Thursday, August 15, 2019

Role of Youth in Eradicating Corruption

Laser and its medical applications Presented by S. vignesh J. sabastian The Advent of the â€Å"Laser Scalpel† Early experimenters with medical lasers pointed out that there are surgical operations that are difficult to perform with the conventional scalpel and that a laser beam might be used instead. Initial trials showed that a finely focused beam from a carbon dioxide gas laser could cut through human tissue easily and neatly. The surgeon could direct the beam from any angle by using a mirror mounted on a movable metal arm. Several advantages of laser surgery quickly became apparent.First, the light beam is consistent, which means that it gives off the same amount of energy from In this photo taken during open-heart surgery, a doctor uses a laser probe to punch small holes in the patient's heart muscle to increase the organ's blood flow. one second to the next. So as long as the beam is moving along, the cut it makes (the incision) does not vary in depth; whereas when using a scalpel a doctor can accidentally make part of the incision too deep. A second advantage of the surgical laser is that the hot beam cauterizes, or seals off, the open blood vessels as it moves along. This works well mainly for small vessels, such as those in the skin. The doctor still has to seal off the larger blood vessels using conventional methods. ) Still another advantage is that the cells in human tissue do not conduct heat very well, so the skin or any other tissue near the laser incision does not get very hot and is not affected by the beam. This advantage of laser surgery is very helpful when a doctor must operate on a tiny area that is surrounded by healthy tissue or organs. It should be pointed out that the â€Å"laser scalpel† is not necessarily the best tool to use in every operation.Some doctors feel that while the laser is useful in some situations, it will never totally replace the scalpel. Others are more optimistic and see a day when more advanced lasers will make the scalpel a thing of the past. The second of these views may prove to be the most accurate, for surgical use of lasers is rapidly advancing. At first, lasers were considered most effective in operating on areas that are easy to reach—areas on the body's exterior, including the skin, mouth, nose, ears, and eyes. But in recent years doctors have demonstrated remarkable progress in developing laser techniques for use in internal exploration and surgery.Of course, in order to be able to direct the laser beam the doctor must be able to see inside the body. In some cases this is a simple matter of making an incision and opening up the area to be operated on. But there are situations in which this step can be avoided. Cleaning Arteries with Light For instance, lasers are increasingly used to clean plaque from people's arteries. Plaque is a tough fatty substance that can build up on the inside walls of the arteries. Eventually the vessels can get so clogged that blood do es not flow normally, and the result can be a heart attack or stroke, both of which are serious and sometimes fatal.The traditional method for removing the plaque involves opening the chest and making several incisions, a long and sometimes risky operation. It is also expensive and requires weeks for recovery. An effective alternative is to use a laser beam to burn away the plaque. The key to making this work is the doctor's ability to see inside the artery and direct the beam, another area in which fiber optics and lasers are combined into a modern wonder tool. An optic fiber that has been connected to a tiny television camera can be inserted into an artery.These elements now become a miniature sensor that allows the doctor and nurses to see inside the artery while a second fiber is inserted to carry the bursts of light that will burn away the plaque. The technique works in the following way. The fiber-optic array is inserted into a blood vessel in an arm or leg and moved slowly in to the area of the heart and blocked arteries. When the array is in place the laser is fired and the plaque destroyed, and then the exhaust vapors are sucked back through a tiny hollow tube that is inserted along with the optical fibers.When the artery has been cleaned out the doctor removes the fibers and tube, and the operation is finished. This medical process is known as laser angioplasty. It has several obvious advantages. First, no incision is needed (except for the small one in the vessel to insert the fibers). There is also little or no bleeding, and the patient can enjoy total recovery in a day or two. Laser angioplasty does have some potential risks that must be considered. First, when the laser beam fires at the plaque it must be aimed very carefully ecause a slight miss could cut through the wall of the artery and cause serious bleeding. The patient's chest would then have to be opened up after all. Another problem involves small pieces of burnt debris from the Surgeons use a tiny laser to cut away tissue in a gallbladder operation. The laser and a tiny camera are inserted into the navel, so no abdominal incision is necessary. . Lasers Heal and Reshape the Eyes Some of the most remarkable breakthroughs for medical lasers have been in the area of ophthalmology, the study of the structure and diseases of the eye.One reason that laser beams are so useful in treating the eye is that the cornea, the coating that covers the eyeball and admits light into the interior of the eye, is transparent. Since it is designed to admit ordinary light, the cornea lets in laser light just as well and remains unaffected by the beam. First, the laser is very useful in removing extraneous blood vessels that can form on the retina—the thin, light-sensitive membrane at the back of the eyeball. It is on the retina that the images of the things the eye sees are formed. Damage to the retina can sometimes cause blindness.The laser most often used in the treatment of this condition is powered by a medium of argon gas. The doctor aims the beam through the cornea and burns away the tangle of blood vessels covering the retina. The procedure takes only a few minutes and can be done in the doctor's office. The laser can also repair a detached retina—one that has broken loose from the rear part of the eyeball. Before the advent of lasers detached retinas had to be repaired by hand, and because the retina is so delicate this was a very difficult operation to perform. Using the argon laser, the doctor can actually â€Å"weld† the torn retina back in place.It is perhaps a strange coincidence that Gordon Gould, one of the original inventors of the laser, later had one of his own retinas repaired this way. Another condition that affects the eye is glaucoma, which is characterized by the buildup of fluid in the eye. Normally the eye's natural fluids drain away a little at a time, and the eye stays healthy. In eyes impaired with glaucoma the fluid does not drain properly, and the buildup affects vision; blindness can sometimes result. In some cases drugs can be used to treat glaucoma. If the drugs fail, however, many doctors now turn to the laser to avoid onventional surgery. The laser punches a hole in a preplanned spot and the fluid drains out through the hole. Again, the treatment can be performed in a doctor's office instead of a hospital. Using Lasers for Eye Surgery The laser works like a sewing machine to repair a detached retina, the membrane that lines the interior of the eye. The laser beam is adjusted so that it can pass harmlessly through the lens and focus on tiny spots around the damaged area of the retina. When it is focused, the beam has the intensity to â€Å"weld† or seal the detached area of the retina back against the wall of the eyeball.The patient's eyeglass prescription is literally carved inside the cornea with the beam of an excimer laser [a laser device that produces pulses of ultraviolet, or UV, light]. A small flap of the cornea is first removed with a precision knife . . . and an A patient undergoes eye surgery performed by a laser beam. In addition to treating detached retinas, lasers can remove cataracts. inner portion of the cornea is exposed to the excimer laser. After the prescription is carved, the corneal flap that was opened is then put back into place over the ablated [surgically altered] cornea. 6 LASIK does not come without risks.The changes it makes in the cornea are permanent, and the danger of unexpected damage is ever present. However, the procedure has become increasingly popular each year; about a million Americans had it done in the year 2000, and about four thousand surgeons in the United States were trained to perform it. Some Cosmetic Uses of Lasers Medical lasers are also widely used for various types of cosmetic surgery, including the removal of certain kinds of birthmarks. Port-wine stains, reddish purple skin blotches that appear on about thre e out of every one thousand children, are an example.Such stains can mark any part of the body but are most commonly found on the face and neck. The medical laser is able to remove a port-wine stain for the same reason that a military laser is able to flash a message to a submerged submarine. Both lasers take advantage of the monochromatic quality of laser light, that is, its ability to shine in one specific color. The stain is made up of thousands of tiny malformed blood vessels that have a definite reddish purple color. This color very strongly absorbs a certain shade of green light. In fact, that is why the stain looks red.It absorbs the green and other colors in white light but reflects the red back to people's eyes. To treat the stain, the doctor runs a wide low-power beam of green light across the discolored area. The mass of blood vessels in the stain absorbs the energetic laser light and becomes so hot that it is actually burned away. The surrounding skin is a different colo r than the stain, so that skin absorbs only small amounts of the beam and remains unburned. (Of course, the burned A doctor uses an argon laser to remove a port-wine stain, a kind of birthmark.Unwanted tissue is burned away while normal skin remains undamaged. areas must heal, and during this process some minor scarring sometimes occurs. ) Laser-Assisted Dentistry Dentistry is another branch of medicine that has benefited tremendously from laser technology. Indeed, lasers have made some people stop dreading a visit to the dentist. No one enjoys having a cavity drilled, of course. It usually requires an anesthetic (a painkiller like novocaine) that causes uncomfortable numbness in the mouth; also, the sound of the drill can be irritating or even sickening to some people.Many dentists now employ an Nd-YAG laser (which uses a crystal for its lasing medium) instead of a drill for most cavities. The laser treatment takes advantage of the simple fact that the material that forms in a cavi ty is much softer than the enamel (the hard part of a tooth). The laser is set at a power that is just strong enough to eliminate the decayed tissue but not strong enough to harm the enamel. When treating a very deep cavity bleeding sometimes occurs, and the laser beam often seals off blood vessels and stops the bleeding. The most often asked question about treating cavities with lasers is: Does it hurt?The answer is no. Each burst of laser light from a dental laser lasts only thirty-trillionths of a second, much faster than the amount of time a nerve takes to trigger pain. In other words, the beam would have to last 100 million times longer in order to cause any discomfort. So this sort of treatment requires no anesthetic. Advantages of Lasers for Dental Surgery In this excerpt from an article in The Dental Clinics of North America Robert A. Strauss of the Medical College of Virginia mentions some of the advantages of using lasers for oral surgery. Decreased post-operative swelling is characteristic of laser use [for oral surgery].Decreased swelling allows for increased safety when performing surgery within the airway [the mouth] . . . and increases the range of surgery that oral surgeons can perform safely without fear of airway compromise. This effect allows the surgeon to perform many procedures in an office or outpatient facility that previously would have required hospitalization. . . . Tissue healing and scarring are also improved with the use of the laser. . . . Laser wounds generally heal with minimal scar formation and . . . often can be left unsutured [without stitches], another distinct advantage. Thus the role of laser in medical field is most predominant.

Wednesday, August 14, 2019

A New Health Care System

Presently, the United States health care system is experiencing plentiful challenges ranging from staff shortage, overcrowding of emergency departments, and high cost of medical care to limited access for the unfortunate in the community.Signs that the system is going to collapse are almost everywhere, from hospitals overflowing with underinsured people to film laboratories unable to establish diagnosis. Currently, the health care is provided through the market with the government playing a restricted role. This has made it almost impossible for all people to have access to basic medical care. Moreover, access to health care is a major issue facing the citizens.Specific barriers to health care include lack of medical cover, the big figure of undocumented residents Although universal health care can ensure increased coverage, many people in   are opposed to increased government participation.Among the developed countries, United States is the only country that spends colossal amount s of money in its health care and fails to provide health care for its citizens. A new health care system that includes increased government participation, provision of health care in schools, ambulatory services and establishment of a charitable assistance can ensure admittance to health care for all.Introduction of Ambulatory ServicesThe new health care system will deal with common problem is overcrowding in hospital emergency departments, a trend which has momentous health implications (Park, 2007).Emergency patient’s rerouted to distant facilities risk increased mortality and morbidity. Overcrowding within the emergency department is linked with poorer results and can lead to prolonged pain and discomfort for patients. There is   need to embrace ambulatory services as means of offering health to the citizens   due to high numbers of people visiting medical facilities. The inclination towards ambulatory care in the widest sense of the word will mean outpatient health c are for which the individual isn’t booked for an overnight stay.These underlying factors will include; the dire need to reduce mounting hospital expenditure; the increased demand for better patient-focused care and the passion for improved admission at the community level. The embracement of ambulatory health care in the city may lead to greater patient contentment.School Based ProgramsMost of the young children will benefit from this novel program. In order to make health care accessible to all residents, the health care will be provided through the schools as well as in health facilities. Schools have the capacity to offer preventive and screening services to a broad range of children who might otherwise not access health care.For most of the young people attending educational institutions, there is a dire need to provide health care including dental services. This will include not only referrals for restorative but also health care preventive health care as well.A connecte d area is education on good dieting to prevent health problems such as dental conditions and to deal with the prevalent problem of obesity and its related health effects among school children. This program will not be disadvantaged by the new system.For adolescents, broadening of health programs will be required to assist students manage substance abuse, family conflict and sexuality. Learning institutions can serve as locales for early diagnosis of health problems and mental conditions; a key issue is relating students to comprehensive care to assist them deal with those problems.Increased Government Involvement.A new health care system that includes increased government involvement will help in addressing current challenges such as hazardous and pointless medical procedures and removal of monetary games between patients, insurers and doctors Park, 2007).In addition, huge amounts of cash would be saved doing away with expensive health care needed when a sick individual fails to obt ain preventive care. Further, establishment of charitable assistance for the underprivileged would be enviable, as many people would agree the current programs such as Medicaid and Medicare are invasive and harmful to the health of the patient (Castro, 1991).According to Castro, Medicare is too bureaucratic and expensive and is depriving young employees in the country (1991). To make health care more affordable, voluntary charitable assistance will be provided to enable the poor to purchase personal medical coverage thus saving them the massive bureaucratic expenses and the unbearable book-keeping requirements as well as legal threats impressed upon physicians and insurers.Challenges to the Proposed SystemThe proposed system that includes increased government participation would create problems because even in difficult days the benefits of increased government participation in health care in U. S are sadly hidden from the general public (Lev, 2009). Instead the negative effects con tinue to triumph in the minds of many policy makers.   Erroneously, most Americans are often ensnared into ideological arguments such as the perception of freedom, opposition to nationalized health care, a fake feeling of autonomy of option and irrational fear of government ineffectiveness in managing such a large system of health care.ConclusionSuch a health care system will not cause problems because when government fully caters for the expenses of medical care, in fact the individuals or employers would be freed from paying private insurance.Further, increased government participation in medical care provision would greatly decrease expenses not only as a result of exercising monopoly authority mainly in the process of purchasing drugs but also for the reason that management overheads linked   with private cover and profit margins will be eliminated. Second, the use of school based health care will guarantee that most of school going children receives screening and preventive health services which may otherwise not have been available to them.ReferencesCastro, J. (1991). Condition: Critical. Time, 38(21), 8-34Lev, S. (2009). Healthy Questions: Private versus Universal Health Care. Retrieved May3, 2009 from http://www.groundreport.com/Politics/Healthy-Questions-Private- versus-Universal-Health.Weinstein, M. et al. (1996). Recommendations of the panel on cost –effectiveness in health and medicine. Economic issues, 276(1), 1253-1258.Park, H. (2007). Broken system: The U.S. has failed at health care. Retrieved June 25,2009 from http://74.125.93.104/search?q=cache:Vj7uCP6pSB8J:www.uga.edu/globis/direc tor/articles/10272007.pdf+why+united+states+has+failed+to+socialized+medicine&cd=5&hl=en&ct=clnk&gl=ke.   

Finance accounting Essay Example | Topics and Well Written Essays - 3000 words

Finance accounting - Essay Example Some of the bodies include; financial accounting standards board (FASB), American Institute of Certified Public Accountants (AICPA), Public Companies Oversight Board (PCOB), International Accounting Standards Board (IASB), Securities Exchange Commission (SEC) and Association Chartered Certified Accountants among other governing bodies globally. Financial regulations have been common phenomena in the current world. For example in the recent Euro crisis the countries involved had to take measures to ensure that their financial systems are not curtailed. Policies were reviewed at this time to ensure currency stability in the market. Another instance which has seen financial reviewing is in the US during the 2008 financial panic. The country finance department reviewed its policies to ensure that the government did not transcend into a state of jeopardy. Although policies are continuously reviewed they must fall within the stipulations of internationally accepted principles. The whole sequence of formulation is governed by the generally accepted accounting principles (GAAPS); failure to comply with these rules will lead to confusion in the sector. This paper tries to analyze the financial implications of Ryanair plc. Ryanair is an international company with huge market base; it operates low cost passenger airlines which ply the routes between UK, Europe continent and the Moroccan airspaces. Besides the company is listed on a stock exchange in the country, with a huge base of shareholders the company needs to frequently assess its financial statements to convey the right message to the shareholders and stay within the law. It is the financial obligations of the companies which on most occasions oblige management to address or review the financial statements of the company. Shareholders and the authorities will on most occasions want reports on the operations of the company. In

Tuesday, August 13, 2019

Conduct a literature review of studies to analyse the basis of human Assignment

Conduct a literature review of studies to analyse the basis of human sexual orientation - Assignment Example ave given sufficient explanations to the prevailing male and female characteristics, people still need to be made aware of their particular sexual orientation and how this information can enhance their functioning in life (Weiss, 2007; Weiner, 2004). Sexual orientation can be defined as the lasting personality that enables people to incline to their feelings of romance or sexual appeal to other people of the matching sex, gender, or both (Scherer, 2013; Hopkin, 2004). The romantic or sexual feelings that are subsumed by these people can be classified as being heterosexual, homosexual or bisexual (Biegel, 2010). However, it is important to understand that there are people who do not experience sexual feelings or attractions to people of the opposite sex, these people are said to be asexual. The above-listed categories, including asexual orientation, are part of the wider concept relating to sexual identity in human beings. In reference to APA, sexual orientation can be described as an individual’s judgment of his identity, which is determined by the attractions, other related behaviors as well as being a member in a group of people that share similar attractions. This is a different term that is said to overlap largely with the concept of sexual orientation. An individual that is said to identify himself as being bisexual distinguishes himself from another person simply by the fact that he had made a choice. For instance, a person that is bisexual may have preference for certain sex in place of another and go ahead to fulfill his â€Å"desire,† in this case, the main determining factor in sexual preference is the element of choice. Scientists, in their numerous researches, have failed to give any conclusive evidence about why and how one exhibits certain sexual orientations compared to another. However, several theories that have been grounded on biological research reports explain that sexual orientation is largely influenced by genetic factors. At the

Monday, August 12, 2019

Imagine you are a small business owner Essay Example | Topics and Well Written Essays - 1000 words

Imagine you are a small business owner - Essay Example Net margin can be calculated dividing net income by total sales. The managers of small businesses must pay close attention to the profitability of the business as well as its cash flow position. The current ratio is a good ratio to analyze small businesses because it measures the liquidity of a company. It measures the ability of the company to pay off its short term debt. A current ratio is positive if is above 1.0. The inventory turnover ratio measures how many times a company sold its inventory during a year. The desired outcome is to have a high inventory turnover rate. Three ratios that are suitable to evaluate the financial performance of a large enterprise are return on assets (ROA), return on equity (ROE), and debt to equity ratio. Return on asset measures how well assets were employed by management, while return on equity measures the extent to which financial leverage is working for or against common stockholders (Garrison & Noreen, 2003). The debt to equity ratio is calcul ated dividing total liabilities by stockholder’s equity. B) Explain the advantages and disadvantages of debt financing and why an organization would choose to issue stocks rather than bonds to generate funds. Debt financing has become an extremely popular financing tool in today’s global economy. ... â€Å"Another advantage of debt financing is that interest paid on debt reduces tax burden of the business† (Kido, 2012). Despite the advantages of debt financing it also has cons. A drawback of debt financing is that in cases of business failure lenders have first option at the liquidating assets of a firm. A second drawback of using debt financing is the obligation to pay interest to the lenders. Sometimes interest expenses of debt instrument can be very high. A third con of debt financing is that if it is excessively used it can negatively impact the credit rating of the company (Simplyfinance, 2007). C) Discuss how financial returns are related to risk. Financial returns and risk are two factors that are positively related. This means that to obtain higher rewards managers must assume greater risk. In the stock market companies that have higher risk have a greater chance of equity appreciation. Risk adverse people try to stay away from risk. Being risk conservative can hel p a company minimize the risk of financial loss. â€Å"Financial risk is the loss probability arising from adverse price fluctuations in financial markets or business partner defaults† (Codjia, 2012). When companies get too greedy they often make bad business decisions by incurring in too much risk. Firms that have higher risk tend to have higher cost of capital. When the cost of capital is high the profitability of the company is adversely affected. D) Describe the concept of beta and how it is used. The beta coefficient is a measure of an asset’s risk in relation to the market or to an alternative benchmark or factor (Thefreedictionary, 2012). The average beta coefficient of the stock market is 1.0. When the beta coefficient of a company is higher than 1.0 the stock has

Sunday, August 11, 2019

Case study on reducing customer churn fir T-Mobile Essay

Case study on reducing customer churn fir T-Mobile - Essay Example The rule was further enhanced by Sherden as 20-80-30 expressing the idea that the top 20 percent of customers generate 80 percent of the companys profits, half of which is lost serving the bottom 30 percent of the unprofitable customers (Sherden, 1994). Customer retention has become harder with the propagation of internet and increased bandwidth. Provision of several options has made the switching barriers ineffective. In order to keep the customer base in the safety net it is important for the company to fill all the loops and holes to avoid customer leakages. It is always important for the Telecommunication companies to find new and innovative ways of finding about the factors, which lead to the customer defection. It is also imperative for the company to create a connection with the customers being at high risk of defection and reduce the overall churn rate. It is important to tie the above mentioned segments in the loyalty string of the company. An automated survey query can be sent to the customers through email or the survey can be directly undertaken by sending an automated call to the specific numbers of the target audiences in order to get instant response from the customers on daily basis form both the segments of Pay Monthly and Pay as You Go customers. The survey then can be reviewed by the customer care staff so that call centre representatives can purposefully undertake conversation with the customer providing negative feedback. On the next level the customer should be provided with the opportunity to again fill a brief survey form. If again the feedback is negative the customer should be asked if they would like to speak with a manager regarding their issue(s). Managers should be notified of the customer call-back requests on urgent basis. The data regarding the customer’s survey responses should also be provided to t he manager in order to undertake useful follow up with the customers. The loss of the customers can be

Saturday, August 10, 2019

IT Research Paper Example | Topics and Well Written Essays - 1000 words

IT - Research Paper Example This serves as the main difference between quantitative and qualitative research. This is because the former does not embrace transitional social aspects in terms of interpretation (Cooper & Hedges, 1994). Cooper, H. & Hedges, L. V. (1994). The Handbook of Research Synthesis. New York: Russell Sage Foundation Q2. The aspect of rigidity is cited as one of the major weaknesses of survey data. Most researchers miss out on important information that may come from interviewees predominantly because of lack of space. This emanates from a rigid design that does not allow for unforeseen information from the masses. Therefore, it becomes difficult for the individual to collect additional and new information about a product being researched. The solution to the problem lies in designing a broader research procedure that is quite flexible. This entails a hectic and tiresome process, but the results are usually worthy. Q3. Most researchers rely on the mechanical method in a bid to handle and org anizing huge numbers of data. Here, computers are largely used to their efficiency and speed that cannot be handled by the human brain. It is important to note that computers basically rely on tallying or counting words, phrases, and all sorts of coincidences that can be spotted within the data. One advantage of computers is the leverage it possesses over human beings in terms of speed and efficiency. Computers can also work efficiently in specified cases where certain positive comments about a given product are mentioned in the data (Patton, 2002). This type of data can be assessed using the so-called "red flags" and "green flags." It becomes easier to organize and handle data in this case even though it does not apply to all researches. This point also serves as its biggest weakness. Similarly, the method portrays some weakness in terms of failing to incorporate the human element in the organization of data. In other words, human interpretation and guidance is omitted from the equ ation. Patton, M. Q. (2002). Qualitative research & evaluation methods (3rd ed.). Thousand Oaks, CA: Sage Publications Question 4 __________ enable(s) organizations to see how potential employees will behave on the job and how they will adapt to the corporate culture. Answer Internships Networking Personal job applications Employee referrals 5 points Question 5 What type of informative presentation addresses "why" questions? Answer demonstration explanation description instructional 5 points Question 6 What type of informative presentation format simply gives an account of the status quo? Answer explanation briefing training session report 5 points Question 7 Which of the following is NOT one of the general purposes mentioned in the text? Answer to inform to persuade to motivate to critique 5 points Question 8 According to the text, the three functions of an introduction are Answer to entertain, preview purpose, and motivate. to orient, motivate, and build rapport. to build credibil ity, review main points, and provide a closing thought. to motivate, entertain, and celebrate. 5 points Question 9 The interviewee designs the resume and the cover letter based on the __________ and the research done on the company. Answer organizational structure business purpose personal biography work experience 5 points Question 10 An effective closing has three parts. Which of the following describes part two? Answer allowing the candidate to ask any final questions about the position allowing the cand