Thursday, August 8, 2019
International trade Essay Example | Topics and Well Written Essays - 1750 words
International trade - Essay Example It will then look and how tariffs, quotas and subsidies affect real income in small countries. Lastly, it will look at arguments against free trade and their validity from a national perspective. The Ricardian Model of International Trade The Ricardian model of international trade is one of the earliest models of international trade. This model of trade emphasizes comparative advantage that comes about due to technological differences which act as a critical factor behind trading activities. Unlike the other theories of international trade that argue that trade only benefits certain countries and is unfavorable to others, this model contradicts this notion arguing that trade is beneficial for all countries that take part in the international trade (Feenstra, 2003). Its built on six basic assumptions: (1) Two countries are involved in the trade; (2) there are only two goods produced; (3) labor is the sole factor of production (Goodwin, Nelson, Harris, Roach, & Devine, 2009); (4) there is perfect competition across all markets such that goods are priced at cost in the nations producing them; (5) an assumption that labor is homogeneous within domestic boundaries, however, its productivity is different across the nations; and (6) the goods produced are viewed as homogeneous across the countries (Stern, 2011). According to this model of trade, gains from the trade become possible because of the comparative advantage. The basic idea is that if a country has to benefit from the trade, it is the countryââ¬â¢s opportunity cost that matters and not its actual costs. The opportunity cost of a given product (a) is how much of some other product, (b); one country has to give up in order to produce one unit of the other product (a) (Carbaugh, 2010). Based on this explanation therefore, each country will stand to benefit only if it produces a particular good for which it has the lowest opportunity cost. A countryââ¬â¢s opportunity cost is what will create gain in the fr ee trade. The gains from the trade are made possible due to comparative advantage that one country has over the other. Comparative advantage comes in if the opportunity cost of producing that good in terms of others goods is less compared to the other country. Thus if the opportunity cost of country A is lower than the opportunity cost of country B, then country A has a comparative advantage over country B. Therefore both countries benefit from the free trade if each country exports the goods with which it has a comparative advantage over the other. The Heckscher-Ohlin (H-O) Model of Trade Heckscher and Ohlin in there theory explain that the basis for international trade is due to factor endowments. This theory is an advancement of the Ricardian model of international trade that advocated for the comparative advantage as the basis for international trade. The Ricardian model failed to explain how the comparative cost advantage exists (Goodwin, Nelson, Harris, Roach, & Devine, 2009). This theory on the other hand proposes that this difference in comparative costs is due to: (1) differences in endowment of the factors of production; (2) the fact that production is dependent on the factors of production which are used with different degrees of intensity in the two countries. Therefore, this theory advances that the differences in factor intensities in the production functions of goods and the actual differences in relative factor endowments of the countries which explain international differences in the
There is no set topic Research Paper Example | Topics and Well Written Essays - 1000 words
There is no set topic - Research Paper Example The poem has four stanzas, each of eight lines, which follow a rhyming scheme of abababcd. There are many imageries employed in the poem as the poet compares his old being with ââ¬Å"a paltry thingâ⬠and ââ¬Å"A tattered coat upon a stickâ⬠. According to the poet, he is an old creature who has no value and is like a torn coat hanging on a stick. His existence is all ragged because of the long time that he has passed in this world but Byzantium is full of youth and inspires him with its youthfulness. He further elaborates his situation and says, According to Yeats, his soul is ââ¬Å"fastened to a dying animalâ⬠and that is his body. He describes that he is old and his body is no more young, however, his soul is youthful and is ââ¬Å"sick with desireâ⬠. According to Rukhaya (2010), ââ¬Å"It now seems like an alien to himself incompatible with his aged bodyâ⬠. His body is alien to him, as he wants to get rid of it because of his youthful soul. Yeats shows infatuation with the idea of gold and gold creations as he mentions gold a number of times in the poem as he uses the words, ââ¬Å"gold mosaicâ⬠, ââ¬Å"hammered goldâ⬠, ââ¬Å"gold enamellingâ⬠and ââ¬Å"golden boughâ⬠. Yeats uses a number of symbols in ââ¬Å"Sailing to Byzantiumâ⬠such as ââ¬Å"Byzantiumâ⬠(Holy City), ââ¬Å"dying animalâ⬠(old man), ââ¬Å"mortal dressâ⬠(human body) and gold made bird by ââ¬Å"Grecian goldsmiths. Franke (1998) says, ââ¬Å"One of the most powerful and richly poetic of all Yeatsââ¬â¢ unifying symbols is the Sacred City of Byzantiumâ⬠(25).Byzantium that is used as a holy land by Yeats is itself a poetic symbol employed by him. The word, ââ¬Å"Byzantiumâ⬠stands for ancient art and what is manmade. Yeats shows inspiration for Byzantium because of its association with Greek world and artistic vigor found in the land. Byzantium is depicted as an eternal land. The poem Sailing to Byzantium by W.B. Yeats,
Wednesday, August 7, 2019
Discuss evolutionary explanations of intelligence Essay Example for Free
Discuss evolutionary explanations of intelligence Essay Intelligence has been considered a unique feature of human beings as it gives us the ability to devise elaborate strategies for solving problems. There are three key evolutionary explanations of intelligence, which are, foraging/ecological, social and sexual selection.Ã Foraging is when animals learn food preferences from others. This ability has clear survival advantages because the animal can learn from others rather than using trial and error process to identify which foods are harmful. The larger the range of food required, the larger the foraging area must be and the greater the requirement for more complex abilities. Many primates have to balance their diet by selective eating through successful hunting, which requires forethought, planning, cunning and the ability to coordinate the actions of a number of individuals. Finding food over a particular area may require a cognitive map (memorized spatial knowledge).Obtaining the food requires tool use and hunting techniques, which is another indication of intelligence in both human and non-human species. Visalberghi and Trinca (1987) did a study to look at the effects of tool use. Capuchin monkeys were given task of pushing peanut butter out of a tube. They found that the monkeys were quick at finding a suitable stick but tried out many unsuitable ones first. This suggests no understanding of causal relationships and that many animals develop the skill through trial and error rather than insight. Only the great apes show the sophisticated understanding of cause and effect so this supports the link between tool use and intelligence. The association between the growth of hunting and intelligence shows that more intelligent individuals are more intelligent than less intelligent. However many species with very successful hunting techniques are not very intelligent and therefore it is unlikely that the benefits of hunting would account for human levels of intelligence. The efficiency in foraging of a particular animal has been shown by various psychologists. Galef (1988) did a study in which a rat was allowed to eat food with a distinctive flavour, with cocoa or cinnamon. A test rat was then put in with the demonstrator for 30 minutes, but with no food present. This test rat then had to choose between cocoa-flavoured and cinnamon-flavoured food. It was found that the test rats preferred food of the same flavour as that eaten by the demonstrator. This was still the case 4 hours after the demonstrator had eaten and when 12 hours had elapsed before the test rat made its choice. Therefore it can be concluded that interacting with a rat after it has eaten creates a particular preference for that food. These results could be interpreted in a number of ways, in terms of the rats been neophobic, meaning unwilling to try anything new. The test rat could have picked up on the smell of the particular food on the breath of the demonstrator and will have been choosing between what was familiar and unfamiliar rather than been influenced directly by the demonstrator actually eating the food. However despite this Galef also found similar results even when the test rats were familiar with both cocoa and cinnamon flavoured food. The social theory says that interactions with other members of a social group present an intellectual challenge and primate intelligence has been evolved in response to this challenge. It has been suggested that intelligence is an evolutionary adaptation for solving social problems. The most intelligent species are the social animals, which are bees, parrots, dolphins, elephants, wolves, monkeys, etc. The group living could have set the stage for the evolution of intelligence in two ways; sociality which increases the value of having better information, because information is one commodity that that can be given away and kept at the same time. For example a more intelligent animal within a group has the benefit of knowledge and what it can get in exchange for the knowledge. Secondly group living itself has new cognitive challenges. Social animals send and receive signals to coordinate predation, defence, and foraging and sexual behaviour. They exchange favours, repay and enforce debts, punish cheaters and join coalitions. Machiavellian Intelligence Hypothesis came from various related hypotheses, which Bryne and Whiten (1988) brought together. This suggests that deceiving and detecting deception are the primary reason for the evolution of intelligence. Evidence supports this, as Bryne and Whiten (1992) have shown that there is a strong positive correlation between neocortex ratio and the prevalence of tactical deception in various primates and this implies that there is a clear relationship between social manipulation and intelligence.
Tuesday, August 6, 2019
Various Solutions to Firefighter Food Purchase Essay Example for Free
Various Solutions to Firefighter Food Purchase Essay This research is about the provision of sustainable fire fighting services in a small town in Ohio called Pikering. Pikering has a population of about 8,000 residents and is situated in the rural parts of Southeastern Ohio. It has for over the years relied heavily on volunteers to provide firefighting services in the event of fire breakouts. For the past few years, the pool of volunteers has ranged between 17 and 30 in number. Owing to the few incidences of fire in the town, this small number of volunteers has often responded satisfactorily to save situations in case of fire disasters. Usually, the captain of the team of volunteers makes judgment on how to respond to cases of fore breakouts as communicated to him via telephone calls, through the Sheriffââ¬â¢s office or the City Managerââ¬â¢s office. In the past decade, the number of volunteers in the firefighting unit of Pikering township of Ohio has been dwindling. This has been occasioned by retirement of old volunteers and increased rural-urban migration of the young, energetic generation. The town has virtually remained with the old people and the very young, and the few youths available are not willing to take on the voluntary fire fighting chore. This attrition has caused concerns in the City Council. Due to the availability of state and federal funds to small municipalities like Pikering that lack proper fire emergency systems, the council has opted to put in place a paid, full-time fire department supplemented by volunteers. The council office believes that the new fully-trained fire fighting department will bring higher level of skills. Federal grant money provided to the fire fighting department is budgeted to cater for 18 full time firefighters. The funds will be dedicated towards paying the workers, maintaining high quality fire fighting quality. One ofà the focuses of the council is to have a fire fighting department and staff with refined paramedic knowledge for saving lives during fire break outs. It intends to maintain some of the full-time fire fighters within the premises for quick response to emergencies. The department will not only serve the community of Pikering, but extend its services free of charge to The Problem The problem in the proposed system is that the firefighting facility can only accommodate up to 14 of the 18 firefighters. Fortunately, the facility can be modified to accommodate both male and female fire fighters. Arrangements to have the new system working are currently underway with the help of the city council, fire chief and the volunteers. There are plans to expand the annual pancake breakfast fund raisers and meals in the fire station. There are also plans to expand the kitchen into a larger cooking facility with kitchen equipment and food for the firefighters on duty. There are significant concerns about a number of issues in the proposed system: 1. Not all fire fighters are good cooks 2. The firefighters, like all other people have favorite foods and those dishes they dislike 3. Some of the firefighters may think and believe in their ability to prepare good meals, an opinion that may be disputed by other fire fighters 4. The diet provided in the fire station may not concur with dietary requirements imposed upon some of the fire fighters for medical or other special reasons 5. There should be a consideration in the food variety and wholesomeness 6. Further, rotation of the firefighters on duty may cause complications in the firefightersââ¬â¢ feeling of fairness and contentment with the food system. This is particularly true in the event that oneââ¬â¢s favorite dish is constantly served while he is away and out of duty. 7. There is another problem related to contributions as there is need to ensure equitable contributions from the firefighters for the foods they consume in the fire station. 8. Additionally, some people in the fire station are bound to eat more than others 9. The city does not want to pay for the food the fire fighters will be eating in the fire station. Since the fire fighters must eat anyway, the city is determined that the amount of donation it provides towards the fire fightersââ¬â¢ upkeep is minimal. Researchà Objective This research labors to provide solutions to the problem that are bound to face Pikering Municipality upon introduction of the full time firefighting force. There is need to ensure that the firefighting squad of the municipality feels confident that their basic requirement for food is met. It is imperative that the force remains strong and healthy by consistent and reliable supply of nutritious food in sufficient amounts. There is also need to feel fairness in the purchasing of food for the firefighters if they are to cater for their own food collectively. The report, therefore, finds solutions to these problems. It dissects the situation with an aim of finding helpful information concerning: a) Food Purchase b) Food Preparation c) Cost Sharing Predicament Data Gathering Techniques Gathering data used in this analysis came from a variety of sources. Given the scope of the problem, it was important to conduct comprehensive research on food security issues, ways of creating cheap food and collaboration. For the reasons of understanding teamwork, which is the spirit needed in making the firefighters work together and I coordination in realizing the smooth running of the fire station residence, the research considered empirical analysis of existing literature on the topic. The research made use of books, journals and articles from internet to come up with sustainable means of keeping cooperation and teamwork of the firefighters. In addition, literature on production of affordable food production techniques provided formidable data for solving the food availability issue. In addition, the research considered the people affected by the fire fighting services and sought their opinion on issues such as buying food for the firefighters. A total of 100 people of all ages, sex and race were interviewed to give their opinion on the plans. The data gathering process used questionnaires that were presented in person to the correspondents. The correspondents were arbitrarily chosen from the residents of Pikering. Research Findings Foremost, the research analysis of the problems that were cited as potentialà causes of trouble to the fire fighting station residence were analyzed with a view to simplify them. Providing solutions to the problems that were most likely to cause immense challenges had to take a systematic manner and line of thought. Therefore, the research reconsidered the problems presented and classified them into two broad issues; issues of cost management of food and issues of teamwork. The research noted that providing solutions to food affordability and enhancing cooperation ad brotherhood in the working environment of the firefighters would create an environment devoid of the problems cited. From the questionnaires that the residents of Pikering Municipality filled, it was evident that the residents of the municipality were not for the opinion that the city council feeds the fire fighters, 81 of the 100 interviewed held an opinion that the fire fighters are not fed by the council. They argued that the council had more important projects that the funds could be channeled to. 63% of those who responded to oppose the plans of feeding the firefighters by the council argued that the frequency of fire outages in the municipality did not call for such drastic measures by the local government. They felt it would be a waste of resources to feed people who would stay for months without getting involved in anything constructive. The other 35% of the opponents of the move by the council to feed the firefighters felt that the firefighters do not need free food as they are able bodied people and economically gained like the rest of the public. They reasoned that if the firefighters we re to get free food, then all other workers of the council, state and federal governments deserved free food as well. Proposed Alternatives 53% of those opposed to the provision of food grants to the firefighters proposed growing of food by the firefighters in the lands of the council as one of the alternatives they had. As much as this group appreciated the need for the squad to practice eon a regular basis and undergo training, it regarded the firefighting squad as having enough free time to produce its own food. The 53% proposed that the firefighters could engage in food production activities in the vast council farms to cut on the cost of foods they may have to buy. The people reasoned that the squad would probably take 3 hours day training and spend the rest of the time idle. This was the time they would use to grow their own food. The other alternative was that theà council should deduct part of the firefightersââ¬â¢ pay in a mutual agreement before signing contract to cater for their own food. This would be treated as a condition in the terms of agreement to cover for their food expenses. This was an opinion of 43% of the correspondents who opposed the proposition to feed the firefighters by the council. The other 4% did not suggest any alternative to the quandary. Evaluation of the Alternatives As stated before, the research questions that were presented to the public of Pikerign Municipality concerned food production. Issues that would affect the cooperation of the firefighters in peaceful coexistence were dissected through the eyes of authors who have conducted extensive research on team work. Issues to do with cooking, appreciation of the quality of food one cooks, complaints on the types of foods offered during oneââ¬â¢s days of duty and issues of some firefighters eating more than others would be best solved with an informed understanding of the need for teamwork. Once the council hires and places the firefighters, it will be imperative that it embarks on a thorough teamwork initiatives to have the firefighters think as a unit (Marinucci, 2009). This would be the only formidable way of ensuring there is harmony and brotherhood in the fire station residence. First, the council will need to instill a culture of inclusiveness from the first bunch of firefighters. It would be impossible to field a strong firefighting team unless all the members of the squad feel that they are part of the team. Early inculcating of such cultures is fundamental so that all who come in later blend in and play along the set rules of the institution (Mills, 2004). Secondly, the council needs to make the firefighters understand that resources of the firefightersââ¬â¢ station belong to all in the firefighting department. It is imperative to understand that the resources are for use by all and need to be used collectively (Mills, 2004). Further, the firefighters need to respect each other and keep confidences. In the event that they have some complaints to make for their sake or about someone, they should remember to be bold and say it to be known (Bryant, 2009). One other factor that would make the firefighting team stick together through inadequacies and disagreements is their ability to celebrate together. The firefighting staff needs to have the culture of cele brating their achievements together as a family (Marinucci, 2009). They need to gatherà frequently in provided facilities to get to know each other. Further, the team needs to remember that laughter heals. They need to laugh out, be happy and share humor in good and sad times. Finally, there is need to support and accept one another (Mills, 2004). There is necessity for the firefighters to celebrate the diversity in each individual. In so doing, the fighters remember that not all of them enjoy the same food; eat the same manner and same quantities of food. By understanding these, the team will be willing to contribute towards food purchases even if they are off duty. They will not mind being away when their favorite dish is served for they love the remaining team eating the food. In exploring and realizing the full potential of the options proposed by the public opponents of the feeding program by the council, it will be possible to have the propositions work with an inspired team to work together. A firefighting team that views itself as a family will be willing to work on the farms for their own food production (Piontek, 2008). A motivated and united team is a happy team that works together with enthusiasm. Having the team work together to produce its own food is possible. Additionally, the second alternative of deducting money from the fire fightersââ¬â¢ wages for upkeep is a sustainable feat. The council would save money for other service provisions by teaching the firefighters make purchase their own food and supplement the deficit by farming. The only trick is to teach them to do both with passion. Recommendations From the finding s and the discussions of the research, it is evident that the public of Pikering Municipality is against the council feeding the firefighters. It is, therefore, crucial that the council reads the public mood and follows alternative means of feeding the firefighters. The firefighters should contribute part of their income to purchase their own food. They need to supplement the food deficit by farming in the council vast farms. In order to cure behavioral and social quandaries expected in the department, the council needs to focus on building teamwork and collaboration. References Bryant, M. (2009, May 31). Conflict Resolution in the Fire Service. Retrieved from http://www.firefighternation.com/article/command-leadership/conflict-resolution-fire-service Marinucci, R. A. (2009). Fire Chiefs Guide to Administration and Management. Upper Saddle River, N.J.: Pearson Prentice Hall. Piontek, A. (2008, July 1). The firefighters perspective. Fire Engineering, 161(7), 91. Mills, S. (2004). Teamwork: The Foundation of the Fire Service. Retrieved from http://www.fireengineering.com/articles/print/volume-157/issue-8/features/teamwork-the-foundation-of-the-fire-service.html
Monday, August 5, 2019
Cutaneous Leishmaniasis And Pathogenesis Biology Essay
Cutaneous Leishmaniasis And Pathogenesis Biology Essay Leishmaniasis is a tropical, protozoan disease caused exclusively by intracellular parasites belonging to the genus Leishmania. Leishmaniasis is a worldwide problem and due to the various species of Leishmania, can manifest in humans as 3 main clinical forms: Cutaneous Leishmaniasis, Mucocutaneous Leishmaniasis, or Visceral Leishmaniasis. Consequently, the severity of the infection and symptoms differ from self healing infections that produce significant scars to the fatal infections. Pathogenesis Leishmaniasis is transmitted by the bite of female insect vector sand flies of the species Phlebotomus in the Old World and Luzomyia in the New World (Figure 1). The life cycle for all Leishmania species is relatively simple and similar (Figure 2). When the sand fly takes a blood meal, it inoculates the source with the 2-3 mm long parasite. At this stage, the Leishmania parasite is known as a promastigote as it contains a singular flagellum. Promastigotes are injected into the host skin, after which they attach themselves to the hosts macrophages, and are induced by phagocytosis. These white blood cells are present at the inoculation site because of the hosts natural immune response to the sand fly bite. Once inside the macrophages, the promastigotes transform into their non-flagellate form, known as amastigotes. From here the amastigotes reproduce by binary fission and continue to proliferate within the white blood cells until the cell bursts. The parasites are then free to infect and invade other reticulo-endothelial cells, which share the same fate and are destroyed due to the reproduction of amastigotes within. The amastigotes and infected macrophages enter the blood circulation. The life cycle of Leishmania is continued when a female sand fly feeds on the infected hosts blood and the amastigotes are taken up by the sand flies. Amastigotes transform into promastigotes, which proliferate by binary fission in the midgut of the sand fly over a period of 4-25 days (WHO, 2010). Hereafter, the promastigotes migrate to the fly proboscis or mouthparts, where the parasite can infect a new host during feeding (Murray et al, 2009) and thus the Leishmania lifecycle is continued. Mammals are more often reservoirs for infection. As well as humans; dogs, rodents, wolves and foxes are examples of common reservoirs (Neuber, 2008) and thus, can suffer from leishmaniasis diseases too. Figure 2: The life cycle of Leishmania. Adapted from Chappuis et al (2007). Figure 1: A Sand fly vector of Leishmania parasites. Extracted from Neuber (2008). Epidemiology Leishmaniasis is endemic in 88 countries, 72 of which are developing countries. An estimated 12 million people are infected with leishmaniasis and 70,000 people die each year (Reithinger et al, 2007). There are currently about 350 million people worldwide that are at risk and threatened by leishmaniasis because they live within 40Ã ° north and south of the equator (Jones et al., 2005; Neuber, 2008) and according to the World Health Organisation (2010), there are an estimated 1-2 million new cases each year. There are approximately 20 species of Leishmania which are pathogenic for humans (Chappuis et al., 2007). These species vary in their geographical location and have an effect on the leishmaniasis which manifests (Table 1). Cutaneous leishmaniasis is the most common form of leishmaniasis and is endemic in over 70 countries worldwide (Figure 3). It is found throughout Africa and the Middle East in Afghanistan, Algeria, Iran, Iraq, Kabul, Pakistan, Saudi Arabia, Syria; however, more particularly in South America, in Brazil and Peru (Reithinger et al, 2007; Murray et al, 2009). Over 90% mucocutaneous leishmaniasis often occurs in Bolivia, Brazil and Peru and the majority (over 90%) of visceral leishmaniasis cases, the most dangerous form, is localised to 6 countries; Bangladesh, Brazil, Ethiopia, India, Nepal and Sudan. There are an estimated 500,000 new cases of visceral leishmaniasis each year (WHO, 2010; Chappuis et al., 2007). Figure 3: Geographical distribution of Cutaneous Leishmaniasis. Extracted from Reithinger et al (2007). Main Clinical Presentation Leishmania Parasite Main Geographical Distribution Cutaneous Leishmaniasis L. tropica* Africa, Asia, Middle East, Mediterranean area Cutaneous Leishmaniasis L. major* Middle East, Africa Cutaneous Leishmaniasis L. aethiopia* Ethiopia, Kenya Cutaneous Leishmaniasis L. amazonesis ^ South America (Brazil, Venezuela) Cutaneous Leishmaniasis L .columbiensis ^ Northern South America (Columbia, Panama) Cutaneous Leishmaniasis L. garnhami ^ South America (Venezuela) Cutaneous Leishmaniasis L. peruviana ^ Peru, Panama, Costa Rica, Columbia Cutaneous Leishmaniasis L. venezuelensis ^ Northern South America (Venezuela) Mucocutaneous Leishmaniasis L. braziliensis ^ Central and South America Visceral Leishmaniasis L. donovani* Africa, Asia Visceral Leishmaniasis L. infantum (L. chagasi) Europe, north Africa, Central and South America, Mediterranean area Table 1: Overview of clinical presentation and geographical distribution of species of Leishmaniasis that cause human disease. L. = Leishmania. * Leishmania species of the Old World. ^ Leishmania species of the New world. Data adapted from Reithinger et al (2007), Neuber (2008) and Murray et al (2009). Clinical Presentation Cutaneous Leishmaniasis Cutaneous leishmaniasis is a localised reaction at the inoculation site, which tends to be uncovered areas such as the face, hands and lower legs. Between 2 weeks and 2 months after the sand flys bite, a red papule forms. The area begins to swell and become irritated and after 3-4 weeks, flat ulcers form which eventually harden and form crusted margins. The volcano-like lesions that form can heal without treatment; however, sufferers are commonly left with significant, disfiguring scars. Mucocutaneous Leishmaniasis Mucocutaneous leishmaniasis, also known as espundia, is most often caused by Leishmania viannia braziliensis and has a similar incubation time as cutaneous leishmaniasis. However, this form causes more devastating disfigurement to disease sufferers as the parasites metastasise towards to the mucosal membranes and destroy them and nearby unrelated tissue structures also (Murray et al, 2009). This form is more commonly seen after a primary infection of cutaneous leishmaniasis, where the lesions have eventually healed. Untreated lesions can transform into mucocutaneous forms and year later the oral and nasal mucosas become infected. Inflammation of the nose, mouth, oropharynx and trachea cause sever mutilation and facial disfigurement. Death can sometimes arise as mucosal lesions do not self-heal and prolonged infection compromises both immune and respiratory systems. Visceral Leishmaniasis Visceral leishmaniasis, also known as, kala-azar, dumdum fever or black fever, is the most severe form of leishmaniasis, and if left untreated, those infected will die. It is the most dangerous because parasites leave the skin and colonise the entire reticulo-endothelial system (Neuber, 2008) and spread to internal organs. Incubation period may be from several weeks to a year and can present as a rapidly fatal disease or as an asymptomatic, self-limiting infection (Murray et al, 2009). As the parasites proliferate and destroy the hosts cells, sufferers present with a marked enlargement of the liver, spleen lymph nodes as well as fatigue, weight loss, fever chills, severe anaemia and kidney damage. Death is caused by haemorrhage, complications relating to anaemia or a weakened immune system which cannot deal with bacterial co-infections (Chappuis et al, 2007). As is the case with all forms of leishmaniasis, the chances of the sufferer developing a secondary infection, such as a bacterial infection, are very high and doing so, can complicate the disease further and may lead to death. To add: one photo for each CL, ML and VL. Canine Leishmaniasis Leishmania infantum not only cause severe disease in humans, but in dogs also. Millions of dogs in Europe, Asia, North Africa, and South America are affected by the parasite. There are some clinical manifestations of the disease in dogs which re similar to that of humans including cutaneous alterations, enlargement of lymph nodes, liver and spleen, weight loss and glomerulopathy. As well as this, ocular lesions, epistaxis (nose bleeds), onycogryphosis (abnormal curving of claws) and lameness (disability in walking) are classic symptoms found in infected dogs (Maia and Campino, 2008). As with visceral leishmaniasis, canine leishmaniasis may also present as an asymptomatic infection, thus delaying necessary treatment. Diagnosis Due to the clinical presentations of the disease, a diagnosis can be made; however, for a definitive diagnosis the Leishmania parasite must be detected to confirm the diagnosis. Parasitological techniques are routinely used and involve demonstrating promastigotes in a direct examination of tissue aspirates, or detecting amastigotes in biopsy specimens, which are then, examined using a microscope. Serological techniques to diagnose leishmaniasis are based upon indirectly identifying specific host humoural and cell-mediated responses after inoculation of the parasite. Diagnostic methods include direct agglutination test (DAT), the immunofluorescence antibody test (IFAT), the enzyme-linked immunosorbent assay (ELISA), immunoblotting and antigen detection. Molecular techniques involve detecting leishmanial DNA or RNA have been beneficial in not only diagnosis, but species identification also. The molecular techniques include using various versions of polymerase chain reactions (PCR) to amplify species specific parasite sequences, DNA probes, monoclonal antibodies (MAbs) and isoenzyme electrophoresis. Treatment All forms of leishmaniasis should be treated due to their mortality and morbidity consequences. Drugs are available to treat the disease and choice for all forms is the pentavalent antimonial compound sodium stibogluconate (Pentostam). Cutaneous leishmaniasis is also treated with injections of other antimonial compounds, such as fluconazole and litefosine, directly into the infected lesions (* Figure). Miltefosine has also proven to be an effective treatment for visceral leishmaniasis (Murray et al, 2009). However, as with all drug treatments, the development of drug resistance is a huge issue and over use of this drug in previous years could lead to Leishmania species becoming resistant. As well as this, there are considerable side effects associated with most drugs (Neuber, 2008). A safe and effective vaccine against the various species is urgently required particularly in endemic areas; however, there is currently no vaccine available although work to develop one is still ongoing. (To add: * Figure of such treatment) Social and Economical Implications Leishmaniasis is found in developing countries or the poorer regions of a country and thus commonly affects the poorest of the poor. Having such a disease can cause many problems in the lives of those infected and their families as they become poorer due to the direct and high costs of diagnosis and treatment of the disease, and the indirect costs such as loss of income (Chappuis et al, 2007). Another impact of the disease is the social and psychological stigma associated with leishmaniasis, because of the disfigurement and significant scarring caused. Thus, even after the disease has been treated or self-healed, patients must deal with a constant reminder of what they had to endure. Cheap, rapid and accurate diagnostic methods are needed to allow all those infected, especially the poor, to get the medical attention they need, and to also allow treatment to start as soon as possible thus ensuring symptoms may not be as detrimental. Project Aims The aim of this project is to compare the different methods for diagnosis of leishmaniasis in humans and dogs. These methods will be critically analysed in order to test the following hypothesis: A Leishmania infection can be detected unequivocally. In doing so, the necessary requirements for a correct diagnosis for those who live in endemic areas and for those whom leishmaniasis is a threat, will also be discussed.
Sunday, August 4, 2019
Value Delivery Network :: essays research papers
Value Delivery Network A value delivery network allows many companies to create customer value that cannot be created by use of the companyââ¬â¢s own value chain. A ââ¬Å"Value delivery network,â⬠is made up of the company, suppliers, distributors, and ultimately the customers who partner with each other to improve the performance of the entire system (Armstrong et al. 52). This type of system interests me because I have always been curious as to what path a product or service must take in order to be considered a ââ¬Å"valueâ⬠to a customer. Generating my interest during one of the case studies during class, Accenture is a company that has improved the value delivery network for many companies. Accenture has improved not only the value delivery system for the airline industry, but its own global delivery system with its partner BT. Accenture found the need to introduce e-commerce to the airline industry's line of services to its customers. E-commerce, as Accenture puts it; reduces costs, maximizes information about customers, allows targeting certain distribution channels, differentiates products, establishes long term relationships, and creates lifetime loyalty; all of which creates value in the delivery network (Stewart). E-commerce allows the airline industry to connect to its customers directly and with third party electronic channels that provide value to customers in ways unknown in the traditional distribution cycle (Stewart). As a consulting firm, Accenture not only improved the value delivery network for the airline industry, but for its partner BT. Signing a 10-year, $575M outsourcing contract w/ BT, Accenture has essentially expanded its geographic reach of services provided to BT within the global market. Services provided under the new contract include customer contact/call center, recruitment, pension administration, payroll and benefits administration, performance management administration, health and safety, and HR advisory and information services. By outsourcing most of its services to Accenture, BT improves its value delivery network by providing lower costs and higher quality services to its customers. As stated by BT's Alex Wilson, "Accenture HR Services has a proven track record of consistently high quality service and a true partnership approach. These were key factors in its selection, along with its unmatched ability to deliver HR services on a global basis. This agreement will allow our staff to concentrate even more on the strategic role of HR management to our growing global business." Just as H onda has outsourced all of its automobile mirror operations to Donnelly Corporation benefiting both companies in terms of increased performance and passing the value on to its customers (Armstrong et al.
Saturday, August 3, 2019
Critical evaluation of An Inspector Calls Essay -- English Literature
Critical evaluation of An Inspector Calls An Inspector Calls ââ¬ËAn Inspector Callsââ¬â¢ is a play set in the mystery/ detective thriller genre. It is set in 1912 however it was written by J.B Priestly in 1945 and staged in Moscow. As he lived through both wars he could see what had actually happened in the time the play was set. J.B Priestly uses the characters to express his views on the issue of social responsibility, morality and about class divisions with many themes including greed, regret, guilt and blame. ââ¬ËAn Inspector Callsââ¬â¢ is about the Birling family who are quite wealthy. They are celebrating their daughters engagement with her fiancà ©, Gerald. An Inspector arrives and breaks up the party, questioning the family on the death of a young Eva Smith, who had killed herself by drinking disinfectant. Upon questioning each member of the family seems to be involved in her death and is slowly forced to confess. When the Inspector finally leaves they find out that he is a fake. But at the very end they get a phone call telling them that a young woman has just killed herself and that there is an Inspector on his way to speak to them about it. An Inspector Calls is what is known as a well made play. Its progression is that from ignorance to knowledge (for both the audience and the characters). During the course of the play the action is mostly focused on Eva Smith/ Daisy Renton. At the beginning of the play Sheila is described as a pretty girl in her early twenties, very pleased with life and rather excited. The reader gets the impression that she is a very relaxed, spoilt, and innocent girl who is very naà ¯ve. At the start of the play Sheila has a very good, happy relationship with her family and fianc... ...ing about the public finding out and if the inspector is real or fake. Sheila is the character which is explored in this essay. Responsibility is developed through her character as her reactions and responses are compared to her familyââ¬â¢s. Although she is the youngest, she behaves in a mature manner answering the Inspectorââ¬â¢s questions whereas her family refuses. She understands what has happened and takes responsibility for her actions. Change is developed from the beginning to the very end. In the beginning Sheila is carefree, innocent and naà ¯ve. She has no worries or concerns. However towards the end she develops a social conscience and an understanding of the real world. She is emotionally stronger and has doubts about her parents. She has learnt a lot from her experience and even though the inspector was a fraud she is still aware of her actions.
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