Accessibility to safe drinking water

Everyone should have access to safe drinking water. It is possible to address the issues that prevent certain people from accessing safe drinking water. The people face challenges as they live in overcrowded slums in urban areas and in refugee camps. There are others who live in the rural areas of the developing countries which are greatly poverty-stricken. Unfortunately, they have no political power to ensure that their right to safe drinking water is enforced.Advertising We will write a custom essay sample on Accessibility to safe drinking water specifically for you for only $16.05 $11/page Learn More The leaders have neglected to provide resources for them to access safe drinking water. These people are estimated to be about one billion in the world (Global Water, 2010). International organizations are penetrating these countries and with the financial assistance of donors, they are providing resources for these people in order for them to live a heal thy life. There is underground water in even the most arid areas and the government and the international community can assist by digging wells for these communities. Water shortage and Food Supply Food supply and water shortage are inter-related. The population has been rapidly increasing causing the demand for food to also increase. In those areas where there is water scarcity, they are not able to participate in agricultural activities. The crop life withers and dies. The livestock also die due to hunger. There is also the adverse effect on the population. The people become weak and are not even able to participate in farming. Others get water-borne diseases such as cholera and typhoid from utilizing water that is dirty. The limited crop produce that the community could have harvested is not even harvested well due to decreased labour. It is estimated that over three million people suffer and die from water-borne diseases annually (Water.org, 2012). As the water shortage increase s, there will be growing food insecurity in the world. Addressing the global water shortage It is possible to ease the global water shortage especially in the developing countries. There are cost-effective ways to do it. It is not enough for the governments to provide food for the poor people but it is important to equip them with the resources to access clean water and participate in farming. This will cause them to stop utilizing dirty water for their activities. There are two main ways to address the problems. The first is to dig wells in the rural and arid areas to aid the people to have access to water. The other alternative is to treat water and use it in the home. The increasing population in the world requires water saving measures to be applied. There are technologies available to ensure high water quality. The harmful micro-organisms and chemical contaminants are removed. The people can also be educated on efficient and safe distribution techniques to ensure the water does not become dirty. Environmental challenges and water shortage In periods of water shortages the environment is adversely affected. When it comes to the ecosystem, there will be animal and plant life unable to survive in certain areas. The drought makes it hard to grow certain crops. Animals will travel long distances to look for areas where they can find water.Advertising Looking for essay on environmental studies? Let's see if we can help you! Get your first paper with 15% OFF Learn More The change in the ecosystem affects the other animals which rely on the animals and crops as food creating imbalance (World Water Council, 2012). It is therefore important for governments and other international organizations to address the water shortage problems. Works Cited Global Water. Why Water. 2010. Web. http://globalwater.org/ Water.org. The Crisis. 2012. Web. https://water.org/our-impact/water-crisis/ World Water Council. Water Crisis. 2012. Web. http://www.worldwatercounci l.org/en/water-crisis This essay on Accessibility to safe drinking water was written and submitted by user Maxim Gray to help you with your own studies. You are free to use it for research and reference purposes in order to write your own paper; however, you must cite it accordingly. You can donate your paper here.

Losing herself by Losing Weight †Creative Writing Story

Losing herself by Losing Weight – Creative Writing Story Free Online Research Papers Losing herself by Losing Weight Creative Writing Story In Grade Eight, the lessons were heavier than last year, and I spent more time on my study. Luckily, my mark is not so bad. Alicia found her boyfriend- a school-famous boy, called Will. He is not only good looking, but also the president of Student Council. In addition, he was born from an extremely rich family. Lots of girls scrambled to be his girlfriend, I thought even Backstreet Boy come to my school couldn’t be as popular as him. He was so scrupulous. When he knew Alicia got a cold, then he asked his driver taking some advanced medicine to her immediately. After P.E. classes, we often could find a glass of water on her desk. She immersed into love’s sea. Every girl who had a boyfriend in my grade envied Alicia so much. Alicia knew clearly that having this brilliant boyfriend was a challenge to her. Because she was not the most beautiful girl in my school and she thought her looking and body were much better than her. The worse, Will had one time pointed out that Alicia was a little bit fat, then she often mentioned she needed to keep fit. In order to keep his heart, Alicia began to reduce her savor, she refused to eat rice and only eat vegetable. Before she ate it, the vegetable might be soaked in water in order to get rid of the oil. When she was having supper, she often only ate an apple. Usually, she would eat raw carrot or cucumber as her breakfast. Oh, my god! In my mind, that’s worse than African refugees. The African had no food but they wanted to eat; to contrary, she had food but didn’t want to eat. I thought her losing weight plan was approaching abnormal. Gradually, she reached her aim, but her face’s colour turned to sallow from rubicund, like the withered grass in autumn. The worse, her menses didn’t come on time. She was not energetic as before. I was afraid that she might be faint anytime and her health couldn’t burden heavy study. She was losing herself. Being an outsider, I had thousands question marks in my brain about her behavior. In a Friday evening, when I was preparing my contest for next day, Alicia was staying at school for spending the weekend with her boyfriend. The room only had two. I finally found a chance to solve my doubt that had hidden so long, like the wine storied in the cellar for a century. â€Å"Alicia, is the raw carrot delicious?† I suspected asked. â€Å"If I tell you it is, then that’s lying you, but when you think about its purpose, that would be completely different. It likes a motivation to push you. â€Å"Push?† â€Å"Yes! When you meet your Mr. Right, you would understand my feeling.† â€Å"Alicia, you are still young, how you can decide your Mr. Right rashly? Are you sure that he is your best man? I think you had better spend more time on your study right now.† â€Å"Michelle, you can study at anytime and everywhere, but you can’t find your lover anytime. When he appears, you must speak out, or you would compunctious forever. You should know how to grab him, because you don’t know when he would appear again.† â€Å"Where did you learn it?† I was a little bit surprise that she would speak out such profound thing. â€Å"However, I won’t learn it from the text book.† â€Å"You mean book is not important to you any more?† â€Å"So what?† I was silent. Do you know that the volcano was extraordinary quite before erupt? I just had that feeling. â€Å"Hey, Alicia, time to get up, or you would miss having breakfast with Will.† After I brushed my teeth and washed the face, she still slept on the bed. I still remember that scene, she slept so quite, like the Egyptian mummy had slept for thousand years in the pyramid. Her hands were so cold, and her lips were purple. â€Å"Don’t trick me! Alicia! Wake up! Wake up!† I desperately swayed her. â€Å"Oh, no.† I rushed out of dormitory and shouted. Fortunately, Alicia was sent to hospital on time and the doctor told me in private that it was caused by over lose weight and serious lack of nutrition. When she was in dormitory, she had stupefied deeply. If I sent her to hospital in few hours later, she would probably sleep forever. I was startled and petrified. Love can let a healthy girl into the hospital! Is love worth doing so much for it? Yep, love is a bottomlem pit, it pushes the infatuation teenagers into the death. The news liked a flying bird, it dispersed everywhere. Lots of students laughed Alicia in private, especially the girls who didn’t like Alicia be Mrs. President. I didn’t divulge a word to her. She stayed in hospital a week, and then went home to have a rest. During the time, Will didn’t call her. I found there were some girls instead of Alicia around him. I was scared telling this to her. I was afraid that she would be crazy. When I called her each time, this poor Alicia always asked me how her boyfriend was, and asked me if student council had any activity like she was the real president of student council. When I response yes, she sounded excited and gave plentiful of suggestions and let me to tell him. When I asked her about her health, she replied: â€Å"Tell Will that don’t worry about me. I will be back soon.† The day when Alicia came back, I received a note from Will. I took it happily to her, because I though it might be a dating note. God knows, this note made me couldn’t close eye in that night. â€Å"Ah!† Alicia suddenly cried loudly. â€Å"What’s wrong?† Katherine and I hugged her at once. She passed the note to us. It said: â€Å"Alicia, I think we had better separate, because I don’t like you too thin.† â€Å"I need the wine. Where is the wine? I want to drink. I don’t want to think. What is wrong with me? It’s him, he said I was too fat, but now he abandoned me first because I was too thin. Michelle, Katherine, do you think I am too thin? Shit! I treat everyone so well, I treat him even better than myself. I can do anything for him, even killed myself. Why? Where is the wine? Michelle, please buy some drinks to me. You can’t understand how my heart hurt I was now. I want to die. Help me!† â€Å"Wu†¦Ã¢â‚¬  she sobbed. She was out of control. She threw pillow, threw the bedding. â€Å"It’s he, he told me he loved me, he wanted to marry me. I want to die. Michelle, I hate you. If you don’t send me to hospital, if you let me continue sleeping, then I won’t awake, then I will live in his heart, then he can remember me forever, remember what I have done for him, then I won’t face this hard situation. Why? Why don’t you let me die?† â€Å"Wu†¦Ã¢â‚¬  That night was a sleepless night. I lay on my bed. Alicia’s word like the movie scene kept showing in my mind. I found that if the boys treat their girlfriends well a little bit, the girls would devote all their love to their lovers. They would do everything for their boyfriends, they want to share everything with their boyfriends, they even would dream to marry their boyfriend, they would scarify everything for their boyfriends. Was it worth? Love wasn’t asked one side to contribute and then the other side to receive. Love didn’t ask you to lost yourself, but encourage you love yourself more. Only you know how to love yourself, then you had a right to love the other person, then your lover knows how to love you, and you can get more love. If a person even doesn’t know how to love herself, she didn’t have a right to ask for love. Because you didn’t love yourself, how can you require your boyfriend love you? Alicia, why you were so silly? Some times, you love deeper; you might be hurt more seriously. My dear Alicia, if you only learn the knowledge from the book, then you wouldn’t be abandoned. The textbook, let us keep a kind of pure. Research Papers on Losing herself by Losing Weight - Creative Writing Story19 Century Society: A Deeply Divided EraThe Spring and AutumnPersonal Experience with Teen PregnancyStandardized TestingLifes What IfsBringing Democracy to AfricaHip-Hop is ArtThe Masque of the Red Death Room meaningsCapital PunishmentTwilight of the UAW

Comparison of the german and british educational system from a system Essay

Comparison of the german and british educational system from a system perpective - Essay Example In addition a stakeholder analysis for both educational systems will be included as part of the comparison. For purposes of this particular comparison, stakeholders will encompass teachers and quality assurance units. Education in the United Kingdom (UK) is required for everyone between the ages of five to sixteen. This is the definite bare minimum length of time that students attend educational institutions. More and more, young students go to nursery schools. Generally, they attend nursery schools at the age of three or four, As well, more Britons continue in education after the age of sixteen each year. In order to meet these demands educational institutions are have found it was necessary to expand the institutions. International students are welcome in all four parts of the UK: England, Scotland, Wales and Northern Ireland. "Each of the four countries has broadly the same structure of education, and broadly the same sort of educational institutions. In Scotland, however, the system differs from the rest of the UK in a few significant respects." (PISA) The German School system is similar to the system in Brian in many ways; the time for compulsory school attendance in Germany is 10 years. In respect to elementary school, 'Grundschule students attend at ages 6 through 10, academic high school 'Gymnasium' is comprised of students between the ages of ages 11-19. Vocationally orie... Vocationally oriented 'Realschule' is available for students of ages 11-16. The diploma from the Gymnasium is the basic requirement for admission to a university, the Realschule diploma to a commercial or technical college, or to the last three years of Gymnasium. A diploma from a Hauptschule, a vocationally oriented branch with five years of education, ages 11-15, is generally required to enter a formal three-year vocational training program for skilled technicians, craftsmen etc., combined with classroom instruction at a vocational school (dual system of vocational training). (PEES) About one in thirteen of British school-age children goes through the independent system. International students under age of sixteen normally go to one of the 2,500 independent schools, which include most Britain's famous and ancient schools. Britain has a National Curriculum - a statement of the minimum learning requirements of all children at each stage in their education. This curriculum is compulsory in the state system. Independent schools are not bound by it, but in practice most of them teach what the National Curriculum demands (PEES) In Germany the figures for students beginning school wereas follows: School beginners, 2001/2002**: 796,700 children (48.5% girls), 1.9% less or down by 15,100 from the previous year, East: -2%, west: -1.9%. (PEESE) Britan differs from the German School System in the way German institutes study differ from those in England. they have the Scottish Certificate of Education (SCE), rather than GCSEs and A-levels. students go to a university or university sector college a year earlier than in the UK, and stay a year longer. students are not committed to the subject they applied to study. Educational

The Major Issues and Difficulties Facing the European Union and Its Essay

The Major Issues and Difficulties Facing the European Union and Its Attempts to Effectively Fight Fraud Against Its Budget - Essay Example In 1992, the Treaty of Maastricht was signed which gave rise to the European Union (EU). A single market devoid of any boundaries was established where people could go from one country to another freely. The single currency concept came into being in 2002 with the introduction of Euro. The EU family is growing day by day and more countries are joining in. The European Parliament, the body governing the EU, takes care of all the activities of the member states. The member countries set up the parliament by giving their votes. The votes are directly proportional to an individual country’s size. The parliament consists of Commissioners of different countries led by a President. (History of European Union, n.d.) With the enlargement of EU, more countries came into its fold. The challenge for the EU was to induct these countries into its set up. The problem faced by EU in this regard was that the Parliament was influenced by the bigger countries as they had the lion’s share of commissioners. The treaty of Nice underlined that the small countries will get to cast a minimum amount of votes while the big countries would cast the bigger share. This means that the bigger countries will influence all the decisions taken in the EU. (The treaty of nice, n.d.) Perhaps, the main issue facing the EU right now is the fraud against their budget. The symptoms are widespread now and the EU is facing severe problems in controlling the frauds against the budget. Despite the measures taken by the EU in controlling the frauds, various scams, and frauds surfaced which has led to the decrease in public trust on EU. OLAF was set up to look after the corruption against the budgetary frauds. (EU budget fraud, 16th January 2010). With the introduction of new member countries in the EU fold the problem of the transition begins.

Do we overplay the influence - especially the harmful influence - of Essay

Do we overplay the influence - especially the harmful influence - of the media on British politics - Essay Example Hodgson (2007) claimed that since ‘World War II’ British media has played an influential role in the country in terms of political participation, elections and political process among others. Considering this fact, media and newspaper has undermined several aspects of the country in terms of voting, elections, political equality and accountability. As a consequence, the impact of the political activities in case of business sectors, has diversely affected the performance of the country. Moreover, it has also affected the financial stability of the country in context of political background. Additionally, during the early 21st century the traditional trend of media changed to a considerable extent and the presence of social media highly influenced the political performance in Britain (Hodgson, 2007). In this assignment, the objective is to identify that whether we overplay the influences of media on the British politics. At the same time, the study has also emphasised to identify the harmful influences of media and newspaper of the British political system. During the contemporary era, the role of mass media has changed, which has influenced potential problems on the democratic environment of the British government. More precisely, media and newspaper has identified all the agenda from the domestic environment of the British and framed the same in front of Britain citizens. In this regard, mass media have a high influence on the macro political agenda, which has initiated difficulties for the political parties in Britain. According to the viewpoint of Tulloch (2007) British political system is usually established on the basis of democratic governance. In this context, it is evident that constitutional issues and governmental elections are usually the core agenda’s of the British political system. On the other hand, a large number of the

Prevalence of ESBL in Surgical Wound Infections and Burns

Prevalence of ESBL in Surgical Wound Infections and Burns PREVELANCE OF EXTENDED SPECTRUM BETA LACTAMASES PRODUCERS AMONG SURGICAL WOUND INFECTIONS AND BURNS PATIENTS AT DR. SHANKARRAO CHAVAN GOVERNMENT MEDICAL COLLEGE, NANDED. *Vivek M Gujar1, Sharmila S Raut2, Sanjaykumar R More3 1. Assistant Professor, Dept. of Microbiology, Dr. S.C. Government Medical College, Nanded. 2. Professor, Dept. of Microbiology, Dr. S.C. Government Medical College, Nanded. 3. Associate Professor, Dept. of Microbiology, Dr. S.C. Government Medical College, Nanded. ABSTRACT Purpose:- The purpose of this study was to know the prevalence of Extended Spectrum beta lactamases (ESBL) among surgical wound infection and burn patients. Methods:- A total of 100 patients admitted to the surgical wards with post operative wound infections and burns from January 2014 to May 2014 were studied. A total of 137 isolates were obtained from these patients. Of these, 87 organisms (63.5% of the total isolates) were found to be Extended Spectrum beta lactamases (ESBL) producers. The commonest were Escherichia coli and Klebsiella pneumonia . They were studied for ESBL production by screening test, CLSI disc diffusion method phenotypic confirmation by disc potentiation test. Result:- Out of 100 strains, 87 (63.5%) were confirmed as ESBL producers. Among the ESBL producer all the isolates were sensitive to Imipenem. Resistance against Ampicillin (10ug) is 100%, Gentamicin (10ug) is 80.46%, Ciprofloxacin (5ug) is 74.72%, Tetracycline(30ug) is 63.22% and Amikacin (30ug) is 16.1 0.% Conclusion:- Our study shows presence of ESBL producer among surgical wound infections and burn patients and their prevalence is 63.5%. The routine antimicrobial sensitivity test may fail to detect ESBL. Detection of ESBL production should be carried out as a routine in diagnostic laboratories by disc potentiation test as it is a simple and cost effective test. Antibiotics resistance is significantly more prevalent in ESBL positive isolates as compared to ESBL negative. Key words:- Extended Spectrum Beta Lactamases, ESBL, INTRODUCTION The beta lactam antibiotics are amongst the most widely prescribed antibiotics and are an important component of empirical therapy in intensive care unit and high risk ward.1,2,3 Resistance to beta lactam antibiotics is an increasing problem worldwide.4 Increase in the prevalence of penicillin resistance in Streptococcus pneumoniae, Methicillin resistance in Staphylococcus aureus, Vancomycin resistance in Enterococci, Extended spectrum beta lactamases (ESBL) production in Enteric Gram negative bacilli and Fluroquinolone resistance in Neisseria gonorrhoea are just a few examples of the rising problem of resistance documented by both national and international surveillance system in the past few years.5 The ESBL are plasmid mediated enzymes that hydrolyze the oxyimino beta lactam (3rd generation cephalosporine) and monobactam (aztreonam), but have no effect on cephamycins (cefoxitin and cefotatan). It is situated in periplasmic space.6 Although TEM type beta lactamases are most often found in Escherichia coli and Klebsiella pneumoniae, they are also found in Enterobacter spp., Salmonella spp., Morganella morganii, Proteus mirabilis, Serratia marcescens, Pseudomanas aeruginosa, Shigella dysenteriae, Capnocytophaga ochracea and Citrobacter 7,8,9,10. However, the frequency of ESBL production in these organisms is low.11 Over 150 different ESBLs have been described as of today.12 ESBL pose a major problem for clinical therapeutic. It is necessary to identify the prevalence of these strain in hospitals and to characterise their epidemiology, control spread of these strains and to determine suitable preventive measures and treatment policies. MATERIALS AND METHODS A present study was conducted at Dr. Shankarrao Chavan Government Medical College, Nanded between January 2014 – May 2014. A total number of 100 post operative wound infections and burns patients wound swabs were processed during the study. A total of 137 isolates were obtained from these patients. COLLECTION AND IDENTIFICATION OF THE ISOLATES Using aseptic precautions, wound swabs were collected from the patients using sterile tipped swabs. The organism(s) isolated were identified based on colony morphology on blood agar, MacConkey agar and by standard biochemical tests.13,14 Strains:- Escherichia coli ATCC 25922( ESBL negative) and Klebsiella pneumoniae ATCC 700603 (ESBL positive)were used as control organism throughout the study. Antimicrobial Susceptibility testing:- The antibiotic sensitivity test was performed by Kirby Bauer disc diffusion technique with commercial available discs (HiMedia, Mumbai, India) on Muller Hinton agar plates. The discs used were Ampicillin (10ug), Amikacin (30ug), Gentamicin (10ug), Ciprofloxacin (5ug), Imipenem (10ug) and Tetracycline (30ug). The diameter of the zone of inhibition of each antibiotic was measured and interpreted as sensitive, intermediate sensitive or resistance according to CLSI criteria.15 Detection of ESBL15:- In the present study 137 isolates were tested for ESBL production by the following methods- SCREENING TESTS15:- CLSI disc diffusion method PHENOTYPIC CONFIRMATION TEST15:- Disc potentiation test CLSI ESBL Screening test:- 15 According to NCCLS 2002 for screening test to be positive or to consider an organism as probable ESBL producer the zone diameter should be- Antibiotic Zone diameter In mm or less Ceftazidime(30ug) 22 Cefotaxime (30ug) 27 Ceftriaxone (30ug) 25 Cefpodoxime(10ug) 17 Aztreonam (30ug) 27 The use of more than one antimicrobial agent suggested for screening will improve the sensitivity of ESBL detection15. Ideally the most sensitive ESBL screening agent is Cefpodoxime for Escherichia coli and Klebsiella pneumoniae.9 In the present study, ceftazidime (30ug), cefotaxime (30ug), ceftriaxone(30ug), cefpodoxime (10ug) and aztreonam (30ug) were used. These were stored in refrigerator. Before use they were taken out of refrigerator and brought to room temperature. Then they were applied on Muller Hinton agar for Antibiotic sensitivity testing. DISC POTENTIATION METHOD 15 As per CLSI guidelines disc potentiation method was used as phenotypic confirmatory test. For confirmation of ESBL production ceftazidime (30ug), ceftazidime + clavulanic acid combination disc (30/10ug) manufactured by HiMedia and cefotaxime (30ug) + cefotaxime clavulanic acid (30/10ug) prepared in laboratory were used. PREPARATION OF CLAVULANIC ACID STOCK SOLUTION For preparation of clavulanic acid stock solution Augmentin powder (gsk company) was used- 1.2gm vial of (Augmentin) contains 200mg clavulanic acid 1200 mg contains 200mg clavulanic acid Therefore, 6 mg Augmentin contains 1 mg clavulanic acid. 6 mg Augmentin is dissolved in 1 ml sterile distilled water to make a solution i.e 1ml solution contain 1 mg clavulanic acid. i.e 1000ul solution contains 1000ug clavulanic acid. PREPARATION OF CEFOTAXIME-CLAVULANIC ACID DISC15,16 Cefotaxime (30ug) discs were kept separately in a sterile petridish. 10ul of stock solution of clavulanic acid was added to each disc with a micropipette. 30 minutes were allowed for clavulanic acid to absorb and also for the disc to dry. The discs were used immediately after preparation. STORAGE OF CEFTAZIDIME+CLAVULANIC ACID DISC Clavulanic acid being labile, discs were placed in separate screw capped glass vials and stored at -200C. When antibiotics discs were required for test, they were removed from the freezer and allowed to come to room temperature before application. 17 APPLICATION OF DISCS:- After preparing the inoculum, Muller Hinton agar plates were inoculated. With the help of sterile forcep antibiotic discs containing ceftazidime and ceftazidime+clavulanic acid and cefotaxime and cefotaxime+clavulanic acid were placed on inoculated Muller Hinton agar plate at a distance of 24 mm from center to center. Plates were inverted and incubated at 370C for 16-18 hours. INTERPRETATION More than or equal to 5mm increase in a zone diameter for ceftazidime and cefotaxime tested in combination with clavulanic acid versus its zone when tested alone indicate ESBL production. ESBL POSITIVE:- If an isolate is confirmed as ESBL producer, the isolate reported as resistant to all Penicillin, Cephalosporins and Monobactam (Aztreonam). ESBL NEGATIVE:- If an isolate is not confirmed as ESBL producer, the sensitivity of the isolate was reported as per sensitivity test report. RESULT The total number of patients screened were 100 of which 64 were males and 36 females (M : F = 1.78:1). The average age was 44.72 years (Range 12-80 years). The types of wounds were post operative wounds (65.7%) and burns (34.3%). Duration of hospital stay ranged from 15 days to 3 months. Out of 137 strains, 87 (63.50%) were confirmed as ESBL producers (Table 1). Susceptibility pattern of the ESBL producers were studied. All the isolates were sensitive to Imipenem. Resistance against Ampicillin (10ug) is 100%, Gentamicin (10ug) is 80.46%, Ciprofloxacin (5ug) is 74.72%, Tetracycline(30ug) is 63.22% and Amikacin (30ug) is 16.10.% (Table 3). TABLE 1 Distribution of ESBL strains among the different organisms isolated Sr. no Organism No. of organisms Isolated No. of ESBL strains % ESBL strains 1 Escherichia coli 71 45 63.38% 2 Klebsiella pneumonia 57 36 63.15% 3 Enterobacter spp. 07 04 57.14% 4 Morganella morganii 01 01 100% 5 Providentia rettgeri 01 01 100% TOTAL 137 87 63.50% Table 2 Distribution of ESBL strains based on clinical diagnosis Sr. no Clinical diagnosis No. of organisms Isolated No. of ESBL strains % ESBL strains 1 Post operative wounds Infections 90 55 61.11% 2 Burns 47 32 68.08% Table 3 Antimicrobial susceptibility pattern of ESBL positive strains Sr. no Organism Susceptibility Category A Ak G Cf T I 1 Escherichia coli (45) S 00 37 07 10 18 45 IS 00 05 02 01 02 00 R 45 03 36 34 25 00 2 Klebsiella pneumonia (36) S 00 30 05 07 10 36 IS 00 02 02 02 01 00 R 36 04 29 27 25 00 3 Other. (06) S 04 06 05 05 04 06 IS 00 00 00 01 01 00 R 02 00 01 00 01 00 A=Ampicillin, Ak = Amikacin, Cf = Ciprofloxacin, G = Gentamicin, T = Tetracycline, I = Imepenem, R= Resistance, S = sensitive, IS = Intermediate sensitive DISCUSSION The prevalence of ESBL among clinical isolates very greatly worldwide, indifferent geographic areas and are rapidly changing overtime.18 In, 1983, Knothe et.al describe for the first time transferable resistance to the broad spectrum cephalosporins in clinical isolates of Klebsiella pneumoniae.19 The routine susceptibility test done by clinical laboratories fail to detect ESBL positive strains. The incidence of ESBL producing organisms in various studies has varied from 0-84%. In our study prevalence of ESBL producing strains is found to be 63.5%. All ESBL producers were sensitive to Imipenem. The result is in accordance with observation reported by other investigators.3,12,18,20 The new inhibitor based confirmatory test approach has been recommended by the CLSI for detection of ESBL. In the present study we found disc potentiation method to be reproducible, sensitive, easy and cost effective for use in a busy diagnostic laboratory.3,11 The use of both cefotaxime and ceftazidime with and without clavulanic acid increases the sensitivity of detection of ESBL compared to the use of only one of them. Inclusion of Cefpodoxime has been reported to further increase the sensitivity of this tests. 3,11 Among the Enterobacteriaceae, ESBL are most prevalent in Escherichia coli and Klebsiella spp. isolates. CONCLUSION The prevalence of ESBL producing strains is 63.5%. Multidrug resistance was found to be significantly higher in ESBL positive isolates as compared to ESBL negative. All the ESBL producers are sensitive to Imipenem. If an isolate is confirmed as ESBL producer, the isolate reported as resistant to all Penicillin, Cephalosporins and Monobactam (Aztreonam). Detection and reporting of beta lactamases producer is responsibility of every clinical Microbiologist. To prevent the spread of ESBLs producing organisms, infection control precautions like barrier nursing, cohorting of patients and nurses, attention to hand washing are essential. REFRENCES Chambers H F, Neu H C, Other beta lactam antibiotics In:Mandell G L, Bennetts J E, Daolin R, editors. Principles and Practice of infectious diseases 4th ed. Vol.I, New york: Churchill Livingstone;1995p.264-72. Fatima H M,, Chanawong A, Kevin G K, Birkenhead D and Hawkey P M. Detection of extended spectrum beta lactamases in members of the family Enterobacteriaceae: comparision of the MAST DD test, the double disc and Etest ESBL. J antimicrob Chemother (2000) 45: 881-885. Mathur P, Kapil A, Das B and Dhawan B. Prevalence of extended spectrum beta lactamases producing Gram negative bacteria in a tertiary care hospital. Indian J Med Res (2000) 115: 153-157. Samaha-Kfoury J N and Georges F A. Recent development in beta lactamases and extended spectrum beta lactamases. British Med J (2003) 327: 1209-1213. Tenover F C, Mohammed M J, Stelling J, O’brien T and Williams R. Ability of Laboratories To Detect Emerging Antimicrobial Resistance: Proficiency Testing and Quality Control Results from the World Health Organisation’s External Quality Assurance System for Antimicrobial Susceptibility Testing. J Clin Microbiol (2001) 39(1):241-250. Louis Rice, MD. Evolution and Clinical Importance of Extended Spectrum beta Lactamases. CHEST (2001) 119: 391S-396S. Decre D, Guchot B, Lucet C, Guillaume A, Bergogne B and Regnier B. Clinical and Bacteriologic Epidemiology of Extended Spectrum beta Lactamases Producing Strains of Klebsiella pneumoniae in a Medical Intensive Care Unit. Clin Infect Dis (1998) 27: 834-844. Thomas K S. Controversies about Extended Spectrum and AmpC beta Lactamases CDC (2001) 7(2): 1-9. Rodrigues C, Joshi P, Jani S H, Alphonse M, Radhakrishanan Ramd Mehta A, DETECTION OF BETA LACTAMASES IN NOSOCOMIAL GRAM NEGATIVE CLINICAL ISOLATES. Indian J Med Microbiol (2004) 22(4): 247-250. Tankhiwale S S, Jalgaonkar S V, Sarfraz Ahmed and Hassani U. Evaluation of extended spectrum beta lactamases in urinary isolates. Indian J Med Res (2004) 120: 553-556. Chaudhary U and Aggarwal R. EXTENDED SPECTRUM BETA LACTAMASES (ESBL) – AN EMERGING THREAT TO CLINICAL THERAPEUTICS. Indian J Med Microbiol (2004) 22(2): 75-80. Menon T, Bindu D, Kumar CPG, Nalini S and Thirunarayan M A. COMPARISON OF DOUBLE DISC AND THREE DIMENSIONAL METHODS TO SCREENING FOR ESBL PRODUCERS IN A TERTIARY CARE HOSPITAL. Indian J Med Microbiol (2006) 24: 117-120. Betty A Forbes, Daniel F Sahm, Alice S Weissfeld. Laboratory cultivation and isolation of bacteria. In: K.Fabiano, Sarahly L, Ellen Wurm, editors. Bailey and Scott’s Diagnostic Microbiology, 11th ed. Mosby Elesvier; (2002): 133-147. Koneman E W, Allen S D, Janda M W, Schreckenberger P C and Wine W C. The Enterobacteriaceae. In: Andrew A, Collins H and Deitch S editors. COLOUR ATLAS AND TEXTBOOK OF DIAGNOSTIC MICROBIOLOGY, 5th ed. Philadelphia: J b Lipincott Co. 1991: 105-184. National Committee for Clinical Laboratory Standards (NCCLS). Performance Standards for Antimicrobial Susceptibility Testing. Twelth Information Supplement 2002. M100-S12. Vol.20 No.1 2 Villanova Pa. Steward C D, Rasheed J K, Hubert S K, Biddble J W, Raney P M, Anderson G J, Williams P P, Brittain K L, Oliver A, McGowan J E and Tenover F C. Characterization of clinical isolates of Klebsiella pneumoniae from 19 laboratories using the National Committee for Clinical Laboratory Standard Extended spectrum beta Lactamases Detection methods. J Clin Microbiol (2001) 39(8): 2864-2872. Watt C, Louie M, simor A E. Evaluation of Stability of Cefotaxime(30ug) and Ceftazidime(30ug) discs impregnated with clavulanic acid(10ug) for detection of Extended spectrum beta Lactamases. J Clin Microbiol (2000) 38(7): 2796-2797. Babypadmini S and Appalaraju B. EXTENDED SPECTRUM BETA LACTAMASES IN URINARY ISOLATES OF ESCHERICHIA COLI AND KLEBSIELLA PNEUMONIAE – PREVALENCE AND SUSCEPTIBILITY PATTERN IN A TERTIARY CARE HOSPITAL. Indian J Med Microbiol (2004) 22(3): 172-174. Liu P Y, Jai-Chain T, Se-Chin Ke and Chen S L. Molecular Epidemiology of Extended Spectrum beta Lactamases producing Klebsiella pneumoniae Isolates in District Hospital in Taiwan. J Clin Microbiol (1998) 36(9): 2759-2762. Shukla I, Tiwari R and Agarwal M. PREVALENCE OF EXTENDED SPECTRUM BETA LACTAMASE PRODUCING KLEBSIELLA PNEUMONIAE IN A TERTIARY CARE HOSPITAL. Indian J Med Microbiol (2004) 22(2): 87-91.

Rate of Isomerism of [Co(en)2Cl2] Essay

In the course of this experiment the rate of isomerism for the coordination complex cis[Co(en)2Cl2]Cl was determined using UV/Vis spectrometry. Using a range of wavelengths the optimum spectrometer setting for analysis was identified. The corresponding maximum and minimum absorbance of the cis and trans isomers respectively at 540 nm meant that it was selected as the wavelength to determine the rate of conversion between the isomers. The first order rate constant was calculated to be 0.0092 m-1 which is somewhat similar to the literature value of 0.00845 m-1 (Brasted and Hiriyama 1958). The half-life (t 1/2) was found to be 75.34 minutes. Introduction: The compound [Co(en)2Cl2]+ is known as a coordination complex, that is, it consists of a Cobalt atom surrounded by an array of molecules to which it is bound, called ligands (Brown 2010). In this case the ligands are Ethylenediamine which are ‘bidentate’, meaning bound in two locations. These ligands are bonded between the two Nitrogen atoms as seen in figure 1 below. This complex occurs in two geometric isomers, cis-[Co(en)2Cl2] + and trans-[Co(en)2Cl2] +. In this experiment the Chloride salt form of the complexes were used i.e. cis-[Co(en)2Cl2]Cl. Figure 1: The Trans and Cis isomers of [Co(en)2Cl2]+ Source: Shapter ,J. 2014 Experiment 1: Rate of Isomerism cis[Co(en)2Cl2]Cl, Flinders University, Australia The Cis- isomer form of the complex which is purple in solution reacts to form the Trans- isomer which is green in solution. This experiment uses spectroscopy to quantify the conversion of the Cis into the Trans isomer due to the fact that the concentration of the Cis isomer is proportional to the difference in absorbance of the two complexes in solution. This isomerism of the Cis-form is a first order reaction and its rate is expressed in equation 1 below. Equation 1: By measuring the optical densities at time 0, t and infinity the rate constant k can be determined with equation 2, a rearranged and substituted form of the formula used above. Equation 2: a) Which rearranges to give: b) Experimental: Solutions of 2 Ãâ€" 10-3 M Cis- and Trans-[Co(en)2Cl2]Cl were prepared and placed in volumetric flasks of 100 ml and 10ml volumes respectively. Samples of these solutions were placed in cuvettes and measured in a spectrometer over the range of wavelengths between 350 and 700 nm. The Varian Car 50 UV-Vis spectrometer recorded the absorbance of the two isomers and produced a print out which was used to identify the correct wavelength for further spectroscopy (see Appendix 1). Using the SP – 880 Metertech spectrometer, the absorbance was measured and recorded as seen in Table 1. Next the Cis isomer solution was warmed in a water bath at 40 degrees Celsius and a sample was taken and cooled in an ice bath. The absorbance of the sample was then measured using the wavelength previously selected. This was repeated at ten minute intervals for an hour. Finally a last sample of the cis[Co(en)2Cl2]Cl was analysed with the spectrometer 24 hours after to determine the value. Results: Table 1: Absorption of the Two Isomers at Various Wavelengths Wavelength (nm) Cis Trans 350 0.468 0.144 360 0.289 0.090 370 0.207 0.087 380 0.180 0.091 390 0.170 0.091 400 0.466 0.397 410 0.123 0.070 420 0.092 0.057 430 0.066 0.049 440 0.049 0.047 450 0.041 0.048 460 0.043 0.048 470 0.049 0.045 480 0.061 0.039 490 0.076 0.031 Wavelength (nm) Cis Trans 500 0.093 0.025 510 0.110 0.020 520 0.124 0.017 530 0.134 0.017 540 0.137 0.020 550 0.134 0.025 560 0.129 0.034 570 0.122 0.044 580 0.116 0.055 590 0.065 0.109 600 0.102 0.071 610 0.095 0.075 620 0.085 0.074 630 0.073 0.067 640 0.060 0.055 650 0.049 0.049 660 0.035 0.038 670 0.026 0.028 680 0.018 0.020 690 0.013 0.013 700 0.009 0.008 Figure 1: Absorbance against Wavelength of Cis and Trans Isomers Table 2: Absorbance of Cis Isomer at 540 nm Time (min) Cis Abs ln[Dt-D∞] y = -0.01104 X – 2.40936 10 0.117 -2.51331 -2.519758607 20 0.108 -2.63109 -2.630158414 30 0.100 -2.74887 -2.74055822 40 0.093 -2.8647 -2.850958026 50 0.089 -2.93746 -2.961357833 60 0.082 -3.07911 -3.071757639 t ∞ 0.036 Figure 2: Natural Logarithm of the Cis Isomer Absorbance against Time Table 3: Slope, Y intercept and Regression Error Generated by Linest Function -0.01104 -2.40936 0.00036364 0.014162 0.995679 0.015212 921.711268 4 0.21329205 0.000926 Calculations: Mass of Cis Isomer Required to Make 2 x 10-3 M 100ml M = Mass/(Volume Ãâ€" Molar Mass) Mass req. = 2 Ãâ€" 10-3 Ãâ€" ((100/1000) Ãâ€" 285) = 57mg Mass of Trans Isomer Required to Make 2 x 10-3 M 10ml M = Mass/(Volume Ãâ€" Molar Mass) Mass req. = 2 Ãâ€" 10-3 Ãâ€" ((10/1000) Ãâ€" 285) = 5.7mg k k = (ln[D0-D∞] -ln[Dt-D∞]) / t k = 0.0092 m-1 ln[Dt-D∞] ln[D0-D∞] -3.0718 -2.5198 Half life t 1/2 = ln[2/k] = 75.3422 min Error Propagation: Measured weight of isomers Cis 56.7mg Trans 5.7mg Resolution of Scales ‘Satorius Extend’: 0.1mg Volumetric glassware 100ml  ± 0.1 ml ‘A’ Class 10ml  ± 0.025 ml ‘A’ Class Discussion: Methanol was used as a solvent in this experiment to avoid the chemical interactions that may have occurred had water been used in its place (Mahaffy 2011). In the initial solution of the Cis isomer accuracy wasn’t as important as it was being measured to find the optimal wavelength for analysis as seen in Figure 1 and Appendix 1. Preparation of the Cis Isomer solution measured to produce Figure 2 required a mass of the compound as close as possible to the calculated amounts (See Results – Calculations) in order to produce results that allowed for the accurate determination of the rate constant (k) and half-life (t1/2). The relationship between k and t1/2 is that k is a factor in the formula of t1/2 (See Results – Calculations) and determines what unit of time that the half-life is expressed in (in this case minutes-1). Figure 1 plots the absorbance of the two isomers against the various wavelengths from 350nm 700nm. From this graph the wavelength of 540nm was id entified as the ideal to be used to determine the reaction rate of the isomers. This was due to the local maxima of the Cis isomer at this  point which coincides with the local minima of the Trans isomer. This data is confirmed by the printout of the Varian Car 50 UV-Vis spectrometer which also marked the 540nm point on its plot (see Appendix 1). This clear difference in absorption of the two isomers at this wavelength meant that the rate of inter-conversion could be determined. The graph of the natural logarithm of the absorbance of the Cis isomer against time can be seen in figure 2. By observing the points on the plot a straight line of decay confirms that this reaction is first order, a logarithm of the measured absorbance values (Christian 2010). Calculations were carried out on the data in table 2 to determine the k and t1/2 (see Results – Calculations). The k value calculated of 0.0092 m-1 roughly matches the figure generated by the linest function 0.01104m-1 (see Table 3, top left) and is also similar to the literature value of 0.00845m-1. With the calculated k value of 0.0092 the t1/2 was determined to be 75.3422 minutes. Slight variations between the k value calculated from the points in figure 2 and that generated by the linest function can be accounted for by the fact that the linest function is a calculate d line of best fit and so does not fit the data points collected exactly but is an approximation. The slight difference between the literature value of k 0.00845m-1 and the calculated k of 0.0092m-1 can be accounted for by human error in time, volume and mass measurement. The range of error in this measurement is  ±0.00075 which is the difference between the calculated and literature values. Conclusion: In this experiment the rate constant (k) was determined to be 0.0092m-1  ±0.00075 and the t1/2 was calculated to be 75.3422 minutes. References: Brasted, R. Hirayama C. 1958 The cis-trans Isomeration of Dichlorbis-(ethylenediamine)-cobalt(III) Chloride and Dichlorbis-(propylenediamine)-cobalt(III) Chloride in Alcohols, Journal of Chemistry, Department of Chemistry, University of Minnesota. Vol. 80 pp 788 – 794. Brown, T. LeMay H. Bursten, B. Murphy, C. Langford, S. & Sagatys D. 2010. Chemistry: The Central Science, Pearson, Australia. pp 1196 – 1197. Christian, G. 2010. Analytical Chemistry 6th Ed., John Wiley & Sons, USA. pp 159, 270 – 271. Mahaffy, P. Bucat, B . Tasker, R. Kotz, J. Treichel, P. Weaver, G. & McMurry, J. 2011. Chemistry: Human Activity, Chemical Reactivity, Nelson Education, Canada. pp 99, 115 – 116. Appendices: Appendix 1: Figure 3: Absorbance of Cis and Trans Isomers at Various Wavelengths (Varian Car 50 UV-Vis spectrometer)

Core & Peripheries

Economic value will shift to the ends of the networks, as a result of the decoupling of intelligence in a network. Subsequently, companies have realized that they need to change their focus to the core – the back-end intelligence that is farthest away from the user – and the periphery – the front-end intelligence that is closest to the user. This separation of value to the ends has thus created an opportunity for organizations to optimize their business functions around the ends. Common InfrastructureAs in the case of the PC at work, there was a clash between what the users wanted: easy-to-use, portable, and flexible at the front-end; powerful and reliable at the back-end. In trying to provide both requirements some necessary design compromises had to be made previously. However, with the decoupling of intelligence in networks the two ends could be separated and a common infrastructure provided at the back-end, in the form of one server in the IT Department of th e office, while the front-end intelligence could be made without compromise as specialized machines.Similarly, disparate elements within the company can be combined to form shared infrastructures that are more cost-effective in their specialization. Modularity The mobilization of intelligence is another pattern that has resulted in a trend that has shifted economic value in the network. Sawhney and Parikh (2001) have discovered that the importance of plug-and-play has been established by the subsequent modularity of devices, softwares, and processes into self-contained modules that can be assimilated into a new value chain as needed.Sharing of capabilities is more important in this regard, than safeguarding of proprietary assets. Orchestration With increased modularity, it has become more and more economically valuable for there to be companies and managers that are able to coordinate, organize, and connect the different modules into new value chains. HP and Cisco are such examples of companies that are seeking to become the intelligent hubs to coordinate their various stakeholders, and are thus reaping the lion’s share of the value in their respective networks. Conclusion In the words of Sawhney and Parikh (2010, p.79): â€Å"By learning to recognize two simple patterns in the evolution of networks, you may be able to turn chaos into opportunity. † It is the intelligence of the network, more specifically its location and mobility as established by the recent advancements in technology that determines the way that companies organize disparate pieces of information, products, people, and the market, and consequently, how to maximize the inherent value. References Sawhney, M. & Parikh, D. (2001). Where Value Lives in a Networked World. Harvard Business Review, 79, p79-86. Retrieved May 02, 2010, from Harvard Business Review.

Null Hypothesis Definition and Examples

Null Hypothesis Definition and Examples In a scientific experiment, the null hypothesis is the proposition that there is no effect or no relationship between phenomena or populations. If the null hypothesis is true, any observed difference in phenomena or populations would be due to sampling error (random chance) or experimental error. The null hypothesis is useful because it can be tested and found to be false, which then implies that there is a relationship between the observed data. It may be easier to think of it as a nullifiable hypothesis or one that the researcher seeks to nullify. The null hypothesis is also known as the H0, or no-difference hypothesis. The alternate hypothesis, HA or H1, proposes that observations are influenced by a non-random factor. In an experiment, the alternate hypothesis suggests that the experimental or independent variable has an effect on the dependent variable. How to State a Null Hypothesis There are two ways to state a null hypothesis. One is to state it as a declarative sentence, and the other is to present it as a mathematical statement. For example, say a researcher suspects that exercise is correlated to weight loss, assuming diet remains unchanged. The average length of time to achieve a certain amount of weight loss is six weeks when a person works out five times a week. The researcher wants to test whether weight loss takes longer to occur if the number of workouts is reduced to three times a week. The first step to writing the null hypothesis is to find the (alternate) hypothesis. In a word problem like this, youre looking for what you expect to be the outcome of the experiment. In this case, the hypothesis is I expect weight loss to take longer than six weeks. This can be written mathematically as:  H1: ÃŽ ¼ 6 In this example, ÃŽ ¼ is the average. Now, the null hypothesis is what you expect if this hypothesis does not happen. In this case, if weight loss isnt achieved in greater than six weeks, then it must occur at a time equal to or less than six weeks. This can be written mathematically as: H0: ÃŽ ¼ ≠¤ 6 The other way to state the null hypothesis is to make no assumption about the outcome of the experiment. In this case, the null hypothesis is simply that the treatment or change will have no effect on the outcome of the experiment. For this example, it would be that reducing the number of workouts would not affect the time needed to achieve weight loss: H0: ÃŽ ¼ 6 Null Hypothesis Examples Hyperactivity is unrelated to eating sugar is an example of a null hypothesis. If the hypothesis is tested and found to be false, using statistics, then a connection between hyperactivity and sugar ingestion may be indicated. A significance test is the most common statistical test used to establish confidence in a null hypothesis. Another example of a null hypothesis is Plant growth rate is unaffected by the presence of cadmium in the soil. A researcher could test the hypothesis by measuring the growth rate of plants grown in a medium lacking cadmium, compared with the growth rate of plants grown in mediums containing different amounts of cadmium. Disproving the null hypothesis would set the groundwork for further research into the effects of different concentrations of the element in soil. Why Test a Null Hypothesis? You may be wondering why you would want to test a hypothesis just to find it false. Why not just test an alternate hypothesis and find it true? The short answer is that it is part of the scientific method. In science, propositions are not explicitly proven. Rather, science uses math to determine the probability that a statement is true or false. It turns out its much easier to disprove a hypothesis than to positively prove one. Also, while the null hypothesis may be simply stated, theres a good chance the alternate hypothesis is incorrect. For example, if your null hypothesis is that plant growth is unaffected by duration of sunlight, you could state the alternate hypothesis in several different ways. Some of these statements might be incorrect. You could say plants are harmed by more than 12 hours of sunlight or that plants need at least three hours of sunlight, etc. There are clear exceptions to those alternate hypotheses, so if you test the wrong plants, you could reach the wrong conclusion. The null hypothesis is a general statement that can be used to develop an alternate hypothesis, which may or may not be correct.

Cross-Cultural Health Perspectives Essay Example

Cross Cross-Cultural Health Perspectives Paper Cross-Cultural Health Perspectives Paper The health of an individual, the family and the larger community is not determined by individual characteristics only; the social and cultural context plays a significant role in determining it (Airhihenbuwa, 1995). The influence of culture in health matters is especially pronounced in African societies where individual behavior is greatly influenced by the values held for the extended family and the community at large (Airhihenbuwa, 2004). As part of meeting emerging standards of care, the context of cultural and social attributes should be put into consideration so that the most appropriate nature of interventions and their timeliness can be determined. This research paper will review this approach in a case study of HIV/AIDS in South Africa. Discussion Culture has been shown to be a major factor in the ways that the HIV/AIDS pandemic has impacted on the society in South Africa. This is due to the beliefs and values that relate to sexuality including the time to become sexually active, the number of sexual partners to have and whether or not to use condoms as protection (Airhihenbuwa, 2004). Issues have also been raised about the sharing of needles and syringes outside the clinical context like in drug abuse and other traditional rituals. The HIV and AIDS pandemic has either wore down or in the least compromised belief and practice of many efficient traditional responses to illness in South African communities (Buthelezi Francis, 2006). Stigmatization of AIDS patients has been of particular worry and has eroded the value which the individuals, family and the community in general had the responsibility of taking care of the ailing. Intervention designed to fight the HIV pandemic should focus mainly on the methods of prevention (Buthelezi Francis, 2006). This means that the government, religious groups and other stakeholders should embark on serious awareness campaigns to inform the people on the importance of responsible sexual behavior. The community also needs to be taught to accept HUV patients and avoid stigmatizing them (Airhihenbuwa Webster, 2004) as it only makes the situation worse. Of course, all awareness created should be in the context of culture and should consider and respect any cultural beliefs and values that relate to sickness and individual conduct within the society. References Airhihenbuwa, C.O. (1995). Health and culture: Beyond the Western Paradigm. Thousand Oaks: Sage Publications, Inc. Airhihenbuwa, C.O., Webster, J.D. (2004). Culture and African contexts of HIV/AIDS prevention, care and support. Journal of Social Aspects of HIV/AIDS Research Alliance, 1(1), 4-13. Retrieved June 5, 2010, from http://ajol.info/index.php/saharaj/article/viewFile/30064/22717 Buthelezi, T. Francis, D. (2006). â€Å"Living with HIV/AIDS. In Muthukrishna.† A. (Ed.) Mapping barriers to basic education in the context of HIV and AIDS: a report on research conducted in the Richmond District, KwaZulu-Natal. Pietermarizburg: University of KwaZulu-Natal. Petros, G., Airhihenbuwa, C., Simbayi, L., Ramlagan, S. Brown, B. (2006). â€Å"HIV/AIDS and ‘‘othering’’ in South Africa: the blame goes on.† Culture, Health and Sexuality, 8(1): pp.67–77.

Choose One Research Paper Example | Topics and Well Written Essays - 2500 words

Choose One - Research Paper Example This research is analyzed based on the Sekarana and Bougie framework for research method. The paper is aimed at making a comparative statement and finding out how well the authors have or have not fulfilled each one of the steps mentioned within the steps presented in the figure below. The research also analyses how well each step of the research is connected to the next step of research. The research paper within this study is a business research. By business research, it means that the data gathered and the objective of the research is directed towards addressing and answering causes for a business issue (Rojas, n.d.). The research paper identifies customer dissatisfaction in relation to loyalty programs carried out in almost all industries today. This is relevant for the use of marketing managers who are engaged in customer relationship management services. Loyalty programs are a recent development in the field of customer retention attempts and management of customer relationship. Hence, managers within the industry are increasingly providing rewards for customer loyalty in the form of specialized services and rebates with a view to maintain such loyalty of the consumer and maintain long term business relationships. It has been studied that certain attempt of customer retention initiatives can have serious negative effects and such loyalty programs can be perceived to be discretionary and creating value driven differentiation among customers (Charmaz & McMullen, 2011). There are frequent complains in discussion forums over the web about the ill effects and poor management of such loyalty programs. Such dissatisfaction reduced customer loyalty and thereby economic loss. In this view, the frustration criteria of customer with their experiences in customer loyalty programs was selected based on the idea that dissatisfaction experience by customers might appear reasonable but the study

Sustainability in Context of Oil and Gas Development Dissertation

Sustainability in Context of Oil and Gas Development - Dissertation Example cess to information and justice 65 Principle Six: The principle of good governance 71 Principle Seven: The principle of integration 75 3-3 Synthesis of New Delhi Declaration Principles 78 3-4 Examples of Practices for Sustainable Development of Oil and Gas Resources 79 3-5 Iraq’s need for Sustainable Development of Oil and Gas Resources 84 3-6 Conclusion 88 3-7 From Legal Evolution of Sustainable Development to Iraq’s Legal Frameworks for Oil and Gas Sustainable Development 90 Bibliography 90 3-1 Introduction†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦..†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.4 3-2 Defining Sustainable Development†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã ¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦... ... †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦..38 Principle Four: Precaution regarding human health, natural resources and ecosystems†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ †¦.45 Principle Five: The principle of public participation and access to information and justice †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.50 Principle Six: The principle of good governance †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.54 Principle Seven: The principle of integration †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦57 3-3-4 Synthesis of New Delhi Declaration Pr inciples †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.59 3-4 Examples of Practices for Sustainable Development of Oil and Gas Resources †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦...60 3-5 Iraq’s need for Sustainable Development of Oil and Gas Resources †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦...63 3-6 Conclusion †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦...†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 66 3-7 From Legal Evolution of Sustainabl e Development to Iraq’s Legal Frameworks for Oil and Gas Sustainable Development†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦..68 Bibliography†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦..†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦..69 3-1 Introduction The concept of sustainability has been evolving over time1 and has assumed a number of different dimensions today. Contemporary sustainability has taken up environmental, social, political, economic as well as cultural aspects. It has