CEOs, Workers, and the Costs of Excess - 634 Words

CEOs, Workers, and the Costs of Excess Students Name Course Title May 3, 2013 CEOs, Workers, and the Costs of Excess The term executive pay has acquired bad connotations over the past decade or so and the recent Occupy Wall Street movement brought this issue back into public consciousness on a worldwide scale (Minder, 2013). In Switzerland, the parliament recently passed legislation that would limit executive compensation excesses under threat of fines and imprisonment and the European Parliament agreed to limit banker bonuses to twice their base salaries. Adding fuel to this fire was last months announcement that the golden parachute for departing Novartis Chairman Daniel Vasella would include a $78 million dollar severance payment. While these citizen protests and legislative actions could be an overreaction to a few isolated cases of executive compensation excess, the data suggests otherwise. According to the AFL-CIO (2013), executive pay has increased dramatically over the past several decades compared to worker compensation. In 1982, the pay ratio between executives and workers was 42:1, but by 2012 it had increased to 354:1. This 8.4-fold differential in compensation suggests that the productivity of executives has also increased 8.4-fold relative to productivity of workers. If executive pay is positively correlated with a firms bottom line, then higher pay should predict success. Unfortunately, researchers have found the opposite to be true. In the daysShow MoreRelatedEssay Human Resources Case Study 771015 Words   |  5 Pagesinsurance costs increased from $4,680 per year in 2000 to $9,869 in 2010. It becomes very alarming considering the companies profits have continued to shrink during the recent recession. This puts a huge burden on everyone in the company because drastic measures now have to be taken in order to keep Quality Auto Parts in business. The health committee came up with four options for Quality Auto Parts to take in hopes of keeping the business flourishing towards the future. It is obvious that the CEO ofRead MoreReduction of Costs to Maximize Profit Returns1602 Words   |  6 PagesReduction of Costs to Maximize Profit returns (Production Firms) Introduction Cost leadership implies that an organization or business tries to have low costs so that they can sell their products and services at low costs. This type of leadership strategy allows them to make profits even with low costs than their competitors. It places the business at a position where it can effectively compete on the basis of price with both the new entrants in the industry and existing competitors. It also createsRead MoreEnron Questionable Transactions Essay765 Words   |  4 PagesThe question which segment of its operations got Enron into difficulties is simple to answer, everything. Almost every all segments of their operation were improper. First of all, they practice unethical and dishonest practices which victimized workers, consumers, taxpayers and stockholders. Enron created partnerships within their own organization which led to them creating new financial instruments, called SPE’s (special purpose entities) which was used to falsify the accounting. The i mproperRead MoreEnergy Case Study1178 Words   |  5 Pages the top rate for power has risen four times as fast as  inflation (Morrow and Cardoso, 2017). Canadian’s electricity consumption per capita is high compared most of the world, the price has not stopped. Torontonian has haunted by this skyrocketed cost. Canada is a cold country, so they need heating systems. Also, Toronto is a big city so that there are high population density. Thus, not every Torontonians’ houses or condominiums have enough space to hung up their cloths, so they need to dry theirRead More Business in Nucor Essay1489 Words   |  6 Pages Nucor Corporation - Structuring for Efficiency and Effectiveness Introduction Nucor achieved its position as one of the largest steel producers in the United States by carefully monitoring costs and paying attention to the needs of its markets. This strategy of providing its customers with a competitive product at competitive prices has brought success and growth to Nucor, in sales, income, and stock price. Recently, however, the control of the organization has been brought into question. TheRead MoreCostco mini case study1276 Words   |  6 Pagesmerchandising, low cost emphasis, and growth are the chief elements of Costco’s strategy. It is a very good strategy because they offer the lowest prices no matter what. 3. Do you think Jim Sinegal has been an effective CEO? What grades would you give him in leading the process of crafting and executing Costco’s strategy? What support can you offer for these grades? Refer to Figure 2.1 in Chapter 2 in developing your answers. Yes, I do think Jim Sinegal has been an effective CEO. I would give himRead MoreNucor at a Crossroads1363 Words   |  6 Pagesmarginal cost of production. This case will examine Nucor’s history, the impacts of entering the thin-slab casting business, the advantages Nucor would reap, and whether they should build the new thin-slab casting plant. Looking at the business landscape of the steel industry, it is amazing to see how well Nucor has done considering the industry is so competitive and has relatively low profitability. Using Porter’s model, the threat of rivalry is high due to weak domestic demand, excess globalRead MorePacific Brands948 Words   |  4 Pagesinformation, of their financial strengths, weakness and challenges that may have contributed to their current state and explain how they may have contributed to the current state of the company †¢ Read the Directors’ Report, Auditors’ report, CEO report and any other information contained in the annual report and critically evaluate what this information reveals about the corporate governance, accountability and compliance of the organization and its directors’. †¢ Assess how useful publiclyRead MoreNucor at Crossroads1352 Words   |  6 Pagesmarginal cost of production. This case will examine Nucor’s history, the impacts of entering the thin-slab casting business, the advantages Nucor would reap, and whether they should build the new thin-slab casting plant. Looking at the business landscape of the steel industry, it is amazing to see how well Nucor has done considering the industry is so competitive and has relatively low profitability. Using Porter’s model, the threat of rivalry is high due to weak domestic demand, excess global capacityRead MoreHistory of Bp Oil Spill2349 Words   |  10 Pagesthe Deepwater Horizon accident, BP had also suffered major accidents in its oil production fields in Texas and Alaska. Its CEO, Lord John Browne, had greatly expanded the company by buying off other oil companies and cutting costs. Unfortunately, Frontline’s report suggests the company s sole focus on expansion and cost reduction was what caused the fatalities of BP’s workers. BP started out as a small joint British Persian oil company in the 1970s. However, a revolution in Iran had cut off BP’s

Critical Assessment of an Invasive Method of Investigating...

Critical Assessment of an Invasive Method of Investigating the Brain There are many different invasive ways of investigating thee brain including chemical stimulation, ablation and lesioning. All invasive methods artificially stimulate, and actually affect the brain. For my example I am going to look at electrical stimulation. The first person to study electrical stimulation on the brain was by Olds and Milner in 1954. They applied a weak current to the pleasure centre of the brain to a number of rats using small electrodes. The rats themselves could trigger the electrical stimulation themselves by pressing a lever. They found that apart from eating and sleeping the rats would press the lever†¦show more content†¦These discoveries where quite magnificent at the time and led the way for more research into the brain and then later development of PET and MRI scans. But there are still a great number of problems in this research and any research using electrical stimulation. For a start in the above experiment there was a very small sample of people used and therefore the results cannot be generalised to the rest of the human population. Also all of the patients had either brain tumours or epilepsy and therefore their brains were abnormal anyway. So none of the findings can be generalised to people with normal functioning brains. All experiments using electrical stimulation on the brain also lack ecological validity due to the fact that the impulses are abnormal and artificial. Therefore they may not reflect the actual function of the cortex. Also no one really knows what affect theses impulses are having on the brain, i.e. they could be damaging to the patients. 2. Describe and critically assess one non-invasive method of investigating the brain. (12) All non-invasive methods of investigating the brain do not actually affect the brain but watch its naturally sending its own electrical impulses. This is one of the great advantages of non-invasive methods overShow MoreRelatedUse of Minimally Invasive Techniques in Psychological Studies2908 Words   |  12 PagesIntroduction- Invasive naturally means entering the body by cutting or inserting an instrument. In this case we are talking about how is it essential to use invasive technique’s to move further and faster in the world of Psychological studies. Studies have proved that by using invasive techniques it has changed the world of psychology because it gives researchers and experimenters a wider view on the brain. Many hospitals around the globe are still using invasive techniques mostly known as openRead MoreCommunity Health Nursing Final Exam Study Guide Essay15874 Words   |  64 Pages-- 1. Health care for homeless, why is it so costly? They typically have to stay in the hospital for a longer amount of time because they have a lot more co-morbidities that need to be treated. Being brought to the ED is extremely expensive. Critical interventions are very costly, and so are all the diagnostic tests that must be done. They usually don’t have insurance. High mental heath issues in the homeless population. High risk for infections, trauma, violence. Don’t age very well. WhereRead MoreMedical Tourism22177 Words   |  89 Pagessnapshot using value network approach are evaluated to identify the pros and cons about the industry. In the beginning, a brief about medical tourism is written along with the background to research, and project aims and objectives. Next, a critical literature review is performed to explore previous research and to analyze merits and limitations of the theoretical frameworks. Interviews with managers and medical practitioners were arranged to gather primary data. Secondary data was also obtainedRead MoreStephen P. Robbins Timothy A. Judge (2011) Organizational Behaviour 15th Edition New Jersey: Prentice Hall393164 Words   |  1573 PagesConflicts 21 †¢ Creating a Positive Work Environment 22 †¢ Improving Ethical Behavior 22 Coming Attractions: Developing an OB Model 23 An Overview 23 †¢ Inputs 24 †¢ Processes 25 †¢ Outcomes 25 Summary and Implications for Managers 30 S A L Self-Assessment Library How Much Do I Know About Organizational Behavior? 4 Myth or Science? â€Å"Most Acts of Workplace Bullying Are Men Attacking Women† 12 An Ethical Choice Can You Learn from Failure? 24 glOBalization! Does National Culture Affect OrganizationalRead MoreImpact of Science on Society38427 Words   |  154 PagesGovernment Printing Office Washington, D.C. 20402 Foreword Science and technology have had a major impact on society, and their impact is growing. By drastically changing our means of communication, the way we work, our housing, clothes, and food, our methods of transportation, and, indeed, even the length and quality of life itself, science has generated changes in the moral values and basic philosophies of mankind. Beginning with the plow, science has changed how we live and what we believe. By makingRead MoreImpact of Science on Society38421 Words   |  154 PagesPrinting Office Washington, D.C. 20402 Foreword Science and technology have had a major impact on society, and their impact is growing. By drastically changing our means of communication, the way we work, our housing, clothes, and food, our methods of transportation, and, indeed, even the length and quality of life itself, science has generated changes in the moral values and basic philosophies of mankind. Beginning with the plow, science has changed how we live and what we believe. By makingRead MoreFundamentals of Hrm263904 Words   |  1056 Pages With WileyPLUS: Students achieve concept mastery in a rich, structured environment that’s available 24/7 Instructors personalize and manage their course more effectively with assessment, assignments, grade tracking, and more manage time better study smarter save money From multiple study paths, to self-assessment, to a wealth of interactive visual and audio resources, WileyPLUS gives you everything you need to personalize the teaching and learning experience.  » F i n d o u t h ow t o MRead MoreContemporary Issues in Management Accounting211377 Words   |  846 Pagesgenerally, and he has published in many journals including Accounting, Organizations and Society; Management Accounting Research; Scandinavian Journal of Management; Accounting, Auditing and Accountability Journal; Journal of Intellectual Capital; and Critical Perspectives on Accounting. David Otley is Professor of Accounting and Management at Lancaster University Management School. His research interests are centred upon the operation of management control and performance management systems in largeRead MoreManaging Information Technology (7th Edition)239873 Words   |  960 PagesInformation Technology Platform 170 ̈ CASE STUDY I-7 Midsouth Chamber of Commerce (B): Cleaning up an Information Systems Debacle 177 PART II Applying Information Technology Chapter 5 Enterprise Systems 189 Application Areas 187 189 Critical Concepts 191 Batch Processing versus Online Processing 191 Functional Information Systems Vertical Integration of Systems Distributed Systems 192 Client/Server Systems Virtualization 192 192 193 194 Service-Oriented ArchitectureRead MoreAccounting Information System Chapter 1137115 Words   |  549 PagesCompanies go to great lengths to make sure that errors are not entered into a system. 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Psychological Effects of Bisexuality Free Essays

What is bisexuality? Synthesizing the predominant theories of bisexuality, Smiley (1997) suggested the following definition: Bisexuality is a sexual orientation in which an individual: experiences a combination of sexual and affectional attractions to members of both sexes; engages to varying degrees in sexual activities with both sexes; and self-identifies as bisexual in a way that is consonant with personal, social, political, and lifestyle preferences (Smiley, 375). Bisexual and the transgender people are two less visible segments of the lesbian, gay, bisexual, and transgender community. According to the authoritative Kinsey Report, which compiles data on human sexuality, almost eight in 10 people have some characteristics of bisexuality, wherein an individual feels attracted to both sexes (Klien, 13). We will write a custom essay sample on Psychological Effects of Bisexuality or any similar topic only for you Order Now However, bisexuals have to confront not just the homophobia of the straight community, which brands them as promiscuous, even though most are in strictly monogamous relationships, they also face derision from the gay community, which considers them closet gays, hiding behind the veneer of bisexuality because they are afraid to come out. Not surprisingly, therefore, that a recent study by the Australian National University found that bisexuals â€Å"had the worst mental health on measures of anxiety, depression and suicidality (Hall, 28). Tommy (name changed) Hogan, who came to Los Angeles, California nearly two years ago for graduate studies in Health Administration and works for Watts Health Foundation, says in adolescence he found himself being attracted to both boys and girls. In the gender-segregated society we lived in, opportunities for `fooling around’ were much more readily available with peers of the same sex. I thought everyone in my circle was like me. So when I came to the Los Angeles it was very surprising to find that there were some individuals who were not attracted to men and others who were not attracted to women† (T. Hogan, personal communication, October 26, 2002). He wouldn’t say he was gay. He would only say that he was sleeping with other men. He liked to call it â€Å"M-S-M,† men sleeping with men, you know, Brothers on the down low. I called it being a bisexual. The first thing that Tommy made clear to me is that bisexuality does not describe one sort of behavior, but rather a whole range of behaviors and lifestyles. Talking openly about sexual orientation within as private a community as the African American community is something that is not often done. Tommy revealed his disappointment at the community’s lack of acceptance of non-traditional lifestyles. According to a generally agreed upon definition, it isn’t necessary for a person to be equally attracted to men and women and to be involved in multiple relationships, to be bisexual. In fact, a person can be celibate and still be bisexual. It’s all a matter of whom he or she finds attractive and how he or she identifies himself or herself. There is no behavioral â€Å"test† to determine whether or not one is bisexual. Bisexuals come in all shapes and sizes, from all occupations, and with all levels of educational, racial and cultural background. When Tommy told his father of his attraction to both men and women, his father simply said that though these desires were natural and most people had them, eventually he expects Tommy to get married and have a family. â€Å"Even though his message was that it was preferable to get married to a woman, I was struck by his statement that same-sex feelings were natural, and by the fact that he didn’t put same-sex desire down by calling it a perversion or sin† (T. Hogan, personal communication, October 26, 2002). Hogan says, â€Å"People have this misconception that bisexuals are promiscuous. I have been in strictly monogamous relationships and most of us are perfectly content with that. If people have made up their mind something is abnormal they can come up with as many reasons as to why it is so, and if there are people who think otherwise, they too can come up with a variety of reasons to prove their point. Why can’t we approach this from a humanistic viewpoint that people have the right to love whomsoever they want to, as long as it is consensual? Tommy is very content with the bisexual lifestyle he is living. He seems to not know whether or not he will always be this way. I got a sense from our interview that he wasn’t happy being this way. He begin the express the importance of how being very religious he could not live this type of lifestyle. I would have to agree that the Bible does speak against any type of homosexual behavior. Tommy and I have discussed this issue on more than one occasion. He seems to be confused as to what he really wants. It is a battle for him to be with a woman and be attracted to a man that is in the same company. Tommy at the present lives by himself so he doesn’t feel as if there are any rules he has to live with. He currently resides in the Hollywood area. He is comfortable living this lifestyle and his community contributes to this. Tommy has many friends and he also dates several women. Many individuals do not know that he is bisexual. Individuals might suspect that Tommy is bisexual but they have no confirmation. I am a close friend to Tommy and I actually have had the pleasure of knowing him for two years. I also might add that I have been attracted to Tommy for these two years and have dated him. I do accept his lifestyle as being bisexual because I care about him. But, I choose not to be in a relationship with Tommy because I do not want to risk my life or my health. We have an open and honest relationship so he understands that I have feelings for him but I in know way want to proceed with a relationship. But, if he chooses not to participate in this lifestyle in the future I just might end up being with him. But as one of his friends along with the others, he is accepted and is treated no differently than the next person. Tommy always feels comfortable in talking with me about his sexuality. He seems to be at this point in his life trying to deal with issues in the past that he feels might have led him to being attracted to both women and men. He has never mentioned to me about anything that stemmed from his past that might have triggered this imbalance in sexuality. I personally accept anyone who chooses to live a gay, lesbian or bisexual lifestyle. However, I do not condone dishonesty in sexual relationships with partners who have no knowledge of each other’s sexuality. It is really hard to discuss the responses of others, many individuals just do not know. Tommy is a very nice looking young man and is very professional and classy. He has all the traits that women are seeking in this young adult age. I believe that if women knew of his lifestyle as a bisexual they might not be as interested in him as before. As I mentioned many people question his sexuality but he has encountered no prejudice against him in that regard. Tommy indicates that it wasn’t until he came to Los Angeles that he decided to practice his lifestyle as a bisexual. Los Angeles makes it a lot easier to be bisexual, gay or a lesbian and be accepted in society. He feels most comfortable here and being able to go out in public with another man. He felt as though when he lived with his family he could not practice bisexuality. He never carried out sexual relationships with men until he came to Los Angeles. The sexuality of Black males as well as females is enmeshed with racial stereotyping thus the issues of gays and bisexual blacks is a particularly sensitive one so far as the Black community is concerned. The notion is that bisexuals are confused, promiscuous and greedy. To me promiscuity is really an oxymoron. It’s down to the individual needs and requirement of that person. I will never have an issue with anyone who chooses to be bisexual but in these days it is just unsafe to be with someone who is bisexual because AIDS is so prevalent and many individuals are just not honest with their sexual orientation. How to cite Psychological Effects of Bisexuality, Essay examples

PHI Lab Worksheet

Question: The aim of this experiment is to find the ultimate tensile strength, density and other parameters for different materials. Answer: Introduction Ultimate tensile strength (UTS), more often than not condensed to inflexibility or serious power is the cutoff of a material or structure to withstand masses tending to amplify, on the other hand than compressive incredible, which withstands masses tending to diminish measurement. By the day's end, flexibility contradicts stress, however compressive charming restricts strain. Extreme pressure is measured by utilizing the most serious push that a material can withstand in the meantime being extended or pulled sooner than breaking. In the investigation of best of substances, elasticity, compressive great, and shear fine may also be broke down freely. A couple of materials wreck forcefully, without plastic miss-happening, in what's known as a susceptible disappointment. Others, which might be extra bendable, together with most metals, experience some plastic distortion and potentially necking before crack. The UTS is most commonly discovered with the aid of taking part in out an elastic experiment and recording the designing nervousness versus pressure. Essentially the most noteworthy reason of the stressstress bend is the UTS. It is a concentrated property; as a consequence its quality does not rely on upon the span of the test instance. Finally, it's reliant on extraordinary variables, for illustration, the readiness of the illustration, the nearness or normally of floor imperfections, and the temperature of the test atmosphere and fabric. Elastic qualities are as soon as in a whilst utilized as part of the configuration of pliable contributors, however they're principal in fragile individuals. They are arranged for basic substances, for example, combinations, composite substances, earthenware construction, plastics, and timber. Elasticity will also be characterized for fluids and additionally solids below certain conditions. For instance, when a tree attracts water from its roots to its upper leaves by means of transpiration, the part of water is pulled upwards from the highest via the union of the water in the xylem, and this power is transmitted down the section by way of its rigidity. Pneumatic force, osmotic weight, and hairlike pressure likewise has little impact in a tree's ability to draw up water, however most effective this could simply be enough to push the component to water to a stature of underneath ten meters, and trees can increase a lot larger than that (more than 100m). Experimental calculations Bulk solid compressibility Bulk Solid: Fly Ash Test Date: 27.05.2016 Cell Diameter: 63.5 mm Gross Mass 1: 357.49 g Tare Mass: 321.73 g Test no. Total mass on sample (kg) Indicator reading (inch) Computed normal stress (kPa) Computed bulk density (kg/m3) 1 0.12 0.5790 0.372 1130 2 0.62 0.5450 1.924 1250 3 1.12 0.5290 3.04 1340 4 2.12 0.5105 6.58 1380 5 4.12 0.4895 11.19 1405 6 8.12 0.4675 22.06 1454 7 16.12 0.4460 43.80 1495 Now according to the bulk density relation- Substituting the values in this relation- 1380 = A*1.10n i Also- 1405 = A*1.884n ii Now dividing the equation ii by i- n = 0.025 Substituting this value in equation i- 1380 = A*1.710.025 A = 1361.61 Now plotting the relation between the density and the density and normal stress- Figure: Variation of density with normal stress Wall yield locus and determination Bulk Solid: Fly Ash Test Date: 27.05.2016 Cell Diameter: 95.25 mm Wall material: Black plate-hot rolled Gross Mass: 33.305 lb Plate mass: 2.438 lb Area A: 0.00712 m2 Sl. no. Total mass on sample (lb) Shear force (lb) Normal stress (kPa) Shear stress (kPa) 1 20 20 0.632 0.512 2 18 18 0.569 0.504 3 16 16 0.561 0.495 4 14 14 0.491 0.483 5 12 12 0.421 0.418 6 10 10 0.351 0.394 7 8 8 0.280 0.313 8 6 6 0.210 0.295 9 4 4 0.140 0.213 10 2 2 0.07 0.103 11 0 0 0 0.0 Conclusion Countless materials can show straight flexible behavior, characterized through a direct stressstrain relationship, as seemed within the left figure as much as point three. The flexible behavior of materials quite often stretches out into a non-straight district, spoke to in the figure by point 2 (the "yield factor"), as much as which distortions are completely never-ending provide of the heap; that is, an example stacked flexibly in pressure will prolong, but will come back to its designated form and measurement when emptied. Past this flexible locale, for malleable substances, for instance, steel, disfigurements are plastic. A plastically distorted example does not totally come again to its targeted measurement and shape when emptied. For some applications, plastic twisting is unsatisfactory, and is utilized because the configuration limit. After the yield factor, malleable metals expertise a time of stress solidifying, in which the anxiousness increments once more with increasing pressure, and so they to neck, because the cross-sectional territory of the example diminishes on account that of plastic move. In an competently pliable material, when necking will get to be generous, it factors an inversion of the building stressstrain (bend A, correct figure); this is because of the designing anxiousness is ascertained expecting the first move-sectional range earlier than necking. Generally speaking, the looking at includes carrying somewhat outline with a settled pass-sectional extent, and after that pulling it with a tens meter at a consistent weight rate aside from the example breaks. On the moment that looking at some metals, house hardness relates straight with flexibility. This pivotal association takes into consideration fiscally key nondestructive looking at of mass steel movements with lightweight, even minimal equipment, for instance, hand held Rockwell hardness analyzers. This directly sensible relationship helps extraordinary accreditation in metalworking business dares to build well past the exploration office and comprehensive testing machines. It have got to be noticed that, whilst most steel structures, for illustration, sheet, bar, tube, and wire, can show the test UTS, strands, for instance, carbon filaments, being simply 2/10,000th of an inch in width, have to be made into composites to make necessary genuine structures. Because the datashee t on T1000G underneath indicates, at the same time the use of the fiber is excessive an inferred composite is 3,040MPa - no longer as so much as a large component to the pleasant of the fiber. References Hemanth, J. (2000). Action of chills on soundness and ultimate tensile strength (UTS) of aluminumquartz particulate composite. Journal of Alloys and Compounds, 296(1-2), pp.193-200. Hemanth, J. (2001). Effect of chilling on soundness and ultimate tensile strength (UTS) of aluminium alloy corundum particulate composite. Materials Design, 22(5), pp.375-382.

Health Care’s Professional Regulation and Criminal Liability Essay Example

Health Care’s Professional Regulation and Criminal Liability Essay Research your state’s statutes for the regulation of health care professionals, including licensure, credentialing, certification, and registration requirements. In addition, research areas of potential criminal liability relating to these procedures, as well as professional misconduct. Then, prepare a 1,400-1,750 word paper that summarizes your findings with respect to one type of health care professional (e.g. physicians, nurses, pharmacists, nurse practitioners, etc.). Include the following components:a.  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Identify the civil complaint process for patients/consumers to use in the event of suspected professional misconduct or incompetence.b.  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Explore the role of the respective regulatory agencies in investigating such allegations and determining and applying appropriate disciplinary action, if any.c.  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Identify any potential criminal liability that could result to the health care professional relative to abuse s perpetrated in practices involving these procedures, as well as professional misconduct.d.  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Ascertain the process that would be followed in the event that criminal charges were to be filled for the described criminal behavior.The one type of health care professional I select for this assignment is â€Å"Physicians.† I included a web link for the research portion.   Link to the Medical Board of Californiahttp://www.mbc.ca.gov/Index.htmThis web links covers complaint process, disciplinary actions and more.The Business and Professional Codes in the State of California are given under Section 800 to 809.9.   All Professional boards, including the Medical Board of California maintain a register of the names and addresses of all the practitioners.   All information of the licensees such as criminal records, insurance judgments and settlements, public complaints, disciplinary actions, etc, is noted.   The information of all the files are maintained c onfidential by the Board, but relevant information may be required for public records.   The Board shall protect the licensee from misuse of any of the personal information (which could result in threats to reputation, rights, benefits, etc).   From time to time, the Board may ask the licensee to submit additional information.The Laws of the Medical Board of California are one of the stringiest in the Country.   In the year 2003-04, the Board received about 5000 applications, out of which about 4000 were passed.   It can take anywhere between six to eight months for the applicant to obtain a license.   The Medical Board has to get some information of the potential licensee from the medical schools.   The long time period in giving licenses is mainly due to the huge number of applicants.   The applicants are examined in order of submission.   Once the duly filled in application form along with the documents and the fees are submitted, each of the applications are revi ewed.   The applicant should also submit fingerprint cards.   Once the initial review process is finished (usually it takes within 60 days), the applicant is informed, and has to submit a list of documents notified by the Board.   Usually for US and Canadian Graduates, the review process is quicker than candidates from other countries.   The FBI Fingerprint clearance is also required which may take some time.   In case of international applicants, it may take a longer time, as the applicant may not have the education and training requirements required by the California laws to practice in the state.   It may take a longer time to obtain documents from foreign schools and translated versions of certificates.   Once the documents are submitted and are in order, it may take about 3 months for them to be processed.   The senior authorities of the California Medical Board will review the applicant’s details and credentials.   In some cases unprecedented delays ma y occur during processing, and hence, no applicant is given an exact date when their application would be ready.Patients are encouraged to file a complaint with the Board, when they have been harmed by the physician, and to prevent harm to other people.   The procedure is usually similar for civil malpractice and criminal liability.   The Medical Board of California is ready to help people to file a complaint against the physician for medical malpractice and also ensures their confidentiality.   However, the physician may know about the complainant identity as he/she may have to provide the case records and the details of the case during the investigation period.   Some of the reasons for filing disciplinary actions against the physicians include:-Situations in which the physician seriously departs from the established standards of practice whilst providing medical care (gross negligence).   Some of these include avoidance of diagnostic tests, not using accepted method of diagnosing and relating the patients or not identifying and treating the symptoms of the patients, and not seeking reference with a specialist.Repeatedly performing certain acts that may not be considered serious departure forms the accepted standards of practice, but can be referred to as ‘simple negligence.Incompetence on the part of the physician can be considered when the physician lacks knowledge, experience and skill in performing a particular medical procedure, or uses an obsolete procedure.Sexual violationsSubstance abuseCriminal activityUnlawful use of drugs in the prescriptionFiling of false insurance claimsPermitting an unlicensed person to deliver patient careFor several medical malpractices and misconducts, the physician could be held for criminal liability.   Any serious injury, physical or mental retardation, death, etc arising during the medical treatment in the care of the physician could be considered under criminal liability.   However, the standard of p roof required for proving criminal negligence is very high compared to civil liability.   The physician is usually liable when the standard of care provided is deficient to the standard or reasonable level.   In the US about 44, 000 deaths occur annually as a result of medical negligence.   Some of the other cases of criminal liability occur when the physician is not able to diagnose a potential disorder or gives a faulty diagnosis, delays giving a test interpretation or gives a test interpretation that is faulty, discrepancies during administration of drugs, fails to provide certain information to the patients before or during the performance of any medical procedure, uses substandard equipment or drugs, sexually abuses the patient, etc.The Medical Board of California respects a complaint from the people when it suspects that the laws have been dishonored.   The Attorney General charges the violators and also punishes the violators on behalf of the public.   The Board is represented at the hearings against the physicians by the Deputy Attorney General.   The Board has a Division for maintaining Medical Quality.   This Board review, accepts, rejects or alters the decisions set by the judges at the public hearing, or sets new decisions that are an alternative to the decision set by the judges at the public hearing, or takes disciplinary actions as an agreement as an alternative procedure to public hearings.   The Board can suspend or cancel the license issued to a physician incase the charges are proved against the physician.   They can also place the physician on probation for a certain period, impose fines or penalties or limit the practice.   The appropriate law enforcement agency is informed when criminal charges have been proved against the physician to enforce criminal punishment (such as fines and imprisonment).   Sometimes, the Board can conduct an examination to determine the competency level of the physician.   Physicians who a buse alcohol or drugs whilst delivering patient care may have to undergo a rehabilitation program under the supervision of the Board.   The Board also provides information to the patients about the current licensure details of the physician, the disciplinary action taken against a physician, disciplinary charges pending, and history of medical malpractice and criminal record.   Some of the information of the physician which is known to the public includes:-1.  Ã‚  Ã‚  Ã‚  Ã‚   Disciplinary actions taken by the Board against the physician in the past2.  Ã‚  Ã‚  Ã‚  Ã‚   Disciplinary actions taken by the Board of another state or agency against the physician in the past3.  Ã‚  Ã‚  Ã‚  Ã‚   Felony convictions against the physician by the Board after the year 1991.4.  Ã‚  Ã‚  Ã‚  Ã‚   Misdemeanor convictions against the physician by the Board after the year 2006.5.  Ã‚  Ã‚  Ã‚  Ã‚   Minor violations of law by the physician6.  Ã‚  Ã‚  Ã‚  Ã‚   Whether a hospital has taken certain disciplinary actions against the physician that has resulted in termination of the services provided by the physician7.  Ã‚  Ã‚  Ã‚  Ã‚   Malpractice judgments and arbitrations where the awards were above US $ 30, 000.Once the Board receives a complaint from the public, a thorough investigation is held in order to gather evidence against the erring physician.   Usually complaints against the physician should be filed with seven years of the occurrence of the event.   However, there are several exceptions to this limitation period such as cases involving sexual abuse, criminal liability and abuse of a minor.   Once the complaint is received at the office, it is thoroughly reviewed by the supervisor and handled out to an investigator.   Serious complaints (such as death of the patient, physical injury, criminal misconduct, etc) are given priority and are handled promptly.   The Board will intimate the appropriate law enforcement agency in case the patient has to b e protected.   The Board will notify the person about the status of the complaint during all stages.   The Board will thoroughly investigate the case.   The physician, witnesses, complainant, etc, may be interviewed for their versions of the incident.   An expert committee may be set up to provide expert advice of the case.The medical records of the patient and the details of the physician submitted during the application process are also reviewed and may be taken as evidence.   The Board drafts investigations documents and serves them to the required body.   It also performs undercover search operations and provides search warrants.   After the physician is interviewed, the expert committee assesses the situations and suggests the standard of proof existing.   Once evidence is obtained by the Medical Board that a medical malpractice has occurred, it is immediately submitted before the Office of the Attorney General and the Health Quality Enforcement Section.   The AG’s Office will study the case if sufficient evidence exist, and if it does, charges are framed.   If strong and clear evidence exists against the physician, civil litigation charges are filed.   If a criminal element is involved, the standard of proof needs to be higher.   Such cases are further handed over to the Court for review before the Administrative Law Judge for public hearing.   If sufficient evidence is not obtained, the case may have to be closed.   If the violation that has occurred is insufficient to file a review before the administrative law judge, the case may also have to be closed.If the physician has committed a grossly negligent act that has caused the death of the patient, he/she could be held criminally liable.   The information is first presented to the Coroner.   An initial report is filed with the Medical Board and includes all information such as name of the physician, date of death, place of death, etc.   Within 90 days the Corone r’s report should be followed with the autopsy report.   The cause of death is usually established through expert evidences.   Expert testimonials are also utilized in civil cases.   Most cases of criminal negligence may be punished with criminal imprisonment and fines.   The fines usually cannot be paid from Insurance companies.   The physician may have to pay for the fine through his/her own means.   In criminal cases in California, peer review material was not protected from discovery.   This may be different from other state criminal laws, as in criminal proceedings, peer review material are secluded from discovery.   Section 805.2 of the Business and Professional Code provides for the peer review process of during malpractice cases.   The Peer review group will conduct a fair, objective and free study, separate from the Board, or the Physician.

Galaxy Quest Essays

Galaxy Quest Essays Galaxy Quest Essay Galaxy Quest Essay The 1999 movie galaxy Quest, created by Frank Ross, is still considered as one of the best science fiction movie ever produced.   Its popularity can be witnessed by the worldwide loyal followers from different countries and of different ages.   This paper will make an assessment on who the real hero of the film is, and on what grounds this assessment had been made. Galaxy Quest, which stars a team of space soldiers headed by Commander Taggert, and members of the crew such as Dr. Lazarus, Lt. Tawny Madison, Lt. Laredo, and Security Chief Ingersol, comprises the officers on board the starship NSEA Protector- the main battle cruiser of the fleet.   And together, they make up for all of the conflicts and dà ©nouement, each sharing his own part of the story, plot and characterization. It is because of this aspect, the equal sharing of every character in the story, which makes me conclude that the true hero of the film is the entire team itself, and not confined to a particular individual, as what is usually practiced in other films.   The transformation from a mere actor, whose concern is limited to his own professional career, to an inter-galactic hero, who eventually saves an entire planet and eradicated an evil alien commander, can be said to all of the members of the team.   The film had also shown each member’s acceptance and the eventual improvement in his role and duties as a member of the NSEA Protector, and their own personal conflicts involved in the acceptance process of their roles as the real-life soldier/savior of a species. : Thus it can be concluded that the entire Galaxy Quest team is the real hero of the film.   It had been clearly established that not one character was dominant in the story, not even their leader, Commander Taggert, can be considered as solely responsible for their triumphant endeavors.   Each had his own faults, and each of them had overcome those through team support and friendship. Reference: Johnson, M. Newirth, C. (Producers), Parisot, D. (Director). 1999. Galaxy Quest [Motion Picture].   United States: Dreamworks SKG.

The impact of globalisation on work and employment Essay

The impact of globalisation on work and employment - Essay Example This research will begin with the statement that globalisation has over the years led to the development of diverse changes in almost all sectors of the global economy and these include having an impact on work and employment. Globalisation is a force that has come to lead to a serious break with past practices and has instead ushered in a new era where employment opportunities, as well as work, have become more accessible for some part of the population. While this has been the case, globalisation has become essential for the sustenance of the economy because it is through the new trends that it has brought about that it has become possible for the different needs of the market to be satisfied. However, despite its being a significant factor in the global economy, it has also brought about a situation where the said economy has come to be dictated upon by market forces. Globalisation has brought about the importance of market forces which have had an impact on work and employment. I t has been argued that globalisation has led to a situation where the new market that has developed is one has changed the nature of work and organisations for the better. It has further been argued that these changes are increasingly becoming relevant because a significant number of individuals in the world today are taking advantage of opportunities presented within the new work system in order to ensure that the take an active part in the economy. Newer organisational changes have made sure that the work environment has become more flexible and is one which helps in the personal development of employees involved.

Can qualitative research be valid and reliable Essay

Can qualitative research be valid and reliable - Essay Example This is because without the help of this guideline we cannot determine whether when standard procedures are used to analyze data, will result to inferences that are biased. This suggests that it only by understands the activities in data generation process that will enable one produce a valid explanatory inference. Kirk and Miller (1985:25) state that most methodologies used in qualitative research come in package with a range of reliability checks but none with validity. Therefore, social science relies almost completely on methods that are used to assure reliability considering that ideal validity is not achievable in theory. This idea is based on the fact that all measurement is to some extent are suspect because all measuring instruments cannot be perfectly controlled. This brings an argument that the tool used to measure in a research is closely related to the subject under observation and to that; it is apparently providing applicable data. According to Silverman (2006:43), it is not to be assumed that the only way to ascertain the validity of qualitative research is through the use of techniques used in quantitative research. Other attempts have been made to establish qualitative investigations validity. The decision of which observation is to be selected in qualitative research, is very critical for the conclusion of the study and to the degree its product’s determination and its reliability. Many opportunities are present that permit bias to interrupt our selection methods. This is because often selection conditions in qualitative research are implicit and made with no self conscious challenge to assess possible biases. Many sources of biases are invited when randomness is abandoned during selection (King, Keohane and Verba, 2001:128). According to Silverman (2006:279-89), reliability in the context of qualitative research has been related to the generation of a measurable concept. This implies that consistently recording of observations is a re liable method. Similarly, researchers believe that reliability is the dependability of the degree of consistency. Having pointed out that, researchers use a variety of methods when collecting data such as interviews, participation and documents among others to collect their observations hence creating a consistent record of observations (Rubin and Babbie, 2010). Though opinions vary regarding the degree of reliability that can be addressed in qualitative research, there is a sound interpretation by Silverman that need to be considered. When measuring a concept by construct validity, the measure of a concept is related to another concept’s measure whereby the two concepts are said to be related, illustration of construct validity is done in this way. This involves a researcher to specify that the two concepts are related (Ragin, Nagel and White, 2004). This implies that when the measures are related, each measure has construct validity of the other but if they are not related then there is no construct validity. Measures lack face validity if good reasons emerge to question the correlation of the measure to the concept under study. This measure of validity is

Classical Economists and Their Philosophy Literature review

Classical Economists and Their Philosophy - Literature review Example All the terms are part of the business strategy which is actually and play a decisive role in constructing marketing tactics (Stigler, 1957). The classical economists had always talked about business tactics. The idea of growth and competitor business strategy is part of their explanation. Here are some who described economics and behavioural finance in all different perspective: Among major terminologies of economics, the classical economists have given much importance to the term â€Å"Competition†. Competition is something that surrounds the basic business environment, in which there are competitors, consumers and the market. Entrepreneurs call it a â€Å"business constraint†, as it changes for the success or failure of business at the same time. The economists have provided several teachings in understanding the term â€Å"competition†. This is for the business strategists and those who seek technical strength for competing in the market. In the late 19th cen tury just after World War II ended, the term â€Å"competition† was felt in different occasions of the business culture. The business strategists discussed it on all intense occasions of the business and tried to fit it in different situations like in a situation of a â€Å"perfect market† or a situation of â€Å"business equilibrium† (balance of supply and demand). ... According to Smith, one is excessive supply tactics where the prices get automatically high for competition, while the other is fewer supply tactics where the prices increase and set a demand. This is how competition floats in the market, and the rivals plan according to the same effective strategy (Stigler, 1957). Adam Smith emphasized on following five conditions which set a competitive advantage of one entrepreneur to another: The competitors should work independently instead of working collectively. A competitor should attain an advantage by minimizing the advantage for the next competitor. The competitor should attain full knowledge of the market to attain a parallel advantage. The competitors are free to work on such knowledge. Resources should be vitally utilized in order to stabilize the presence in the market. The following above statements worked in the agriculture sector where there is no such â€Å"monopoly â€Å"according to modern economists. However, the idea of comp etition is quite clear in a general way as everyone knew how to race in an environment where the competition is simply to bid one another. This is the definition of â€Å"business environment† which modern economists summarize in their literature work (Stigler, 1957). John Elliott Cairnes and â€Å"Industrial Competition† J.E.Cairnes a pioneer of classical economist got labelled in Industrial competition. He described competition as a condition where there is an exchange of capital and labour between the Industrial partners. He focused on the environment of non-competing Industrial groups. In case of capital, his ideology got successfully applied as capital is easy to transfer and sacrifice, but in the labour, it gets hard because the workmen are solely dedicated to their specialized field and cannot compromise their profession in terms of extra remuneration or wage.     

Mauveine: History, Properties and Structure

Mauveine: History, Properties and Structure Introduction One of the most important events of 1856 was the discovery of the first successful artificial dye, mauveine (aniline purple, mauve dye, Tyrian purple) by William Perkin. The discovery of mauveine led to rapidly growth of fashion trend and discovery of new synthetic dyes. Nowadays there are more than three million dyes (WordPress.com). Most dyes used back in the XIX century were derived from natural products such as animals, vegetables or minerals. The dyes made from natural products at that time were expensive and required a large amount of labour. The main disadvantage of natural dyes was their tendency to fade. The invention of mauveine was major landmark in the history of technology and science which brought great benefits to textile and synthetic dye industry. However most people do not aware of the origin of those colours, especially world’s first synthetic dye mauveine and chemical reactions beyond the mauveine dye production. This paper will discuss the historical background of mauveine invention, chemical structure of mauveine, chemical synthesis methods of mauveine and applications. Historical background In 1834, German chemist August Wilhem Hofmann was working derivatives of coal tar to produce a quinine substance for treatment of malaria. At that time, young William Perkin was one of the Hofmann’s assistants and embarked to solve this problem. In 1856, while Hofmann went back to visit Germany, Perkin conducted some experiments in the laboratory at his home to achieve Hofmann’s goal. Perkin oxidised the aniline in the presence of potassium dichromate and obtained black coloured sludge. At the end of the experiment Perkin diluted the black sludge with alcohol and gained a purple solution. Perkin patented his new discovery and established the company ‘Perkin and Sons’. In June 1857 the company ‘Perkin and Sons’ began its work producing synthetic dyes. It should be emphasized that many technical problems occurred during the operation of the company such as large scale of benzene nitration and nitrobenzene reduction. The aniline purple was obtained in poor yields, because the oxidation step required optimisation. By 1864, the company was able to trade its product as a crystalline solid. In spite of the wealth which came with successful dye production, Perkin continued his experimental works in chemistry. After his successful introduction of aniline purple in Britain, next step for Perkin was to export mauveine abroad. However, Perkin’s effort to introduce his invention in France ended unsuccessfully as his patent was invalidated. Invention of the Perkins aniline purpleencouraged other chemists to work on new synthetic dyes. For instance, in 1856 Natanson discovered magenta (triphenylmethane dye) by oxidising aniline with chloride. As it was mentioned above, developments of synthetic dye chemistry in modern times takes its background from mauveine. Taking the historical background into consideration, mauveine made our world more colorful than it was before(‘the chemistry and application of dyes’, edited by David R. Waring, and Geoffrey Hallas, Plenum Press, New York 1990, p age 4-5). Chemical structure and properties of mauveine. The structure and consist of mauveine for many years had remained mystery. First attempts establishing mauveine molecular structure was made by Perkin himself. Perkin derived similar dye when oxidised toluidine and xylidine. However, pure aniline gave dye with poorer quality than that obtained from original impure aniline. This product was called pseudomauveine which was derivative of mauveine. Perkin concluded that mauveine contains both pseudo-mauveine () and a trimethyl derivative. At that time Perkin could not determine every atom in the molecule and so he attempted to determine mauveines constitutional formula by identified properties of mauve. In 1879 Perkin came to conclusion that mauveine can be derived only from aniline and para-toluidine. It should be emphasized that Perkins work determined a molecular formula of mauveine but not a molecular structure. Other works to determine molecular structure of mauveine was done by Fischer, Hepp and Nietzki. By synthesising pseudo-mauv eine in several times they discovered pseudomauveines structure. Oxidative couplings were involved in this synthesis as shown in figure 1. Synthetic methods for pseudomauveine figure 1. However, there was little evidence to proof mauveines chemical structure (figure 2). Mauveine figure 2. Only in 1994, the structure of mauveine determined through the work of Meth-Cohn and Smith. They emphasised two compounds as a key chromophores to obtain mauveine, mauveine A with C26 structure and mauveine B with C27 structure (scheme 1). Meth-Cohn and Smith analysed seven dyed textiles and seven mauve salts from different museum such as Science museum in London (scML), Chandler Museum (Columbia University), Museum of Science and Industry in Manchester (MSIM) and Perth Museum in Scotland. Meth-Cohn and Smith analysed major components of those samples by mass spectroscopy and NMR spectrometry and found presence of different methylated homologues of pseudo-mauveine. Different chromospheres are shown in table 1 amongst the historical samples which Meth-Cohn and Smith had found. A B B2 B3+B4 C C1 ScML1 1 2 50 23 10 5 4 5 1.3 ScML2 1 3 37 26 13 6 5 8 0.8 ScML3 1 2 54 16 9 4 5 8 1.8 ScML4 1 2 37 31 12 5 5 8 0.8 MSIM1 2 39 33 12 5 4 6 0.8 MSIM2 49 41 7 3 CM 1 2 50 24 8 4 5 7 1.4 Table1. Percentage of chronophers which found from mauveine samples Meth-Cohn and Smith discovered that all mauveine samples which prepared by Perkin was mixture of about thirteen different compounds with 7-amino-5-phenyl-3-(phenylamino)-phenazin-5-ium core. The majority of the historical samples of mauve which were investigated by Meth-Cohn and Smith had both A or B mauveines. Apart from that almost all historical samples of mauveine contained mono, tetra methylated derivatives of pseudo-mauveine. Mauveine B2 (C27) and C25A, C25B were important fingerprint markers of textiles and salts amongst these. In addition, for the first time Meth-Cohn and Smith identified pseudo-mauveine in the historical sample, this was described by Perkin as a second colouring source. As it was mentioned above, the mauveine contained pseudo-mauveine, which is very soluble, uncrystallisable salt and another one is less soluble, crystalline salt obtained from para-toluidine and aniline. One of the important properties of mauveine is fastness with silk which they colour. Chemical synthesis methods of mauveine As mentioned in previous sections William Perkin did not discover the mauveine intentionally, his main aim was preparing quinine (). As chemistry were in the early stage of its development there were little known about quinines structural formula. Taking into account of the molecular formulas of quinine and allyl toluidine Perkin came to the relationship shown in equation 1 and he attempted the preparation of quinine by oxidising allyl toluidine in the presence of potassium dichromate in sulphuric acid: Equation1 In his note Perkin wrote ‘that no quinine was formed, but only a dirty reddish brown precipitate’. However, Perkin was not aware at that time structure of allyl toluidine and quinine. If he had known the structure, he would certainly choose other route for synthesising quinine: The synthesis of mauveine starting aniline also required toluidine impurities (equation 2): Application of mauveine Alcoholic extract of mauveine gives very brilliant purple colour which cannot be removed and stable during washing. Perkin quickly considered its potential as a dyestuff for textiles and fabrics. Another useful application of mauveine is food colouring dye. In United States during 1900th the mauveine was used as food colouring with different names such as violate paste, rosolan, Perkin’s violate. Conclusion This short essay has considered history of the mauveine discovery, chemical structure and properties, synthesising way of mauveine. The discovery of mauveine led to rapidly change in global fashion and chemical industry. The Perkins discovery cannot be judged by today’s knowledge and consider as a luck. There were many things which have been discovered and invented, however they were forgotten as it did not find any practical application. Perkin had the ability to combine the theoretical and practical work from his experiment. Perkin’s discovery still has not lost its significance in modern synthetic dye chemistry and contributed to development of modern fashion. Galymzhan

HIPAA Act of 1996 :: Health, Health Information

â€Å"The Health Insurance Portability and Accountability Act (HIPAA) of 1996 made it illegal to gain access to personal medical information for any reasons other than health care delivery, operations, and reimbursements† (Shi & Singh, 2008, p. 166). â€Å"HIPAA legislation mandated strict controls on the transfer of personally identifiable health data between two entities, provisions for disclosure of protected information, and criminal penalties for violation† (Clayton 2001). â€Å"HIPAA also has privacy requirements that govern disclosure of patient protected health information (PHI) placed in the medical record by physicians, nurses, and other health care providers† (Buck, 2011). Always remember conversations about a patient’s health care or treatment is a violation of HIPAA. â€Å"All PHI is included in the privacy requirements for example: the patient’s past, present or future physical or mental health or condition; the provision of health ca re to the individual, or the past, present, or future payment for the provision of health care to the individual, and that identifies the individual or for which there is a reasonable basis to believe it can be used to identify the individual† (Buck, 2011). Other identifiable health information would be the patient’s name, address, birth date and Social Security Number (Keomouangchanh, 2011). (Word count 197) There has been some ethical issues surrounding the development and use of technology, that would consist of some advancements, such as â€Å"when in vitro fertilization is applied in medical practice and leads to the production of spare embryos, the moral question is what to do with these embryos† (Shi & Singh, 2008, p. 182). As for ethical dilemmas that comes into play with â€Å"gene mapping of humans, genetic cloning, stem cell research, and others areas of growing interest to scientist† (Shi & Singh, 2008, p. 182). â€Å"Life support technology raises serious ethical issues, especially in medical decisions regarding continuation or cessation of mechanical support, particularly when a patient exists in a permanent vegetative state† (Shi & Singh, 2008, p. 182). Health care budgets are limited throughout this world, making it hard for advancements yet even harder to develop the advancements with restraints. Which brings us back to the â€Å"social, ethical, and legal constraints, public and private insurers face the problem deciding whether or not to cover novel treatments† 188. Similarly what was mentioned before the decisions about â€Å"new reproductive techniques such as intracytoplasmic sperm injection in vitro fertilization (ICSIIVF), new molecular genetics predictive tests for hereditary breast cancer, and the newer drugs such as sildenafil (Viagra) for sexual dysfunction† (Giacomini, 2005).