Thursday, December 26, 2019
Why Is Getting Rid of Bed Bugs So Hard
Bedbugs are notoriously difficult to eliminate and, unfortunately,à theyreà on the rise.à Fortunately, thereà are some ways to alleviate a bed bug infestation, but short of bringing back harsh insecticides like DDT, there are no absolute guarantees of a complete bed bug elimination. They Seem Invincible There are several reasons why eliminating bed bugs is so hard. These tiny bugs multiply quickly and they can go long periods of time without their preferred meal: human blood. Bed bugs are hardy, small, flat, lentil-sized insects that are adept at squeezing themselves into tiny spaces. They are commonly foundà hiding behind loose wallpaper or under floorboards and electrical switch plates. To successfully eliminate an infestation, you have to find and kill every viable bed bug, which is not an easy task. Bed bugs multiply quickly. A single female can lay 500 eggs during her life and within a few months, the offspring can reproduce as well. A few bugs introduced to a new environment can increase exponentially. Depending on conditions, bed bugs can produce three to four generations in one year. Bed bugs reproduce most quickly in temperatures between 70 and 82 degrees Fahrenheit, which happens to be the range where most people keep their thermostats. Bed bugs can go a remarkably long time without feeding, should no host be present to provide them with needed blood meals. Scientists have documented thatà adult bed bugs can live up to 550 days, but usually closer to one year without eating, and nymphs may last for months. So simply leaving an infested dwelling unoccupied for a few months in hopes of starving them out will do nothing to discourage the little freeloaders. How Hard Is It to Get Rid of Bed Bugs? There are a few things you can try for removing a bed bug infestation from your home. There are specialized exterminators, barriers to prevent your mattress from being a permanent home for bugs and good, old-fashioned, top-to-bottom cleaning that you can do to rid your house of an infestation. As the problem of bed bugs has reemerged in recent years, so has the influx of specialized bed bug exterminators. Exterminators are experts at pest control and can be a very viable option for eliminating a bed bug problem. A downside to extermination is that bed bugs can sense chemical odors and may avoid areas where cleaning agents or even pesticides have been applied. Some scientists believe bed bugs have developed a resistance to certain insecticides as well.à Bed bugs like to live next to their meal source. Since most bedbugs strike at night, your bed is a great habitat for them. To protect your mattress from an infestation or to curb a mattress infestation that may have occurred, you can purchase a bed bug mattress cover or encasement to discourage bugs from making a permanent home in your bed orà trapà the bugs inside the encasement. The absolute best possible way toà rid a dwelling of bed bugs is to clean or treat every possible bed bug hiding place. In a home, this means all clothing, bedding, linens, and other washable fabrics must be laundered at high temps and with bleach where appropriate. Every crevice and seam of mattresses and upholstered furniture must be inspected and treated. Dresser drawers have to be emptied and cleaned, and all clutter must be removed to limit hiding places for stray bed bugs. Cracks in walls must be sealed, loose wallpaper reattached or removed, and carpets must be treated and thoroughly vacuumed. Treatment can include cold, hot, or chemical treatment, usually performed by an exterminator.
Wednesday, December 18, 2019
Is Intervention For The Social Environment Of People At...
The most recent evidence concludes young men who have sex with men (YMSM) ââ¬Å"aged 13 to 24 accounted for an estimated 92% of new HIV diagnoses among all men in their age group and 27% of new diagnoses among all gay and bisexual menâ⬠(Centers for Disease Control and Prevention, 2016, para. 3). Thus, suggests intervention for the YMSM population is vital to reversing this negative trend. Early recognition of this trend caught the attention of Dr. Kegeles and Dr. Hays from the Center for AIDS Prevention Studies, at the University of California, San Francisco. Together they developed an ââ¬Å"HIV prevention methodology that reformed the social environment of people at risk for HIV/AIDS, as well as focused on individual and interpersonal-level issuesâ⬠¦show more contentâ⬠¦Social and Behavioral Risk Factors Meetings are held at a minimum of every two weeks, yet most host more. These meetings are designed to address the social and behavioral risk factors associated with HIV vulnerability. The factors focused on during these meetings include: â⬠¢ Individual factors ââ¬â invulnerability, complacency, lack of fear of HIV, and a reluctance to discuss HIV with sexual partners. â⬠¢ Interpersonal factors ââ¬â little to no skill talking to partners about safe sex, reluctance to insist, lack of experience leads to inaccurate assumptions about the HIV status of others, and lack of self-esteem. â⬠¢ Cultural factors ââ¬â conflicts between oneââ¬â¢s sexual orientation and cultural norms, outside pressures, which decrease oneââ¬â¢s ability to consistently engage in safe sex, discomfort maneuvering mainstream gay communities, fear of testing, and lack of prevention services. â⬠¢ Community/structural factors ââ¬â social scenes/environments that are non-conducive to safe sex (alcohol, drugs, casual hook-ups, Internet/applications (Craigslist, Grindr, Men4SexNow, etc.). â⬠¢ Biomedical factors ââ¬â having sex with someone who is HIV-positive, lack of knowledge about viral loads and its significance (low viral load less infectious than a high viral load), extreme risk when having sex with someone newly infected (intentional or unintentional), and the importance of testing because it aids in protecting community health (Mpowerment Project, 2016). In addition to small groupShow MoreRelatedPrevalence Of Hiv / Aids1525 Words à |à 7 PagesPrevalence of HIV/AIDS in Ohio It was already stated that the HIV/AIDS epidemic impacts persons regardless of sex, age, race/ethnic group and/or geographic region in Ohio, but certain populations seem to be more impacted than others. There are 11, 544,225 people living in Ohio. 80% are white, 12% are black, 3% are Hispanic, and less than 2% are Asian. Each year in Ohio, about 1,000 people are diagnosed with HIV. In 2013, 1,180 people were diagnosed. Overall, there are almost 20,000 known to be livingRead MoreHiv / Aids : A Global Health System1606 Words à |à 7 PagesHIV/AIDS: A global health system Rita K. Asiedu Rutgers University Abstract Human immunodeficiency virus (HIV)/AIDS is a pandemic problem affecting global health. At the end of 2015, 36.7 million people were living with HIV/AIDS globally. 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Monday, December 9, 2019
Trip to Texas free essay sample
Have you ever been to Texas? I have been once. My trip to Texas was unbelievably awesome. I saw many of things on my way there. While we were there, I had loads of fun. Many things happened while we were there. Texas was the coolest place I have ever been. On the way to Texas, we had to drive across the Louisiana Bridge. While we were driving across the bridge, I noticed that the bridge was standing in one huge murky muddy marsh. In the marsh were cattails. They were growing and were being used as a disguise by many of animals. I was staring at the water below us and it took me a minute but I saw an alligator in the midst of the cattails. He was long and a grayish brown. He was camouflaging himself within the cattails. It did not take long for us to pass him but I thought it was the coolest thing I had ever seen. We will write a custom essay sample on Trip to Texas or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page When we arrived in Texas, we had to drive all the way to Austin in order for us to get to my grandfathers hotel. When we got there and I saw the hotel, I thought to myself that It was the most beautiful hotel in the world.It had color stained windows and when the sun shined through them, you could see a rainbow. The hotel looked like a catholic church with all of the breathtaking colors. My grandfather said that he loved living there because it made him feel rich. When we awoke the next morning, we got dressed and left the hotel headed towards Six Flags over Houston. My grandfather had bought us some coupons for the entrance fee so it would not cost as much. When we arrived, the air seemed very oppressive. The mood had already set itself to a very depressing day.We walked to the entrance and we found out that the coupons were no good. That did not stop us our parents paid the normal cost. We were finally at Six Flags. That was the first time I had ever been to an amusement park. I had loads of fun. My tip to Texas was a blast. All of the sights that I had seen were almost too Indescribable. It was the first time I had ever been out of state. I believe that no trip can ever surpass that of my trip to Texas. I only hope my next trip Is even better. Maybe Ill see even more cool things along the way.
Monday, December 2, 2019
My Life Learning Experience with R.S.V free essay sample
R. S. V My Life Learning Experience with R. S. V Name Course Title Teacher Date Abstract Many individuals have experienced problems with their hospitals or health care facilities. An important concept that I learned from facing this family crisis that will be examined in this paper is that, when a family member becomes seriously ill, they need quality medical care. Sometimes, when a persons life is at stake, the further a person lives from medical facilities which can offer quality care can be a grave factor. R. S. V 1 R. S. V in Infants This paper will examine several lessons and concepts which I learned from personal life-learning experiences. Three examples that will be addressed in this paper will examine a different aspect of a certain life-learning experience. In researching and analyzing each aspect of a life-learning experience, this paper will examine the four elements of Kolbs Model of Experimental Learning. We will write a custom essay sample on My Life Learning Experience with R.S.V or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page The first aspect of the lessons I learned after enduring a family crisis which this paper will explore includes how I learned about an illness that frequently affects infants called Respiratory Syncytial Virus. Respiratory Syncytial Virus, or RSV, is a respiratory virus which has many of the same symptoms as the common cold and is usually contracted by children during winter months. After my newborn son, Carter Forrest Barnhart began displaying symptoms of a common cold, my husband and I took Carter to his local pediatrician. Unfortunately, the pediatrician improperly diagnosed the virus as a simple common cold and sent Carter, my husband and I back home. However, after we returned home, his symptoms did not improve. Instead, he began coughing profusely and did not want to eat. I became greatly concerned about our sons health. Within a few days, Carter had lost weight and become weak. Then his breathing appeared to be abnormal, and my husband and I began to suspect that something else was wrong with Carter. R. S. V 2 By April 7th, 2002, Carters breathing problems got considerably worse, and my husband and I thought that he could possibly suffocate. So, in a desperate attempt to help Carters health, we brought our son to the nearest hospital. He was then hospital, arrangements needed to be made to send him to Charleston Area Medical Center. Carter later arrived safely at the Women and Childrens Hospital, a division of the Charleston Area Medical Center in Charleston, West Virginia. He was then placed in the hospitals Pediatric Intensive Care Unit, where he remained for five days. Looking back, I now realize the high importance of residing in communities which have high quality health care facilities. I learned that the first doctor who diagnosed my son did not diagnose Carter properly by failing to recognize that what looked like the common cold was actually Respiratory Syncytial Virus (RSV). The pediatricians error could have cost my son his life. After Carter was taken to the emergency room at our local hospital, I learned that, when someones life is at stake, the distance from a medical facility which can provide quality care is sometimes a life and death matter. Thus, one of the lessons that I learned by this life-learning experience is that it is important for all individuals to have quick access to a state of the art hospital or medical facility. A medical facility must be able to provide the excellent care that a seriously ill R. S. V 3 ndividual needs. In this example, a baby needed to be treated by a special infant care unit, which our local hospitals did not have. Therefore, the baby did not have ready access to the kind of medical facility that he needed. The proper medical facility can mean the difference of life or death, thus, I now understand that the quality of the medical facilities, and the services received from those facilities provided, is one of the important issues facing people today. Learning about the importance of living near a high quality health care facility helped me become amiliar with the idea that a person should be fully educated about the health services in his or her community before something critical occurs. I regretted the fact that we were not more prepared to deal with this crisis. Thus, I have since learned that I need to research the qualifications of any professional my child will be receiving treatment from. In the future, I will research hospitals or schools before enrolling my child in them. I can also apply the concept that quality care is an important aspect of a persons life to other situations as well. For example, I will have o make sure that my child has a qualified pediatrician and dentist to take care of his health needs in the future. I will also have to ensure that my child gets his vaccinations. Moreover, I learned that there is no substitute for being prepared for an emergency situation. I plan on researching the response time of our police and fire departments and plan to learn about the efficiency of our ambulance services. Another part of the lessons I learned while confronting this family crisis is how I learned that high quality heath care is best provided by highly qualified doctors. I lso learned that an unqualified doctor may easily misdiagnose a patients symptoms. The discussion below will show how I have learned to ask questions before selecting a pediatrician. My son was initially treated by a pediatrician who misdiagnosed the babys medical symptoms and declared that our infant was we were told to take our child home and give him some cold medicine. This was our childs only treatment, and the medicine did not work. Carters symptoms did not improve after a reasonable period of time. Thus, my husband and I began to suspect that something else could be wrong. Then, when our baby turned pasty in color, started to cry inconsolably, refused to eat or drink anything, lost weight, and then hardly cried or moved in his crib, my husband and I became more concerned. We later learned that Carter had RSV and double pneumonia. Since then, I have spoken to many doctors about rural medicine. One of the doctors I spoke to that works at our local hospital explained in a recent personal interview which I conducted with him that many people do not ask enough questions of their doctors after they have been told the results of a diagnosis. He advised that potential atients should ask about all terms that describe the problem and that the doctor should fully explain the R. S. V 5 condition to the patient. More importantly, when the patient is a baby, the infants parents need to understand the complete diagnosis of their childs condition The doctor also said that a great deal of rural patients do not know how to properly ask their doctors specific questions related to the diagnosis. Therefore, rural doctors need to take more time to explain things to their patients, especially in cases where doctors are not absolutely sure of the diagnosis. I was also told that some patients have no reason to be told when something is misdiagnosed as nothing more than the common cold, especially when a childs doctor confidently tells an infants parents that the symptoms should improve when the baby took the cold medicine. The lesson is that parents must be very careful when choosing a pediatrician. I learned that a good pediatrician knows how to check a baby for a variety of diseases. In the case of my son, the first pediatrician failed to properly diagnose the baby because he was, at the very least, was not familiar with the symptoms of RSV. Thus, I learned that receiving treatment from a qualified pediatrician is an essential part of a childs health care. I also realized, in other areas of my life, I need to be certain that I am qualified to perform any Job that I might later want to undertake. So it is imperative that I take my education as serious as possible so that I will later be prepared to succeed in my chosen career. R. S. V6 Another important concept that I learned through my life-learning experience is that Just like other people, doctors make errors too. Unfortunately, a doctors mistake can cause the loss of ones life. Any professional should avoid making unnecessary mistakes at all times. Therefore, I would like to avoid making mistakes which would be considered negligence in my chosen career. Thus, I now believe that I need as much training in the field of health care management as possible, because that is the field which I intend to begin my professional career once I have received my Bachelors Degree. I also now would like to become actively involved in professional organizations and associations in which school friends and successful will help me exchange information with other health care management professionals hich will hopefully help me keep atop of current developments in my field. The third aspect of the lessons I learned which this paper will explore is that many rural health care facilities in America do not have up to date equipment. I also learned that, for the past several years, many local family health care facilities have suffered from recent cutbacks in federal grant money. This paper will now discuss my findings about the importance of selecting a health care facility which has up to date equipment and employees that keep on top of current developments in the medical ield. R. S. V7 Not only were the doctors more knowledgeable at the Women and Childrens Hospital in Charleston, but the doctors at the hospital in Charleston also had more current equipment and also performed their duties much more quickly and efficiently than the doctors at the local hospital. I learned that, when the life of a loved one is at stake, a hospital with modern equipment and trained staff can mean the difference between life and death. I also now believe that parents should visit the local hospitals before their first child is ever born to make sure those hospitals re not understaffed, dirty, or not funded properly. While larger hospitals may charge more money for visits, the money paid for a proper diagnosis at a quality facility is far less than the money one might pay if an illness is misdiagnosed. In addition, local medical care facilities need to provide quality, up to date services to their patients. In this situation, Carter needed to be treated in a special care unit in which patients are attached to electronic monitors which track vital functions as well as to other equipment that support breathing (Roberts, 1993, p. 170). Unfortunately, only larger acilities usually have modern pediatric intensive care units, and large hospitals are not all cities. I have learned that a high quality health care facility should have up to date equipment. Modern equipment is essential to provide patients with the best possible R. S. V8 health care. However, a lot of rural hospitals cannot afford this. The issue of a facility which does not have modern equipment is a very important one, and the concept applies to other situations which I may have to deal with later on. For instance, I will want to make sure that, any school my child is enrolled in should have adequate acilities. I will want to ensure that the school has smoke detectors in every classroom and that the fire extinguishers are in proper working order. This paper analyzed the various lessons and concepts that I learned from some life-learning experiences. Each of the papers three parts explored a different aspect of my experiences. This paper used the four elements of Kolbs Model of Experimental Learning to detail how I used the lessons during a family crisis. R. S. V9 References Mesa, CA: ICN Pharmaceuticals. Roberts, M. J. (1993). Your Money or Your Life: The Health Care Crisis Explained. New York: Doubleday.
Wednesday, November 27, 2019
Financial Management Essay Example
Financial Management Essay Example Financial Management Essay Financial Management Essay Financial Management Name: Course: Instructor: : Instructor: Date: Financial Management A stock split happens when a company decides to multiply its number of shares by a certain number in order to bring down the market price of its shares (Kimmel, Weygandt Kieso, 2008). For instance, if a company wants to have its shares of stock selling at below $50, but the market price rises for the shares to around $100, the company could approve a 2-for-1-split, which would mean that the number of shares would be doubled. However, the size of the assets, liabilities and retained earnings will not change, as well as the number of shareholders. Therefore, this will not mean that shareholders wealth will be doubles as the shares are doubled. Rather, the number of their shares will double, but the value will remain the same since the price will be reduced by the same proportion (Kimmel, Weygandt Kieso, 2008). In the example provided, it the company declared a 2-for-1 split, a shareholder with 1000 shares will have 2000 shares. 1000 shares will go at $100 before the split, making it $100,000 worth of stock. After the split, the shareholder will have 2000 shares, going for $50, thus, the value will remain the same, at $100,000 worth of stock. The point is usually to reduce the price of shares (Accounting Coach, 2012). For XYZ Company, the split of 5-for-1 will result in the following way. The price for common stock currently at par is $5. Value of total shares $20,000,000 Number of shares == $20,000,000 $5 == 4,000,000 shares of common stock In a split of 5-for-1, the number of shares will be multiplied by 5. Resulting number of shares after the split == 4, 000, 000 ? 5 == 20, 000,000 shares. The price for each share after the split == $ 20,000,000 20,000,000 == $1 The resulting stockholdersââ¬â¢ equity section will look as shown below Common stock ($ 1 par) == $20,000,000 Retained earnings == $ 176,000,000 Total equity ==$ 196,000,000 After the split, the value of equity does not change, since the price of shares drops to $1, to maintain the value of shares even after the split. For a shareholder with 10,000, before the split they had a total value of $50,000. After the split, his number of shares multiplied by 5 to 50,000 shares. Their price dropped to $1, thus, keeping the value of his shares at $50,000. References Accounting Coach. (2012). Stock Splits and Stock Dividends. Retrieved from accountingcoach.com/online-accounting-course/17Xpg05.html#stock-splits-dividends Kimmel, P.D., Weygandt, J.J. Kieso, D.E. (2008). Accounting. Hoboken, N.J: John Wiley and Sons.
Saturday, November 23, 2019
Arguments for and Against Embryonic Stem Cell Research
Arguments for and Against Embryonic Stem Cell Research On March 9, 2009, President Barack Obama lifted, by Executive Order, the Bush administrations eight-year ban on federal funding of embryonic stem cell research. Remarked the President, Today... we will bring the change that so many scientists and researchers, doctors and innovators, patients and loved ones have hoped for, and fought for, these past eight years. In Obamas Remarks on Lifting the Embryonic Stem Cell Research Ban, he also signed a Presidential Memorandum directing the development of a strategy for restoring scientific integrity to government decision-making. Bush Vetoes In 2005, H.R. 810, the Stem Cell Research Enhancement Act of 2005, was passed by the Republican-led House in May 2005 by a vote of 238 to 194. The Senate passed the bill in July 2006 by a bipartisan vote of 63 to 37. President Bush opposed embryonic stem cell research on ideological grounds. He exercised his first presidential veto on July 19, 2006, when he refused to allow H.R. 810 to become law. Congress was unable to muster enough votes to override the veto. In April 2007, the Democratic-led Senate passed the Stem Cell Research Enhancement Act of 2007 by a vote of 63 to 34. In June 2007, the House passed the legislation by a vote of 247 to 176. President Bush vetoed the bill on June 20, 2007. Public Support for Embryonic Stem Cell Research For years, all polls report that the American public STRONGLY supports federal funding of embryonic stem cell research. Reported the Washington Post in March 2009: In a January Washington Post-ABC News poll, 59 percent of Americans said they supported loosening the current restrictions, with support topping 60 percent among both Democrats and independents. Most Republicans, however, stood in opposition (55 percent opposed; 40 percent in support). Despite public perceptions, embryonic stem cell research was legal in the U.S. during the Bush administration: the President had banned the use of federal funds for research. He did not ban private and state research funding, much of which was being conducted by pharmaceutical mega-corporations. In Fall 2004, California voters approved a $3 billion bond to fund embryonic stem cell research. In contrast, embryonic stem cell research is prohibited in Arkansas, Iowa, North and South Dakota and Michigan. Developments in Stem Cell Research In August 2005, Harvard University scientists announced a breakthrough discovery that fuses blank embryonic stem cells with adult skin cells, rather than with fertilized embryos, to create all-purpose stem cells viable to treat diseases and disabilities. This discovery doesnt result in the death of fertilized human embryos and thus would effectively respond to pro-life objections to embryonic stem cell research and therapy. Harvard researchers warned that it could take up to ten years to perfect this highly promising process. As South Korea, Great Britain, Japan, Germany, India and other countries rapidly pioneer this new technological frontier, the US is being left farther and farther behind in medical technology. The US is also losing out on billions in new economic opportunities at a time when the country sorely needs new sources of revenues. Background Therapeutic cloning is a method to produce stem cell lines that were genetic matches for adults and children. Steps in therapeutic cloning are: An egg is obtained from a human donor.The nucleus (DNA) is removed from the egg.Skin cells are taken from the patient.The nucleus (DNA) is removed from a skin cell.A skin cell nucleus is implanted in the egg.The reconstructed egg, called a blastocyst, is stimulated with chemicals or electric current.In 3 to 5 days, the embryonic stem cells are removed.The blastocyst is destroyed.Stem cells can be used to generate an organ or tissue that is a genetic match to the skin cell donor. The first 6 steps are same for reproductive cloning. However, instead of removing stem cells, the blastocyst is implanted in a woman and allowed to gestate to birth. Reproductive cloning is outlawed in most countries. Before Bush stopped federal research in 2001, a minor amount of embryonic stem cell research was performed by US scientists using embryos created at fertility clinics and donated by couples who no longer needed them. The pending bipartisan Congressional bills all propose using excess fertility clinic embryos. Stem cells are found in limited quantities in every human body and can be extracted from adult tissue with great effort but without harm. The consensus among researchers has been that adult stem cells are limited in usefulness because they can be used to produce only a few of the 220 types of cells found in the human body. However, evidence has recently emerged that adult cells may be more flexible than previously believed. Embryonic stem cells are blank cells that have not yet been categorized or programmed by the body and can be prompted to generate any of the 220 human cell types. Embryonic stem cells are extremely flexible. Pros Embryonic stem cells are thought by most scientists and researchers to hold potential cures for spinal cord injuries, multiple sclerosis, diabetes, Parkinsons disease, cancer, Alzheimers disease, heart disease, hundreds of rare immune system and genetic disorders and much more. Scientists see almost infinite value in the use of embryonic stem cell research to understand human development and the growth and treatment of diseases. Actual cures are many years away, though, since research has not progressed to the point where even one cure has yet been generated by embryonic stem cell research. Over 100 million Americans suffer from diseases that eventually may be treated more effectively or even cured with embryonic stem cell therapy. Some researchers regard this as the greatest potential for the alleviation of human suffering since the advent of antibiotics. Many pro-lifers believe that the proper moral and religious course of action is to save existing life through embryonic stem cell therapy. Cons Some staunch pro-lifers and most pro-life organizations regard the destruction of the blastocyst, which is a laboratory-fertilized human egg, to be the murder of human life. They believe that life begins at conception, and that destruction of this pre-born life is morally unacceptable. They believe that it is immoral to destroy a few-days-old human embryo, even to save or reduce suffering in existing human life. Many also believe that insufficient attention been given to explore the potential of adult stem cells, which have already been used to successfully cure many diseases. They also argue that too little attention has been paid to the potential of umbilical cord blood for stem cell research. They also point out that no cures have yet been produced by embryonic stem cell therapy. At every step of the embryonic stem cell therapy process, decisions are made by scientists, researchers, medical professionals and women who donate eggs...decisions that are fraught with serious ethical and moral implications. Those against embryonic stem cell research argue that funding should be used to greatly expand adult stem research, to circumvent the many moral issues involving the use of human embryos. Lifting the Ban Now that President Obama has lifted the federal funding ban for embryonic stem cell research, financial support will soon flow to federal and state agencies to commence the necessary scientific research. The timeline for therapeutic solutions available to all Americans could be years away. President Obama observed on March 9, 2009, when he lifted the ban: Medical miracles do not happen simply by accident. They result from painstaking and costly research, from years of lonely trial and error, much of which never bears fruit, and from a government willing to support that work... Ultimately, I cannot guarantee that we will find the treatments and cures we seek. No President can promise that. But I can promise that we will seek them actively, responsibly, and with the urgency required to make up for lost ground.
Thursday, November 21, 2019
Refrace week 4 cal Essay Example | Topics and Well Written Essays - 750 words
Refrace week 4 cal - Essay Example The programmes are interrelated tasks dealing with important scientific difficulties. The project teams work upon development (PDT) in both face-to-face ways (FTF) and can also work in a virtual-to-virtual way(VTV) The successful outcomes of such project team work results in the introduction of new services and products in the various sectors already mentioned creating new intellectual properties, with the publication of papers and advancements in various fields. Scientific rigour is paramount , as are ethical features, with a definite adherence to moral and humanistic principles. If this doesnââ¬â¢t happen then there will be cancellation of projects our efforts will be wasted . This of course would mean a lack of sustained funding and eventually society suffers when these products or services are not made available as a result. As work as part of a PDT carries on day by day in the laboratories there are a variety of processes which are supportive as well as being transparent. This gives a working framework for the members of the team which is moral and ethical. In order to do this three things must happen â⬠¢ Each individualââ¬â¢s contribution is correctly credited as their own original and personal contribution to the whole . This enables the team to further together their cutting edge work in developing new products (NPD.) If the teams are able to work to their highest standards in such areas then the possibility of setbacks and problems will be minimised and scientific discoveries and contributions will continue to be made. PDTââ¬â¢s work closely together in groups which are multi-disciplinary, but on occasions the members find themselves working alone on particular aspects of these projects. We want to ensure that the PDTs in our organisation do not have to face up to ethical issues, either in the laboratory or in interactions with clients, whether in collaborative interactions or when working alone. If we could
Tuesday, November 19, 2019
Assignment 1 Case Study Example | Topics and Well Written Essays - 1000 words
Assignment 1 - Case Study Example 20) whereas extroverts are known for their desire to become oriented externally with other people (Fox, 2010, p. 229). Since people in general can be introverts, there is nothing wrong with having few friends because this can be a personal choice. However, the fact that people tend to walk away each time she enters a group is a clear sign that Peggy does not have a good social well-being. person, it simply means that Kathy has an introvert-type of personality. The fact that she is well liked and that other people are asking her for some advice only means she has a good social life. With regards to her physical health, the fact that she undergoes physical training strongly suggests that that she is physically healthy. The only exercise that Mary has is her daily walks and performing her daily activities. Avoiding TV at night and staying active during the day time is good. In fact, there is nothing wrong with daily walks. To stay physically healthy, Bragg and Bragg (2003, p. 82) mentioned that each person should have their daily walks of 2 to 3 miles each day. However, the fact that Mary avoids wasting time at the gym or paying money for special health classes can be a sign of poor physical health. Undergoing a rigorous exercise program each week is necessary to make Mary sweat and ensure that her heart is in good condition (Bragg and Bragg, 2003, p. 82). The fact that Mary chose not to exert an effort in losing weight or to be more physically fit may eventually put her at risk of having a poor physical condition. Mary is also known for being a perfectionist. Basically, perfectionism is defined as ââ¬Å"behaviour that exceeds what is required of a situationâ⬠(Cockerill, 2002, p. 78). For this reason, Mary is prone to feel dissatisfied with anything that she can achieve in class. As one of the brightest student in class, Mary was able to get straight Aââ¬â¢s in Biochemistry. In case she gets B in Biochemistry, Mary can be at risk of feeling depressed.
Sunday, November 17, 2019
Total Quality Management Definition Essay Example for Free
Total Quality Management Definition Essay Total Quality Management is a set of management practices aimed at meeting and even exceeding needs of customers and organizational objectives. The Japanese Industry started it in the 1950ââ¬â¢s but it gained popularity from the early 80ââ¬â¢s. TQM seeks to merge organizational functions like production, customer service, design and marketing, and has a strong emphasis on process measurement and controls as a way of continually improving the products or services offered by the organization. TQM describes the culture, attitude and organization of a company in the provision of products and services to satisfy needs of customers. Quality is required with efficiency and effectiveness in operations and reducing losses, minimizing defects and waste. Impact of globalization à As companies get bigger, there is an increasing demand for JIT (just-in-time) management, which TQM embraces. This makes things move faster, further pushing along globalization. This also calls for the removal of bottlenecks in production resulting in high quality. Globalization calls for things to be faster, better (because if youre not good, youre not utilizing your competitiveness), and hence comes TQM philosophy, which embraces that. However, globalization has brought about a demand for high skilled labour, which cannot be found with workers with low-level education, who are the majority. Their employment leads to low quality of work. Similar to that are organizations, which want to cut costs on wages and therefore employ workers with a poor educational background. Competitiveness is characterized by high labor costs; therefore, low labor costs are characterized by lower productivity. Women on the other hand, are unfortunately still engaging in low-wage and low-productivity jobs, especially in the Middle East, North Africa and South Asia where womens participation in the global labour market is behind. Application of TQM Both the management and the employees can and should be involved in the process of TQM to improve the production of goods and services. TQM should be driven by a purpose and there should be a clear focus on the future vision of the organization. TQM can also be used as a way of encouraging the potential and creativity of an employee to be displayed as well as improving clients service. TQM calls for organizations to strive to continuously improve its processes through accumulated knowledge of workers and their experience. TQM is easily adaptable, for instance, it was at first an application of manufacturing operations but is now even applied to the service sector. According to Khurram Hashmi (2000), TQM is the foundation for activities, which include: Commitment by senior management and all employees Meeting customer requirements Reducing development cycle times Just In Time/Demand Flow Manufacturing Improvement teams Reducing product and service costs Systems to facilitate improvement Line Management ownership Employee involvement and empowerment Recognition and celebration Challenging quantified goals and benchmarking Focus on processes / improvement plans Specific incorporation in strategic planning This shows that all personnel, in Manufacturing, Marketing, Engineering, Research and Development, Sales, Purchasing, Human Resource, etc, must practice TQM in all activities. TQM is based on continuous improvement, both in strategic planning and in the execution of work. It seeks to avoid mistakes and defects and continually improve results through increasing the organizations resources. The major areas including supply generation, demand generation, technology, operations and people capability. It also maintains that mistakes can be identified and stopped and repetition prevented through change. Implementation of TQM A preliminary test, like a management audit should be done to asses the current state in terms of organizational functioning and establishing where change is needed. There should however be a positive attitude towards change or TQM would be ineffective. Other conditions are stable finances, good administrative systems and managerial skills and optimistic employee morale If these conditions cannot be met, it is advisable to postpone the implementation until when the organization is healthy enough with regard to these. Certain levels of stress, with regard to people feeling a need for change are however needed when implementing TQM. Kanter (1983) described certain building blocks, which should be present in effective organizational change. They include departures from tradition, a crisis or galvanizing event, strategic decisions, individual prime movers, and action vehicles. Departures from tradition are moving from normal operations in an attempt to solve a problem. A crisis, like reduction in finances, may prompt people to act. A strategic decision like a plan acting on the crisis may be implemented by a leader, who becomes the prime mover. The leader takes charge of the new idea or plan and leads people in its implementation. Action vehicles then used and mechanisms put in place to enabling the occurrence of the change. à à à References International Labour Organization Report (Dec 9, 2005) Globalization failing to create new, quality jobs to reduce Poverty. Retrieved from http://www.globalpolicy.org/globaliz/econ/2005/1209reduce.htm on October 3, 2007 Hashmi, K. (2000) Paper on ââ¬Å"Introduction and Implementation of Total Quality Managementâ⬠Retrieved from http://www.isixsigma.com/library/content/c031008a.asp on October 3, 2007 Martin, L. (1993). Total Quality Management in the Public Sector, National Productivity Review
Thursday, November 14, 2019
Menstruation in Virgins Essay example -- Ancient Greece Puberty Female
Menstruation in Virgins Modern society has grown to believe that puberty in young girls, watching as they develop in to women is something beautiful. Though a confusing time, it is also important and special, and even menstruation is seen as a unique rite of passage. This wasnââ¬â¢t always true. In ancient Greece, it simply signaled the time when a girl could physically begin to reproduce, which also meant marriage and management of her own household. Traditionally, the justification for puberty and menstruation came spiritually, the gods deciding that this was the time for such a transition. Beginning in the 4th century B.C., a small group, including Hippocrates, began to form theories that all behavior, including those associated with menstruation, could be explained physiologicallyââ¬âany erratic activity or withdrawn moods was simply called ââ¬Å"hysteria.â⬠What the Hippocratics failed to appreciate, though, was the cultural significance of the period through which these g irls were going, and the great stress that it created for them. The hysteria that occurred during puberty was due just as much to cultural and psychological factors as physiological factors. According to Hippocrates, menstruation began the same in all women--the blood collected in the womb in order to flow out. When a girl was no longer a virgin, and her ââ¬Å"egressâ⬠opened, then she could menstruate safely with a clear pathway from the womb. If the girlââ¬â¢s virginity was still intact, as was common at the time of their first periods, and the egress was not open, then the blood could not flow as freely and instead gathered around the heart and lungs. When ââ¬Å"these [were] filled with blood, the heart [became] sluggish, and then, becau... ...n their own they sound ludicrous as sole explanations for this change and ââ¬Å"insanityâ⬠in both females and males. The public knowledge that we all have now was not so true in Greece 2500 years ago. Those that aligned with Hippocrates believed in the physical body, the women themselves behaved culturally and spiritually, and Galen put himself out on a limb to adhere to psychological beliefs--beliefs that would not be rediscovered again until the twentieth century (Galen, Diotima, 352). Perhaps we should be thankful that the modern world does not adhere to just one discipline in order to explain the phenomena occurring in our own bodiesââ¬âgirls experiencing puberty are not hysterical, the gods are not punishing them, and they are not merely encountering ââ¬Å"mental uneasiness.â⬠They are menstruating, and growing, and developingââ¬âevents that have become something beautiful.
Tuesday, November 12, 2019
Kite Runner Essay Essay
Khaled Hosseiniââ¬â¢s kite runner has many themes that are significant. This book also has themes that are hidden to the reader, to find these themes the reader needs to think about the events that occur in the book. In this book redemption, discrimination, and violence play a big role in the events in this book. Redemption is one of the most important themes in the kite runner. Throughout the story, Amir is trying to redeem himself because of many events that he was a part of. In the begging of the story Rahim Khan calls Amir and tells him ââ¬Å"There is a way to be good again. â⬠(Page 2) Putting this in the first chapter of the story tells the reader many things about Amir, it could tell us that Amir has done many things that he regrets, or he has done things that caused pain to someone else. Amirââ¬â¢s mother dies when she is giving birth to him, throughout the story Amir tries many different things to redeem himself to his father. When Amir wins the kite competition he thinks that he would finally redeem himself for his mothers death. Amir thinks that he redeems himself because ââ¬Å"A smile played down on my fatherââ¬â¢s lips. He opened his armsâ⬠(Page 79) When someone does this someone will automatically think that you redeemed yourself to that person. Another event that Amir does that he redeems himself for later is when he blackmails Hassan. Amirââ¬â¢s father gives him a watch and Amir decides to put it under Hassanââ¬â¢s pillow. Later when Amirââ¬â¢s father finds out that he took his watch he forgives him, but Ali (Hassanââ¬â¢s father) says that they make the decision to leave. To the near end of the book, when Amir goes back to Afghanistan, he receives a letter from Hassan. The letter tells him that he (Hassan) died, and that he has a son that it taken by the Taliban. Amir tells Farid (The person who takes Amir around in Afghanistan) about Sohrab, and he tells him ââ¬Å"You have a visa to go to America, to life with me and my wife. Itââ¬â¢s true. I promiseâ⬠(Page 355) When Amir found out that he lost his best friend he went through a lot of trouble to get Sohrab. Amir could have avoided this if he did not frame Hassan. If Amir did not frame Hassan, Hassan and Ali could have fled the country with Amir and his father. This event has a big impact on the events in the story. Without these examples of redemption, it is hard to picture the book ending in the way that it did. Along with many other themes, discrimination is one of the less discussed themes in this book. In my opinion I think that discrimination should be a theme that should be as important as any other theme. Discrimination plays a big role in the kite runner because of the structure of the social classes. In the begging of the story we know that Hassan is Amirââ¬â¢s Hazara but later we know that he is Amirââ¬â¢s brother. When Amir won the kite competition Hassan went to get the winning the kite. Hours had passed and Hassan did not show up. Amir goes looking for him and he asks Omar (only involved in one paragraph) if he saw Hassan, Omar answers him by saying ââ¬Å"Your Hazara? â⬠(Page 68) without saying more than two sentences, we can see that people in the class with Hassan are treated with no respect and they are called Hazaras. Another event that happens when Hassan finally finds the kite that allowed Amir to win the competition he is surrounded by Assef and his gang. Assef is one of the biggest discriminators towards Hazaras as he is intimidating Hassan, he says, ââ¬Å"A loyal Hazara, Loyal as a dogâ⬠(Page 72) When Hassan said this he could of compared Hassan to something else, but he picked a dog to show the most disrespect towards Hassan. In my own opinion I think that discrimination towards Hazaras in Kabul is horrible because they are treated as if they are a different race of people. Hazaras have the exact physical features as any average human being but they are treated like they are slaves. This is how discrimination, which is one of the themes that is not talked about a lot, is significant in this book. Violence is also one of the themes that are not discussed as much, violence should be because it is important and it is hidden. There are many examples that show violence in the book. One of the examples that show violence is when Hassan gets raped when Assef and his gang surround him. The author does not tell the reader that Hassan got raped but instead he makes Wali, one of the members of Assefââ¬â¢s gang, tell Assef ââ¬Å"My father says itââ¬â¢s sinfulâ⬠(Page 75) This is a indirect message to inform the reader that Hassan gets raped. This is one great example that violence plays a big role in the process of this book. Assef could of threated Hassan instead of raping him. In my opinion I think that he could not have done something that wasnââ¬â¢t related to violence. Assef wanted to have his revenge on Hassan but it was hard to do something that has nothing to do with violence. Later on in the book, when Amir and Hassan do not talk to each other after Hassan got raped for him over a kite. Hassan asked if he could go under the pomegranate tree and let Amir read a story for him. When Amir and Hassan were under the pomegranate tree, Hassan asked Amir what he was doing wrong so he could stop, Amir told him that Hassan should stand up for himself. Hassan did not answer and Amir started to throw pomegranates on Hassan, Amir then told him ââ¬Å"Hit me back! Hit me back goddamn youâ⬠(Page 92) this is another great example that shows the violence that is included in the book. Hassan is the most loyal person in the book and Amir does not appreciate it; instead Amir wants Hassan to hit him with a pomegranate. When Hassan stands up, he then smears a pomegranate on his face and walks away. This is how violence plays a theme in the book. It is not as visible as the other themes in the book but it is as significant as the other themes. Redemption, discrimination, and violence are themes in Khaled Hosseiniââ¬â¢s kite runner that play a big role in the book. Without these three themes it is hard to picture if the book would end up the way that it actually ended up being. Quotes and Information taken from ââ¬Å"Kite Runnerâ⬠by Khaled Hosseini.
Sunday, November 10, 2019
Macroeconomics Written Assignment
Many are saying that the U.S. economy is presently on the initial stage of experiencing economic recession due to the instability that is happening on major industries in the market (Iht.com, 2007). With the pressing condition of the U.S. economy, it is the role and responsibility of the federal government to provide the necessary solution to address the impeding economic recession in the United States. A balance in providing policies, monetary and fiscal policy, must be secured by the federal government in order to have a sustainable solution for the present instability of the U.S. economy. The instability of the present economy is being attributed to the decline of householdââ¬â¢s disposable income in the market during the first quarter of 2006. Many economists said that the deterioration of householdââ¬â¢s disposable income was caused by the lowering of wages of working class by the end of 2005. The GDP growth rate of the United States was down by 0.6 percent, from 5.2 percent to 4.6 percent, after the economic instability starts affecting the domestic market. Due to this limited disposable income of households or consumers in the market, the domestic consumption declined dramatically causing tremendous amount of loses on various industries in the market. Like for instance, the housing industry has been suffering to financial difficulties as the demand of consumers for housing market hit their financial stability hard. In this regard, it would be better to focus the policies of the federal government on addressing the limited disposable income of the households and the low wage rate of the working class in the market. Economic Policies for U.S. Economy Recovery One of the possible monetary policies that the federal government could implement would be the lowering of interest rates of various financial securities such as mortgages for industries in the market to provide financial support. This lowering of interest rate would give these industries enough room to stabilize their financial condition and would serve as the stepping stone of their fast recovery. The low demand of the consumers in the market creates enough pressure for the sales and profitability of various industries to perform badly leading for financial problems of companies in the domestic market. With the lowering of the interest rate, companies can now borrow much money that they need in order to restore their accounts and cover the losses that they will incur by continuing their operation. The only side effect of this policy would be a possible high inflation rate a few years after increasing the interest rate in the market since there will be an increase in the money supply in the economy. As for the fiscal policy of the government, it would be better if they would pass a law that would increase the minimum wage rate of every worker in the United States in order to improve the disposable income of every household in the United States. With this, the volume of consumption of consumers will improve thereby creating an improvement on the sales and profitability of various industries in the market. One possible side effect of this strategy would be higher unemployment rate and inflation rate as various industries either layoff some of their workers or increase the prices of their products just to give room for the increase in the minimum wage rate that the federal government will impose. In order to counteract this possible action of the private class, the increase in the wage rate of the workers will be accompanied by the provision of government subsidy for those companies that will abide the said policy and will not layoff workers or increase the prices of their products in the market. With this, the government can prevent the worsening of the inflation rate and unemployment rate in the market. In this regard, the above mentioned alternatives will be the most suitable solutions on todayââ¬â¢s economic instability. The potential side effects of these policies can now be minimized through the aid of the countermeasures that is included on the policy itself. References Iht.com (2007). Is the U.S. Economy in Recession? Retrieved May 1, 2008, from http://www.iht.com/articles/2007/12/16/opinion/edeconomy.php
Thursday, November 7, 2019
War Essays - Destroyer, Free Essays, Term Papers, Research Papers
War Essays - Destroyer, Free Essays, Term Papers, Research Papers War Mrs. Powell English 6th period Sept. 7, 2005 War Run, I yelled.Run! Open fire, Someone from across enemy lines shouted. Bullets streaked past. The soldier next to me was hit. Ahhhhhh, he screamed as he fell face first into the mud. I stopped and tried to help him, but I realized it was more than I could handle alone. Medic, I shouted. Medic. When the medic rushed to us, he said it was too late. My buddy had already died from shock. Machine gun nests were pelting us with bullets from every direction for hours. Our troop was cut off from the rest of our platoon and was penned down in a shallow ditch. I crawled to our radio man and informed him of our situation. He called for more soldiers and soon the bay was filled with landing craft bringing 5,000 fresh troops. The communications man radioed the destroyers to commence shelling the beach, but something had gone wrong; our destroyers had been destroyed. The enemy ships had started shelling us. My name is Joe Holt. That is what I remember from twenty-five years ago when I was fighting in the Battle of Burkin. The next thing I remember I awoke to the smell of disinfectant and the sight of a smiling nurse. I spent weeks in the hospital and when I was discharged my nurse became my wife. Our son, James Holt, is now fighting in a war. We can only hope that he will be as lucky as I was; I only lost a leg, but the memories will stay with me forever.
Tuesday, November 5, 2019
Pope Julius II Biography
Pope Julius II Biography Pope Julius II was also known as Giuliano della Rovere. He also became knownà as the warrior pope andà il papa terribile. Pope Julius II was known for sponsoring some of the greatest artwork of the Italian Renaissance, including the ceiling of the Sistine Chapel by Michelangelo. Juliusà became one of the most powerful rulers of his time, and he was more concerned with political matters than theological ones. Heà was enormously successful in keeping Italy together politically and militarily.à Important Dates Born: Dec. 5, 1443Elected Pope: Sept. 22, 1503Crowned: Nov. 28, 1503Died: Feb. 21, 1513 About Pope Julius II Julius was born Giuliano della Rovere. His father Rafaello was from an impoverished but probably noble family. Rafaellos brother Francesco was a learned Franciscan scholar, who was made a cardinal in 1467. In 1468, Giuliano followed his uncle Francesco into the Franciscan order. In 1471, when Francesco became Pope Sixtus IV, he made his 27-year-old nephew a cardinal. Cardinal Giuliano della Rovere Giuliano showed no true interest in spiritual matters, but he enjoyed considerable income from three Italian bishoprics, six French bishoprics, and many abbeys and benefices bestowed on him by his uncle. He used much of his considerable wealth and influence to patronize artists of the day. He also became involved in the political side of the Church, and in 1480 he was made legate to France, where he acquitted himself well. As a result he built up influence among the clergy, particularly the College of Cardinals, although he also had rivals... including his cousin, Pietro Riario, and future pope Rodrigo Borgia. The worldly cardinal may have had several illegitimate children, although only one is known for certain: Felice della Rovera, born sometime around 1483. Giuliano openly (though discreetly) acknowledged and provided for Felice and her mother, Lucrezia.à When Sixtus died in 1484 he was followed by Innocent VIII; after Innocents death in 1492, Rodrigo Borgia became Pope Alexander VI. Giuliano had been considered favored to follow Innocent, and the pope may have seen him as a dangerous enemy because of it; in any case, he hatched a plot to assassinate the cardinal, and Giuliano was forced to flee to France. There he allied with King Charles VIII and accompanied him on an expedition against Naples, hoping that the king would depose Alexander in the process. When this failed, Giuliano stayed on in the French court. When Charles successor Louis XII invaded Italy in 1502, Giuliano went with him, avoiding two attempts by the pope to seize him. Giuliano finally returned to Rome when Alexander VI died in 1502. The Borgia pope was followed by Pius III, who lived only a month after taking the chair. With the help of some judicious simony, Giuliano was elected to succeed Pius on September 22, 1502. The first thing the new Pope Julius II did was to decree that any future papal election that had anything to do with simony would be invalid. The pontificate of Julius II would be characterized by his involvement in military and political expansion of the Church as well as his patronage of the arts. The Political Work of Pope Julius II As pope, Julius gave the highest priority to the restoration of the Papal States. Under the Borgias, the Church lands had been notably diminished, and after the death of Alexander VI, Venice had appropriated large portions of it. In the fall of 1508, Julius conquered Bologna and Perugia; then, in the spring of 1509, he joined the League of Cambrai, an alliance among Louis XII of France, Emperor Maximilian I, and Ferdinand II of Spain against the Venetians. In May, troops of the league defeated Venice, and the Papal States were restored. Now Julius sought to drive the French from Italy, but in this he was less successful. During the war, which lasted from autumn of 1510 to spring of 1511, some of the cardinals went over to the French and called a council of their own. In response, Julius forged an alliance with Venice and Ferdinand II of Spain and Naples, then called the fifth Lateran Council which condemned the actions of the rebellious cardinals. In April of 1512, the French defeated alliance troops at Ravenna, but when Swiss troops were sent to northern Italy to help the pope, the territories revolted against their French occupiers. Louis XIIs troops left Italy, and the Papal States were increased by the addition of Piacenza and Parma. Julius may have been more concerned with the recovery and expansion of papal territory, but in the process he helped forge an Italian national consciousness. Pope Julius IIs Sponsorship of the Arts Julius wasnt a particularly spiritual man, but he was very interested in the aggrandizement of the papacy and the Church at large. In this, his interest in the arts would play an integral role. He had a vision and a plan to renew the city of Rome and make everything associated with the Church splendid and awe-inspiring. The art-loving pope sponsored the construction of many fine buildings in Rome and encouraged the inclusion of new art in several notable churches. His work on antiquities in the Vatican Museum made it the greatest collection in Europe and he decided to build a new basilica of St. Peter, the foundation stone of which was laid in April of 1506. Julius also developed strong relationships with some of the foremost artists of the day, including Bramante, Raphael, and Michelangelo, all of whom executed multiple works for the demanding pontiff.à Pope Julius II appears to have been more interested in the status of the papacy than his own personal fame; nevertheless, his name will be forever linked with some of the most remarkable artistic works of the 16th century. Although Michelangelo completed a tomb for Julius, the pope was instead interred in St. Peters near his uncle, Sixtus IV. More Pope Julius II Resources: Julius II: The Warrior Popeby Christine ShawVisit merchantMichelangelo and the Popes Ceilingby Ross KingLives of the Popes: The Pontiffs from St. Peter to John Paul IIby Richard P. McBrienChronicle of the Popes: The Reign-by-Reign Record of the Papacy over 2000 Yearsby P. G. Maxwell-Stuart
Sunday, November 3, 2019
Capital Funding in School Districts Research Paper
Capital Funding in School Districts - Research Paper Example Replacing old buildings with new buildings, repairing old buildings, incorporating more facilities to the existing building etc are expensive acts. It is difficult for the school management or the authorities to find funds for the renovation or replacement of the school buildings from the tuition fees alone. According to a rough estimate done by the 2003 State Auditors Office report, statewide need is around $4.7 billion for the school building replacement or renovation (Colorado Department of Treasury, 2010). In short capital funding is necessary for the American schools to ensure the safety of the existing school buildings or to make new buildings. This paper briefly analyses various aspects of capital funding in schools. Capital funding or bonds in schools are the funds allocated to the schools by the government for the modernization of the school buildings according to locally agreed priorities established in the Schools Asset Management Plan. The government wants to raise the standards of education in schools and for that purpose, ample infrastructure facilities are necessary in the school compound. Capital funding is given to the individual schools by the authorities based on the requirements estimated by the school authorities and the local authorities. In UK, school capital funding is intended for the ââ¬Å"standards focused projects which contribute to achieving government targets for educational improvement. Projects must have a minimum value of 500,000 of which 20% of the funding must be met from Local Authority/local sourcesâ⬠(Capital Funding for School Buildings, 2010) ââ¬Å"It is important that school districts have the resources to help schools recover from unexpected natural damage. As a result of this capital funding, students in School District can focus their attention on the business of learning, and not the condition of their schoolâ⬠(Governor Quinn Highlights $4.3 Million in Capital Funds for New Belleville Elementary School). Transfer
Friday, November 1, 2019
'The accounting 'economics' of innovation Essay
'The accounting 'economics' of innovation - Essay Example Success in these 2 markets depended on product quality, price, availability, and on-time delivery. Currently, with the wide scope of Whirlpoolââ¬â¢s operations, it has disjointed information systems implemented in the various business units which hamper the companyââ¬â¢s success in meeting its customer and operations requirements. To remedy this, Whirlpool is evaluating the plan to implement a company-wide enterprise resource planning system, called Project Atlantic. The cost of Project Atlantic is sizeable both in financial and non-financial terms. A rigorous capital investment appraisal, both quantitative and qualitative need to be conducted before embarking on the project (Case Resource). Question 1: Summarize the main factors that Whirlpool Corp needs to take into account when deciding whether to invest in the enterprise resource planning (ERP) systems named Project Atlantic. Your summary should include: Whirlpool Corpââ¬â¢s Project Atlantic is an undertaking to design and implement an enterprise resource planning (ERP) system that would allow the company to better serve its consumer and contract markets for appliances, as well as reduce its inventory by 12 days of sales. Enterprise resources are the manpower, machines and materials necessary for business operations and which have to be properly allocated and utilized to achieve business objectives. The main factors that Whirlpool Corp needs to take into account to decide whether to invest in Project Atlantic are the benefits that can be derived from the project; the costs of design, implementation and maintenance; whether benefits outweigh the costs and when will the company get payback from the ERP systems; how long will the process of designing and implementing take and what external and internal resources are necessary; and what changes need to be undertaken by the company to enable the new systems to fit in, how will
Wednesday, October 30, 2019
Male Role Models in Childcare Essay Example | Topics and Well Written Essays - 8000 words
Male Role Models in Childcare - Essay Example This research will begin with the statement that it is expected by the modern society that men will start having a larger role to play in the upbringing of child care and child care.à It is very common nowadays to see the father playing an active role in the upbringing of the child, and in some cases, the father names the major role in child care and upbringing.à Thus it is evident that the reversal of roles is now a reality in a number of households. However, in the scenario of child care centers and professional childcare management, it has been seen that the role of female professionals is much more dominant than their male counterparts. The United Kingdomââ¬â¢s green paper named ââ¬ËMeeting the Childcare Challengeââ¬â¢ was published in 1998 and it emphasized the need for more and more major workers in child care management and the prevailing status of child care workers in the child care industry of the UK.à It is often assumed that child care management is a fe male profession predominantly, and there is a strong mindset among a number of people in the UK as well as Europe which prefers a female childcare workforce rather than a male child care workforce.à One of the primary reasons why male child care professionals should be encouraged to work and contribute to this industry is that the male professionals can automatically serve as role models for young boys, especially the boys belonging to those families where the father is not present.
Sunday, October 27, 2019
The key steps of the implantation
The key steps of the implantation IMPLANTATION The life journey of a conceptus consists of many stages right from the point of conception to the point of birth which is one of natures wonders. However, an essential stage in this journey is the process of implantation. Implantation is generally defined as an event in which an embryo becomes progressively attached to the wall of the uterus during early pregnancy. This process is pivotal to the events that occur later in pregnancy. According to Makrigiannakis (2005), implantation is an active process in which a blastocyst apposes, attaches and progressively invades into the endometrium to establish the placenta (Figure 5). From this definition, we can deduce that the embryo undergoes the process of implantation at the blastocyst stage (Figure 1). Implantation is a process that occurs in mammals and it takes places in the endometrial lining of the uterus. IMPORTANCE OF IMPLANTATION Implantation is a key event in the reproductive physiology of mammals as it is a pre-requisite for further embryonic development. It is the first stage in the process of placental formation which is in turn is a crucial component of fetal development as it serves as a medium for nutrient absorption, gaseous exchange and waste disposal. Physiological defects in humans and other mammals have gone further to emphasize the importance of the implantation process. Implantation defects have been associated with non-chromosomal early pregnancy loss and infertility (Makrigiannakis, 2005). Many complications that show up late in pregnancy such as pre-eclampsia and preterm labour appear to have originated early in pregnancy with abnormalities in the process of implantation and placental development (Norwitz, 2006). Another implantation defect is a phenomenon known as ectopic pregnancy. In this case, the blastocyst implants outside the uterine cavity usually in the fallopian tubes although ectop ic implantation could also occur in the cervix, abdomen and ovaries. A good understanding of the steps involved in the process of implantation and the factors controlling these steps are necessary in order to be able to influence clinical outcomes in humans such as reduction of recurrent miscarriages and improvement of implantation rates in both natural and assisted reproduction. This will also be beneficial to the use of animals in the area of research and agriculture. A greater detail of the events that take place before and during the process implantation shall be discussed herein. PRE-IMPLANTATION DEVELOPMENT The developmental events that take place between the fertilization of the ovum and the implantation of the blastocyst are important in order to understand the process of implantation. Following fertilization, a process known as cleavage occurs (Figure 1). Cleavage is the mitotic division of the cells of the resulting embryo without any growth. This starts from the time the embryo is at the 2-cell stage and each cell continues to divide up to the morula stage. At this point the embryo is a solid ball of 16 or more cells. In humans, this stage is normally observed at about 4 days after fertilization. In continuation of development, the morula undergoes a process known as compaction. Here, the embryonic cells begin to change shape and gap junctions start to form between adjacent cells. The inner cells of the embryo then start to differentiate from the outer cells as different genes are being expressed in the inner and the outer cells. Blastocyst formation follows shortly after and the i nner cells give rise to the inner cell mass whilst the outer cells give rise to the trophoblast cells (Figure 1). A vast knowledge of the structure of the blastocyst is important as each of its structural components play an important role in the process of implantation. The inner cell mass of a blastocyst gives rise to the embryo proper while the trophoblast gives rise to the fetal component of the placenta (Schoenwolf et al., 2009). The process of implantation is generally known to take place a few days after fertilization and the uterine wall is ready to accept the implanting blastocyst during a limited period of time outside of which it may not optimally support the implantation of the embryo. This period of time is known as the ââ¬Ëwindow of implantation (Psychoyos et al., 1995; Klentzeris, 1997). THE BLASTOCYST AND THE UTERUS BEFORE IMPLANTATION In the build up to the implantation process following pre-implantation development, there are a number of necessary events that take place. First of all, there has to be a receptive and hormonally primed uterus present. The uterus is composed of 3 layers namely the endometrium, perimetrium and myometrium (Figure 2). The endometrium which is the most important uterine tissue involved in implantation consists of the luminal epithelium, the stroma and the germinal basalis (Yoon et al., 2004). The hormone progesterone, which is secreted by the corpus luteum, is actively involved here as it makes the already thickened endometrial lining of the uterus more favourable for the implantation of the blastocyst. The thickening of the endometrium is due to the effect of estrogens (Norwitz, 2006). The blastocyst is then transported to the uterus via signalling mechanisms and arrives there at about 5 to 7 days after fertilization (Bischof and Campana, 1996). After the blastocyst arrives in the uter us, it begins to move towards the endometrium with the inner cell mass positioned towards the endometrial lining (Bischof and Campana, 1996). Before any further interaction with the endometrium, the blastocyst must undergo a process known as hatching. This simply involves the blastocyst boring a hole through the zona pellucida with the aid of enzymes and squeezing out. It is a general school of thought that serine proteases are responsible for this process although the mechanisms behind its action are not clearly understood (OSullivan et al., 2002). After hatching, the blastocyst is naked of all its original investments and can interact directly with the endometrium (Schoenwolf et al., 2009). At this time, blastocystis also known to secrete moleculesthat affect the activity of the ovary, fallopian tube and the endometrium (Norwitz, 2006). Shortly before the blastocyst comes in contact with the endometrium, thetrophoblastdifferentiates intotwo different cell masses, which are the inn er cytotrophoblast and the outer syncytiotrophoblast which is formed as a result of the fusion of cytotrophoblast cells. PATTERNS OF IMPLANTATION There are three known patterns of implantation which are centric, eccentric and interstitial (Wimsatt, 1975). Centric implantation occurs when the embryo expands and increases in size before implantation, then stays in the centre of the uterus (Lee and DeMayo, 2004). Examples of animals that undergo this pattern of implantation include rabbits, dogs, cows, pigs, sheep, horses and a number of marsupials. Eccentric implantation occurs when the embryo is small in size and implants inside the endometrium usually taking place on the side of the uterus, opposite to the mesometrium (Lee and DeMayo, 2004). Examples of animals that show this pattern of implantation include rats, mice and hamsters. In Interstitial implantation, the embryo is also small and it invades through the endometrial epithelium into the subepithelial connective tissue (Lee and DeMayo, 2004). Examples of animals under this category include guinea pigs and humans (Wimsatt, 1975). KEY STEPS OF THE IMPLANTATION PROCESS There are three key steps in the process implantation namely apposition, attachment and invasion. Apposition This is the first major step of the implantation process following the hatching of the blastocyst. During apposition, the blastocyst comes in slight contact forming a weak bond with the uterine luminal epithelium. Microvilli on the apical surface of the cytotrophoblasts interlock with microprotrusions called pinopodes (Figure 3) which are present on the apical surface of the endometrial epithelium (Norwitz et al., 2001). This interaction involves changes in the expression of cell adhesion molecules and extracellular matrix (ECM) proteins (Nagaoka et al., 2003). Pinopodes are progesterone-dependent organelles, and they have been suggested to be indicators of endometrial receptivity (Nikas, 1999). In humans, they are usually visible on days 20-21 of the menstrual cycle prior to the time of implantation (Nikas, 1999). They could facilitate implantation by preventing the blastocyst from being swept away by uterine cilia (Stavreus-Evers, 2005). It has been identified that high molecular w eight mucin glycoproteins particularly MUC1, are dominant inhibitors of embryo apposition and attachment (Thathiah and Carson, 2002). However, a decrease in the expression of MUC1 at the time of implantation could facilitate blastocyst apposition (Thathiah and Carson, 2002). During apposition, soluble mediators such as chemokines e.g. CX3CL1, CCL7, CCL14 and CCL4 have been found to establish a dialogue between the maternal cells and those of the blastocyst (Hannan and Salamonsen, 2007). Chemokines are a large family of chemotactic cytokines, well known for their functions in leucocyte recruitment and activation (Dominguez et al., 2003). They have a wide range of functions and have been implicated to play a role in implantation (Dominguez et al., 2003). Chemokines have been localized in areas of inflammation and they are suggested to be potential mediators of inflammation (Feng, 2000). This could be the reason why blastocysts tend to implant on scar tissue from caesarean sections which is an area of inflammation (Dominguez et al., 2005). The dialogue between the maternal and blastocyst cells has important influences on the development of the implanting blastocyst and maintenance of endometrial receptivity (Hannan and Salamonsen, 2007). It also results in the expression of a unique array of adhesion molecules on the surface of both fetal and maternal cells, promoting the attachment of the trophoblast cells to the endometrial epithelium (Hannan and Salamonsen, 2007). Attachment Following apposition, the next step in the process of implantation is known as attachment or adhesion. This is characterized by increased physical contact between the blastocyst and the uterine epithelium (Norwitz et al., 2001). At this point the blastocyst can no longer be dislodged. A ligand carbohydrate known as trophinin has been identified as an adhesion molecule that mediates the initial step of attachment of the blastocyst to the endometrial epithelium (Fukuda and Sugihara, 2008). Trophinin mediates cell adhesion by homophilic Trophinin-Trophinin binding (Fukuda and Sugihara, 2008). A carbohydrate-binding protein known as L-selectin which is expressed in the blastocyst, has also been discovered to play a role in human embryo attachment (Genbacev et al., 2003). Interaction between L-selectin on the blastocyst and L-selectin ligands on the endometrial surface allows for loose attachment and rolling of blastocyst to its implantation site ((Fukuda and Sugihara, 2008). The human Ch orionic Gonadotrophin (HCG) produced by the blastocyst up regulates trophinin expression on pinopodes and down regulates MUC1 expression (Fukuda and Sugihara, 2008). The blastocyst then adheres to the pinopodes by trophinin-trophinin interaction (Figure 4). A substance known as Heparin Binding Epidermal Growth Factor (HB EGF) has also been implicated in blastocyst attachment (Lim and Dey, 2008). This growth factor is expressed by the endometrium whilst its receptors are present on the blastocyst. This interaction also helps in facilitating the attachment of the blastocyst. Figure 4: Proposed role of L-selectin and trophinin in human embryo implantation. Source: Fukuda and Sugihara, 2008. (a) A human blastocyst entering the uterine cavity is prevented from attaching to the endometrial epithelia by MUC1, except for epithelia that express the L-selectin ligand (T). The human blastocyst expresses L-selectin (L), and ââ¬Ërolls on the surface of the endometrium covered by glycocalyx. (b) The blastocyst feebly interacts with the glycocalyx. Here, human chorionic gonadotropin (hCG) which is secreted from the blastocyst, acts locally on endometrial epithelia to induce trophinin expression. (c) Trophinin expressed by endometrial epithelia is enriched in the pinopodes, the structure extended above the glycocalyx. MUC1, which carries the L-selectin ligand, is down-regulated from the endometrial epithelia underneath the blastocyst, allowing direct contact and attachment of blastocyst trophectoderm cells and pinopodes via trophinin-trophinin binding. Invasion The next step which is critical to the implantation of the blastocyst is known as invasion. As the term implies, this involves the infiltration of the endometrium by the cytotrophoblast cells of the blastocyst. This starts with the progression of the trophoblast cells between the adjacent endometrial epithelial cells to reach the underlying basement membrane. This membrane is destroyed, allowing the trophoblast cells to reach the stromal compartment (Bischof and Campana, 1996). The syncytiotrophoblast undergoes proliferation and invades the endometrial stroma. The progressive invasion of the blastocyst into the endometrium continues until the blastocyst is completely embedded in subepithelial stromal tissue and the uterine epithelium grows to cover the implantation site (Norwitz, 2006). The syncytiotrophoblast cells continue to develop quickly and surround the blastocyst until it has completely embedded itself in the endometrial stroma. In the syncytiotrophoblast, fluid-filled spaces known as lacunae are formed as a result of the fusion of syncytiotrophoblast cells. The lacunae are separated by trabeculae and they transform the syncytiotrophoblast into a sponge-like material (Bischof and Campana, 1996). The trabeculae are arranged radially, and cytotrophoblastic cells divide within the trabeculae, leading to the formation of primary chorionic villi (Bischof and Campana, 1996). Following this event, the primary villi grow and branch into secondary and tertiary villi (Bischof and Campana, 1996). This process is known as placentation. A wide range of factors e.g. cytokines, integrins, matrix metalloproteinases (MMPs), Leukaemia Inhibiting Factor (LIF) e.t.c have been found to play a role in the invasion process (Makrigiannakis, 2005; Norwitz, 2006). The role of these c omponents in the process of implantation shall be discussed shortly under the factors that regulate implantation. Figure 5: Implantation of the human blastocyst step by step. Source: Bischof and Campana, 1996. (1): Transport. The blastocyst arrives in the uterus after fertilization. (2) Orientation: The inner cell mass is positioned towards the endometrial lining. (3) Hatching: The zona pellucida is perforated making way for the release of the blastocyst. (4) Apposition: The blastocyst is now in close contact with the endometrial lining but no connections have been established. (5) Adhesion: Connections are established between the embryo and the endometrial epithelium. (6) Invasion: Thin folds of trophectodermal cells intrude between the endometrial epithelial cells. (7) Syncytialization: Some trophectodermal cells fuse to form syncytia which proliferate and invade the endometrial stroma. (8) Villous formation: The cytotrophoblastic cells migrate between the syncytia followed by the fetal stroma. This will lead to the formation of the placental villi. The cells of the endometrial stroma react to the presence of the blastocyst and the secretion of progesterone by differentiating into metabolically active, secretory cells called decidual cells (Schoenwolf et al., 2009). This response is known as the decidual reaction or decidualization. In humans, this begins in the secretory phase of the menstrual cycle. The decidua is also known as the maternal portion of the placenta (Gilbert, 2006) and it is believed to provide an element of control of trophoblast invasion during implantation (Loke and King, 1995). The decidualized stroma cells have been found to secrete prolactin and Insulin-like Growth Factor Binding Protein-1(IGFBPI) which are held to function in complex gene networks that function in the regulation of trophoblast invasion as well as many other endocrine and paracrine factors (Bazer et al., 2010). This regulatory function is required for the optimal implantation of the blastocyst as the invasion of the cytotrophoblast to the proper depth is a major factor in determining pregnancy outcome (Norwitz, 2006). Excessive invasion resulting from the inability of the decidua to control the invading cytotrophoblast cells could lead to an unusually strong attachment of the placenta to the myometrium (placenta accreta), extension into the myometrium (placenta increta), or invasion through the myometrium into adjacent organs also known as placenta percreta (Norwitz, 2006). Insufficient cytotrophoblast invasion has also been associated with pre-eclampsia (Lyall, 2006; Lee et al., 2010) which is a medical complication that presents itself late in pregnancy. During implantation, a process known as angiogenesis has been identified to be important (Sherer and Abulafia, 2001). Angiogenesis is the growth of new capillaries from pre-existing blood vessels. In this case, it occurs in the endometrium and takes place throughout the implantation period. Endometrial angiogenesis starts with the degradation of the capillary vessel membrane, creating a means through which migrating endothelial cells proliferate to create a new lumen and further vessel maturation (Sherer and Abulafia, 2001). This vascularization functions to maintain endometrial structure and receptivity. Angiogenesis is known to be mediated by some factors present in the endometrium such as fibroblast growth factor, vascular endothelial growth factor and platelet activating factors (Norwitz 2006; Sherer and Abulafia, 2001). FACTORS THAT REGULATE IMPLANTATION The regulation of implantation and early development is dependent on a wide range of factors. Although the molecular and cellular mechanisms behind implantation are not well understood, it is apparent that multiple factors (including maternal and fetal) are needed to synchronize blastocyst maturation and uterine receptivity up to the point of initiation of implantation and through the process of implantation (Norwitz, 2006). A closer look will now be taken at some of the important factors associated with implantation and early pregnancy maintenance. Maternal factors Starting with the uterine (maternal) side, there are a lot of components to consider. Cytokines and growth factors have been shown by different studies to be important to the maternal role in implantation. These include interleukin-1 (Sheth et al., 1991; Simon et al., 1996; Stewart and Cullinan, 1997; Huang et al., 1998), Interleukin-2 (Stewart and Cullinan, 1997), Insulin-like growth factor I and II (Stewart and Cullinan, 1997; Giudice and Irwin, 1999), transforming growth factor a and (Slowey et al., 1994; Stewart and Cullinan, 1997; Godkin and Dore, 1998), vascular endothelial growth factor (Athanassiades et al., 1998) and leukemia inhibitory factor (Cullinan et al., 1996; Stewart and Cullinan, 1997). The mode of function of the leukemia inhibitory factor is not well understood but has been established as a critical factor in the process of implantation (Stewart et al., 1992; Cheng et al. 2002). These cytokines and growth factors all work towards facilitating the communication bet ween the blastocyst and the uterus whilst promoting endometrial proliferation and differentiation (Norwitz, 2006). They have also been found to regulate endometrial angiogenesis and vascular permeability (Norwitz, 2006). As mentioned earlier, some steroid hormones such as Progesterone (Peyron et al., 1993) and Oestradiol-17 (Miller, 1988) have also been found to be important. They function in the proliferation of uterine epithelial cells and endometrial stromal cells (Norwitz, 2006). Some changes in the uterine luminal epithelium such as the expression of pinopodes (Nikas, 1999) and MUC 1 (Thathiah and Carson, 2002) have been suggested to be important for blastocyst recognition and attachment. Transcription factors such as the peroxisome proliferator activated receptor-s (Lim et al., 1999; Barak et al., 1999) have been identified to function in defining the molecular mechanisms by which the regulatory factors exert their effects at a cellular level (Norwitz, 2006). Studies have shown the relevance of some other components such as homeobox genes Hoxa-10 and 11 which have been found to regulate the responsiveness of stromal cells to progesterone (Benson et al., 1996; Taylor et al., 1997; Lim et al., 19 99), Cyclooxy-genase-2 which regulates prostaglandin production (Norwitz and Wilson 2000) and oxygen tension (Genbacev et al., 1997) which has been found to promote trophoblast vascular mimicry by initiating integrin expression. Also, proteins such as Rac1 and RhoA which are found in stromal cells have been implicated in trophoblast invasion (Grewal et al., 2008). Fetal factors Evaluations of the blastocyst (fetal) factors also reveal that present here, are some of the groups of factors present on the maternal side of implantation as they possess some overlapping functions. Cytokines and growth factors, in addition to facilitating communication between the blastocyst and uterus, could also enhance trophoblast differentiation and invasion. These include Interleukin-1, Interleukin-6 (Stewart and Cullinan, 1997), leukemia inhibiting factor, transforming growth factor a and , insulin-like growth factor II and colony stimulating factor-1 (Stewart and Cullinan, 1997, Cohen et al., 1997). Some trophoblast proteinases and inhibitors such as the matrix metalloproteinases (Makrigiannakis, 2005) and cathepsin B and L (Afonso et al., 1997) have also been found to regulate trophoblast invasion. The expression of some adhesion molecules e.g. integrins have been identified in the enhancement of trophoblast invasion. Some of them include integrin a64, integrin a11 and E-ca dherin (Lessey, 1998; Lessey and Arnold, 1998; Damsky and Fisher, 1998). Some other important factors include prostaglandin E2 which aids the process of endometrial apoptosis and platelet-activating factor which stimulates uterine prostaglandin production (Norwitz, 2006). Immunological factors The immunological interactions between the blastocyst and the uterine decidua are essential in the regulation of the implantation process. Implantation is of immunological significance because the blastocyst contains half of its paternal genes hence it is immunologically foreign to its mother. Despite this fact, blastocyst implantation still turns out to be a successful process and the blastocyst is not rejected by the maternal immune system during normal implantation. This is down to the action of immunological factors. These factors are a combination of elements expressed by both the blastocyst and the uterus and they act together to ensure fetal survival. On the maternal side such factors include Interleukin-10 (Roth et al., 1996; Roth and fisher, 1999) which plays an important role in immunosuppression thus reducing the activity of the maternal immune system against the foetus (Norwitz, 2006). Another factor is 2, 3-dioxygenase (Kamimura et al., 1991; Munn et al., 1998) which has been found to be responsible for macrophage action during implantation (Norwitz, 2006). Uterine natural killer cells found in the stroma also play a role here as they produce cytokine, chemokines and angiogenic factors which all promote and regulate trophoblast invasion (King and Loke, 1997). On the fetal side, factors such as histocompatibility antigen, class I, G (HLA-G) have been found to be involved in preventing the maternal immune rejection of the semi-allogenic foetus (Lanier, 1999; Norwitz, 2006). Coordination of the regulatory factors within the window of implantation The window of implantation as defined earlier is characterized by the perfect synchrony of all the components that play a role in the implantation process. These include the endometrium, the blastocyst and the factors regulating the process of implantation. Figure 6 below illustrates how all these factors are coordinated during the implantation window. This shows that within the window of implantation, the endometrium is highly influenced by steroid hormones (oestrogen and progesterone) and the interaction between the blastocyst and the endometrium is as a result of stage-specific actions of different implantation factors. Figure 6: Events that take place within the implantation window. Source: Achache and Revel, 2006 (A) Endometrium proliferates under the enhancement of estrogen. (B) Progesterone from follicles that have been luteinized leads to endometrial differentiation. (C) The blastocyst makes its way to the uterus via the ostia and rolls freely over the endometrium with the aid of L-selectin signals. (D) MUC-1 repels the blastocyst and prevents it from adhering to areas on the endometrium with poor chances of implantation. (E) Cytokines and chemokines attract the blastocyst to the optimal implantation spot. (F) Adhesion molecules (e.g. integrins and cadherins) attach the blastocyst firmly to the endometrial pinopodes to ensure successful implantation. The functions of all the factors mentioned earlier further emphasize the importance of these components to the process of implantation. A lot of studies have also been carried out on some of these molecules to further establish their importance. A notable one amongst these molecules is the leukemia inhibitory factor. As mentioned earlier, this molecule has been identified to be critical to the process of implantation. Studies revealed that implantation did not occur in female transgenic mice that were homozygous for the deficiency of the gene responsible for the leukemia inhibitory factor (Aghajanova, 2004). It was further proven that the lack of implantation was not caused by faults in the embryo because the implantation of the same embryos occurred when they were transferred to pseudopregnant recipients. The addition of exogenous LIF to the females with this defective gene throughout the period of normal implantation restored implantation sites and allowed proper attachments of the blastocysts (Aghajanova, 2004). LIF and LIF mRNA has also been shown to be expressed throughout the menstrual cycle of women with proven fertility (Arici et al., 1995; Charnock-Jones et al., 1994). This was associated with peaks in the mid and late secretory phase, and in early pregnancy (Aghajanova, 2004). Leukemia inhibitory factor has also been found to be present in uterine flushings within the implantation window in fertile women. This characterized by gradually increasing concentrations from 7 days to 12 days after the LH surge (Laird et al., 1997). In future, the evidence and information obtained from similar studies may be applied clinically through a well regimented administration of LIF in a pharmaceutical form to improve implantation rates in both natural and assisted reproduction. IMPLANTATION AND ASSISTED REPRODUCTIVE TECHNOLOGY (ART) Successful pregnancy outcomes from assisted reproductive techniques such as in vitro fertilization (IVF) have largely depended on the process of implantation. The advances in ART techniques have not had a significant effect on implantation rates (Donaghay and Lessey, 2007) hence a lot of measures have been taken by ART units over the years in an attempt to optimize implantation rates. Assisted hatching (Cohen, 1991) is a well known procedure carried out in this regard. This involves the manual perforation of a blastocysts zona pellucida in order to separate the blastocyst from the zona pellucida just as it would have occurred during natural hatching. This may increase implantation and pregnancy rates in IVF cycles (Chao et al., 1997). The function of regulatory factors in the process of implantation indicates that a number of biomarkers can be adapted from these to determine the ideal period of endometrial receptivity which can be traced and monitored during IVF cycles (Haouzi et al. , 2009). These may include the detection and monitoring of some of the molecules and steroid hormones involved in implantation by making use of samples obtained from IVF treatment cycles such as follicular fluids and embryo culture supernatants. Fluorescent markers can also be used to highlight proteins and any other key component in the blastocyst involved in implantation. Continuous studies are being performed with the aim of discovering techniques that would improve implantation rates during ART treatments. CONCLUSION Over the years, the research carried out on implantation and the factors that control implantation has been done making use of mostly animal models with the exception of some that have employed the use of in vitro human systems. The use of animals in the study of implantation has many benefits as many factors and regulatory mechanisms are being discovered. However, it is difficult to precisely extrapolate results obtained from animal data into human cases. This is one of the problems being encountered by implantation studies as the difficulty and ethical significance associated with research using humans make scientists resort to the use of animal models. The process of implantation occurs with the uterus and the blastocyst in synchrony. It has been clearly shown that a lot of factors are responsible but the complete framework of the regulation of implantation has not yet been understood. With continuous research and more human-based studies, a better understanding of the process and regulation of implantation may be achieved in the future. REFERENCES Achache, H. and Revel, A., 2006. Endometrial receptivity markers, the journey to successful embryo implantation. Hum. Reprod. Update. 12(6), 731-746. Afonso, S., Romagnano, L. and Babiarz, B., 1997. The expression and function of cystatin C and cathepsin B and cathepsin L during mouse embryo implantation and placentation. Development. 124, 3415-3425. Aghajanova, L., 2004. Leukemia inhibitory factor and human embryo implantation. Ann. NY. Acad. Sci.1034, 176-183. Arici, A., Engin, O., Attar, E. And Olive, D.L., 1995. Modulation of leukaemia inhibitory factor gene expression and protein biosynthesis in human endometrium. J. Clin. Endocr. Metab. 80, 1908-1915 Athanassiades, A., Hamilton, G.S., Lala, P.K., 1998. 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