Friday, December 27, 2019
Making Changes to Policies to Protect the People of...
Making Changes to Policies to Protect the People of America from Terrorism The face of war has changed in the 21st century, a change that the United States is not totally prepared for. Our new enemies are not citizens of countries, they have no face, and they do not abide by any ââ¬Å"rules of war.â⬠Because of this, there is not a person safe from their attacks, from the President to military personnel to a college student in west Texas as now everyone is a target. They succeed by their element of surprise and their surprising ingenuity in creating their terror. Before someone can propose policy regarding terrorism, we need to begin to understand what incites these people to perpetrate such heinous acts and what they hope to gain byâ⬠¦show more contentâ⬠¦This in itself would make the average American scream an invasion of privacy. However, this card is no worse than a driverââ¬â¢s license that most Americans already carry. However, the main perpetrators of new terrorism are of Middle Eastern decent. Should only those of Middle Eastern dece nt in the United States be required to carry these cards? On the surface this would make sense except for the equality and discriminatory issues involved with this option. But, those from the Middle East are not the only ones that may be involved with terrorism, such as the Oklahoma City bombing conducted by Timothy McVey and possibly others. There are thousands of people of other decent in this country in militia groups and even racial groups that are probably more than willing to create terror themselves, and with these people, they probably have even greater means and resources than those who attacked on September 11. Therefore a smart card would make much more sense to be issued to all of those in this country, and it seems that a majority of Americans are willing to accept this idea. Another issue, which has many, parts and has been battled over in government and the courts for years, and this is the area of civil rights. There are many court cases already that involve police m ethods of obtaining justice, with most of these cases barring many of these types of investigation. One method is the monitoring of phone calls and otherShow MoreRelatedThe Patriot Act : a Summary Essay1276 Words à |à 6 PagesCase Study: The USA PATRIOT Act One of the most controversial policies to pass legislation within the United States congress with the approval of our president at the time, George W. Bush, was the USA PATRIOT Act. The USA PATRIOT Act is actually a acronym for the Uniting and Strengthening America by Providing Appropriate Tools Required to Intercept and Obstruct Terrorism Act. This Act reduced the restrictions, which now allowed the law the power to search various electronic communications recordsRead MoreForeign Policy And The Middle East1107 Words à |à 5 PagesAmerican foreign policy and what it entails. Foreign policy of the United States determines how we interact with other nations and also the standards or guidelines for these interactions. Foreign policy is designed to protect America and ensure our safety both domestically and globally. There has been an ongoing struggle involving American foreign policy in the Middle East and specifically the war on terrorism. Conflict in the Middle East has been at the top of the American Foreign policy agenda for theRead MoreNational Security Vs. Digital Privacy1735 Words à |à 7 PagesIn regards to the increasing crime and terrorism rates in America, the optimal solution thus far is enhancing security throughout the nation. By doing so, policies, procedures, and protocols would be amended for the sole purpose of protecting the country. Such alterations should be made because it prevents crime in a timely, reliable, and successful manner, whilst preserving the fundamental rights of all United States Citizens. In light of the controversy over national security versus digital privacyRead MoreOutside Evaluation: The Patriot Act Essay1158 Words à |à 5 Pages On September 11, 2001, Americas false sense of security was dealt an unimaginable blow from terrorists that hijacked American planes, then used them in the single most horrific event in modern US time. If we have learned anything from these ungodly acts, it is that America is very resilien t. A little over a month after the September 11 attacks, congress passed a provision that, former President George W. Bush, signed into law. This law is called the USA Patriot Act. The purpose of this lawRead MoreAn Age Of Mass Migration And International Terrorism1715 Words à |à 7 Pagesinternational terrorism, the intersection of liberty and equality while also pursuing domestic security and efficiency is a major concern. The ability to untangle these forces is critical to national identities and to resolving contradictions between these principles in order to strengthen the values of justice. The values of liberty, equality, security and efficiency have different weights, but all of these have come to characterize the modern state, have guided the formation of domestic public policy andRead More.. . . . Counterterrorism Tactics. Student: Barbara Bittinger.1652 Words à |à 7 Pagesasked if I would familiarize myself with policies implemented post-9/11. This consist of the proposals made by the 9/11 Committee to improve communication all over America. I will create a new policy abiding to the data explain in the USA Patriot Act to improve communication. Iââ¬â¢m going to create a policy proposal exclusively focusing on the line of communication that needs to happen if a terrorist act is executed inside the nation. Also, I will put in the policy what will happen in terms of first respondersRead MoreGeorge W. Bush s Foreign Policy Successful1601 Words à |à 7 Pagesforeign policy successful? à ¬ ââ¬Å"Terrorist attacks can shake the foundations of our biggest buildings, but they cannot touch the foundation of America. These acts shatter steel, but they cannot dent the steel American resolveâ⬠- George. W. Bush Prior to World War I, the United Statesââ¬â¢ foreign policy remained predominantly isolated. However, upon the end of the war, American foreign policy saw a pragmatic shift from its original isolationistic nature to XXXXX . Americaââ¬â¢s policy then wasRead MoreRoles of Special Interest Groups Essay examples1472 Words à |à 6 Pageswomen all over the United States to make their choice in the matter of pregnancy. However, there have been several activist groups that feel no matter what this is wrong, these groups result to violence that have been said to be a form a domestic terrorism. In 2003, Norma McCorvy, know has Jane Roe in the Supreme Court case Roe v. Wade, changed her outlook on abortion, her motion was denied. In 2007, the Federal law was passed banning certain abortion procedures. This again takes the decision outRead MoreTerrorism Is An Act Of Violent Protest1567 Words à |à 7 PagesTerrorism is an act of violent protesting when a group or country wants to b e heard when their opinion goes unnoticed. When hearing the word terrorist one might think of bombings, Osama Bin Laden or even the horrifying, yet famous tragedy of 9/11. The United States has endured the spread of infectious diseases, civil battles, and minor bomb threats and attacks; however, in most citizensââ¬â¢ eyes, nothing compares to the catastrophe of 9/11. From the unjust prejudice gestures of Americans towards MiddleRead MoreThe Patriot Act1467 Words à |à 6 PagesThe dreadful and terrifying events of September 11 necessitated and increased government s responsibility to take effective measures for preserving lives of the people and ensuring independence of the society. In this context, the Senate, the House of Representatives, and President Bush pledged to respond within boundaries set by the Constitution confronting and preventing terrorist attacks. Through Patriot Act, the law enforcement agencies of the Untied States are given the most effective tools
Thursday, December 19, 2019
Stereotype and Prejudice - 784 Words
------------------------------------------------- Associate Program Material Stereotypes and Prejudice Worksheet Please complete the following exercises, remembering that you are in an academic setting and should remain unbiased, considerate, and professional when completing this worksheet. Part I Select three of the identity categories below and name or describe at least 3 related stereotypes for each: * Race * Ethnicity * Religion * Gender * Sexual orientation * Age * Disability Category | Stereotype 1 | Stereotype 2 | Stereotype 3 | Race | White people do not have rhythm | All Asians are geniuses | African Americans love Kool-aid and are thugs | Sexual Orientation | Men are betterâ⬠¦show more contentâ⬠¦Stereotyping leads to prejudice. If I am walking in a park and I see a group of people walking towards me (lets say all are white males) and they are dressed up and look very nice. I do not panic, now another group is walking towards me and now this group is all men (African Americans) and they are dressed and conduct themselves just the same as the first group, but I panicked with this group. Why because I stereotyped the second group and if I was prejudice no matter how they dressed or acted I would be afraid of them because they are black. I judge them based on skin color and not on individuality. What can be done to prevent prejudice from occurring? Educational programs, have intergroup contact, corporations/businesses have diversity training programs, and mass media. We can reach out for medical/therapy programs. We can also help with improving social conditions of oppressed groups. We can work on being more opened minded with learning others culture and ideas and stop being so hard headed andShow MoreRelatedStereotypes, Prejudice, And Prejudice1429 Words à |à 6 Pageswhether Yang represents the stereotype successfully on his book or not. On the one hand, some argue that he go a little off from his main point from his book. From this perspective, many people found the book that it is not good enough to read. On the other hand, however, others insist that Yang did a great job on representing stereotypes, which makes his book very powerful and interesting to read. In the words of one of this viewââ¬â¢s proponents, ââ¬Å"I had heard about stereotypes, but never really fully understoodRead More Stereotypes, Discrimination and Prejudice Essay1506 Words à |à 7 PagesStereotypes, Discrimination and Prejudice If a young girl is walking alone through a park late at night and encounters three senior citizens walking with canes and three teenage boys wearing leather jackets, it is likely that she will feel threatened by the latter and not the former. Why is this so? To start off, we have made a generalization in each case. By stereotyping, we assume that a person or group has certain characteristics. Often, these stereotypical generalizations are not accurateRead MoreRacial Stereotypes, Racism, Prejudice, And Stereotypes Essay1720 Words à |à 7 Pageswhere we look for and acknowledge the stigma of racial stereotypes as presented by media. People, for the most part, do not go to the movies thinking about stereotypes or racism. Tim White defines racism as, ââ¬Å"denying the right of self-determination and the exercise of full autonomy to others (White 101)â⬠and I think this movie plays right into that definition. It is easy for those of us in this class to see the racism, bigotry, and stereotypes that are present in this movie. Unfortunately, I do notRead MoreModern Day Stereotypes And Prejudice962 Words à |à 4 Pages Modern day stereotypes and prejudice only help to nationalize the hysteria and make it appear like less of a problem and more like entertainment. This can be seen, specifically, with the current Syrian Refugee Crisis occurring in the United States. Walter Kirn, an American novelist and literary critic, stated that ââ¬Ëââ¬ËEveryone loves a witch hunt as long as itââ¬â¢s someone elseââ¬â¢s witch being hunted.ââ¬â¢Ã¢â¬â¢ (Kirn, Walter). Thus, proving that the Crucible was also looked upon as daily entertainment and the SyrianRead MoreRacism, Prejudice, And Stereotypes Essay1905 Words à |à 8 Pageswhere we look for and acknowledge the stigma of racial stereotypes as presented by the media. People, for the most part, do not go to the movies, thinking about stereotypes or racism. Tim White defines racism as, ââ¬Å"denying the right of self-determination and the exercise of full autonomy to others (White, 101)â⬠and I think this movie plays right into that definition. It is easy for those of us in this class to see the racism, bigotry, and stereotypes that are present in this movie. Unfortunately, I doRead MoreStereotypes And Prejudice : Their Automatic And Controlled Components1169 Words à |à 5 PagesArticle 1 ââ¬â Stereotypes and Prejudice: Their Automatic and Controlled Components Devine (1989) argues that stereotypes are inevitable on the basis that stereotypes and prejudice coexist and that stereotyping occurs automatically. Devine attempts to prove this hypothesis in three experiments. Devine reasons that ââ¬Å"as long as stereotypes exist, prejudice will follow.â⬠This hypothesis is rooted in a correlation. Prejudice and stereotypes are related, however there is no clear evidence of causality;Read MoreImpact of Prejudice Stereotype and Discrimination Essay897 Words à |à 4 Pagesââ¬Å"Most people know about and have experienced prejudice, stereotyping, and discrimination. Social psychologists differentiate among these terms by focusing on whether they involve feelings (affect), cognition, or behaviors.â⬠(Feenstra, J. 2013) As individuals we tend to migrate toward those that may look think or act like us because it may cause hate towards anyone that is different. This may inhibit social interaction with those outside of our comfort zone. T here are often consequences that affectRead MorePride And Prejudice : Sexist Stereotypes Of Women1132 Words à |à 5 PagesPride and Prejudice Reinforces Sexist Stereotypes of Women ââ¬Å"Pride and Prejudiceâ⬠, a novel written by Jane Austen represents eighteenth century English women as illogical, domestic individuals who economically depend on male members in their household. Major decisions in their life are decided by their fathers and brothers. They perform subordinate roles, and are considered inferior to men. This novel reinforces the sexist stereotypes of women.The female characters in the novel possess these virtuesRead MoreStereotypes And Prejudice Toward A Lesbian Couple Essay1662 Words à |à 7 PagesStereotypes and prejudice toward a lesbian couple; Jenââ¬â¢s and Allisonââ¬â¢s story While gay and lesbian people are as diverse as everyone else, their shared experience of discrimination seems to unite them. The blog I have chosen to focus on for this analysis is a married lesbian couple with two children. Jen and Allison are two lesbians who had their first child in January 2011 and had their second child in December 2012. The happy family lives in Canada. Canada is internationally seen as the leaderRead MoreStereotypes Prejudice:. What Are They, And How Do They1825 Words à |à 8 Pages Stereotypes Prejudice: What are they, and how do they affect communication? Today we live in a world of diversity, we have thousands of different cultures that all share the same earth. Due to this fact it is important that all of these different cultures, filled with valuable ideas, beliefs, thoughts, and people be able to communicate. There is many barriers that keep people from different cultures from communicating. Some of them are very obvious, and easy to identify such as language, location
Wednesday, December 11, 2019
Sam Houston Summary free essay sample
Sam Houston had to face many obstacles since he was a little boy. He had very little education; however he educated himself with many readings from his fatherââ¬â¢s library. Houston served as governor for Tennessee and Texas. He also served as a United States senator for thirteen years. . He befriended General Andrew Jackson and remarried three times. Houston was made the first president of the Republic of Texas in 1836 and was re-elected in 1841. He gave many speeches throughout the years. Houston died on July 26, 1863, in Huntsville, Texas. Sam Houston, fifth child of Samuel Houston and Elizabeth Paxton Houston, was born on March 2, 1793. His father, Samuel Houston, a member of the revolutionary member, went bankrupt in 1806 and had no other option but to sell the Timber Ridge and move west to Tennessee. His father died the same year! A year later, Sam Houston, his mother, and his eight siblings resided south of Knoxville in Maryville, Tennessee. At the age of fourteen, Sam Houston had little education but spent a large amount of time reading books in his late fatherââ¬â¢s library. He also spent a great amount of time clearing land and developing a farm. The family decided that he would work as a clerk in a store because in his brotherââ¬â¢s eyes he wasnââ¬â¢t doing anything worthwhile. Sam showed no interest in this job which resulted in his disappearance from the job and home. He crossed the Tennessee River with the Cherokee Indians. Houston joined a band of approximately three hundred Cherokees led by Chief Oo-loo-te-ka. The chief liked Sam greatly that he soon adopted him and gave him the name ââ¬Å"Colonnenâ⬠. Colonnen refers to ââ¬Å"The Ravenâ⬠which is a symbol of good luck to the Indians. He went into debt due to bringing gifts home to his Indian friends each time he went to visit his family. At the age of nineteen, Houston had to find a way to get out of debt and decided to become a teacher. He charged the students a higher rate than usual which only took six months to pay off his debts. At the beginning it was just a way to make money but he soon realized that he had a strong interest in teaching. The War of 1812 had begun shortly after Houston began teaching. His career ended really soon. ââ¬Å"Euclid soon defeated him and ended whatever thoughts he may have had of a permanent careers as a teacher. Houston was not amongst the early volunteers of the war; however he decided to enroll in a local academy to further his education in math. On March 24, 2013, Sam decided to enlist in the United States Army. Within a few weeks of training he became a sergeant. Nine months later, Sam was promoted to third lieutenant. Early in the 1814, Houston came under command of General Andrew Jackson. He became really good friends with Jackson for approximately thirty years. During the war, Houston was wounded and General Jackson ordered him to stay out the rest of the battle. The Indians refused to surrender. Houston volunteered to lead the attack; however his men hesitated to go forth, Houston ran forward and the Indians ended up shooting him twice in the right shoulder. Jackson ordered the Cherokees to complete the battles which forced the Indians to sign the Treaty of Fort Jackson. This treaty consisted of giving up their claims to more than three-fifths of Alabama. Sam Houston was treated at one of their hospitals in eastern Tennessee and then transported back to Maryville. After the treatment he was assigned to the Southern Division of the United States Army. He was on light duty in the adjutant generalââ¬â¢s office. On October 28, 1817 Houston was appointed federal subjacent to the Cherokees. At the age of twenty-five, on March 1, 1818 he resigned from the army and as Indian subagent too. Three months later, Sam Houston returned to Nashville to begin the study of law with Judge James Trimble. It only took Houston six months to learn and pass the bar examination. He then moved to Lebanon and opened a law office. In 1819, Houston was elected attorney general, and he then returned to Nashville. He was very successful and knowledgeable but he was not satisfied with the pay. He resigned in1820 in private practice in Nashville. ââ¬Å"In 1823 he ran for the United States House of Representatives from the ninth Tennessee District. â⬠(pg 15) Houstonââ¬â¢s second term ended on March 1827, he went back to Tennessee to run for governor. He put himself in the publicââ¬â¢s eyes by attending political rallies and any events that included the voters. ââ¬Å"In early September he defeated Cannon by more than 11,000 votes in a total of more than 75,000 and won the governorship. â⬠(19) In 1824 Sam Houston was introduced to a woman named Eliza Allen. She was only twenty and Sam Houston was thirty-five at the time. He asked her father for his permission to marry his daughter. Her father gave him permission to wed his daughter. She did not love Sam; however her family pretty much pressured her into marrying Houston only because he was a successful man. She followed their command and accepted his proposal in October 1828. They exchanged wedding vows on January 22, 1829 at the Allenââ¬â¢s home. Unfortunately, three months after the marriage his wife left him and went back home to her family. She refused to be with him and on April 16th Houston resigned as governor of Tennessee. It is still unknown why she left Houston, although she was pressured into marrying Houston. Sam and his companion, H.Haralson, journeyed down the Cucumber River to Ohio on April 23, 1829. He ended up in Arkansas with his Cherokee friends. His companion continued to travel leaving Houston behind with his adopted father and friends. Sam Houston soon discovered that the Cherokee nation had to move out of Arkansas and into east-central Oklahoma. The Cherokees were worried that the whites were going to take their current land again. Houston became their advisor and a listener to the Cherokee tribe. ââ¬Å"Houston departed to Washington to inform President Jackson that several Indian agents should be removed and the Treaty of 1828 honored. He traveled to Washington D. C. to inform how the Cherokees received unbroken promises and that they rather have money verses gold. Sam Houston wed another woman, Tiana, while still married to Eliza. It wasnââ¬â¢t a big deal because she was considered Indian and his other wife was Cherokee. Within time he got a weakness for alcohol. It started interfering with his everyday live, was turned down when he campaigned for a position on the Cherokee council, and he also hit his adoptive father. Soon after, his mother fell ill and was rushed back to her home in Tennessee where she died in September 1831. A month later he traveled back to the Cherokee nation. In April he was arrested and punished for striking congressman, Stanbery, with his cane. He was found guilty and received a reprimand. In October 1832, Houston started preparing for his trip to Texas; however his wife refused to go. Houston left her some of his possessions and then divorced her. Sam Houston set up headquarters in San Felipe and began to plan a defensive strategy against the Mexicans. The volunteer soldiers under Stephen Austin battled and successfully took San Antonio, killed Milam, and forcing General Cos to surrender. The soldiers believed that the war was over; however Houston was not convinced that it was over. He made a public announcement that Texas was in need of 5,000 trained men by March 1, 1836. While Houston and the men prepared for the war they were approached by Fannin and the two leaders that won at war in San Antonio. Fannin, Johnson, and Grant came in making promises to the soldiers causing thousands to leave Houston and to join their militia. Sam Houston continued to lead approximately sixty to seventy men. On January 20, Houston traveled to San Felipe to meet with Governor Smith. Houston spent the rest of February with the Cherokees and Indians in the northeast. After arriving at the convention site, Washington-on-the-Brazos, he received news that Santa Annaââ¬â¢s army had attacked Texas and ââ¬Å"besiegedâ⬠the Alamo and the remaining soldiers. The declaration of independence was adopted on March 2nd. Two days later, Houston had become ââ¬Å"commander in chief of the land forces of the Texian army both Regulars, Volunteers, and Militia, while in actual service. â⬠On March 11th, Houston reached Gonzalez and found 374 volunteers that were led by Edward Burleson. While preparing the men for war Houston received news that Santa Annaââ¬â¢s army had ââ¬Å"takenâ⬠the Alamo and attacked and burned all of its defenders. Houston ordered Fannin and his army to retreat to Victoria. They were captured and murdered by the Santa Annaââ¬â¢s army. On April 20th, the battle began between Santa Anna and Houstonââ¬â¢s soldiers. Unfortunately, Houston was injured during the battle. Houstonââ¬â¢s army men had captured and killed many men causing Santa Anna to offer a peace treaty. Houston refused until both government leaders were present. Fortunately, Houstonââ¬â¢s approach succeeded. Sam Houston and Elizaââ¬â¢s divorce was not final until 1837. Houston served as president for two years, December 1836 to December 1838. He was reelected in September 1840. In 1836, a small group of soldiers were attacked by the Mexican General Santa Anna. Houstonââ¬â¢s army won the battle against the Mexican forces at San Jacinto and gained independence for Texas, opened up a law office, and promoted a land development after his term expired. He traveled to Mobile, Alabama to interest a wealthy merchant, William Bledsoe, in the Sabine City project. While visiting the Bledsoe estate Houston met Margaret Lea. They were married in Marion, Alabama, on May 9, 1840. They had eight children. Margaret convinced Houston to stop drinking and attend church. Houston continued to work towards annexation with the United States. He used the United States and Great Britain hatred to one another in hopes to make each country want to snatch up Texas so that the other country could not. With high hopes of joining with the United States, the United States still was unwillingly to annex Texas. In 1845, Texas became part of the United States. ââ¬Å"Houstonââ¬â¢s joyous moment at the approach of annexation was tempered by the death of Andrew Jackson on June 8, 1845. The family rushed to the Hermitage but arrived a few hours late. They attended the funeral and were guests at the Donelson plantation for several weeks. â⬠(139) Meanwhile, Mexico was at war with Texas for ten years. Houston remained in Washington to work in support of the war. Houston left Washington in the spring of 1847 because his wife had surgery due to breast cancer. ââ¬Å"Houston traded Raven Hill for land within a few miles of Huntsville and planned to build a home for his family. He remained in Texas for the rest of the year, keeping abreast of the war news as General Winfieldââ¬â¢s Scottââ¬â¢s army took Mexico City. â⬠(147) In January 1847, Sam Houston obtained a new six year senate term. Houston became a presidential candidate but Houstonââ¬â¢s mind and heart was with his family. In 1852, Franklin Pierce was elected; however if Houston put in the effort he could have won. January 15, 1853, he was elected to a new six-year term as Senate. In October 1853, Houstonââ¬â¢s family moved to Independence, a city fifty miles to the southwest, while leasing out his home in Huntsville. In 1859, Sam Houston appeared to be leaning toward retirement. Houston invited the public to vote in his favor; however he did not campaign. ââ¬Å"Texans who wanted his leadership had drawn him into the contest, and they did the campaigning. Houston became the only man in the United States to serve as governor of two states. He promised funds for railroads, schools, river improvements, and a protector of Texas if Mexico should try to battle again. Houston was all about the people he served and not the political party. Some petitioned for him to run for president, but he refused to participate in the national convention. When Abraham Lincoln was elected president of the United States, Houston warned Texans that the civil war was going to happen if Lincoln violated the Constitution. The Texas convention removed Houston from office and replaced him with Lieutenant Governor Edward Clark. This resulted because Houston refused to take oath to loyalty to the newly formed Confederate States of America. He wanted to avoid war at all cost and declined Lincolnââ¬â¢s offer to use the federal troops to keep him in office and Texas in the Union. After leaving the Governorââ¬â¢s mansion, he continued to support Texas. Sam Jr. joined the Confederate Army, against his fatherââ¬â¢s advice, was wounded at the battle of Shiloh. He was reunited with his family but on crutches. Houston moved his family to Huntsville because United States ââ¬Å"tookâ⬠Galveston and ââ¬Å"destroyed the Houstonââ¬â¢s familyââ¬â¢s main source of income. â⬠(197) In the winter of 1863, Houston fell ill. He developed an awful cough and was diagnosed with pneumonia. His wife stayed by his side and heard his very last words before his death, ââ¬Å"Texasâ⬠¦Texasâ⬠¦Margaret. â⬠Texas and his family were very important to Sam Houston. Sam Houston, one of the most important political figures to Texas. Houston served as governor for Tennessee and Texas. He also served as a United States senator for thirteen years. . He befriended General Andrew Jackson. He remarried three times; however he had eight children with his third wife. Houston was made the first president of the Republic of Texas in 1836 and was re-elected in 1841. He gave many speeches throughout the years. He led a successful battle for Texas Independence. On July 26, 1863, Houston died of pneumonia in their ââ¬Å"Steamboat House. â⬠He will always be remembered!
Tuesday, December 3, 2019
The Movie Food Inc. Essay Example For Students
The Movie Food Inc. Essay Whether we like it or not duped exchanges exist. A duped exchange happens whenever a consumer it deceived in either the way the product works, doesnââ¬â¢t work, or if information is withheld about the service or product. The film Food INC does a great job showing examples of these duped exchanges. The examples range from all the different types of food we have at a grocery store, the cost of food, how food is labeled, and what exactly the meat is like. Overall, consumers should not be duped into exchanges in the food industry but duped exchanges in a different industry might be more acceptable. We will write a custom essay on The Movie Food Inc. specifically for you for only $16.38 $13.9/page Order now Every time you go to the grocery store the products are deceiving you. The way food is produced is abusive to both the animals and the workers. Things like cage free and free-range chickens donââ¬â¢t exactly mean the chickens are treated properly. A cage free chicken literally means they arenââ¬â¢t in a cage, it doesnââ¬â¢t mean that they arenââ¬â¢t packed into a tight space and left in a dark area. A free-range chicken could mean they have a little 5 foot by 5 foot grass area that some of them donââ¬â¢t even know how to get to. Of course we donââ¬â¢t get all that information when we buy a product because it would influence our decision to not buy the product. The label makes us believe that these animals are in better conditions than they actually are, and that is deceiving. The industry doesnââ¬â¢t want us to know the truth about the way animals and workers are abused. Food INC shows different situations that people were in and were sued for either patent violations or influencing the food industryââ¬â¢s profit. For example, it is against the law to criticize food products. Oprah is a great example of someone who mentioned Mad Cow Disease and since she was such a huge. . ith the aims of the market. Businesses need to be able to advertise to stay in competition with other businesses. Falsifying the news should be against the law, and advertising companies shouldnââ¬â¢t have major control over the media. In order to do this we would need more independent news sources that have all the funding they need to be able to produce news that is simply the truth. Carrââ¬â¢s view that business is a game and the rules are the law is more consistent with the market we have now. I believe Carrââ¬â¢s view is a better one but in order for consumers to not be completely deceived by businesses that the laws surrounding businesses need to change. In order for the laws to change there need to be stricter regulations on the revolving door. Business is all about how you deal with the competition and play the game, the rules just have to change to better the consumers.
Wednesday, November 27, 2019
Sunday, November 24, 2019
buy custom Albuterol in Asthma essay
buy custom Albuterol in Asthma essay Asthma is one of the most common pulmonary illnesses that affect more than fourteen million people in the United States (CDC, 2008). The prevalence of asthma is increasing in most countries, and estimates show that the numbers are likely to rise by 100 million by 2025 (Bateman et al., 2008). Asthma is characterized by reversible airway obstruction following exposure to environmental allergens or irritants or respiratory viral infection (CDC, 2008). Asthma is also characterized by impediment and irritation that occurs in many patients. Treatment of asthma has always been medications that are aimed at controlling the inflammation as well as the medications for general relief of the severe symptoms. However, the recommended management is the clinical assessment of the symptoms and the lung function assessment of an individual. These are viewed as the measures of the outcomes that result from this condition. Most asthma exacerbations are dealt with in various outpatient systems. However, more severe conditions require hospitalization. These hospitalizations are responsible for the foremost healthcare expenditures by patients. In the United States, these hospitalizations lead to over 400,000 cases of asthma hospitalizations annually. This eventually leads to very high expenditures for asthma related conditions (Bharmal Kamble, 2009). Asthma in both children and adults is associated with an increase in direct expenses, which eventually brings the expenditure to a very high level according to healthcare costs. The main therapy in the treatment of asthma is the administration of 2-receptor agonists which reverse the acute airway obstruction as well as other conditions such as cough. According to Ameredes (2009), levalbuterol and albuterol are the most common short acting 2-receptor agonists in the treatment of asthma. Racemic albuterol is a mixture of two stereo isomers R-albuterol and S-albuterol. Clinical studies have distinguished the two isomers in terms of their affinity. Studies upon isolation of the two isomers have revealed that R-albuterol is responsible for the bronchodilator activity. However, S-albuterol does not possess bronchodilator characteristics, but it acts in association with various pharmacological activities to neutralize the therapeutic effects of R-albuterol (Handley, 2000). Levalbuterol, also referred to as levosalbuterol is an alternative treatment for asthma and other pulmonary illnesses such as Chronic Obstructive Pulmonary Disorder (COPD). It blocks the beta-2-receptor to prevent the constriction of the airways in these conditions, and is therefore called a bronchodilator. Cells in the airways contain receptors that are called beta-2 receptors. Levalbuterol binds and activates the beta-2 receptors and is hence referred to as a beta agonist. This initiates signaling within the cells which results to the relaxation and opening of airways. However, the safety of albuterol and Levalbuterol is generally different. The S-isomer in albuterol has been believed to be inert in nature and its presence in the drug of no consequence. But it is now thought to foreshorten the duration of R-albuterol by compressing its potency (Handley, 2000). The main purpose of this study is to provide a comparative view of asthma related therapies, as well as the outcomes of tre atment after the maintenance treatment of asthma using levalbuterol and albuterol. Literature Review Studies in patient preferences on the type of medication provide crucial information on the evaluation of asthma symptoms as well as the effects of medication on the wellbeing of the patients and the levels of functional activities (Bateman et al., 2008). These studies have been insufficient in evaluating the effectiveness of albuterol in treating asthma. Albuterol has been in use for a long time but is said to be associated with various side effects such as tachycardia and jitters. The introduction of levalbuterol in 1999 has brought an opportunity to assess patient predilections between albuterol and levalbuterol. A stepwise approach to disease management is necessary for the assessment and eventual treatment of asthma. One of the main goals of asthma treatment is to uphold the wellbeing of people as one of the main humanistic upshot measures (Reed, 1985). Today, clinicians use many other measures to manage diseases with a need to control the effects of asthma as well as the wellbeing of the patients. These measures include patient satisfaction as well as other health related measures that are centered on the quality of life. Studies have revealed that patients preferences have a great impact on medication side effects, as well as patients quality of life. Patients compliance with the medication is also necessary for successful control of asthma (Bharmal Kamble, 2009). Disease control measures are also very crucial in reinforcing the positive perceptions of the treatment of asthma. When levalbuterol was approved in 2005, studies suggested that its use resulted in better respiratory parameters as well as fewer hospitalizations that brought about very little, if any, side effects and though it is priced much higher than albuterol since it has a higher duration of action (5-8 hours) as compared to albuterol (4-6 hours), its use led to generally lower treatment costs in terms of hospitalization and subsequent treatments (Carl, 2003). Studies comparing levalbuterol to albuterol revealed that levalbuterol yielded bronchodilation with few side effects. However, these results are not universal and some studies suggest no significant differences in clinical endpoints. The baseline distinctiveness for the two groups of patients (those who were administered with albuterol and those who were administered with Levalbuterol) was very distinctive (Ameredes, 2009). In the medical field, albuterol has been in use for a long time, one of the factors that make it preferable. Due to the mixture of the two isomers (R)-albuterol and (S)-albuterol that are considered inert, albuterol is considered somewhat classical in the medical field. However, the single-isomer formulation that has been manufactured recently is used therapeutically when the other component is deemed to be undesirable. Pharmacology Levalbuterol and albuterol are 2-receptor agonists and they reverse the acute airway obstruction as well as other conditions such as cough. The two drugs serve to reduce the resistance in the airway as they are known to enlarge the diameter of the bronchi or the air passages (Ozminkowsk et al., 2007). These drugs, therefore, help to enhance the overall flow of air both into the lungs and out. The drugs work on the beta-2 receptors resulting in the relaxation of the pulmonary smooth muscles (Perrin-Fayolle et al., 1996). Studies conducted with regard to the metabolism of levalbuterol in the human tissues indicate a 5-11 fold better sulfoconjugation within various human tissues than albuterol. A single dose of the albuterol dosage, whether taken orally or inhaled, results in a higher blood level within the body than levalbuterol (Perrin-Fayolle et al., 1996). Perhaps, this indicates a predominance of the (s)-albuterol, an inactive product, after repeated dosing of the active albuterol. It is estimated that up to 8 % of patients who receive nebulized racemic albuterol develop paradoxical bronchospasm, a condition which is life threatening. This decline in efficacy could be attributed to the composition of racemic albuterol. Levalbuterol is the therapeutically active bronchodilator in racemic albuterol, also referred to as (R)-albuterol. Evidence indicate that (S)-albuterol does not possess any bronchodilatory activity, in fact, it increases the level of calcium in the smooth muscle cells in vitro, which favors contraction and opposes bronchodilation. This also leads to increased in vitro bronchial reactivity of human airway smooth muscles. Clinically, the isomer promoted increased hypersensitivity and increased bronchospasm that is methacholine induced in patients with moderately severe asthma. On the contrary, levalbuterol, when administered as a single isomer, eliminates all the detrimental effects of (S)-albuterol (Bateman et al., 2008) Research has also shown that racemic albuterol and Levalbuterol are important since they produce effects that can be used as prescriptions for cancer treatment. The treatments include corticosteroid strengthening and the diminution of inflammatory mediators. However, on the other hand, (S)-albuterol produces contradictory effects. Studies indicate that the adverse effects associated with albuterol, such as jitters, tychardia and bronchospasms, are less frequent with levalbuterol (Gawchik, 2007). Symptom relief was also perceived to be higher, leading to a greater overall satisfaction with Levalbuterol treatment. However, it is important to bear in mind that while levalbuterol and albuterol help in relaxing the smooth muscles and increasing the flow of air within the airways, they do not actually reduce the speed of the progression of the primary disease (Ozminkowsk et al., 2007). They only help in minimizing the signs and symptoms of exercise and wheeze limitations along with the sho rtness of breath, leading to a better life for the people living with COPD. Improved outcomes Many investigators in their publications from studies have revealed that the use of levalbuterol yields better symptom relief and less frequency of the adverse effects as compared to albuterol. However, their pattern of outcomes cannot be applied universally because other studies propose that there is not a clear difference in clinical endpoints. Ozminkowski Wang (2007), state that the various publications that have resulted from various studies are difficult for doctors to follow. Most of these data highlight the effects of albuterol and levalbuterol in efficiency and safety. This was done by comparing the relief of symptoms and the exhibited side effects of each form of treatment. However, this clinical research provides no superiority of levalbuterol over albuterol. The effects of levalbuterol may be greatest to patients with moderate to severe asthma, especially in cases of racemic albuteol overuse (Ameredes, 2009). When a patient inhales racemic albuterol, he or she has a persistent effect that is caused by (S)-albuterol. This is in comparison to levalbuterol. This suggests potential contradictory outcomes from clinical experiments. One study carried out on children under the age of twelve years evaluated the treatment of asthma in children by caregivers who used either albuterol or levalbuterol. Various interviews were scheduled for caregivers, and the main questions were the satisfaction level of their children with bronchospasms. The caregivers were supposed to report contentment or discontent. The patients were administered with albuterol and levalbuterol for four consecutive weeks. After the first dose, levalbuterol created a greater relief of symptoms compared to doses of albuterol in nearly all patients including those with relentless asthma (Carl, 2003). Ameredes (2009), carried out a research study to find out the distinctive difference between albuterol and Levalbuterol. The objective of this study was to find out whether levalbuterol reduced the costs of treating asthma as compared to albuterol and to find out the various ways that levalbuterol and albuterol were different. He used a correlational research design that brought forward thirty seven patients who were diagnosed with acute asthma. The patients in his sample were children between the ages of 6-18. The results of this study indicate that Levalbuterols potency is 2-fold than racemic albuterol and 90 to 100 fold more than S- albuterol. Ameredes (2009) suggests that there have been highly heterogenous results from various studies that compare the clear differences between albuterol and levalbuterol. In one study, levalbuterol was more effective in suppressing bronchospasm than (R) albuterol and (S) albuterol. However, subsequent research studies revealed that there are equivalences between albuterol and levalbuterol. Some indicated that the effect of 1.25 mg levalbuterol was similar to that of 2.5 mg racemic albuterol, with (S) albuterol showing little measurable effect. The above studies were shot-term, and thus a short-time approach would be used to evaluate the two drugs. This approach, however, did not measure the difference that existed between albuterol and its isomers, if used chronically. Nelson (1998), conducted a clinical trial that would compare albuterol to levalbuterol. The study was based on both children and adults that were diagnosed with acute asthma in the United States. In his study, the patients were selected randomly and assigned levalbuterol or racemic albuterol. This trial was aimed at checking the equivalences of equal amounts of the two drugs. The study was correlational and involved fifteen patients from a local hospital. The study resulted in greater improvements in force expiratory volume in one second in the levalbuterol group as compared to the dose-equivalent of racemic albuterol group. This implied that an equimolar dose of levalbuterol produced better results than albuterol. The dose that produced numerically equivalent bronchodilation as recemic albuterol, 2.5 mg, was 0.63 mg levalbuterol, not 1.25 mg which is the mass equivalent dose. The interpretation of this data shows a particularly damaging effect of S-albuterol (Nelson, 1998). Clinical studies have been carried out in pediatric patients with asthma. According to Gawchik (2007), a randomized placebo-controlled trial was necessary to compare the two drugs. In his study, he discovered that no differences existed in bronchodilation with levalbuterol and albuterol. This was because there was no dose-related correlation in children with moderate asthma. However, the dose-related correlation was found in children with severe asthma. In another study of acutely asthmatic patients between the ages of 6-18 years, there was a conclusion that the more expensive levalbuterol did not reduce the amount of return visits to the hospital for further asthma management as compared to racemic albuterol (PerrinFayolle, 1996). The treatment also did not shorten the length of stay at the emergency department, improve expiratory flow (PEF), neither did it reduce the number of nebulized treatments when compared to racemic albuterol. On the other hand, contrary to this, Gawchik (2007), writes about the new form of albuterol inhalers that are in use in the market since 2009 in a bid to compare albuterol to levalbuterol. He notes that due to the recent changes, the new form is adjusted and better in terms of the security of use due to the fact that they are both human and environmentally friendly. The chloroflouroalkane found in rescue inhalers both in levalbuterol and albuterol have been found to harm the environment. Therefore, the inclusion of hydroflouroalkane has been important as a propellant. This is actually a positive step in the study of the effects of the two types of drugs. Ozminkowski Wang (2007), conducted another age-stratified randomized study with hospital admission rate of the patients presented to the emergency department as the outcome. The study was aimed at finding out the frequency of admission of patients to the emergency section and the return rate after discharge. The objectives of this study were to find out the patient-return rate after treatment in the emergency section and find out the role played by levalbuterol in assisting the quick recovery of patients in the emergency section. The admission rate was lower in the levalbuterol group as compared to the albuterol group (Ozminkowski Wang, 2007). The risk of the admitted group was greater in the albutrerol groups than the levalbuterol group. However, the length of hospital stay in the levalbuterol group was not significantly shorter than the albuterol group and there were no adverse effects in both groups. In this study, the conclusion was that substituting the administration of albuterol with levalbuterol would reduce the number of hospitalizations (Carl et al., 2003). This was supported by another study by Nowark et. al. that showed that levalbutereol was preferrable to albuterol in the treatment of acute asthma. Administration of the same dose showed that improvement was greater in levalbuterol as compared to racemic albuterol. The study also indicated that patients with higher plasma levels of (S) albuterol show slower improvement and have a higher likelihood of hospital admission In the same research, the investigator notes several factors. First and foremost, he acknowlegdes the fact that abuterol is the most commonly prescribed inhaler with beta-2 agonist. In addition, he notes that it is also considered the best drug when it comes to reversal of acute bronchospasm. Due to the equal mixture of (S) and (R)-albuterols, there is little effect of broncholdilating activities. On the contrary, the (R)- albuterol has a better binding effect to beta-2 receptors as compared to the (S)-albuterol (Tripp, 2008). According to the investigator, the creation of levalbuterol was needed for several reasons including fewer incidences of transcient tachycardia; the chance of better tolerability as compared to albuterol; and a higher efficacy than albuterol. A further examination of the research, showed that patients benefit more from levalbuterol. Additionally, the outcomes of the study revealed that levalbuterol was better than albuterol in a sense that patients treated with levalbuterol required less medication after recovery and that they had shorter lengths of hospital stay. A regression analysis revealed that levalbuterol was allied with duration of stay savings. Another study conducted by Truitt, Witko, Halpern (2003), showed similar improvements in FEV and mean heart rate decreased with levalbuterol. This study that was carried out in comparison to albuterol. However, the researchers note that the magnitude of the difference is minute. Therefore, it is important to study these differences together in order to detrmine the most reliable results. Nonetheless, the investigators note that results may be helpful to patients who are affected with arrhythmias, cardiac conditions and structural heart diseases. This is because if the differences are not considered, it may worsen the heart condition. Therefore, the investigators note that the transcient tachycardia that is evident in cardiac patients may be a key indicator of the dose dependancy that is formed with time by patients who use levalbuterol and albuterol (Truit, Witko Halpern, 2003). In another study, Nowak (2008) and his colleagues compared the effects that are brought forth by nebulized levalbuterol. This was in comparison to the ones that are brought forth by racemic albuterol. The subjects were 627 adults who suffered from acute asthma. The subjects were radnomly given the opportunity to use either 1.25 mg of levalbuterol or 2.5 mg of albuterol. This was after twenty minutes of emergency admission and 40 minutes later all the patients received 40 mg of prednisone. The level of expiratory volume was forcefully increased by 40 percent when the patients were administered with levalbuterol, this is in comparison to racemic albuterol. The investigators also discovered that this coresponded to a fourty percent reduction in the subjects who required hospitalization (Nowak, 2008). The effects of levalbuterol were evident in patients who had severe asthma. The high levels of (S)-albuterol in the circulating plasma are thought to be the main cause of overuse of racemic albuterol. The number of relapses in the two groups after a period of thirty days, however, did not differ. In another randomized clinical trial, Carl et al. compared the use levalbuterol with racemic albuterol in over 500 pediatric patients reporting to a hospitals ED. Hospital admission rates were reduced among those receiving levalbuterol in comparison with those receiving racemic albuterol treatments. The study was also seeking to establish the hospital conversion where levalbuterol racemic albuterol was replaced with levalbuterol 1.25 mg every 8 hours or levalbuterol 0.63 mg every 6 hours. Despite that the frequency of levalbuterol was less, the patients required fewer rescue treatments to reduce the symptoms than did those treated with racemmic albuterol. This means that the less frequently scheduled treatments with levalbuterol will lead to reduced workload and reduced number of missed treatments because of unavailability of therapists. This is also supported by Truit et al, who reported that treatment with levalbuterol required one day less of admission, significantly fewer treatments and a 67 % decrease in readmissions within 30 days of discharge after treatment with the 2-agonist compared with racemic albuterol. Other studies reported similar results, indicating that treatment with levalbuterol reported decreased numbers of daily treatments, reductions of staffing and fewer as-needed treatments when compared to racemic albuterol as the acting 2-agonist. Nowak (2008) conducted another study of patients who suffered from acute asthma and another group suffering from chronic obstructive pulmonary disease (COPD). There was a comparison of treatment of levalbuterol and albuterol that were administred in a period of 6 to 8 hours in 1.25 and 2.5 miligrams repectively. There were fewer nebulizations that were requiredwhen it came to the case of levalbuterol. On the other hand, there was an increased need for rescue aerosols in the period of 14 days hospitalization. However, most of the other outcomes were similar in the two groups. This is including the costs and study of the pulmonary functions. In the study by Truitt et. al. (2003), the retrospective chart review on hospitalized patients who had asthma and COPD showed that the results were more or less the same. This therefore led to the conclusion that the benefit of levalbuterol over albuterol is usually greatest in patients who have moderate as compared to severe asthma, particularly t hose with an overuse of albuterol. Side Effects Vitro and animal studies have shown significant outcomes that can be used as a basis of comparison. Many research studies reveal that albuterol is associated with severe effects that raise concerns, such as chest pain and high blood pressure. This could be because of the fact that inhalation of racemic albuterol leads to pushiness in circulating S-albuterol twelve times more than levalbuterol (Ameredes, 2009). Levalbuterol has been acclaimed to be a safer form of albuterol but it comes at increased costs. It costs five times more than racemic albuterol. According to Gawchick (2007), albuterol is purely used for the treatment of symptoms that are occasional but an overdose of the drug can be fatal. One of the precautionary measures that should be taken when using albuterol is that the use should be discontinued in cases of adverse side effects, including hypersensitivity; abnormal heart rhythms; diabetes; epilepsy this is coupled with seizure disorder; and heart diseases. The researcher also notes wheezing, pounding heart, tight chest, nervousness, blood pressure, and chest pains side effect may be a sign of hypersensitvity. Evidence from preclinical and clinical studies suggest that the worsening of asthma symptoms in some patients with continued use of albuterol or its overuse could be contributed by the racemic mixtures of albuterol isomers, which may result from the presence of the (S)-albuterol. The slow phamarcokinetic profile is one significant characteristic of (S)-albuterol. It is metabolized 12 times slower than levalbuterol. This is because it does not have sulfation and elimination enzymes preferrentially specific to levalbuterol. This leads to the differences in circulating levels of the isomers after administration of racemic albuterol. After administering a dose of inhalable racemic albuterol, it has been shown that the circulating levels of levalbuterol are undetectable wheras the levels of (S)-albuterol persisit for as long as 12 hours and may be preferentially retained in the lungs (PerrinFayolle, 1996). Therefore, it is important to consider the physiologic and pharmacologic effects of each isomer within the racemate mixture separately. According to Truit, Witko Halpern (2003), the issue of tolerance is still a bit controversial. There are some researchers that have noted that the overuse of racemic albuterol may lead to some factors that include hypokalemia and even increased mortality. Therefore, due to the lack of bronchodilator activities in (S)-albuterol, there may arise the situation of worsening air activity or rather pro-inflammatory effects. This is because it is metabolized 10-fold slower than levalbuterol (Truit, Witko Halpern, 2003). This could additionally result in the accumulation of (S)-isomer over (R)-albuterol leading to paradoxic bronchospasm. In addition, patients who suffer from asthma or COPD and other cardiac diseases have a likelihood of worsening the situation when they experience tachycardia and this therefore means that they are safer when using levalbuterol as compared to albuterol (Lovtall, Palmqvist, Maloney, Vantresca and Ward 2004). Studies have also discovered poor adherence to med ication by patients who suffer from tachycardia The other main factor that was noted when comparing the two agents is cost. Before the year 2009, the metered-dose inhaler (MDI) that had generic formulations was widely available. There were also versions of albuterol that were much cheaper. They included proventil and ventolin. This fact also applied to levalbuterol. On the contrary, many of the MDI formulations contained a lot of chloroflourocarbon and therefore, this meant that they had to be banned by the FDA (Food and Drug Administration). This was particularly due to environmental reasons. Therefore, the unavailabilty of the MDI has led to the leveling in price of the two agents (Truitt et. al., 2003). However, there are variations in the cost of levalbuterol nebulization as compared to albuterol nebulization. The use of levalbuterol faces various limitations including higher costs, small sample size in terms of testing, inadequate manpower and lack of support by many researchers This however, does not mean that albuterol should be preffered over levalbuterol since there are instances when levalbuteral tends to be widely accepted. First and foremost, there is a need by patients who have severe chronic asthma to get the doses of beta-2 agonist. This happens in spite of the use of controller therapies. A study by Tripp (2008) showed that levalbuterol resulted in Forced Expiratory Values (FEV) that were equivalent to or better than those that were observable in albuterol. The -mediated effects were lower for a single dose of levalbuterol as compared to racemic albuterol. In this studies, treatment of asthma using levalbuterol was cheaper due to the little numbers of hospital admissions (Tripp, 2008). In this particular study, levalbuterol treatment in the emergency department was cost effective because it led to a situation of patients recovering faster and thus reducing the cost of healthcare. Although the (R) -albuterol and (S) albuterol isomers are similar in their molecular weight and their physiochemical properties, their 3-dimensional structure makes them super imposable. This conformational stereochemistry makes their properties distinct and for each isomer which results to them being considered different compounds (Nelson, 1998) As a result, regulatory authorities have demanded that the potential risks associated with the mixtures that make up racemic albuterol be quantified. Levalbuterol was developed to minimize the side effects associated with (S)-albuterol and maximize therapeutic effects. The findings of this study demonstrate that the use of levalbuterol significantly reduces hospital admission rates in patients presenting to the ED with acute asthma when compared to racemic albuterol. The study suggests that levalbuterol has clinical benefits over racemic albuterol in critical care settings, and these benefits are evident in both pediatric and adult patients administered with levalbuterol. The above studies were conducted in geographically distinct ED settings, with varying patient populations, physicians, and socioeconomic conditions demonstrating that substituting racemic albuterol with levalbuterol improves patient outcomes by reducing hospital admissions. Different studies have suggested that levalbuterol produces greater bronchodilation than racemic albuterol and improves discharge rates and health resource use (Ozminkowski Wang 2007). A post-hoc analysis on the patients found that their (S)-albuterol plasma levels negatively impacted their baseline forced expiratory volume in 1 second as well as pulmonary function an hour after ED treatment was commenced. Despite the higher cost of levalbuterol in the treatment of asthma, when the total costs are considered, the differences in the costs are insignificant. The overall costs were similar in the levalbuterol group and the racemic albuterol group. The cost reductions were reported with increasing severity of asthma. This results from reduced hospital admissions and less frequent dosing, making the treatment more cost effective despite its high cost (Nowak, 2006) The clinical and preclinical benefits of levalbuterol observed in the literature cited in this investigation occur due to the difference between the two agents which is the presence of (S)-isomer in the racemic mixture. Despite previous studies suggesting that it is inert, the (S) isomer may instead have some proinflammatory effects. The bronchoprotective efficacy of racemic albuterol progressively declines with regular use, leading to reduced interval between dose and decreased bronchodilation (Nelson, 1998). The above findings indicate that levalbuterol, when used in place of albuterol reduces the number of hospital admissions, and is cost effective in the treatment of acute asthma in the ED setting. This makes the observations provocative and interesting since the only difference between the two agents is the presence of the (S)-isomer in the racemic mixture. The mainstay of therapy for reactive airway diseases has been rapid-onset 2-agonist agents such as racemic albuterol. However, the recent isolation of (R)-isomer levalbuterol has provided a new option for the treatment of asthma and COPD. The use of levalbuterol therapy produces both clinical and economical advantages when compared to albuterol therapy. Buy custom Albuterol in Asthma essay
Thursday, November 21, 2019
Ethics of a management accountant Essay Example | Topics and Well Written Essays - 750 words
Ethics of a management accountant - Essay Example This paper will discuss the ethics of management accountants and explain why there is a need for standardized code of conduct for the financial management practitioners and management accounting. Ethics refers to the fundamental principles or the moral values and rules that guide human behaviors on whether they are right or wrong on a specified line of profession. Ethics of a managerial accountant are meant to ensure that a certain level of trust is attained within the institutions and beyond. Ethical values in financial management are paramount for maintaining accuracy and proper interpretation and analysis of financial data. These ethical values are meant to eliminate any form of financial discrepancies introduced in books of accounts either intentionally or accidentally. In addition, financial variations have a negative effect on all the stakeholders and the information provided by the accountants is crucial for budgeting purposes by the organizationââ¬â¢s top management (Duska, Duska & Ragatz, 2011). Moreover, financial and accounting ethics are very critical in any form of business or organization since it deals with actual facts and figures for institutions forecasting. The business management makes full use of the information provided by the accounting department when reviewing the business objectives and targets and also in the vital decision making situations. In addition, accounting practitioners have full access to sensitive business information and should be handled with great care to maintain organizations trust and confidentiality (Duska, Duska & Ragatz, 2011). Therefore, it is unethical to use this information for personal gain since it would lead to detrimental legal implications. For the above mentioned reasons, financial accounting ethics ascertain that managerial accountants can be trusted with sensitive business information if the enterprise is to realize
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