Monday, December 30, 2019

Thesis Enrollment System - 840 Words

Chapter 1 Introduction The technology today plays a vital role in our society. It makes man work easier and fast. It lessens error of work by using machines. It reduces costs to an organization from paper works up to computerized working system. Many manual transactions can be computerized by using software applications or computer systems to make work easier and efficient. Information technology can give a company ready access to improve product and service quality, reduce costs, increase productivity in smallest time possible, and communication between employees and to make things with lesser effort but having a better output and even improve company morale. The process of enrollment in schools nowadays requires information†¦show more content†¦The institution was founded as private non-secretarial institution. It started with 50 pupils enrolled in Pre School to Grade 2 with two classrooms and an office building. After a year, the population tripled and more students kept coming every school year. With the expansion of its facilities – (the three storey building of Intermediate and High School Department air-conditioned classroom of Pre-School and Primary Department covered court, Laboratory, Libraries Computer Room, Audio Visual Room, air-conditioned offices spacious canteen, TLE Room and swimming pool – the first school in City of San Jose del Monte with swimming pool,), concurrent with the introduction and expansion of more programs – (Pre-School Course Elementary Course, Swimming Lessons, Tutorial Services, Summer Classes, Music Lessons and Sports Clinic.) The success of the effort of the institute is firmly evidenced by the high performance of its students in the different competitions they are joining and of its graduate in the tertiary level. To ensure the quality education, the institute employs faculty members who are qualified in terms of academic degrees and teaching experience, The qualifications of these teachers are enhanced through In – Service Trainings seminars, Spiritual Retreats and encourage them to continue their study to a higher level of learning to keep them abreast with the latest teaching approaches and help the institution to facilitate proper education while teachingShow MoreRelatedEnrollment System Thesis2416 Words   |  10 Pagesbring comfort and satisfaction. The San Jose Adventist Academy Automated Enrollment System has been made to ease the institution in monitoring and producing the documents required for enrollment. The development of this Computerized System gave the authors a great deal of job responsibilities. The systems application has promising result for the institution to maintain the information being gathered and stored in the whole system. The stored information can be used in generating needed reports andRead MoreIdentifying Humans with Physical and Behavioral Traits with Biometrics1311 Words   |  5 Pagestraits or characteristics, detected and recorded by an electronic system as a means of confirming identity. Physical traits or characteristics are related to the shape of the body (fingerprint, face recognition, DNA, palm print, hand geometry, retina, iris recognition, etc.). Behavioral traits or characteristics are related to the pattern of behavior of a person (handwriting, typing rhythm, gait, voice, etc.). A biometric system provides automatic recognition based on unique traits or characteristicsRead MoreHigh School Enrollment System1734 Words   |  7 PagesMEIN BUSINESS HIGH SCHOOL ENROLLMENT SYSTEM [pic] An Undergraduate Thesis Presented to the Faculty of Computer Science Department MEIN College Inc., Zamboanga City In Partial Fulfillment Of the Requirement for the Course in Bachelor of Science in Computer Science (BSCS) JULIET A. BUCO BSCS IV S.Y. 2010 – 2011 CHAPTER I INTRODUCTION I.1 Background of the Study This project looks at an Enrollment System for a high school. It stores details of students, year, and section. It may also beRead MoreMandatory Conscription In The Military895 Words   |  4 Pages1. Attention Getter: 1. Mandatory conscription has left a bad taste in the mouths of Americans since the Vietnam War. In modern day society, it can be seen as slavery and Americans today have become accustomed to the voluntary army system we currently have. For some, the perceived loss of freedom also means not being able to achieve educational and occupational goals, but that is definitely not the case. 2. Reason to Listen: 1. In fact, there are many educational and occupational benefits for AmericanRead MoreThe Civil Rights Movement And African Americans1048 Words   |  5 Pages Groups that previously had been submerged or subordinate began more forcefully and successfully to defend themselves. The civil rights movement inspired African Americans, Native Americans, women, queers, and Latinos to fight for equality. Thesis : Although each social group faced their own unique challenges during the civil rights movement, each group shared a common connection through their struggles for equality. Body Paragraph 1: Native Americans and African Americans : SolidarityRead MoreThesis Abstract Title: a Feasibility Study of a Computerized Management, Academic and Research Information System for the Mountain State Agricultural College1416 Words   |  6 PagesTHESIS ABSTRACT TITLE: A FEASIBILITY STUDY OF A COMPUTERIZED MANAGEMENT, ACADEMIC AND RESEARCH INFORMATION SYSTEM FOR THE MOUNTAIN STATE AGRICULTURAL COLLEGE AUTHOR: INTRODUCTION The increasing complexity of administrative operations in today’s colleges and universities are the effects of the growing students, faculty and administrative populations and the physical expansion of the institutions. The increase in complexity means additional administrative manpower, workloads, and management informationRead MorePublic vs Private Schools Outline Essay718 Words   |  3 PagesAssociate Program Material Appendix F Outline and Thesis Statement Guide What is your thesis statement? While there are many similarities between public and private high schools there are also many differences that help you choose between public school and private. Introduction: When it is time to attend school, how will you choose between public and private schools? While you will be attending yourself or sending your children to school your ultimate goal is to find a schoolRead MoreThesis1867 Words   |  8 PagesWeb-based Enrollment Information System for Asian Computer College A Thesis Proposal Presented to the Computer Studies Department City College of Calamba In Partial Fulfillment Of the Requirements for the Degree For Bachelor of Science in Information Technology 3rd Rev. SY 2011-2012 Bagsic, Abegail C. Dela Cruz, Jeaniva C. Recamata, Julie Ann A. August 2011 1.0 The Problem and its Background 1.1 Introduction Modern technology is a part of our daily life. It helpsRead MoreAnalyzing An Advertisement Of My Choice From A Magazine847 Words   |  4 Pagessemester I took dual enrollment English Composition I. Not only did this class give me college credit, it strengthened my writing skills as well. I was challenged to write a variety of essays that focused on different writing styles. The first essay I was asked to write was an advertisement analysis. In this essay, I had to analyze an advertisement of my choice from a magazine. I chose to analyze an advertisement for the Toyota 4Runner. When my teacher first mentioned a thesis, I had no idea whatRead MoreThe Rising Cost Of Higher Education2468 Words   |  10 Pagesdriving this large rise in tuition prices? This thesis aims to set up a supply and demand framework to analyze the various forces that may be driving the price of higher education to rise above the Consumer Price Index over time. After defining long-run supply and demand for the higher education market, this thesis addresses economy-wide factors and summarizes the findings of Robert Archibald and David Feldman in Why Does College Cost So Much?. Next, this thesis examines higher education-specific factors

Sunday, December 22, 2019

TDA 3.6 - 1678 Words

Unit 306 Promote equality, diversity and inclusion in work with children and young people Outcome 1 Promote equality and diversity in work with children and young people 1.1 Identify the current legislation and codes of practice relevant to the promotion of equality and valuing of diversity The education act is based towards the school responsibilities towards children with special educational needs. It means schools must provide resources, equipment and extra support to meet the needs of any children. The disability act places a duty on schools to encourage children to participate in all different areas of school life free from harassment and discrimination. It also eliminates barriers to make sure that children can have equal†¦show more content†¦Other children around them may think that they are not able to do certain things especially physical activities so they may leave them out and not ask them if they would like to join in and play. They may be shy to ask them about their disability or they may just be leaving them out on purpose because they are in a wheel chair. This can leave the child feeling very sad and left out. They will feel as though they are different and that they don’t fit in, it can also leave them feeling like they don’t want to come to school anymore. If this was to happen at my school I would intervene and ask them why they won’t let the child join in? I would encourage them to involve the child and explain that they are capable of doing some of the things just like they can and not to be shy to ask about the disability and asking them to join in. By educating them and telling them that leaving the child out you are hurting their feelings and that they wouldn’t like it if they was being left out. I would also inform my teacher so that she could inform their parents so that can explain to them at home also. When a child has a different race or religion it can cause prejudice and discriminationShow MoreRelatedTDA 3.6 Promote Equality, diversity and inclusion in work with children and young people5854 Words   |  24 PagesSTL 3.6 Equality, Diversity and Inclusion 1.1 Identify the current legislation and codes of practice relevant to the promotion of equality and valuing of diversity. There is various legislation and codes of practice relevant to the promotion of equality and valuing of diversity in including: Human Rights Act 1998 – Gives further legal status to the standards on Human Rights that was set out in 1948 with the Universal Declaration of Human Rights. This highlighted the principle that all humans haveRead MoreTDA 3.2 organisation in schools Essay3183 Words   |  13 Pages Level Credit 1 F/601/3327 TDA 3.1 Communication and professional relationships with children, young people and adults Knowledge skill 3 2 2 A/601/3326 TDA 3.2 Schools as organisations Knowledge 3 3 3 F/601/4073 TDA 3.3 Support learning activities Knowledge skill 3 4 4 A/601/4069 TDA 3.4 Promote children and young people’s positive behaviour Knowledge skill 3 3 5 H/601/4065 TDA 3.5 Develop professional relationshipsRead MoreEssay on : Promote Equality, Diversity and Inclusion1752 Words   |  8 PagesTDA 3.6: Promote equality, diversity and inclusion in work with children and young people 1. Be able to promote equality and diversity in work with young people. 1.1 Identify the current legislation and code of practice relevant to the promotion of equality and valuing of diversity. SEN code of practice 2001 This act was created to strengthen the rights of SEN children and their parents to a mainstream education. The act was designed to make a difference to the education of SEN childrenRead MoreChildcare: Education and Subject Code Essay43120 Words   |  173 PagesSupporting Teaching and Learning Subject Code: 501/1706/3 Level 2 Certificate in Cover Supervision Subject Code: 501/1718/X Ascentis Level 3 Diploma in Specialist Support for Teaching and Learning Subject Code: 501/1719/1 UNIT SPECIFICATIONS TDA 3.1 Communication and professional relationships with children, young people and adults Credit Value of Unit: 2 GLH of Unit: 10 Level of Unit: 3 Learning Outcomes The learner will be able to 1 Understand the principles of developing positive relationshipsRead MoreTda 3.1 Communcation Essay2417 Words   |  10 PagesTDA 3.1: Communication and professional relationships with children, young people and adults. 1. Understand the principles of developing positive relationships with children, young people and adults. 2.1 Explain why effective communication is important in developing positive relationships with children, young people and adults. Positive relationships= Relationships that benefit children and young people and their ability to participate in and benefit from the setting.(pg 2, SupportingRead MoreLearning and Social Care Essay examples30870 Words   |  124 PagesUnderstand how to safeguard the well being of children and young people CYP Core 3.4: Support children and young people’s health and safety CYP Core 3.5: Develop positive relationships with children, young people and others involved in their care CYP Core 3.6: Working together for the benefit of children and young people CYP Core 3.7: Understand how to support positive outcomes for children and young people EYMP 1: Context and principles for early years provision EYMP 2: Promote learning and development

Saturday, December 14, 2019

14-19 Work Related Learning Free Essays

string(407) " to a cultural condition prevailing in the advanced capitalist societies since the 1960s, characterized by a ‘superabundance of disconnected images and styles most noticeably in television, advertising, commercial design, and pop video’ \(Baudrillard 1998:72\) In my practice I notice that these media have a profound impact on defining student’s social standing and identity within their peer group\." Key words: Student voice, democratic participation, egalitarianism, meritocracy, commodification, consumerism, post-modernism. 1 Every Child Matters ? In 2003, the Government published the green paper ‘Every Child Matters’ (ECM); this was published alongside the Climbie report (2003). The ECM (2003) emphasis’s four key themes: supporting families and careers, child protection, multi-agency collaboration, and ensuring that the people working with children are valued, rewarded and trained. We will write a custom essay sample on 14-19 Work Related Learning or any similar topic only for you Order Now The Every Child Matters (2003) green paper also identified five outcomes that are most important to children and young people: being healthy, staying safe, enjoying and achieving, making a positive contribution and achieving economic well-being. These five outcomes are universal ambitions for every child and young person, whatever their background or circumstances. Following wide consultation with children’s services, parents, children and young people, the Government published Every Child Matters: the Next Steps in November 2004, and passed the Children Act (2004), providing the basis for developing more effective and accessible services focused around the needs of children, young people and families. The recently formed DCSF (Department for Children, Schools and Families) echo’s the points made in ECM (2004) and seeks to ensure that all children and young people stay healthy and safe, secure an excellent education and the highest possible standards of achievement, enjoy their childhood, make a positive contribution to society and the economy, have lives full of opportunity, free from the effects of poverty. These outcomes are mutually reinforcing. For example, children and young people learn and thrive when they are healthy, safe and engaged. The DCSF also aim to raise educational standards so that more children and young people reach expected levels, lifting more children out of poverty and re-engaging disaffected young people. This is particularly applicable to my practice as the socio-economic circumstances of most of my students disadvantage them. Most of my students live in Camborne, Pool, Redruth and Hayle. These are widely recognized as deprived areas regarding economic opportunities, high number of single parent households, low employment prospects, and the majority of employment being minimum waged, relatively insecure, part time, seasonal or flexi time. (SDRC 2004). This relates back to ECM (2003) in that this seems to be applied in context of the geographic and demographic circumstances of children and young people. For example, a student from a poor single parent household in a deprived area with high crime rates who participates in underage smoking and drinking may be majority behaviour or the ‘norm’ in certain subcultures in Camborne, Redruth, Pool and Hayle but would attract more attention and concern in a more affluent area where this was not the ‘norm’. 2 We Could be Left Behind In every decade children are maturing physically earlier than before resulting in a constant shortening of childhood in a biological and social sense. This has a converse repercussive effect involving the constant lengthening of childhood in an educational sense. Cunningham 2006) This is reflected in the proposals in the DfE (Johnson 2007) report Raising Expectations: staying in education and training post-16 are highlighting the need to continue study for 14-19 year olds and by 2015 the school leaving age will be increased to 18 years of age. The reasons the government have given for such policies being implemented are illustrated by the secretary of education; Johnson (2007:3) when he said ‘ the undeniable truth is that if a young person continues their education post 16 they are more likely to achieve valuable qualifications, earn more and lead happier, healthier lives’. A seeming contradiction to Johnsons (2007) policy of staying in education longer and its benefits have been researched by Walker and Zhu (2003:145) who asserted that ‘there is no evidence that raising the minimum school leaving age made people who have not intended to leave at the minimum age raise their educational standard. This is consistent with the view that education raises productivity and not with the view that productive people get more educated’ Johnsons (2007) statement seems concerned with happiness, health and wealth. The Universal Declaration of Human Rights (UDHR 1948) has wider reaching concerns. The UDHR (1948) states in Article 26 that ‘education shall be directed to the full development of the human personality and to the strengthening of respect for human right and fundamental freedoms. It shall promote understanding, tolerance and friendship among nations, racial or religious groups for the maintenance of peace’. However, Johnson (2007:18) goes on to explain ‘we have a duty to prepare all young people for the labour market’ as ‘the world economy is developing at an ever more rapid pace. If we do not act now we could be left behind’. So its seems that it is not just for the benefit of our children’s wellbeing that Johnson encourages the parents of the youth of today to continue in education and so ‘achieving valuable qualifications, earn more and lead happier healthier lives’ (Johnson 2007:3) but more to do with deeper issues of ‘the world economy’s development and the UKs position of power within it’. In the same report Johnson (2007) quotes research carried out by the National Institute for Social and Economic Research (NISER) that reinforces the idea that when individuals achieve higher levels of skill and qualification, businesses and the economy benefit. This is compelling evidence that increasing the educative stock of human capital raises productivity at the macro economic level. In relation to literacy for example, a study by Coulombe Trembley and Marchard (2004) found that if a countries literacy score increases by 1% relative to the inter national average a 2. % relative rise in labour productivity and a 1. 5% rise in GDP per year can be expected. 3 Surf’s up This emphasis on cultural superficiality, fragmentary sensations and disposability offers wide implications and questions; not least ‘what is postmodernism? Postmodernism itself is a much disputed term that has occupied much recent debate about contemporary culture since the early 1980s. In its simplest sense it refers generally to the phase of 20th century Western culture including the products of the age of mass television since the mid 1950s. More often, though, it is applied to a cultural condition prevailing in the advanced capitalist societies since the 1960s, characterized by a ‘superabundance of disconnected images and styles most noticeably in television, advertising, commercial design, and pop video’ (Baudrillard 1998:72) In my practice I notice that these media have a profound impact on defining student’s social standing and identity within their peer group. You read "14-19 Work Related Learning" in category "Essay examples" In my role as a lecturer I observe that the students are encouraged through media and peer pressure to consume. Children’s identities centre prolifically on brand names and icons (mobile phones and hoodies) which help to fulfil their aspirations to obtain products which make statements about who they are. The latest fashions all contribute to the identity of the youth of today where a distinct subculture and language exist involving Xboxes, ipods, beebo, Bluetooth, myspace, chavs, hoodies, emos, skaters and goths. I ensure that I participate and involve such subcultural language within my practice when explaining tasks, demonstrating skills or providing metaphorical illustrations. Whatever postmodernism is and however the term evades definition, what the intellectual highbrows have been lecturing on postmodernism are soon to become extinct by their own doing. The postmodernist wave of consumer students have climbed the ladder and are nipping at the heels of the old school who created them like Doctor Frankenstein who is dispatched by his creation. This wave of postmodernist students could also be seen as in a vast ocean of modernity where far from the shore one can see the formation of a wave. As the wave builds in popularity it slowly approaches the shore, the crest breaks; postmodernity is born. As we stand and watch, it slips beneath itself, down into the ocean, and there in time it becomes ‘the modern’, dissolved and replaced by yet another breaking new wave. Paradoxically the new wave will emerge in a significantly disposable, shifting, fragmentary postmodern society with expectations of structured, quantifiable, standardised educative processes. One of the latest waves to begin its postmodernist journey towards the shore before slipping back into modernism and the norm is the Qualification and Credit Framework (QCF) announcement in January 2008 by the Qualifications and Curriculum Authority (QCA) who have â€Å"allowed commercial companies the ability to award nationally accredited qualifications to employees, for the first time Network Rail, Flybe and McDonald’s all achieve the standards set by QCA for awarding accredited qualifications, enabling them to assess, track and recognise work-place learning† (QCA 2008) McQualifications This links to Ritzers (2000) notion of the McDonaldisation of education, where education is based on the premise of efficiency, calculability, and predictability and is partially governed by non-human technology. This perspective is rooted in both Fordian principles of mass production, mechanisation and assembly lines (Ling 1991) and Weberian (1968) principles regarding the growth of formal rational systems with its emphasis on the rules and regulations of large social structures. Ritzer (2000:2) applies this process of McDonaldisation not only to ‘restaurants but also to work, health care, travel, leisure, dieting, politics, the family, and virtually every aspect of society’; including, of course, education. This could be illustrated with the OFSTED standardisation of observations and grading, league tables, units of competence, knowledge requirements etcetera. For example, Young (1961) asserts that in a meritocracy, all citizens have the opportunity to be recognized and advanced in proportion to their abilities and accomplishments. The ideal of meritocracy has become controversial because of its association with the use of tests of intellectual ability, such as the Scholastic Aptitude Test, to regulate admissions to elite colleges and universities. It could be argued that an individual’s performance on these tests reflects their social class and family environment more than ability. Maybe this is what Chomsky (1989) would label a necessary illusion. One that allows the system to keep on running with the support of its members even if massive disparities and inequalities exist. Supporting a system that does not support you as an individual is a typical hegemonic regime of truth; a discourse that the society accepts and makes function as true (Foucault 1980:131). Excellence in Schools (DFEE 1997) and Meeting the Challenge (DFEE1998) were ntroduced as the Governments educational policies and marked the change from centralised control to educational intervention where direct involvement and partnerships with parents, schools, Local Authorities and businesses recognised them as stakeholders in an attempt to improve standards in schools and to find ‘radical and innovative solutions’ (Blair 1998:1 cited in Meeting the Challenge 1998) to problems of underachievement. Reference List Baudrillard, J. (1998) The Consumer Society: Myths and Structures. London. S age. Children Act (2004). London. HMSO. Chomsky, N. (1989) Necessary Illusions. London. Pluto Press Climbie Inquiry: Report of an Inquiry by Lord Laming (2003). London. HMSO. Coulombe,S. Trembley, F. and Marchard, S. (2004) Literacy scores, human capital and growth, across 14 OECD countries. OECD. Canada. Cook – Sather, A (2002) ‘Authorising Students perspectives: towards trust, dialogue and change in education’. Educational Researcher, 31, 4, p3 -14. Cunningham, H. (2006) The Invention of Childhood. London. BBC Worldwide Ltd. DCSF (2007). Department for Children, Schools and Families. Accessed online at dfes. gov. uk. DFEE (1997) Excellence in Schools. London. HMSO. DFEE (1998) Meeting the Challenge. London. HMSO. DWP (2006) Equality and Diversity: Age Discrimination in Employment and Vocational Training. London. HMSO. ECM (2004). London. HMSO. Every Child Matters (2004) Change for Children in Schools. Nottingham. DfES. HMSO ECM (2005) Change for Children: common core of skills and knowledge for the childrens workforce. DfES. ESRC (Economic and Social Research Council) ‘Consulting Pupils about Teaching and Learning’. Foucault, M. (1980) Power/Knowledge: Selected Interviews Other Writings 1972- 1977. Gordon, C. (ed) New York. Pantheon Books. Illich, I. 1973) Deschooling Society. Great Britain. Penguin. Johnson, A. (2007) Raising Expectations: staying in education and training post-16. DfE Kolb, D. (1984) Experiential learning as the science of learning and development. Englewood Cliffs. Prentice Hall. Laidlaw, M (1994) The democraticising potential of dialogical focus in an action inquiry. Educational Action Research, 2, 2, p223 â⠂¬â€œ 241 Ling, P (1991) America and the Automobile: Technology, Reform and Social Change, 1893-1923. Technology and Culture, Vol. 32, No. 3 p 627-628 National Institute for Social and Economic Research (2002). Britains relative productivity performance – updates to 1999. NISER Oplatka, I (2004) ‘The characteristics of the school organisation and the constraints on market ideology in education: an institutional view’. Journal of Educational Policy 19, 2, p143 – 161. QCA (2008) News release: Employers gain official awarding body status on line at http://www. qca. org. uk on 29/01/2008 Ritzer,G. (2000) The McDonaldization of Society. London. Pine Forge Press. Rudduck, J and Flutter, J (2000) ‘Pupil participation and pupil perspective: carving a new order of experience. Cambridge Journal of Education, 30, 1, p75 – 89. Schon, D. A. (1983) The Reflective Practitioner: How professionals think in action. London: Temple Smith Social Disadvantage Research Centre (2004) The English Indices of Deprivation 2004 HMSO Tomlinson, M. (2003) Tomlinson Report, The. Accessed online at qca. org. uk on 4. 12. 07. Universal Declaration of Human Rights (1948) General Assembly of the United Nations. Usher, R. Bryant, I and Johnston, R (1998). Adult Education and the Postmodern Challenge. London. Routledge. Walker, I. and Zhu, Y. (2003) Education, earnings and productivity: recent UK evidence. Labour Market Trends. Accessed online at www. statistics. gov. uk-article labour. Market-trends-education mar03pdf on 25. 6. 07 Weber, M. (1968) Economy and Society. Totowa. Bedminster. Whitehead, J and Clough, N. (2004) ‘Pupils, the forgotten partners in education action zones’. Journal of Educational Policy 19, 2, p216 – 226 Young, M. (1961) The Rise of the Meritocracy: An Essay on Education and Equality. Great Britain. Penguin. Bibliography Donovan, G. (2005). Teaching 14-19. Great Britain. David Fulton. Vizard, D. (2004). Behaviour Solutions: teaching 14-16 year olds in colleges of further education. Great Britain. Incentive Plus. How to cite 14-19 Work Related Learning, Essay examples

Friday, December 6, 2019

Frankenstein and Society Essay Example For Students

Frankenstein and Society Essay Society is inevitable. It will always be there as a pleasure and a burden. Society puts labels on everything as good or bad, rich or poor, normal or aberrant. Although some of these stamps are accurate, most of them are misconceptions. In the novel Frankenstein by Mary Shelley this act of erring by society is extremely evident. One example of this judgment is the way the family is looked upon. They are seen by society as the lower class. They work every day on their garden to make food for meals because they do not have enough money to be able to buy food. They are viewed as poor and unfortunate, but are actually rich in spirit. They are good people. They do not complain with the status quo but enjoy what they have, which is an admirable trait for people in any standing. The old blind man sings songs to the others, plays a musical instrument, and adds a sense of experience and content to the family. The children do their daily work without griping as well. Just because they are looked down upon by society that still does not stop them from enjoying what has been provided for them. Society itself, which is supposed to be good, is actually ignorant. They wrongly treat the monster on the assumption that he actually is a monster. They scorn, attack, and shun the monster just because of his outward appearance. T his is not justified by anything except his demeanor. They are also afraid of it because they are afraid of things about which they no nothing. Society also unjustly kills Justine because she is the only person that could have possibly have done such an evil act. They again wrongly label Justine as the killer. They do not look into the facts but instead find a quick and easy answer to the problem. This again shows the ignorance of society in this novel. Two of the most inaccurate assumptions of society revolve around the central characters of Dr. Frankenstein and the monster. Societys labels for these two extremely different characters are on the exact opposite side of the scale from where they are supposed to be. Dr. Frankenstein is more of a monster while the monster is the more decent of the characters. Bibliography:

Friday, November 29, 2019

study plan Essays - Accounting, Financial Accounting,

Study plan My ultimate goal is to study and work in the field of accounting in today?s globalized world, and if I study accounting at ?Southern Taiwan University?, this will be a very big step in achieving my future goal. In order to make my own contributions to the development and prosperity of my country, Mongolia, it is important to receive world-standard education, and therefore, I prefer studying in Taiwan. The reason is that Taiwan is one of the Asian Tigers, which are recently industrialized nations of Asia, and competes with other major powers of the world in terms of rapid economic growth, technology, and education. This fully satisfies my study goal. In the first year, I will study economic theory, marketing management, financial management, principles of management, and other basic academic disciplines. In the next year, I will choose elective courses in sector management based on basic professional disciplines. I am confident that all disciplines and knowledge I will acquire will help me to write a good thesis. During and after my course of study in accounting, I am planning to do a detailed study of industrial history, development, present structure and organization, and specific characteristics of this country. This will be of paramount importance to draw conclusions on the proper structure of labor organization in the highly developed industrial sectors, ensuring of quality management, productivity enhancement methods, proper organization of financial and accounting systems, and production management for these systems in this country as well as to develop projects to improve them. I have made a detailed plan for my study at this University, and I am confident that I will dedicate all my efforts and intellectual abilities to my study. In today?s world of highly developed information technology, the limitless speed and space of information will help me more to study successfully and write an excellent thesis. I am looking forward to studying at Southern Taiwan University I do believe that such an opportunity will be a key factor in helping me to receive world-standard education and become a skilled leader.

Monday, November 25, 2019

buy custom Levalbuterol in Asthma essay

buy custom Levalbuterol 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 Levalbuterol in Asthma essay

Thursday, November 21, 2019

Labor Theory of Value Essay Example | Topics and Well Written Essays - 1000 words

Labor Theory of Value - Essay Example ffort to transform the product from start to completion. Ricardo here was very concerned about the possible difference between the natural price of labor and the market price of labor. He believed that in a market economy, even if natural price, for example, exceeds the market price, then the equilibrium will move due to the change in demand and supply market forces and therefore the natural and market price will be equal eventually. Ricardo believed that this theory is a correction of the mistakes done by Adam Smith while determining the value of products. Adam Smith believed that the value of a commodity is determined by the total of the essential and necessary payments to labor, capital and land. Smith had the idea that it was necessary to take all of the factors into account and only then will the total costs per unit can be calculated which will determine the value of the product. Contrary to Adam Smith’s theory, Ricardo believed that the indirect costs of labor should al so be accounted in the determination process of value. By indirect costs, Ricardo meant that even the labor costs of production or extraction of raw materials and machinery should be accounted for in this process. Similarly, even the labor costs of development of land to make it suitable for use should be considered if the true value of a product is to be determined. David Ricardo believed that labor is the sole source of value addition to a product or service, and therefore all other factors and costs are either not necessary to add or are themselves dependent upon the value of the product to be calculated. His emphasis on the labor to be the sole and prominent input can also be realized on the fact that his theory of competitive advantage is based on the assumption that only labor exists as the factor of production. Since the proposal of this theory from David Ricardo, several economists have passed on their opinions over the credibility of the labor theory of value. Some economis ts have proposed slight adjustments to this theory by adding up some new elements in the determination of the true value which were ignored by Ricardo, but they have regarded this theory as a decent theory. On the other hand, several economists have heavily criticized the labor value of theory believing that the theory fails to address the issues of the contemporary world and hence it is in no way a practical theory. Limitations Some economists have argued that only the involvement of labor costs as the determinant of value of products and services is not good enough and that several dynamic aspects have been ignored. The first argument presented by the economists and critics is that some production methods are capital intensive and therefore a majority of costs and value is added by the work done by the machinery. These costs cannot be left out and therefore this proves to be ignorance on part of Ricardo. Even if the labor costs of manufacturing that machinery are taken into accoun t, even then the value of the firm can