Thursday, November 28, 2019

Illustration Essay Example Digital communication

Digital communication Introduction As popularly known now, writing is a foremost skill that enhances understanding. Alongside speech, it ensures that communication comes full circle. However, the rise into prominence of writing lately is what this paper will focus on. I shall seek to demonstrate how this art is increasingly being fine-tuned so as to make it exciting. I shall endeavor to describe how to combine words, images, animations, symbols, and abbreviation etc, so as to make communication more effective and more efficient. Discussion In contemplation, my writing seems to have been influenced in different ways by various technologies. However, I shall limit myself to discussing only two main influences; for purposes of this essay. Digital technologies have led me to either augment my knowledge with various sources or to be wordy and long winded. Augmenting my messages with information from other sources is second nature now. If I am writing on social media, necessity to provide evidence for whichever claims I make is extremely essential. I use the various digital offerings to fill this delightful need. The most important are ‘sources’, which if followed, may lead the reader to the original sources quoted or rephrased in the original communication. These sources can come in various forms. Key among them is providing a URL (Uniform Resource Locator). The URL is a reference to a site where the information I am communicating in brief is provided at greater length and with more detail. It can also lead to a blog. In writing assignments, elongating them makes them better (Sharmila, 2002). I venture to write in as much detail that even a person coming across the topic for the first time gets to understand it with utmost ease (Sharmila, 2002). E-mails also assume the same trend. Contrary to the purpose detailed above, at times I also tailor my writing to definite occasions where brevity is required. In this age of digital interconnectivity, there is a greater need to be brief so as to save time for other equally captivating items. On Facebook or Twitter, good mastery of abbreviations is an absolute virtue. As a result, if I want to tell someone how hilarious something is, I don’t have to do it in so many words, I simply write LOL (Laugh Out Loud). If the opposite is the case, then ‘gutted’ is sufficient to indicate disappointments. Still on social media, the use of emoticons (emotion icons) is central to communication. These are faces that relate the writer’s reaction to the topic at hand. Therefore, a smiling face suggests joy and a moody face symbolizes sadness. SMS chatting is also a central part of my daily writing. If aware that someone on the other end of the line is anxious to hear from you, the incentive to be pithy and concise is mandatory. One has to learn to use the best words in their best order to enhance smooth conversation (Sharmila, 2002). On the other hand, writing notes and even reminders follows a similar trend. In this digital age, when it comes to informal writing, having short writings is best. Conclusion As is evident, the effect of digital technology upon writing style is too great to be ignored. The quality of the resulting communication consequently also comes into focus. Whether writers choose to be brief or long-winded, it is imperative to understand that style has no retarding effect on communication (Sharmila, 2002). It should be appreciated that style is not an end in itself. Reference Sharmila, Pixy. (2002). Writing Electronically: The Effects of Computers on Traditional Writing. Journal of Electric Publishing, 8 (1), Retrieved April 10, 2012, from http://quod.lib.umich.edu/cgi/t/text/textidx?c=jep;view=text;rgn=main;idno=3336451.0008.104 We Want to Help You with Your Essay Too We have helped out thousands of students. Just like them, we want to write your essays to. So what’s the problem? You have two ways to say, â€Å"write my essays;† one is by giving us a call and second is by talking to our support staff. Time to talk to the support staff.

Sunday, November 24, 2019

The use of “second class” organs is a necessity in transplantation The WritePass Journal

The use of â€Å"second class† organs is a necessity in transplantation Abstract The use of â€Å"second class† organs is a necessity in transplantation AbstractIntroductionConcerns of NHBD as â€Å"second class† organsI.   concern on whether the donor is really deadII.   Concerns on the withdrawal of careConclusionReferencesRelated Abstract There are many ethical, legal and religious views with regards to organ donation. Statistics from 2009 by UK Transplant Organisation showed that, there are 8000 people on the waiting list, with only 3000 transplants a year. This shows that we need to increase the demand for organs as many people are dying. There are two main sources for human organ donation: from the living and from the deceased. Donation from the deceased involves two types: heart beating donors (HBD) and non-heart beating donors (NHBD).   HBD has been the primary source for organ donation for the last thirty years, but this source of donation is declining.   Scientists are now focussed on using NHBD to revive and increase the donor pool, but this form of procurement is plagued with many ethical problems. It is looked at as a†second class’’ form of donation. NHBD involves donation of organs from two sources: controlled and uncontrolled. Controlled are donors who have had â€Å"irreversible brain injury† but they do not qualify the brain death criteria. Where as, in the uncontrolled, the donor may suffer a cardiac arrest and die after resuscitation may prove futile. The fundamental controversy with this procurement is the definition of death as family members find this very hard to deal with when the need arise for them to make a swift decision . Thus, NHBD procurement remains slightly unpopular even though it has the prospects of increasing the donor pool by up to 30%. Introduction Transplantation is the moving of organs or tissues from one person (the donor) to another (the recipient), or to the same person. The purpose of transplantation is to replace the recipient’s organs or tissues which have failed due to illness or injury to improve health. Organs that can be transplanted includes: the heart, kidneys, liver, lungs, pancreas and intestines. Whereas tissues that can be transplanted include: cornea, skin, veins, bones, tendons and heart valves. Organs or tissue transplanted within the same person is known as an autograph. A transplant between two persons is known as an allograft. .xenotransplantation involves the transplantation or infusion of organs or tissues fron one species to another. For example, the transplantation of a babbon liver into a HIVpatient , performed in 1992. The patient died 70 days later (Greenwell et al., 2007). Xenotransplantation is a dangerous because of the non-compatibility and rejection, which may lead to death (Greenwell et al., 2007). Transplantation is a very complex and challenging area of modern science. Shortage of donors is limiting transplantation therefore both living and deceased donors are used to increase donor supply. (heart beating and   non heart beating), ( Chaib E 2007). The number of heart beating donors (HBD) continue to decreases, therefore the focus now is to use cadaveric organs from non heart beating donors (NHBD).   The main problem with this type of donation is how one may define death and who gives consent for the donor’s organs to be used in transplantation. This raises a lot of ethical issues.   People started describing NHBD as second class organs, but public confidence has improved as many studies ( Sanchez-Fructuosa et al 2000, Nicholson et al 2000) has shown the that the use of NHBD is a promising alternative to enlarge   the donor pool especially in renal transplantation. Countries including the United Kingdom, USA, Spain, Netherlands, Switzerland and Japan have all im plemented NHBDs protocols in hospitals (Knoll et al 2003). Concerns of NHBD as â€Å"second class† organs HBD has been the main source for transplantation in the last 30 years (Chaib E., 2007), but this source of donation is declining thus the emphasis is on NHBD to increase the donation pool as the need for organs keeps increasing. The difference between HBD and NHBD is the definition of death. In HBD, the beating heart donor is brain damaged and on ventilation before death, whereas with NHBD the donor may have suffered a cardiac arrest and resuscitation may be futile. In 1976 the Harvard Medical Committee used the brain stem testing to declare death, but this was not suitable, therefore, the Maastricht workshop in 1995 declared that death is irreversible cessation of all functions of the brain including the brain stem† . In 1995 the Maastricht Workshop which is an international workshop divided NHBD s into four categories: category 1 and ll involves the uncontrolled group where donors are dead on arrival or where resuscitation has been unsuccessful. In this group, mechanical ventilation is performed in order to keep the organs viable while awaiting for consent from the patient’s family. Category lll and lV involves the controlled group where donors are waiting cardiac arrest or who had cardiac arrest while brain dead (Chaib E.,2007). Despite the assessment and definition of the timing of death for NHBDs and its potential to increase donation by 30%, it still faces many ethical, legal and medical concerns. The public fears include: I.   concern on whether the donor is really dead There are two criteria for death donor rule, defined by the Uniform Determination of Death Act (UDDA): an individual is dead if both circulatory and respiratory functions have stopped and if all functions of the entire brain, including the brain stem has stopped. This rule is quite crucial in NHBDs donation and states that death must not be rushed for the act of donation. Families are quite apprehensive that stopping cardiac pump activity and cardio respiratory functions does not qualify death and that the 10 minutes â€Å"stand off† period to qualify for both cardiac and brain stem death criteria is not enough ( Zamperetti et al 2003). II.   Concerns on the withdrawal of care In the controlled setting ( Maastricht , category lll and lV ) families are sceptical about the decision to remove life support ventilators and may have fears that doctors   may have biased interest in the   in hope of harvesting organs and mistreating their loved ones. They worry if whether leaving their loved ones on life support may eventually bring them back to life and what state will they be in during prolonged life support or the options of resuscitation. There are also many doubts form medics who think that NHBD   is a â€Å"shameful act of cannabilism ignores the likelihood of auto resuscitation and that the brains of these patients are not actually dead (Potts M., 2007)   as well as the fact that the brains of these patients are not truly dead. They believe that the drugs given to the dying donor may be of benefit to the donors organs but detrimental to the donors health. Also the process of removing the organs for donations causes death in the patient and that NHBD must be banned as it goes against the practice of medicine (Verheijde et al 2007). With all the apprehensions with regard to NHBD, a major limitation has been the lack of oxygen reaching the organs during the period when ventilations is withdrawn, known as warm ischaemia. . Warm ischaemia can be a problem as it can affect the viability organs, but scientists are investigating new technology in preservation. The necessity of NHBD as second-class organs for transplantation A report in a urology journal in 2009 described how some American surgeons transplanted a cancerous kidney.   They removed the tumour and then transplanted it into the patient ( BBC.,2009). The reason for this shows that the demand for organs keeps raising while the supply is quite low. In the UK, in December 2009, there were 8000 patients on the waiting list for organs, with only about 3000 transplants per year. Many people are dying due to this shortage, therefore surgeons maybe using risky organs. There are many reports showing the benefits of NHBD in reducing this shortage and there is more pressure for it to be successful. A recent UK data showed that the success rate of NHBD are quite similar to HBD (UK transplant 2006). Many studies have shown good graft survival with NHBD especially in renal transplantation despite the warm ischaemic damages ( Nicholson et at 2000, Wijnen et al,1995) . A report in between 2005-2006 shown that there were 125 NHBD transplants compared to 2004-2005 with only 87.   A small but significant increase (UK Transpkant., 2006). NHBD is cost effective, for example, a renal patient on dialysis cost an estimated  £21,200 per year. With a successful transplant with a NHBD kidney, a median graft survival of 9 years, the total cost benefit over 9 years will be  £191,000 (UK Transplant). Thus reducing the burden on the National Health Service and a better life for the patient. Conclusion NHDB   as a technique was abandoned in the 1970. It has now revived due to the long waiting list and the fact that many people are dying because of organ shortages. This type of organ donation offers great potential but its use is very divisive. There are so many ethical issues and benefits associated with both the controlled and the uncontrolled forms donations. In the uncontrolled donor (category I ll), the presumed consent to perfuse the organs in the absence of the family or in the controlled donor   (category lll), the administration of drugs to improve the viability of organs seems so unethical and considered conflicts of interests being divided between the responsibility of care to the dying donor and the possible transplant recipient. In some ethnic groups, families of brain dead donors may be happy to donate as it gives important meaning to their tragedy that they are able to help give life to someone else. NHBD programmes are faced with many challenges. In order to improve it: There must be more educational programmes   or talks   to the public about the different   criteria   of death Clinicians and the transplant teams must follow the legal guidelines by the Department of Health, adhere to the NHBD protocol and consent from the dying donor‘s family must be given before the process of harvesting organs for NHBD to reach its full potential. It maybe a long road but public confidence is definitely required. References BBC (2009) Risky donor kidney transplants prove successful. Chaib Eleazar (2008) Non heat Beating Donors In England. Clinics 63(1):121-34 Fox RC. (1993)An ignoble form of cannibalism: reflections on the Pittsburgh Protocol for procuring organs from non-heart-beating cadavers.   Kennedy Inst Ethics J.3:231–9. Greenwell P. and McCulley M. (2007) Molecular therapeutics: 21st Century Medicine. John Wiley Ltd. Gill P and Lowes L. (2008) Gift exchange and organ donation: Donor and recipient experiences of live related kidney transplantation. International journal of nursing studies, 45(11), pp. 1607-1617. Knoll GA, Mahoney JE (2003) â€Å"Commentary. Non-heart –beating organ donation in Canada: Time to Proceed?†Canadian Medical Association Journal,169 (6). Kotton C., Kuehnert M and Fishman J. (2008) Organ Transplantation eds, Encyclopedia of Virology. Oxford: Academic Press, pp. 466-472. Metcalfe M., Butterworth P., White S., Saunders R., Murphy G., Taub N., Veitch P, Nicholson M (2001). A case-control comparison of the results of renal transplantation from heart beating and non heart beating donors. Transplantation 71:1556-59 Michael Potts (2007). Truthfulness in transplantation: non-heart-beating organ donation Philosophy, Ethics Humanities in Medicine 10.1186/1747-5341-2-17. Nicholson ML, Doughman TM, Horsburg T, Wheatley TJ, Butterworth PC. (1997) Comparison of the results of renal transplants from conventional and non-heart-beating cadeveric donors. Transplant Proc. 29:1386-87 Sanner M. (1994) Attitudes toward organ donation and transplantation : A model for understanding reactions to medical procedures after death. Social science medicine, 38(8), pp. 1141-1152. Sanchez-Fructuosa AL., Prats D., Torrente J, Perez-Contin MJ., Fernandez C., Alvarez J. (2000) Renal Transplantation from non heartbeating donors a promisimising alternative to enlaege the donor pool. J Am Soc Neprol 11 350-8 Verheijde JL., Rady MY., McGregor J. Recovery Of Transplantable Organs After Cardiac or Circulatory Death: transforming the paradigm for the ethics of organ donation.   Philosophy, Ethics and Humanities in Medicine 2:8 10.1186/1747-5341 UK Transplant Activity 2005/2006. uktransplant.org.uk/statistics/transplant_activity2006 White SA, Prasad KR (2006) Liver Transplantation From Non-heart Beating donors. Brtish Medical Journal 332;376-377 Wijnen RM., Booster MH., Stubenitsky BM., de Boer J., Heineman E., Kootstra G.,   (1995). Outcome of transplantation of non heart beating donors kidneys. Lancet. 345:1067 Zamparetti M., Bellamo R., Ronco C. (2003) Defining death in non-heart beating organ donors .Journal of   Medical Ethics 29:182-185 The use of â€Å"second class† organs is a necessity in transplantation Abstract The use of â€Å"second class† organs is a necessity in transplantation AbstractIntroductionConcerns of NHBD as â€Å"second class† organsI.                  Concern on whether the donor is really deadII.  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Concerns on the withdrawal of careThe necessity of NHBD as second-class organs for transplantationConclusionReferencesRelated Abstract There are many ethical, legal and religious views with regards to organ donation. Statistics from 2009 by UK Transplant Organisation showed that, there are 8000 people on the waiting list, with only 3000 transplants a year. This shows that we need to increase the demand for organs as many people are dying. There are two main sources for human organ donation: from the living and from the deceased. Donation from the deceased involves two types: heart beating donors (HBD) and non-heart beating donors (NHBD).   HBD has been the primary source for organ donation for the last thirty years, but this source of donation is declining.   Scientists are now focussed on using NHBD to revive and increase the donor pool, but this form of procurement is plagued with many ethical problems. It is looked at as a†second class’’ form of donation. NHBD involves donation of organs from two sources: controlled and uncontrolled. Controlled are donors who have had â€Å"irreversible brain injury† but they do not qualify the brain death criteria. Where as, in the uncontrolled, the donor may suffer a cardiac arrest and die after resuscitation may prove futile. The fundamental controversy with this procurement is the definition of death as family members find this very hard to deal with when the need arise for them to make a swift decision . Thus, NHBD procurement remains slightly unpopular even though it has the prospects of increasing the donor pool by up to 30%. Introduction Transplantation is the moving of organs or tissues from one person (the donor) to another (the recipient), or to the same person. The purpose of transplantation is to replace the recipient’s organs or tissues which have failed due to illness or injury to improve health. Organs that can be transplanted includes: the heart, kidneys, liver, lungs, pancreas and intestines. Whereas tissues that can be transplanted include: cornea, skin, veins, bones, tendons and heart valves. Organs or tissue transplanted within the same person is known as an autograph. A transplant between two persons is known as an allograft. .xenotransplantation involves the transplantation or infusion of organs or tissues fron one species to another. For example, the transplantation of a babbon liver into a HIVpatient , performed in 1992. The patient died 70 days later (Greenwell et al., 2007). Xenotransplantation is a dangerous because of the non-compatibility and rejection, which may lead to death (Greenwell et al., 2007). Transplantation is a very complex and challenging area of modern science. Shortage of donors is limiting transplantation therefore both living and deceased donors are used to increase donor supply. (heart beating and   non heart beating), ( Chaib E 2007). The number of heart beating donors (HBD) continue to decreases, therefore the focus now is to use cadaveric organs from non heart beating donors (NHBD).   The main problem with this type of donation is how one may define death and who gives consent for the donor’s organs to be used in transplantation. This raises a lot of ethical issues.   People started describing NHBD as second class organs, but public confidence has improved as many studies ( Sanchez-Fructuosa et al 2000, Nicholson et al 2000) has shown the that the use of NHBD is a promising alternative to enlarge   the donor pool especially in renal transplantation. Countries including the United Kingdom,USA,Spain,Netherlands, Switzerland and Japan have all imple mented NHBDs protocols in hospitals (Knoll et al 2003). Concerns of NHBD as â€Å"second class† organs HBD has been the main source for transplantation in the last 30 years (Chaib E., 2007), but this source of donation is declining thus the emphasis is on NHBD to increase the donation pool as the need for organs keeps increasing. The difference between HBD and NHBD is the definition of death. In HBD, the beating heart donor is brain damaged and on ventilation before death, whereas with NHBD the donor may have suffered a cardiac arrest and resuscitation may be futile. In 1976 the Harvard Medical Committee used the brain stem testing to declare death, but this was not suitable, therefore, the Maastricht workshop in 1995 declared that death is irreversible cessation of all functions of the brain including the brain stem† . In 1995 the Maastricht Workshop which is an international workshop divided NHBD s into four categories: category 1 and ll involves the uncontrolled group where donors are dead on arrival or where resuscitation has been unsuccessful. In this group, mechanical ventilation is performed in order to keep the organs viable while awaiting for consent from the patient’s family. Category lll and lV involves the controlled group where donors are waiting cardiac arrest or who had cardiac arrest while brain dead (Chaib E.,2007). Despite the assessment and definition of the timing of death for NHBDs and its potential to increase donation by 30%, it still faces many ethical, legal and medical concerns. The public fears include: I.                  Concern on whether the donor is really dead There are two criteria for death donor rule, defined by the Uniform Determination of Death Act (UDDA): an individual is dead if both circulatory and respiratory functions have stopped and if all functions of the entire brain, including the brain stem has stopped. This rule is quite crucial in NHBDs donation and states that death must not be rushed for the act of donation. Families are quite apprehensive that stopping cardiac pump activity and cardio respiratory functions does not qualify death and that the 10 minutes â€Å"stand off† period to qualify for both cardiac and brain stem death criteria is not enough ( Zamperetti et al 2003). II.  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Concerns on the withdrawal of care In the controlled setting ( Maastricht , category lll and lV ) families are sceptical about the decision to remove life support ventilators and may have fears that doctors   may have biased interest in the   in hope of harvesting organs and mistreating their loved ones. They worry if whether leaving their loved ones on life support may eventually bring them back to life and what state will they be in during prolonged life support or the options of resuscitation. There are also many doubts form medics who think that NHBD   is a â€Å"shameful act of cannabilism ignores the likelihood of auto resuscitation and that the brains of these patients are not actually dead (Potts M., 2007)   as well as the fact that the brains of these patients are not truly dead. They believe that the drugs given to the dying donor may be of benefit to the donors organs but detrimental to the donors health. Also the process of removing the organs for donations causes death in the patient and that NHBD must be banned as it goes against the practice of medicine (Verheijde et al 2007). With all the apprehensions with regard to NHBD, a major limitation has been the lack of oxygen reaching the organs during the period when ventilations is withdrawn, known as warm ischaemia. . Warm ischaemia can be a problem as it can affect the viability organs, but scientists are investigating new technology in preservation. The necessity of NHBD as second-class organs for transplantation A report in a urology journal in 2009 described how some American surgeons transplanted a cancerous kidney.   They removed the tumour and then transplanted it into the patient ( BBC.,2009). The reason for this shows that the demand for organs keeps raising while the supply is quite low. In theUK, in December 2009, there were 8000 patients on the waiting list for organs, with only about 3000 transplants per year. Many people are dying due to this shortage, therefore surgeons maybe using risky organs. There are many reports showing the benefits of NHBD in reducing this shortage and there is more pressure for it to be successful. A recentUKdata showed that the success rate of NHBD are quite similar to HBD (UKtransplant 2006). Many studies have shown good graft survival with NHBD especially in renal transplantation despite the warm ischaemic damages ( Nicholson et at 2000, Wijnen et al,1995) . A report in between 2005-2006 shown that there were 125 NHBD transplants compared to 2004-2005 with only 87.   A small but significant increase (UK Transpkant., 2006). NHBD is cost effective, for example, a renal patient on dialysis cost an estimated  £21,200 per year. With a successful transplant with a NHBD kidney, a median graft survival of 9 years, the total cost benefit over 9 years will be  £191,000 (UK Transplant). Thus reducing the burden on the National Health Service and a better life for the patient. Conclusion NHDB   as a technique was abandoned in the 1970. It has now revived due to the long waiting list and the fact that many people are dying because of organ shortages. This type of organ donation offers great potential but its use is very divisive. There are so many ethical issues and benefits associated with both the controlled and the uncontrolled forms donations. In the uncontrolled donor (category I ll), the presumed consent to perfuse the organs in the absence of the family or in the controlled donor   (category lll), the administration of drugs to improve the viability of organs seems so unethical and considered conflicts of interests being divided between the responsibility of care to the dying donor and the possible transplant recipient. In some ethnic groups, families of brain dead donors may be happy to donate as it gives important meaning to their tragedy that they are able to help give life to someone else. NHBD programmes are faced with many challenges. In order to improve it: There must be more educational programmes   or talks   to the public about the different   criteria   of death Clinicians and the transplant teams must follow the legal guidelines by the Department of Health, adhere to the NHBD protocol and consent from the dying donor‘s family must be given before the process of harvesting organs for NHBD to reach its full potential. It maybe a long road but public confidence is definitely required. References BBC (2009) Risky donor kidney transplants prove successful. Chaib Eleazar (2008) Non heat Beating Donors In England. Clinics 63(1):121-34 Fox RC. (1993)An ignoble form of cannibalism: reflections on the Pittsburgh Protocol for procuring organs from non-heart-beating cadavers.   Kennedy Inst Ethics J.3:231–9. Greenwell P. and McCulley M. (2007) Molecular therapeutics: 21st Century Medicine. John Wiley Ltd. Gill P and Lowes L. (2008) Gift exchange and organ donation: Donor and recipient experiences of live related kidney transplantation. International journal of nursing studies, 45(11), pp. 1607-1617. KnollGA, Mahoney JE (2003) â€Å"Commentary. Non-heart –beating organ donation in Canada: Time to Proceed?†Canadian Medical Association Journal,169 (6). Kotton C., Kuehnert M and Fishman J. (2008) Organ Transplantation eds, Encyclopedia of Virology.Oxford: Academic Press, pp. 466-472. Metcalfe M., Butterworth P., White S., Saunders R., Murphy G., Taub N., Veitch P, Nicholson M (2001). A case-control comparison of the results of renal transplantation from heart beating and non heart beating donors. Transplantation 71:1556-59 Michael Potts (2007). Truthfulness in transplantation: non-heart-beating organ donation Philosophy, Ethics Humanities in Medicine 10.1186/1747-5341-2-17. Nicholson ML, Doughman TM, Horsburg T, Wheatley TJ, Butterworth PC. (1997) Comparison of the results of renal transplants from conventional and non-heart-beating cadeveric donors. Transplant Proc. 29:1386-87 Sanner M. (1994) Attitudes toward organ donation and transplantation : A model for understanding reactions to medical procedures after death. Social science medicine, 38(8), pp. 1141-1152. Sanchez-Fructuosa AL., Prats D., Torrente J, Perez-Contin MJ., Fernandez C., Alvarez J. (2000) Renal Transplantation from non heartbeating donors a promisimising alternative to enlaege the donor pool. J Am Soc Neprol 11 350-8 Verheijde JL., Rady MY., McGregor J. Recovery Of Transplantable Organs After Cardiac or Circulatory Death: transforming the paradigm for the ethics of organ donation.   Philosophy, Ethics and Humanities in Medicine 2:8 10.1186/1747-5341 UKTransplant Activity 2005/2006. uktransplant.org.uk/statistics/transplant_activity2006 White SA, Prasad KR (2006) Liver Transplantation From Non-heart Beating donors. Brtish Medical Journal 332;376-377 Wijnen RM., Booster MH., Stubenitsky BM., de Boer J., Heineman E., Kootstra G.,   (1995). Outcome of transplantation of non heart beating donors kidneys. Lancet. 345:1067 Zamparetti M., Bellamo R., Ronco C. (2003) Defining death in non-heart beating organ donors .Journal of   Medical Ethics 29:182-185

Thursday, November 21, 2019

To begin assignment read Henry Mintzberg's article (enclosed) The Fall Essay

To begin assignment read Henry Mintzberg's article (enclosed) The Fall and Rise of Strategic Planning (Harvard Business Review, January-February 1994) - Essay Example One weakness with strategic planning is that it is comprised of a calculated approach which is fixed towards attaining a goal in contrast to strategic thinking which is committed to encompass other people’s views in attainment of that particular goal. Strategies are only effective if committed people infuse them with their energy directed at achieving the stipulated goals. On the other hand, it can be noted that planning could not learn or think but only limited to the widely held belief of doing things within an organisation. He posits that strategic planning should have been termed strategic programming rather where it would be promoted as a process to formalise the strategies that have already been developed. On its own, planning cannot generate strategies. However, planning is important in that it promotes coordination and also ensures that everyone in the organisation pulls in the same direction. It can be used to gain moral support from outsiders who are more influential to the organisation. In this scenario, it can be noted that as human beings, we are inclined to formalise our behaviour in most instances but careful consideration has to be taken when it comes to strategy making process. Strategy making is often a complex activity which requires creativity in the process. The extent to which we are guided by formalisation sometimes make us stop thinking beyond what is regarded as the norm. When it comes to strategic making process, intuitive thinking ought to play a pivotal role in informing and shaping of the organisational vision. This can be possible through the use of effective thinking which is not only subjected to the principles stipulated to be followed. A close analysis of the given article shows that it is concerned with highlighting some of the shortfalls of strategic planning that can impede the process of strategic decision making process which ought to be guided by

Wednesday, November 20, 2019

Killer Profile Essay Example | Topics and Well Written Essays - 750 words

Killer Profile - Essay Example People involved in violent crimes tend to fit the profile described by the profiler in this case, but here there is no evidence to suggest the killer fits these behavioural categories. The description of the characteristics of this individual are also extremely broad. A large number of men would fit this profile. There are many men out there who are angry and slightly paranoid, who drink too much and have an interest in guns and military matters. There is nothing particular or detailed about this description, nothing which will lead investigators directly to their man. These kinds of profiles can be counter-productive. They tend to create a schema in the investigators mind. They then have trouble thinking outside of the box. They look only for a men of a certain background and age and disposition. The best example of a profile throwing off an investigation—and indeed leading to the preventable deaths of many individuals—occurred in the course of the Beltway Sniper investigation. A similar profile was presented to investigators: the shooter was to be a white man of a certain age, paranoid and with background in the military or law enforcement. Investigators combed DC and its suburbs looking for such people. In fact, the sniping turned out to be the work of an African American man and his 17-year-old son. What seemed to be the work of one man was the work of two—and the profile was completely wrong. If investigators had simply kept more of an open mind they would likely have found the Beltway Sniper before he could do such damag e. There are however some advantages to following the suggestions of this profile. To being with it provides a starting point. Just because it may be a kind of default profile doesn’t mean that it isn’t accurate. The notion that the killer has an explosive temper and does not respond well under pressure and that he has a paranoid mindframe

Monday, November 18, 2019

Why did World War II END the way it did Research Paper

Why did World War II END the way it did - Research Paper Example Why did World War II END the way it did? On August 6th, 1945, the world witnessed one of the rarest occasions in the history of warfare when the United States plunged an atomic bomb in the Japanese city of Hiroshima. With the number of casualties rising beyond 80,000, a second bomb was dropped on 9th the same month on the city of Nagasaki, claiming the deaths of more than 50,000 people. On the orders of the American president Harry Truman, the Japanese cities were destroyed by the only nuclear attack that has ever been recorded. The days following the attack witnessed massive deaths of nearly 100,000 people who were casualties of the bomb and it was clear that the poisoning had a horrendous effect on the country. Three years before the attack, the best scientists in the United States had embarked on building the bomb. Most of them derived from the Manhattan project, close to 100,000 scientists were involved in this development, making it the greatest scientific venture in history. It is plausible to note that the project involved more than 30 installations and the best university laboratories in the United States. Notable were the efforts of Nobel award winners like Harold Urey, who provided technical support and the whole project was overseen by the Army Chief engineer, Brigadier Groves. The initial stages of the projects were pursued in separate locations to maintain discretion of the whole project, and they were unaware of the magnitude of the undertaking they were part of.

Friday, November 15, 2019

Challenges of Protecting Americas Critical Infrastructure

Challenges of Protecting Americas Critical Infrastructure One undisputable fact regards the significant role that the critical infrastructure plays in the provision of crucial services that a society needs for it thrive. For example, the power and water used in homes, security, transport and communication networks, and shopping stores among others together offer a society a good infrastructural base (Clark Hakim, 2017). Therefore, the following paper is keen in addressing some of main challenges to safeguard the United States critical infrastructure. It is based on the thesis statement; Critical infrastructure is fragile and sensitive to peoples needs therefore, should be accorded an enduring protection at all times in America and the rest of the world. In addressing the challenges that America encounters in its effort to protect the critical infrastructure, one should bear in mind the following useful questions; first, what does America consider as a critical infrastructure? Secondly, as a citizen of the United States, are you part of the solution or problem in safeguarding the infrastructure? Lastly, are measures put in place effective to offer a coordinated national effort in managing risks associated with critical infrastructure? It is not an easy task building critical infrastructure in any nation. Therefore, it requires a combined effort from both the government and all stakeholders in ensuring its safety and proper use as stipulated. In overall, America currently possesses almost sixteen critical infrastructure sectors which it deems essential to its economy. Its critical infrastructure includes; utilities, refineries, military defense systems, water and electricity among other facilities it relies on every day. It means that the destruction or incapacitation would have a significant negative effect on security, public health and economic security among others (Clark Hakim, 2017). In ensuring that its critical infrastructure is safe, it has established the office of Infrastructure Protection (IP). The office is mandated in leading the combined national effort in controlling potential risks to its critical infrastructure. As a result, the nation has been able to provide an enhanced security in Americas physical and cyber infrastructure. Challenges of protecting Americas critical infrastructure First, the Americas critical infrastructure faces a major problem of hackers who steal confidential and sensitive information, interfere with processes and destroy much equipment. For instance, Industrial Control System modules of the HAVEX Trojan that got recently discovered offer a good example. The malware infected many of the Americas critical facilities simply by fixing itself to the crucial software updates (Zio, 2016). The attack is a significant threat especially to the production of sensitive and confidential information. One of the critical infrastructure affected the threat from the hackers involves the military defense system. For example, the hackers steal useful information thus derailing the strategies designed by the military officers. Secondly, Americas critical infrastructure faces the constant terrorists attacks. It has emerged as a potential challenge to infrastructure besides affecting the private sectors. The possibility and impacts of a terrorist attacks could be determined by a range of strategies created by the nations executive team of experts (Zio, 2016). The uncertainty involved in knowing when a terrorists attack would take place has made the possibility of future terrorist events difficult to predict. This way, there has been an increased difficulty in ascertaining the efficiency of economic public infrastructure. Finally, America like any other nation needs efficient and reliable infrastructure for well performance of its functions. As pointed in the thesis; Critical infrastructure is fragile and sensitive to peoples needs therefore, should be accorded an enduring protection at all times in America and the rest of the world, critical infrastructure is susceptible to challenges posed by hackers and terrorist attacks. Therefore, due to uncertainty of predicting a likelihood attack and destruction; there is a need for coordinated national efforts to help in managing the challenges. References Clark, R. M., Hakim, S. (2017). Protecting Critical Infrastructure at the State, Provincial, and Local Level: Issues in Cyber-Physical Security. In Cyber-Physical Security (pp. 1-17). Springer International Publishing. Zio, E. (2016). Challenges in the vulnerability and risk analysis of critical infrastructures. Reliability Engineering System Safety, 152, 137-150.

Wednesday, November 13, 2019

How an Understaning of Sociology Provides Value to My Life :: Sociology Essays

First I would like to discuss the online encyclopedia â€Å"Wikipedia†. The value of knowledge that it offers is unlimited since the articles can be edited by anyone with their interpretation. As a result â€Å"Wikipedia† is a storage place of knowledge for anyone who wishes to contribute. I added this site to my favorites and now when I have questions about certain concepts I check the encyclopedia along with my other references. When I look up one word I end up searching through the encyclopedia for some time because of the many related links that â€Å"Wikapedia† provides that take you to so many interesting places. As of yet I have not found an article that I would like to contribute to but I am sure I will in the near future. Secondly I will take with me the principle of the power of public opinion. In class we discussed how individuals fail to realize the power that citizens collectively have over the government. The majority of the time we are persuaded to look at ourselves as individuals or small groups who have little power because we have to answer to our dictator (a.k.a boss). Masterminds such as Isama Bin Laden, Hitler and Bush for that matter realized this power of public opinion and used it to there advantage to persuade a whole nation of individuals to act in the way they wanted them to act. I will not use this knowledge for such practices but I will apply it to the workforce where I am a manager over older white women and men in the IT field who find it hard to accept duties from a 22 year old minority female. I am working on obtaining the majority public opinion that I am a great manager from not only my immediate peers but also those that are higher than and lower than me. Third the idea of â€Å"false consciousness† from Mannheim’s book â€Å"Ideology and Utopia.† We were discussing in class the different perspectives individuals have on the world based on their economic and social position in society. What really stuck out to me is the fact that people have a particular view of their own group’s best interest that is really in the best interest of the other group. This is called â€Å"false consciousness.† For example, the people who live in poverty think that the harder they work the higher up in society they will move, but in all actuality all they are doing is making the rich richer.