International economics Essay Example | Topics and Well Written Essays - 250 words

International economics - Essay Example The main advantage of this system was the elimination of the costs of converting currencies and exchange rates uncertainties. This system also brought with it increased transparency, efficiency, and inward investment. Among the disadvantages was the one size fits all policy. When one country was doing badly and the rest were booming economically, the central bank might be interested in increasing the interest rates, this would make the situation worse for the country experiencing a recession. Also some countries may be reluctant to improve their economy with the hope that countries doing well would bail them out. Portugal, Greece and Spain have been the poor performers of the Eurozone. These countries have shown the disadvantages of having a fixed currency regime. Ever since these nations adopted the Euro, they have been unable to implement the required measures for independent monetary policy in order to mitigate the effects of an economic downfall in the Eurozone. European Union leaders have been giving stabilization packages to bail out these countries and maintain stability in the Eurozone but these countries are still lagging behind. Despite the many advantages a fixed currency regime has to offer, Portugal Greece and Spain prove

A Rhetorical analysis about I shouldn't have to press '1' for english Essay

A Rhetorical analysis about I shouldn't have to press '1' for english - Essay Example Also there is the political face of it, whereby the economic and political policy’s are established and preserved by the government mainly for the special benefit of the ruling class, the wealthy influential not for the advantage of working individuals, people of color. This economic dismay that we are experiencing is similar for the Latinos and Blacks. This shows the unjust, undemocratic and unequal society we are dwelling in. Few researchers have found out that the mean wealth of the white family is twenty times that of a Black family. The wealth ratios are very unequal rising up a few questions. Is it the color? Is it the inability to do certain things? Looking at inflation, in 2005-2009 the medium fell 53% amid the black households, evaluated with a simple 16% amid the white families. Looking at home equality, Blacks declined by half, illustrating how many were left out. An analysis carried out suggests that the Blacks were forefront of the housing real estate market boil of the 1990s and in the early 2000s however that have since been amid the situations experiencing the steepest turn downs in the housing

EMPLOYMENT LAW Essay Example | Topics and Well Written Essays - 2000 words - 4

EMPLOYMENT LAW - Essay Example For example, the legal status of a worker as an independent contractor or employee is fundamental in determining the rights of a worker, particularly in light of the increasingly employee centric protective legislative framework. The focus of this paper is to critically evaluate the approach of the judiciary to employee status and in particular to consider the advantages and disadvantages of each test. The conventional approach has been to implement checklist tests to distinguish between independent contractor and employee and it is submitted at the outset that the issue remains contentious particularly in light of the continuous changes in working practices. To this end, it is submitted as a central proposition in this paper that whilst the traditional test of employee status was logical in distinguishing between employee and self-employed; the changing nature of contemporary work arrangements have led to inconsistency in tribunal determinations distinguishing between employee and self employed status. In turn, the central disadvantage of the judicial approach to employee status is that whilst attempting to frame the test as definitive legal principles; the results have sometimes fuelled uncertainty (Pitt 2007). This is further supported by the earlier empirical study of Burchell et al on â€Å"Employee Status of Individuals in Non-standard Employment† (1999), which asserted that â€Å"there is concern that the existing classifications fail to reflect the growth of certain flexible or non-standard forms of employment, in particular causal work, zero hour contracts, fixed terms and task employment and freelancing† (Burchell et al, 1999, p.5). From a statutory perspective, the legal definition of employee is described under Section 230(1) of the Employment Rights Act 1996 (ERA) as â€Å"an individual who has entered into or works under†¦Ã¢â‚¬ ¦..a contract of employment†. The section 230 definition has been criticised for being

Fundamentals of Finance Case Study Example | Topics and Well Written Essays - 2500 words

Fundamentals of Finance - Case Study Example '10000000. As far as the decision taken by the Swindon Plc is taken in to consideration, it is applying MACRS (Modified Accelerated Cost Recovery System) depreciation is taken in to fact. "Four factors are necessary to determine cost recovery deductions under the MACRS procedure. These are (1) class life, (2) depreciable basis after credit reduction, (3) acquisition year assumption, and (4) recovery method." (The Modified Accelerated Cost Recovery System (MACRS) - Basic Rules. 2001). It is necessary to taken in to consider that the property or asset class lives should be less than the actual life of the asset, so that the salvage value of such assets should be zero. Cost segregation and accelerated depreciation is essential for the effective implementation of investment decision. Like wise, it is necessary to increase the cash flows of an organization. While calculating the MACRS depreciation, salvage value is not as much effective in any other system for depreciation. If a particular property is utilizing for a period of five years or more then the depreciation rate should be calculated in accordance with this manner- First year-20%; Second year-32%; Third year-19.20%; Fourth and fifth year-11.52%; Last year or sixth year- 5.76%. So, by using this method, during the last or sixth year, the value of the specific asset so depreciated will be zero. (Salzmann 2007). In any organization, its structure is taking in to fact; there is a finance department, which is playing a prominent role, because finance is the life blood of any business activity. The basic and most fundamental financial activities are preparation of Balance sheet, Income statement, analysis of shareholders equity and cash flow, tools for profit analysis, preparation of capital and cash budget. Rate of Depreciation of Swindon Plc under MACRS Method. YEAR MACRS % Applicable 1 20% 2 32% 3 19.20% 4 11.52% 5 11.52% 6(Final Year) 5.76% In this particular case, the total purchase price of Drill and platform is '10000000; and this platform can be sold for '3.5M. i.e. '3500000 within a period of five years. Then, thereafter, Swindon plc bought a new platform costs '14M i.e. '14000000 with an addition of '1M i.e. '1000000 as installation charges. The latest platform should also have an estimated life of five years. But Swindon decided to undertake the sales of the latest platform after five years, at a cost of '4M i.e. '4000000. The Overall Summary of Drill and Platform of Swindon Plc. Particulars A) Cost of existing platform.Total selling price after 5years. Amount (in ') '10000000 '3500000 B) Cost of new drill and platform.Add: Installation charges. Total cost of Drill&Platform. Total selling price of new platform and drill. '14000000 '1000000 C) '15000000 '4000000. Cash flow analysis is an important tool with the finance manager for ascertaining the changes in balance of cash in hand and cash at bank. Cash flow statement analyses the reasons for changes in balance of cash in hand or at bank between two accounting period. Moreover, it shows the inflows and outflows of cash, practically, sources and applications of cash. Cash generating efficiency is a fact used while preparing the cash flow statement.

Tourture Or Not To Tourture Essay Example for Free

Tourture Or Not To Tourture Essay The case presented points out a terrorist that has entrenched bombs in several places of the city. He is not ready to reveal the positions of the bombs that he has planted. These bombs well explode shortly being a cause of the death of many innocent lives. The terrorists is not willing to disclose the where he has implanted the bombs using any of the standard procedures. The last option the authorities think is left is torturing the terrorist blameless wife. The authorities think using torture will be an appropriate solution to make the terrorist disclose the location of the concealed bombs. The scenario presented is incredibly sensitive one; taking any decision regarding this case seems morally incorrect. Due to the blast, if innocent people are killed without any reason that seems immoral. While if the blameless wife of the terrorist is tormented for no apparent reason that also seems unethical. Still if I had to make a decision, I would agree with the authorities to torture the wife of the terrorist. As I believe saving the lives of hundreds of people is more essential rather than doing injustice a single person. Although torturing seems an unethical tactic to use but the outcome that will be generated will be that the lives of hundreds will be saved. If we focus our attention on the results, the agony of one individual does not seem such a ghastly alternative to choose. The decision taken is falling in line with doing evil but for a noble cause. This preference is based on the utilitarian approach which is associated with providing with the The greatest happiness for the greatest number It talks about those ideas that should be adopted which leads to the betterment for the maximum number of citizens. In the utilitarian approach the appropriateness of the decision is determined by the outcome. You can use morally incorrect ways in this approach, as long as the outcome of the idea is righteous. It is summarized as â€Å"the ends justify the means for a decision† in the deontological approach the ethical law is provided the greatest weight as apposed to the consequences of the outcome which is the case in utilitarian. This ethical philosophy cannot be applicable in all cases as diverse cases have to be dealt in a distinctive fashion. (Wikipedia) Lets consider another case if ten people were traveling in a boat and due to the boat being over loaded it was sinking. If some weight was removed from the boat, that is if two people were thrown out of the boat, the boat would be prevented from sinking. Considering the utilitarian approach, it suggests that we should choose the alternative of throwing two peolple out of the boat. It gives its justification on the basis it is better to save the lives of eight people rather to leave them all to die. Although it seems morally incorrect to do this but the outcome is better for the majority of people. Utilitarianism has a very elevated ethical opinion; it supports the contentment of all, even if an individual has to pay for it.   An appropriate case in point was pointed out by Jonathon Glover is that even if a person has a lot of money and with that he can go on a tour to Europe. But the utilitarian approach suggests the â€Å"greatest good for the greatest people† hence instead of that person going on a tour he will donate the money for charity to help the greatest number of people. (â€Å"Utilitarianism and its critics† by Jonathon Glover.) Similarly in this case it is morally objectionable to make the terrorist’s wife to suffer, but a crucial step to take. Since not taking this step will lead to a disaster of hundreds being murdered, this seems morally disgusting. So the success will be in following the utilitarian approach in which most horrible scenario can be avoided. If we do not torment one person and let hundreds being killed as a result that seems a much dreadful end result than torturing one person in order to save the lives of hundreds. Hence the torturing of one person can be justified in this case as that is the only way the terrorist will reveal the exact location of the bombs and the innocent public can be saved from being ruthlessly slaughtered. The utilitarian philosophy emphasizes on accepting the least terrible proposal in comparison with the worst proposal, which is being followed in the cases mentioned above. Reference: Bentham, Jeremy (2007). The Classical Utilitarians: Bentham and Mill. Hackett Publishing Company.

Causes and Treatments of Sepsis

Causes and Treatments of Sepsis Sepsis is a major cause of morbidity and mortality in hospitals today. It has been defined as the bodys response to an infection when organisms invade the body (Baudouin 2008). Its an infection which is caused by micro organisms or bacterias that invade the body. Sepsis can lead to acute organ dysfunction followed by multi-organ failure and death. In the early stages of sepsis the immune response can be characterised as a systemic inflammatory response syndrome (SIRS) (Chamberlain 2008). This is the bodys response to a variety of severe clinical insults. It is characterised by the presence of two or more of the following features: Temperature >38ÂÂ °C or 90/min, Respiratory rate > 20/min or PaCO2 12 x 109/l altered mental status, blood glucose>7.7mmol/l in absence of diabetes (LTHTR Sepsis Care Pathway 2009).Sepsis is defined as SIRS in response to infection (I, Mackenzie 2001). The surviving Sepsis campaign was launched in October (2002) aiming to increase awareness of sepsis, severe sepsis and septic shock among healthcare staff and the general public, develop evidence based guidelines for the management of severe sepsis and ensure that guidelines are put to practice globally. In the Nice Clinical guideline 50- acutely ill patients in Hospital they made key recommendations to ensure early identification of the acutely ill patient and prevent deterioration of condition thus reduce patient mortality, morbidity and length of stay, to reduce ICU admissions and re admission. Initial management of a critically ill patient includes: Immediate assessment of the airway, breathing and circulation Baseline observations HR, RR, BP, O2 sats, capillary refill, EWS and AVPU to assess level of consciousness A brief history A limited examination of the relevant systems of the body. A secondary assessment after stabilisation of the patient including a more thorough history, detailed examination by system and appropriate investigations. The golden hour an early window of opportunity immediate resuscitation with oxygen and fluids prevents secondary injury to organs as a result of hypoxemia and hypovalaemia helping to reduce mortality and morbidity. The timing of clinical intervention is essential to the survival of septic patients (Chamberlain 2008). Respiratory failure is common and may develop at any stage so repeated assessments are necessary. A depressed conscious level is the most common cause of airway obstruction (I, Mackenzie 2001). A clear airway does not indicate effective breathing. Failure of gas exchange may be caused by lung problems (pneumonia, lung collapse, pulmonary oedema), failure of the mechanics of ventilation. Respiratory failure is suggested by signs of respiratory distress including dyspnoea, increased respiratory rate, use of accessory muscles, cyanosis, confusion, tachycardia, sweating. The diagnosis is made clinically but may be confirmed by pulse oximetry and arterial blood gases. Patients with a depressed conscious level may not react normally to hypoxia and signs of respiratory failure may be difficult to detect. Patients with inadequate ventilation, gas exchange or both require ventilatory support. This usually necessitates intubation and mechanical ventilation although in some patients gas exchang e and oxygenation can be improved by the application of continuous positive airway pressure (CPAP) by face mask or non-invasive ventilation. As per LTHTR sepsis care pathway (2009) high flow oxygen to be given to maintain a target of >94% using a non rebreath mask. Oxygen to be reduced when patient stable. In critically ill patients, high concentration oxygen should be administered immediately and this should be recorded afterwards in the patients health record (BTS guideline for emergency oxygen use in adult patients 2008). Tachycardia and hypotension are almost universal findings in the septic patient and result from a number of cardiovascular problems. In early sepsis, and in patients who have been partially or fully fluid resuscitated, the low blood pressure and high heart rate are associated with a high cardiac output and a low peripheral vascular resistance with warm peripheries and bounding pulses. In contrast, patients who have not been significantly resuscitated or have presented late in the course of their illness have a low cardiac output and high systemic vascular resistance. These patients are peripherally cold, sweaty, with weak, thready pulses and they need urgent resuscitation. However resuscitation aims to restore circulating volume, cardiac output and reversal of hypotension (I, Mackenzie 2001). Initially infuse i/v crystalloid or colloid rapidly guided by the clinical response. The optimal resuscitation fluid however, remains the subject of debate. Fluid resuscitation of severe sepsis may consist of natural or artificial colloids or crystalloids. Fluid challenge should be administered and repeated based on response (increase in blood pressure and urine output) and tolerance (V, Jean-louis 2004). Administering large volumes of fluid to patients with known cardiac disease or myocardial dysfunction related to their acute illness is a problem. Ronco, C et al (2004) argued that it is the quantity of fluid given rather than the type of fluid explaining that more crystalloid is needed to achieve the same effect as colloid but colloids are more expensive and carry their own risks. Adequacy of fluid infusion can be facilitated by repeated fluid challenges in which a pre defined amount of fluid e.g. 250 or 500mls is in fused over a set time. Sherman et al (2007) states that aggressiv e volume resuscitation and administering broad spectrum antibiotics should be given early to all septic patients using 2-4litres of normal saline. All patients should be monitored closely to see the response to resuscitation (urine output mental status, BP). If the patients blood pressure is 40mmgh lower than the patients normal BP fluid challenges nacl 0.9% 500ml given over 5-10mins (ALERT 2003). LTHTR Sepsis Care Pathway 2009 states if patient hypotensive give up to 3 boluses of 500ml (0.9% Saline) to maintain MAP>65/systolic 100mmgh. Urinary catheter hourly urine measurements. Perform investigations to confirm or clarify problems that are clinically evident, or to look for complications that are likely. Bloods including FBC, coagulation screen, UE, Liver function, Amylase, cardiac enzymes, Glucose, lactate and ABGs. Other tests may include a blood glucose, ECG and chest x-ray. You may consider sending samples for microbiology to confirm the presence of infection, i.e. blood cultures should be taken, sputum if suspecting chest infection and mid-stream urine (MSU) or catheter specimen of urine f suspecting urine infection. Blood cultures are only to be taken when there is clinical need to do so and not as routine (DOH 2007). Indepth search for the source of sepsis with rapid institution of appropriate antibiotic therapy. Delayed or initially ineffective antibiotic therapy has been shown to be associated with worse prognosis and if it is important that all likely microbial culprits are covered by the empiric antibiotic which can be altered when culture result s are available (Ronco, C et al 2004). Monitoring is not dependent on expensive equipment, but it requires the continuous presence of trained nursing staff. Clear documentation aids the assessment of subtle changes in the patients clinical state. Patients with severe SIRS / sepsis should have observations recorded hourly. Record body temperature, pulse, blood pressure, urine output, CVP, respiratory rate and SpO2 (if available). Accurate fluid balance is essential. An accurate Early Warning Score is essential as per LTHTR trust protocol along with every set of observations taken. EWS used widely throughout the trust it acts as an assessment of recognising deterioration in patients an identifies at risk patients. It requires the charting of observations such as systolic BP, HR, RR on a regular basis each is given a score from 0-3 and then added together to give an EWS. This is then used to trigger further assessment of the patient by senior nursing or medical staff and referral to critical care outreach who support nurses at ward level to tackle early detection and treatment to prevent intensive care admissions. Early detection and recognition of a patient that is deteriorating is vital (DOH 2007). The initial antibiotic prescription is a best guess, and will depend on the clinical picture of the patient, local patterns of antibiotic resistance and the local availability of antibiotics. It should be broad enough to cover the most likely pathogens, but not so broad as to encourage antibiotic resistance. The advice of a local microbiologist or infectious diseases specialist is valuable. Surviving Sepsis Campaign (2008) states the choice of antibiotics should be guided by the susceptibility of likely pathogens in the community and the hospital, as well as any specific knowledge about the patient, including drug intolerance, underlying disease, the clinical syndrome.ÂÂ   The regimen should cover all likely pathogens since there is little margin for error in critically ill patients. There is ample evidence that failure to initiate appropriate therapy promptly (i.e., therapy that is active against the causative pathogen) has adverse consequences on outcome. Although restricting the use of antibiotics, and particularly broad-spectrum antibiotics, is important for limiting super infection and for decreasing the development of antibiotic resistantÂÂ  pathogens, patients with severe sepsis or septic shock warrant broad-spectrum therapy until the causative organism and its antibiotic susceptibilities are defined. Shermon et al (2007) states that early use has been clearly demonstrated to reduce the mortality in sepsis an if no known source of infection is present then give broad spectrum antibiotic therapy to cover aerobic and anaerobic infections. LTHTR Sepsis Care Pathway (2009) states antibiotics to be given in first hour and all antibiotics to be reviewed after 48hours. Medical staff have been implicated in the spread of infectious agents between patients. All staff must wash their hands before and after attending to a patient. Equipment should not be shared between patients if possible, but where this is necessary the equipment should be thoroughly cleaned between patients. Staff should protect themselves and their clothes from becoming contaminated with biological material by wearing disposable aprons and gloves. Visitors should be discouraged from moving between patients. Wounds, including drain sites and intravenous cannulae sites, should be inspected, cleaned and dressed at regular intervals. Intravenous cannulae and central lines should be removed as soon as practical. Ensure correct documentation is filled in i.e. Vascular access device tool, wound charts and care plans as per trust protocol. In conclusion sepsis remains a major cause of morbidity and mortality in hospitals today. Many authors have looked at best practice in the early recognition and treatment of sepsis. It is vital that nurses and clinicians recognise and treat critically ill patients for the best outcome to reduce the risk of deterioration and potential cardiac arrests. NPSA (2007) Recognising and responding appropriately to early signs of deterioration in hospitalised patients. Within LTHTR trust and other trusts there are many policies in ensuring this with the early recognition policy, early warning scores to help assist the staff on recognising the deteriorating patient and sepsis care pathway to assist with the treatment of the deteriorating patient. With the use of these policys and the help of critical care outreach teams within the trust early recognition and treatment within the golden hour reduces the morbidity and mortality thus educing admissions into the intensive care unit. It appears that there remains much discussion into which fluid works best during fluid resuscitation. Trust protocols should be followed. Recognition of at risk patients can only be achieved by appropriate and timely assessment and monitoring. Nice made key recommendations in patients at risk policy, assessment and monitoring, response, critical care and staff competencies the LTHTR policy Procedure for the timely recognition and response for patients at risk of deterioration encompasses these key recommendations. There is no predictive scoring system which gives accurate predictions of outcome for individual patients. Survival from an episode of severe sepsis is dependent the patients age, previous health and the time delay before the onset of medical intervention, as well as the appropriateness and quality of medical care. Few countries have limitless resources, and so difficult decisions face all intensive care doctors when deciding between the potential benefits for one critically ill patient and need for provision of healthcare to several less critically ill patients (I, Mackenzie 2001). Word Count 2008

self mutilation Essay -- essays research papers

Self Mutilation It is estimated that one out of every 50 teens between the ages of 13 and 19 regularly practice self-abusive behavior with a reported 2 million cases in the US alone in 2004. Self-mutilation is defined as the direct and deliberate destructive alteration of one’s own body tissue, without conscious suicidal intent. It is considered a clinical disorder. Self mutilation is not a suicide attempt. It is an attempt for one to gain control over their life and cope with stress, pain, fear, and anxiety. Self mutilatory behaviors are cries for help. Self-abusive teens tend to internalize any conflicts with friends, school or parents as they do not want to â€Å"cause trouble† for anyone. Typical self mutilators are middle to upper class, intelligent, women. Self harm usually begins in adolescence and continues for 5to 10 years into the mid twenties. Although self harm more frequently affects females, 11 thousand males are known to suffer from it every year in the United States alone.   Ã‚  Ã‚  Ã‚  Ã‚  There are several types of self-abusive and mutilative behaviors. The most common are cutting and burning. Self harm, however, is not limited to these types. There are also banging, binge eating, biting, branding, breaking of bones, bruising, carving, carving words or symbols into flesh, drinking, hitting, ingesting sharp objects, ingesting toxic substances, marking, picking, piercing, pulling hair, punching walls, scalding, scraping, scratching, scrubbing, self ind...