcinogenesis in healthy tissues. Although it is a stochastic effect having no threshold dose but the intensity increases with increase in radiation dose. CLB must be considered as an organ at risk during radiotherapy planning for treatment of cancer breast. Many previous studies conducted to calculate the dose received by CLB, were based on patients, phantom or treatment planning system. Boice et al analyzed the record of 41109 patients of cancer breast and they found the mean CLB dose was 2.82 Gy. [9] They also hypothesized that there was increased relative risk of CLB malignancy due to exposure to ionization given to diseased breast. The relative risk was 1.19 for all patients, however the relative risk was more (1.49) for younger patients who were less than 45 years old. In our study, the maximum dose received by CLB in women below 40 years which was 3.93 percentage (196.437 cGy) of prescribed dose. The minimal dose was received in patients who were above 60 years of age {(1.96 %) (97.875 cGy)}. The possible reason could be the increased laxity of breast tissues in older women cause more lateral shifting of CLB away from the radiation at the time of exposure. Half beam block technique is routinely used while irradiating the breast with tangential beams. [10, 11] Kelly et al measured CLB dose on Alderson Rando phantom using TLD with four different techniques of breast cancer treatment using 6 MV photon beam on linear accelerator. [12] The used half beam block with asymmetrical jaws, custom blocks and symmetrical collimator jaw. Another technique used was isocentric method with non divergent posterior border. They observed highest dose to CLB in MT field with wedge. In our study radiation was delivered using half beam block with breast cone. The dose to CLB was maximum with MT field because in half block beam, the breast cone is placed near to surface of breast which cause increased dose due to secondary collimator scattering. Bhatnagar et al compared dose to CLB during EBRT to chest wall irradiation using conventional tangential technique and intensity modulated radiotherapy (IMRT). [13] They observed 20 percentage reduction of dose to CLB using IMRT. According to a study by Chougule, the average contralateral nipple dose was 152.5-254.75 cGy and the percentage was 3.05-6.05% for a dose of 5000 cGy in 25 fractions for post mastectomy breast cancer. [14] In our study, the measured mean contralateral nipple dose on was 171.88 cGy (55.5-303.80 cGy) which accounts to 3.47% (1.11%-6.07%) of prescribed dose (table 2). Dose to CLB were higher for dose calculated at the level of nipple as compared to dose received by whole CLB. This may be due to TLD at level of nipple being closest to the radiation source. According to Rankel et al with high gantry angle the beam will be closer to the surface leading higher dose to the CLB. [15] In this study, it was found that with gantry angle >50 °, more dose was delivered to the CLB though the difference is not statistically significant (p=0.199). Conclusion In our patient cohort, higher inadvertent CLB dose was delivered in younger patients with MT field; overall, dose being 3.36 percentage of prescribed dose.