Gallstones Essay Example | Topics and Well Written Essays - 3000 words

Gallstones - Essay Example In general, gallstones are about two times more common in women than in men. Most study series show a prevalence of gall stones in women between the age of 20-55 years (5-20%) and after the age of 50 years, the prevalence for men is about half as that for women in a given age group (Sleisenger, 2002). The first degree relatives of patients with gall stones are 4.5 times more likely to develop the same condition as compared to age and gender matched controls (Sarin, 1995). High-risk populations include Pima Indians in Arizona, where 70% of women older than 25 years have gallstones. About 50 % of Scandinavians develop the condition by 50 years of age. Other high-risk populations comprise the American Indian groups in Alaska, Canada, Bolivia and Chile (Egbert, 1991). The populations at the lowest risk are those in Sub-Saharan Africa and Asia (Su CH, 1992) Obesity is a well-known risk factor and individuals with BMI > 45kg/w2 are at a seven-fold higher risk for the development of gallstones in comparison with controls (Stampfer MJ, 1992). Cholesterol hypersecretion into bile and increased cholesterol secretion have been implicated. Rapid weight loss contributes to gallstone disease. About 25% of obese patients on strict dietary restriction and 50% of patients who have gastric bypass develop gallstones, 6 months following the surgery (Shiffman ML et al., 1986.) Foetal parenteral nutrition and drugs like clofibrate, oral contraceptives, estrogens, progesterone, ceftriaxone and octreotide are causative agents. Pregnancy is a potentially lithogenic condition due to increased cholesterol secretion and supersaturation of bile, occurring due to increased estrogen levels (Lynn J, 1973). In many studies, fecundity has been implicated in the increased prevalence of gallstone (Tsimoyiannis, 1994 & Miquel JF, 1998.) According to their chemical composition, gallstones can be classified into cholesterol stones, mixed stones, and pigment stones. Cholesterol

Trust and Household Finance Term Paper Example | Topics and Well Written Essays - 1000 words

Trust and Household Finance - Term Paper Example Research has it that the enhancing of individual trust to the right amount can improve the well-being of household finance. 1.0 Introduction Recent statistics have brought it to light that more than a third of the American adults who are approaching their 50’s have no retirement plan. They have also shown that more than half of the households in the country do not own any stock. It is very important to know the determinants of decisions in household finance. This is essential in the management of debt. This paper shows that trust is a major factor that affects the management of household finance. Trust is the fundamental confidence that is found in an individual towards others in return for something that was promised. A casual impact on trust is inflicted by an individual’s cultural background and early life experiences on the value of the trust. A trusting individual is many times more likely to put up investment in the financial markets in the belief that they will o btain a fair return on investment, and this encourages the individual to invest. Trust should thus promote investments. Trust also promotes responsible borrowing since when an individual is trusting then he or she is also taken to be trustworthy. Trusting individuals are thus expected to make more real and financial investments, they are also expected to comply with the financial contracts that they enter and avoid on taking excess debts. Because of this, an individual will save more and have better management of debt and their net worth will increase. Negative financial outcomes can greatly affect an individual’s level of trust. Trust has dynamic dimensions that arise from cultural influences and experiences in life. The extent, to which an individual trusts another, embodies in the core values that are inherited from family, religion, cultural and ethnic backgrounds, and are influenced by the individual’s life experiences and the characteristics of the community memb ers whom the individual interacts with in life. This are called the non-economic factors of trust. Prior literature has had it that these non-economic aspects of trust play major roles in financial decision making, in households. 2.0 Motivation and Hypotheses 2.1 Trust and Economic and Financial Decisions: Individual Level Evidence Research has shown that trust has appositive effect on the aggregate political and economic phenomena. It has shown that a higher level of trust in a region or nation is correlated with more economic investments and growth, less corruption and higher tax compliance among many other issues. Few studies have been carried out on the effect that trust has on the outcomes of the economy at the individual level (Jiang & Lim 1). Though these studies show that trust has a positive effect on the monetary and economic well-being of an individual, they fail to offer a comprehensive analysis of the effect that trust has on household finance. None of these studies ana lyzes the effect of trust on debt management (Jiang & Lim 8). 2.2 Hypothesis Development Trust is very likely to play a role in economic activities where transactions take place over a given period and an individual need to rely on the future and the observable actions of other people, such as their saving and investment decisions (Jiang & Lim 2012). Prior studies have shown that individuals who have the aspect of trust participate more in the

Ready means of fashion through which individuals can make visual Essay

Ready means of fashion through which individuals can make visual statements - Essay Example The essay "Ready means of fashion through which individuals can make visual statements" analyzes fashion ready means and visual identity. According to the theory of the Leisure class, some people may struggle to distinguish themselves form others. This is may be by dressing in extremely expensive clothes. Some people also go to extreme ways of looking even different through plastic surgery and cosmetic surgery (Tseëlon, 1995). Wolf infers that women have, in most cases suffered for beauty. This is by trying to portray their identities and lifestyles. According to her, women have the right to expresses themselves the way they want. Women are increasingly modifying their bodies to look different. This is by turning to plastic surgery cosmetic surgery and anti aging products in order to look perfect. Women are using their bodies as a display of identity, class and income. This got contributed mainly by the use of the body as a symbol in marketing, advertising, and in business to dis play a particular image. Fashion industry improves women’s lives by provides them with ways to visually express their personally and professionally (wolf, 2002). Wolf condemns the way women and represented in fashion and how they got treated by largely patriarchal societies around the world. In most cases, women like to express them as young. This leads them to using plastic surgery, diets, make up and aging prevention treatments. Aging psychologically and socially affects women in regards to fashion.

Values and Ethics Research Paper Example | Topics and Well Written Essays - 2000 words

Values and Ethics - Research Paper Example My personal mission statement is: to achieve a successful career as an ‘Emergency Medical Technician’ by following my personal ethical values and the professional ethics observed in the organization and the profession as a whole. It is apparent from my mission statement that I seek to pursue a successful career on the basis of my ethical values. I attach significant importance to the ethical values as they form the foundation for a successful career or a successful organization. Along with following my own ethical values through my career, I would also follow the ethical values observed in the profession as a whole and in the organization that I would be a part of. Ethical values hold a very important role in the success of an organization therefore in my career I would opt for organizations that hold strong ethical values and the ethical values that are appropriate in conformity with the overall profession. My personal ethical values that would guide me as a future manager include; professional behavior, objectivity, integrity, accountability, innovativeness, cooperation, encouragement, fairness, equality, and confidentiality. Professional behavior would help me put my best efforts in my career by working sincerely. Professional behavior would also help me conduct the tasks in my professional capacity in a better way. Objectivity means having an unprejudiced opinion and not being biased while making a professional decision. As a manager, objectivity would help me make decisions that are best for the organization as a whole and I would not be influenced by any factors that may impair my objectivity. Integrity would help me conduct my job without any immoral or fraudulent acts. Accountability means being responsible for all the acts conducted in the professional capacity. Due to accountability, I would be responsible for my acts as a manager. Because of being responsible, I would try to conduct my tasks in the best way possible. Therefore, accountability

Newman Essay Example | Topics and Well Written Essays - 750 words

Newman - Essay Example According to Newman faith is about assenting to a doctrine as veritable, even when faced with lack of sensory evidence to back up its claims. Since God cannot lie, what is revealed will have to be true. At the centre of Divine faith is the total lack of doubt in the heart and mind of the believer. This is so because â€Å"God is true, because God has spoken, not because he sees its truth or can prove its truth.† (p.2) What Newman deems necessary is conviction in belief. It simply would not do to claim to believe and also think rationally at the same time. If one part of the scriptures were believed it, the entirety is to be believed in. In the example of the Apostles, the fact of one being true, made the others true too, as they all derived from the infallible authority of god. The world had â€Å"either to become Christian, or to let it alone; there was no room for private tastes and fancies, no room for private Judgment.† (p.3) Hence, Newman makes his stance clear on the dichotomies of faith and reason. The crucial difference between the time of the Apostles and now is that there is only recorded message presently. People back then would have found it more credible to hear the divine word from the Apostles firsthand. There is a key difference â€Å"between the act of submitting to a living oracle, and to his written words; in the former case there is no appeal from the speaker, in the latter the final decision remains with the reader.† (p.4) Hence in contemporary Christianity, which is centered on written scripture, a degree of application of rationality is warranted. Such being the case, Newman qualifies by stating that they have not in them the principle of faith. It is nothing to the purpose â€Å"to urge that at least they firmly believe Scripture to be the Word of God. In truth, it is much to be feared that their acceptance of Scripture itself is nothing better than a

UNIT 1 DB HEALTHCARE POLICY AND ECONOMICS Essay Example | Topics and Well Written Essays - 250 words

UNIT 1 DB HEALTHCARE POLICY AND ECONOMICS - Essay Example The governor’s office however makes decreed policies that can be regulated by state judiciaries and legislatures. The role of the state government in healthcare policymaking is however limited to federal government’s policies (Teitelbaum, and Wilensky, 2012) Federal government plays a major role in policymaking, especially in health care. This is because state governments are subjected to federal policies. The role of the federal government in policymaking is majorly through Congress’ legislations, though the president also plays a significant role in federals government policymaking through approving legislated policies from congress and through issuing ordered policies to government agencies. Such policies are however subject to Congress’ checks (Teitelbaum, and Wilensky, 2012). The federal and state governments therefore play the roles of generating possible policies and legislating on them for approvals. The executive branch of the governments also issue ordered policies. The federal government however has a wider role in policy making than the federal government that is subjected to

Recruitment and Staff Selection Case Study Example | Topics and Well Written Essays - 750 words

Recruitment and Staff Selection - Case Study Example The ideal hiring process will involve recruitment on the basis of merit only. Any kind of bias or prejudice on the basis of gender, race or ethnicity cannot be allowed to dilute a recruitment or selection process if an ideal hiring process is to be established. The problems in achieving an ideal hiring system occur because human beings are in charge of hiring. They have predispositions and they cannot remain objective at all times. This is a major impediment in achieving an ideal recruiting process. Hiring process should also be such that equal opportunities are given to everyone. Whether hiring process is internal or external in nature all applicants should be allowed to participate and they should be treated equally. An ideal hiring process also does not involve one man show. A group of employees or managers can be less bias then an individual manager because one man will not be allowed to take matters in his or her own hand and promote or hire anyone he or she wants. Equal opportunity should be the backbone of an ideal hiring process because only then it can serve the organization in the best possible way. Ideal hiring process also allows any applicant to question why his application for job was denied. This is a right that most employees are unaware of. They should be informed about the decision and the reasons for not selecting them should be disclosed. Only then Hiring process can be made crystal clear from dilutions of discrimination and personal favors. Recruitment process should also efficient. The process should not take a long time because organizations cannot waste a great amount of time on recruitment. Hiring process should be ethical, yes, but it should also be cost effective so that interests of all parties are served to the best. Costs should be kept in mind but this does not mean any compromise should be made on ethical standards. Many steps can be