Osteoporosis

Abstract:As the world's population lives longer, the significance of osteoporosis and fractures increases.Introduction:Osteoporosis is an age-associated disease, which is influenced by genetic, epigenetic and environmental factors. Age is a high hazard factor for osteoporosis. Lack of vitamin D and insufficiency of calcium absorption are the most popular reason for the osteoporosis in the elderly. (Jakob et al, 2014)Jakob, F., Seefried, L., ; Schwab, M. (2014). Alter und Osteoporose. Der Internist, 55(7), 755-761.?Jakob F, e. (2018). [Age and osteoporosis. Effects of aging on osteoporosis, the diagnostics and therapy]. – PubMed – NCBI. [online] Ncbi.nlm.nih.gov. Available at: https://www.ncbi.nlm.nih.gov/pubmed/24903137 [Accessed 16 May 2018].It is mostly a disease of old age people. The prevalence of osteoporosis increase significantly with age and it is an independent risk factor for the improvement of osteoporosis and osteoporotic fracture. As indicated by National Health and Nutrition Examination Survey (NHANES) data the diffusion of osteoporosis based on reduce density of hip bone was estimated at 4% in women 50 to 59 years of age compared to 44% in women 80 years of age and older. The number of seniors in risk for osteoporosis will continue increasing with the aging of society. (Vondracek et al , 2009).Vondracek, S. F., ; Linnebur, S. A. (2009). Diagnosis and management of osteoporosis in the older senior. Clinical interventions in aging, 4, 121.? I choose this topic because when I was in clinical area I saw many old patient they came to do x-ray and when I read the justification I saw they have osteoporosis. So I want to know how the x-ray help to diagnosis this disease. In this assignment I will talk about first the principles of the osteoporosis, the equipment components required for carrying out the osteoporosis examination and their functions. Also, I will discuss the role of radiographer and technical and radiation exposure considerations of it. Finally, I will talk about one clinical example for osteoporosis patient with clear images.Principle:Osteoporosis was described as a pathological in which there is non-attendance of bone tissue, however that tissue which remains is completely calcified. Osteoporosis creates when bone resorption happens too rapidly and substitution happens too gradually. (Makhdoom, et al,2014) The older senior is at high risk for osteoporosis. It is important for healthcare providers to be fully aware of the potential risks and benefits of diagnosing and treating osteoporosis in the older senior population. Data indicate that bone mineral density testing is under-utilized and drug therapy is often not initiated when indicated in this population. Bone mineral density testing with central dual energy x-ray absorptiometry is essential and cost-effective in this population. All elder people should be instructed on a bone-healthy lifestyle containing age-appropriate weight-bearing exercise and smoking cessation if necessary. The very important role in the risk for osteoporotic fractures, especially in the older senior is a falls play. The risk for vitamin D insufficiency and deficiency is high in the older senior and can contribute to falls and fractures. To treat this problem they should intake sufficient amount of calcium and vitamin D. (Vondracek et al,2009) Vondracek, S. F., ; Linnebur, S. A. (2009). Diagnosis and management of osteoporosis in the older senior. Clinical interventions in aging, 4, 121.?DEXA procedure detects the osteoporosis disease and this early diagnosis will improve the disease management practices and would help in impeding national productivity losses by mass screening and awareness. Also, it can help prevent osteoporosis. (Makhdoom, et al,2014) Makhdoom, A., Rahopoto, M., Siddiqui, K. A., ; Qureshi, G. A. (2014). Early Detection of Osteoporosis by Dual Energy X-ray Absorptiometry. Pakistan journal of medical sciences, 30(6), 1265.? Equipment component and function:The technique used to measure the mineral bone density and the average concentration of mineral in a defined section of bone is the Dual-energy x-ray absorptiometry (DEXA). It performed with a low radiation dose and accurate (exact measurement of BMD), precise and flexible (different regions can be scanned). A DEXA scanner consists of a low-dose x-ray tube with two energies for separating mineral and soft-tissue components and a high-resolution multidetector array. It has one of two different system a fan-beam device that emits alternating high (140 kVp) and low (70–100 kVp) x-rays and sweeps across a scan area or a constant x-ray beam with a rare-earth filter and energy-specific absorption, which separates photons of higher (70 keV) and lower (40 keV) energy.( Lorente-Ramos et al,2011).Lorente-Ramos, R., Azpeitia-Armà ¡n, J., Muà ±oz-Hernà ¡ndez, A., Garcà ­a-Gà ³mez, J. M., Dà ­ez-Martà ­nez, P., ; Grande-Bà ¡rez, M. (2011), Dual-energy x-ray absorptiometry in the diagnosis of osteoporosis: a practical guide. American Journal of Roentgenology, 196(4), pp 897-904.Role of radiographer with osteoporosis patients:Understanding every step of the procedure is important for maximizing the usefulness of the imaging evaluation to patients and referring clinicians in this procedure the radiographer play a great role in preparing the patient and taking care of the patient before, during and after examination. Before the examination, the radiographer must be Check patient history, old x-ray, Select the optimum exposure factors, Prepare the room for examination and Prepare the patient for the examination. During examinationThe radiographer must be Explain the procedure to patient and relative ,Reassure and care for patient during examination, Position the patient, Place radiation protection and Constantly assess the patient's condition and then Expose. After examination they should be Move the tube away from patient, lower x-ray table down and finally given instructions to patient.Radiation exposure in X-ray-based imaging techniques used in osteoporosis:In old patients, central DEXA measurements of the lumbar spine and proximal femur are recommended. Two regions should be measured so that if one is unavailable, the forearm can be imaged. Appropriate patient positioning is essential for optimizing BMD measurement. The patients are placed in the supine position for poster anterior imaging of the lumbar spine and femoral neck and sitting next to the table for imaging of the forearm. Images are assessed for patient movement. The area of interest exceeding 1–2 cm and superior and inferior limits should be included to verify that the complete anatomic region is scanned. The bone axis should be straight and centered and the lesser trochanter should not be seen on images of the proximal femur. Equipment from various manufacturers generates automatic ROIs, which should be reviewed. Correct numbering of vertebral bodies is the main goal in DEXA of the lumbar spine. The indicators of correct positioning are as follows: the ribs appear at T12, the largest transverse processes are L3, the vertebral area values increase from L1 to L4, BMD increases from L1 to L3, and the BMD of L4 is similar to or slightly less than that of L3. Sometimes radiographs are necessary for correlation. Altered vertebrae (deformed or with lesions or artifacts in them) should be excluded from the analysis. If only one vertebral body is left, the region is not useful for diagnosis. In hip scanning, it is important to avoid undesired bone. The anatomic landmark selected for femoral neck ROI placement is the greater trochanteric notch.( Lorente-Ramos et al,2011) Case study:A 70 years old patient was admitted to Khawla hospital due to presence of lower back pain and restricted waist movement. A lumbar x-ray was done to the patient and showed sever narrowing of the disc space between L3 and L4 with no fractures over the lumbar bodies. For further investigation, a bone densitometry test was done that showed the presence of severe presence of osteoporosis with increased risk of fracture. Thus, discectomy was done for the herniated portion of the disk between L3 and L4 that compresses the nerves and causes the pain and instrumented fusion of L3 and L4 was also done to stabilize and strengtnus the spine after the intervertebral joint space reduction that occurred between L3 and L4. Finally, the patient was prescribed with vitamin D and calcium tablets to compensate the calcium and vitamin D reduction due to the osteoporosis.(khawla hospital,2018) .(khawla hospital,2018) Conclusion: Over all, Osteoporosis is a systemic disorder of the skeleton that is characterized by a reduction in bone mass. Although the condition affects a higher percentage of old people. The importance of osteoporosis lies in the fact that osteoporotic bones are more fragile and susceptible to fracture than normal bones. DEXA is a quick, accurate, low-cost imaging method for the diagnosis of osteoporosis. It comprises adequate performance (symmetry, morphology, positioning), ROI placement, detection of artifacts, pathologic evaluation (incidental findings and those affecting analysis), and evaluation of bone mineral density.

The Death Penalty

The Death Penalty â€Å"If we fail to execute murderers, and doing so would in fact have deterred other murders, we have allowed the killing of a bunch of innocent victims. I would much rather risk the former. This, to me, is not a tough call. † (McAdams) The death penalty should be legalized in all fifty states, to avert from crime, keep repeat offenders off of the streets, and to reduce taxpayers the cost of keeping those found guilty of heinous crimes in prison low. The death penalty can in fact deter heinous crimes from being committed when it is lawful in a state. Social scientists have stated that the act of general deterrence, which is when the punishment deters potential criminals from committing crimes, keeps criminals from going through with crimes. However, it is more shown that premeditated crimes are usually the ones stopped by general deterrence, not crimes under passion. Heinous crimes have been reduced highly in the states that have a capital punishment law. The death penalty keeps repeat offenders off of the streets. In Michigan a case that represents this happened; â€Å"A man who was hired by Honeywell Inc. , after serving four years in prison for strangling a co-worker has been charged with killing another co-worker and a woman he allegedly stalked and threatened for weeks† (Sullum personal file). Had the death penalty been allowed in Michigan the woman’s life could have been sparred, for the male who murdered her would have been executed long before and never had the chance to murder her. The death penalty may be a long process, but it does not give those on death row a hope of parole. By having the heinous criminals in prisons on death row keeps them from repeating crimes. In five out of seven cases it is said that criminals will once again commit crimes once released from prison of jail. The death penalty keeps the criminals in jail and executes them. This protects the general public from murderous crimes from repeat offenders. The death penalty also keeps taxpayers costs low, because the prison looses members in which the state taxes would have to pay for. The citizens of the state pay for the prisoners, and my eliminating the criminals jailed for heinous crimes reduces cost by a high percent. The average cost per year per prison is about $1 billion. By enforcing the death penalty and making it lawful can reduce that cost by almost half. Half does not sound like much in such large terms, but in reality it is an immense amount of money that the taxpayers can be using somewhere else. Struggling families still have to pay for imprisoned criminals and the death penalty can in turn have more money in that home, because it would not be put towards the prison. There is another side to the death penalty, however. Most people believe the death penalty is immoral and unjust. Some say that the idea of â€Å"an eye for an eye† should not apply to the death penalty. Capital punishment is still an act of murder, which is punishable by law. This is a major argument of those against capital punishment. There are also religious views that keep many opposed of the death penalty. Christians view the death penalty as wrong because of the fact that killing a killer is still killing, which is a sin that breaks one of the Ten Commandments. The large population of Christians in the United States keeps the vote against capital punishment high, because this nation was built on that faith and it is also the highest religion in the nation. The death penalty keeps taxpayers cost low, keeps repeat offenders off of the street, and deters heinous crime, and therefore should be made lawful in all fifty states of the United States of America. The Death Penalty The Death Penalty: It is Never Justified A young man has been charged with the brutal murder of a seventeen year old girl after raping and mutilating her body. This crime was so heinous and unthinkable that the only punishment that seems to fit the crime is capital punishment; there is merely one problem†the man convicted is innocent. The public is so caught up in bringing Justice to the murdered girl that through capital punishment more injustice is brought into the world and the life of another innocent being is taken. There is no going back and undoing the mistake.There is no undoing in the matter of death. The accidental murder of an innocent person through the death penalty is Just one way in which the death penalty is a completely unethical, flawed, and unjustified form of punishment. Problems associated with the death penalty such as it being inhumane, discriminatory, and an unfair form of punishment, are reasons that capital punishment is never the answer to aggravated murder [claim]. The death penalty is extremely inhumane. Three common techniques used to perform the sentence include the electric chair, gas chambers, and lethal injection.Supporters of the death penalty argue that modern science has eliminated the factor of pain by lethal injection [rebuttal], but how can this truly be proved? The scientific journal the Nature Publishing Group [backing] reported that almost half the prisoners are still conscious although paralyzed during the lethal injection as the drug stops the heart. The NPG then goes on to state, â€Å"If suitably qualified individuals refuse to help prepare a new protocol, the state will face the prospect of continuing to use amateurs to kill people with arbitrary and outmoded technology' (â€Å"Amateur† 2) [evidence].Dying is a painful thing. The punishment of death is already extreme, but the fact that the prisoner is being put down with chemicals that aren't even provided by physicians or scientists is cruel and la cks any compassion. Andrew Stephen, the United States editor of the New Statesman magazine which reports on current affairs, [backing] also explained the inhumanity of the most humane form of capital punishment: lethal injection. Stephen explained how the potassium chloride used in the injection causes excruciating pain as it makes its way through the veins and into the heart to kill the person.Stephen follows this by stating, â€Å"The American Veterinary Medical Association even issued guidelines in 2002 saying that the mix was unacceptable for putting dogs and cats, let alone humans, to sleep† (Stephen 33) [evidence]. How can a democracy in the U. S. which stands for Justice possibly support this blatantly inhumane form of punishment that isn't even suitable for animals? There is no way to properly kill a human being, it is immoral and unjust not matter who it is done to, and therefore does not hold a place in the U. S. Jurisdiction.The death penalty can also be very arbit rary or random in the sense that there is ot a set standard for everyone who commits murder to be sentenced to death. It makes little sense how some prisoners who are convicted of terrible murders get the privilege of living while others who did not murder in cold blood do not get the opportunity for rehabilitation and redemption. The cause of such arbitrariness can be attributed to discrimination. David Bruck, who was a Harvard and University of South Carolina graduate, served as a lawyer detending those charged witn capita punishment [backing].Bruck illustrates how unfair capital punishment is in an essay he wrote for The New Republic magazine. Bruck explains how a man from Louisiana named Ernest Knighton killed a gas station owner while robbing the gas station. This is of course a terrible crime; however, the crime was not premeditated and pales in comparison to other gruesome murders, yet somehow Knighton was chosen to be executed. This may be explained by the fact that Knighton was black, the victim was white, the Jury at his hearing was entirely white, and he lacked sufficient defense.In other words, discrimination was a factor. Bruck explains this execution by stating, â€Å"Ernest Knighton was picked out to die the way a fisherman takes a cricket out of a ait Jar. No one cares which cricket gets impaled on the hook† (Bruck NPA) [evidence]. There were clearly more threatening murderers out there than Knighton, but Knighton was chosen to die. The chance that this kind of discrimination will continue is entirely possible [modal qualifier] and illustrates the faults in the system of capital punishment.However, in cases such as capital punishment where death is involved, there is no room for faults. Life is a precious gift not to be taken lightly. Money also seems to be a discriminatory factor in the death penalty, as rich eople are more likely to avoid the death penalty than are poor people who cannot afford proper defense. A rich murderer's life is no more valuable than the life of a poor murderer, yet the chance of survival for a poor man is much lower than that of a rich man. This harsh fact is unfair.Scott Phillips author for the Journal of Criminal Law & Criminology [backing] writes, â€Å"As Former Supreme Court Justice William Douglas, for example, noted: ‘One searches our chronicles in vain for the execution of any member of the affluent strata of this society† (Phillips 718) [evidence]. It is efinitely plausible [modal qualifier] that the people who have money are the ones who can afford the best defense and therefore avoid the death penalty. It hardly seems fair that the rich get to live over the poor not because of innocence, but because of the size of their wallets.Two wrongs do not make a right under the conditions of murder. The system of capital punishment is obviously defective as it discriminates and seemingly picks its victims at random, risking the possibility of killing even the innocent. Advoc ates of the death penalty argue that it is the only form of punishment that is orthy of murder [rebuttal]. This is an â€Å"eye for an eye† mentality. Edward Koch, the former mayor of New York [backing], supported this mentality by stating, â€Å".. it can be easily demonstrated that the death penalty strengthens the value of human life. If the penalty for rape were lowered, clearly it would signal a lessened regard for the victim's suffering.. .When we lower the penalty for murder, it signals a lessened regard for the value of the victim's life† (Koch NPA) [evidence]. Koch's statement is a fallacy of a false analogy and is therefore not plausible [modal qualifier]. No two rimes can really be compared to each other. Rape and murder are admittedly two very horrific offenses, but are in no way the same.We do not rape the criminals charged of rape to show them how it feels, nor should we kill the criminals charged of murder. Killing the prisoner makes us no better than th e prisoner himself. Instead of capital punishment, there should be harsher punishments in Jail for those convicted of murder, Just as those convicted of rape have harsher punishments than those convicted ot tnett. Another argument supporters of the death penalty like to utilize is that killing a uman being is okay because it is done by the state, which has more rights, rather than an individual [rebuttal].Koch makes the point when he writes, â€Å"The execution of a lawfully condemned killer is no more an act of murder than is legal imprisonment an act of kidnapping†¦ Rights and responsibilities surrendered by the individual are what give the state the power to govern† ( Koch NPA) [evidence]. This is once again a fallacy of a false analogy. Of course legal imprisonment is not kidnapping, because it is an agreed upon punishment by the people of a democracy for those who have roken the laws of society. On the contrary, capital punishment is not entirely agreed upon because this punishment is too harsh.Capital punishment is not necessary to govern its people; if the state must resort to the killing of individuals by the death penalty which has already been proven faulty, there are greater issues at hand. In the end, those who wish for capital punishment aren't really wishing for Justice, or to keep order. Justice and order can be achieved with without the killing of prisoners. It is rather unjust to inflict the death penalty, its only purpose to serve as a orm of bitter revenge that one can only hope will avenge the death of the lost person.However, it is not the place of the state to take revenge, but to bring Justice. Justice needs to be fair, humane, morally sound, and it needs to be reasonable. The death penalty in no way fits into any of those descriptions. This is a topic that should concern everyone. If the people of the United States allow for the death penalty, and the legal system makes a completely possible and at some point probable [modal qualifier] mistake and wrongfully sentences an innocent man to death, that death is on each and every person who advocates the death penalty. The Death Penalty The Death Penalty: It is Never Justified A young man has been charged with the brutal murder of a seventeen year old girl after raping and mutilating her body. This crime was so heinous and unthinkable that the only punishment that seems to fit the crime is capital punishment; there is merely one problem†the man convicted is innocent. The public is so caught up in bringing Justice to the murdered girl that through capital punishment more injustice is brought into the world and the life of another innocent being is taken. There is no going back and undoing the mistake.There is no undoing in the matter of death. The accidental murder of an innocent person through the death penalty is Just one way in which the death penalty is a completely unethical, flawed, and unjustified form of punishment. Problems associated with the death penalty such as it being inhumane, discriminatory, and an unfair form of punishment, are reasons that capital punishment is never the answer to aggravated murder [claim]. The death penalty is extremely inhumane. Three common techniques used to perform the sentence include the electric chair, gas chambers, and lethal injection.Supporters of the death penalty argue that modern science has eliminated the factor of pain by lethal injection [rebuttal], but how can this truly be proved? The scientific journal the Nature Publishing Group [backing] reported that almost half the prisoners are still conscious although paralyzed during the lethal injection as the drug stops the heart. The NPG then goes on to state, â€Å"If suitably qualified individuals refuse to help prepare a new protocol, the state will face the prospect of continuing to use amateurs to kill people with arbitrary and outmoded technology' (â€Å"Amateur† 2) [evidence].Dying is a painful thing. The punishment of death is already extreme, but the fact that the prisoner is being put down with chemicals that aren't even provided by physicians or scientists is cruel and la cks any compassion. Andrew Stephen, the United States editor of the New Statesman magazine which reports on current affairs, [backing] also explained the inhumanity of the most humane form of capital punishment: lethal injection. Stephen explained how the potassium chloride used in the injection causes excruciating pain as it makes its way through the veins and into the heart to kill the person.Stephen follows this by stating, â€Å"The American Veterinary Medical Association even issued guidelines in 2002 saying that the mix was unacceptable for putting dogs and cats, let alone humans, to sleep† (Stephen 33) [evidence]. How can a democracy in the U. S. which stands for Justice possibly support this blatantly inhumane form of punishment that isn't even suitable for animals? There is no way to properly kill a human being, it is immoral and unjust not matter who it is done to, and therefore does not hold a place in the U. S. Jurisdiction.The death penalty can also be very arbit rary or random in the sense that there is ot a set standard for everyone who commits murder to be sentenced to death. It makes little sense how some prisoners who are convicted of terrible murders get the privilege of living while others who did not murder in cold blood do not get the opportunity for rehabilitation and redemption. The cause of such arbitrariness can be attributed to discrimination. David Bruck, who was a Harvard and University of South Carolina graduate, served as a lawyer detending those charged witn capita punishment [backing].Bruck illustrates how unfair capital punishment is in an essay he wrote for The New Republic magazine. Bruck explains how a man from Louisiana named Ernest Knighton killed a gas station owner while robbing the gas station. This is of course a terrible crime; however, the crime was not premeditated and pales in comparison to other gruesome murders, yet somehow Knighton was chosen to be executed. This may be explained by the fact that Knighton was black, the victim was white, the Jury at his hearing was entirely white, and he lacked sufficient defense.In other words, discrimination was a factor. Bruck explains this execution by stating, â€Å"Ernest Knighton was picked out to die the way a fisherman takes a cricket out of a ait Jar. No one cares which cricket gets impaled on the hook† (Bruck NPA) [evidence]. There were clearly more threatening murderers out there than Knighton, but Knighton was chosen to die. The chance that this kind of discrimination will continue is entirely possible [modal qualifier] and illustrates the faults in the system of capital punishment.However, in cases such as capital punishment where death is involved, there is no room for faults. Life is a precious gift not to be taken lightly. Money also seems to be a discriminatory factor in the death penalty, as rich eople are more likely to avoid the death penalty than are poor people who cannot afford proper defense. A rich murderer's life is no more valuable than the life of a poor murderer, yet the chance of survival for a poor man is much lower than that of a rich man. This harsh fact is unfair.Scott Phillips author for the Journal of Criminal Law & Criminology [backing] writes, â€Å"As Former Supreme Court Justice William Douglas, for example, noted: ‘One searches our chronicles in vain for the execution of any member of the affluent strata of this society† (Phillips 718) [evidence]. It is efinitely plausible [modal qualifier] that the people who have money are the ones who can afford the best defense and therefore avoid the death penalty. It hardly seems fair that the rich get to live over the poor not because of innocence, but because of the size of their wallets.Two wrongs do not make a right under the conditions of murder. The system of capital punishment is obviously defective as it discriminates and seemingly picks its victims at random, risking the possibility of killing even the innocent. Advoc ates of the death penalty argue that it is the only form of punishment that is orthy of murder [rebuttal]. This is an â€Å"eye for an eye† mentality. Edward Koch, the former mayor of New York [backing], supported this mentality by stating, â€Å".. it can be easily demonstrated that the death penalty strengthens the value of human life. If the penalty for rape were lowered, clearly it would signal a lessened regard for the victim's suffering.. .When we lower the penalty for murder, it signals a lessened regard for the value of the victim's life† (Koch NPA) [evidence]. Koch's statement is a fallacy of a false analogy and is therefore not plausible [modal qualifier]. No two rimes can really be compared to each other. Rape and murder are admittedly two very horrific offenses, but are in no way the same.We do not rape the criminals charged of rape to show them how it feels, nor should we kill the criminals charged of murder. Killing the prisoner makes us no better than th e prisoner himself. Instead of capital punishment, there should be harsher punishments in Jail for those convicted of murder, Just as those convicted of rape have harsher punishments than those convicted ot tnett. Another argument supporters of the death penalty like to utilize is that killing a uman being is okay because it is done by the state, which has more rights, rather than an individual [rebuttal].Koch makes the point when he writes, â€Å"The execution of a lawfully condemned killer is no more an act of murder than is legal imprisonment an act of kidnapping†¦ Rights and responsibilities surrendered by the individual are what give the state the power to govern† ( Koch NPA) [evidence]. This is once again a fallacy of a false analogy. Of course legal imprisonment is not kidnapping, because it is an agreed upon punishment by the people of a democracy for those who have roken the laws of society. On the contrary, capital punishment is not entirely agreed upon because this punishment is too harsh.Capital punishment is not necessary to govern its people; if the state must resort to the killing of individuals by the death penalty which has already been proven faulty, there are greater issues at hand. In the end, those who wish for capital punishment aren't really wishing for Justice, or to keep order. Justice and order can be achieved with without the killing of prisoners. It is rather unjust to inflict the death penalty, its only purpose to serve as a orm of bitter revenge that one can only hope will avenge the death of the lost person.However, it is not the place of the state to take revenge, but to bring Justice. Justice needs to be fair, humane, morally sound, and it needs to be reasonable. The death penalty in no way fits into any of those descriptions. This is a topic that should concern everyone. If the people of the United States allow for the death penalty, and the legal system makes a completely possible and at some point probable [modal qualifier] mistake and wrongfully sentences an innocent man to death, that death is on each and every person who advocates the death penalty. The Death Penalty The Death Penalty â€Å"If we fail to execute murderers, and doing so would in fact have deterred other murders, we have allowed the killing of a bunch of innocent victims. I would much rather risk the former. This, to me, is not a tough call. † (McAdams) The death penalty should be legalized in all fifty states, to avert from crime, keep repeat offenders off of the streets, and to reduce taxpayers the cost of keeping those found guilty of heinous crimes in prison low. The death penalty can in fact deter heinous crimes from being committed when it is lawful in a state. Social scientists have stated that the act of general deterrence, which is when the punishment deters potential criminals from committing crimes, keeps criminals from going through with crimes. However, it is more shown that premeditated crimes are usually the ones stopped by general deterrence, not crimes under passion. Heinous crimes have been reduced highly in the states that have a capital punishment law. The death penalty keeps repeat offenders off of the streets. In Michigan a case that represents this happened; â€Å"A man who was hired by Honeywell Inc. , after serving four years in prison for strangling a co-worker has been charged with killing another co-worker and a woman he allegedly stalked and threatened for weeks† (Sullum personal file). Had the death penalty been allowed in Michigan the woman’s life could have been sparred, for the male who murdered her would have been executed long before and never had the chance to murder her. The death penalty may be a long process, but it does not give those on death row a hope of parole. By having the heinous criminals in prisons on death row keeps them from repeating crimes. In five out of seven cases it is said that criminals will once again commit crimes once released from prison of jail. The death penalty keeps the criminals in jail and executes them. This protects the general public from murderous crimes from repeat offenders. The death penalty also keeps taxpayers costs low, because the prison looses members in which the state taxes would have to pay for. The citizens of the state pay for the prisoners, and my eliminating the criminals jailed for heinous crimes reduces cost by a high percent. The average cost per year per prison is about $1 billion. By enforcing the death penalty and making it lawful can reduce that cost by almost half. Half does not sound like much in such large terms, but in reality it is an immense amount of money that the taxpayers can be using somewhere else. Struggling families still have to pay for imprisoned criminals and the death penalty can in turn have more money in that home, because it would not be put towards the prison. There is another side to the death penalty, however. Most people believe the death penalty is immoral and unjust. Some say that the idea of â€Å"an eye for an eye† should not apply to the death penalty. Capital punishment is still an act of murder, which is punishable by law. This is a major argument of those against capital punishment. There are also religious views that keep many opposed of the death penalty. Christians view the death penalty as wrong because of the fact that killing a killer is still killing, which is a sin that breaks one of the Ten Commandments. The large population of Christians in the United States keeps the vote against capital punishment high, because this nation was built on that faith and it is also the highest religion in the nation. The death penalty keeps taxpayers cost low, keeps repeat offenders off of the street, and deters heinous crime, and therefore should be made lawful in all fifty states of the United States of America.

The War of 1812

The War of 1812: It’s Importance to America The War of 1812 is probably our most obscure conflict. Although a great deal has been written about the war, the average American is only vaguely aware of why we fought or who the enemy was. Even those who know something about the contest are likely to remember only a few dramatic moments, such as the writing of â€Å"The Star-Spangled Banner,† the burning of the nation’s capital, or the Battle of New Orleans. Why is this war so obscure? One reason is that no great president is associated with the conflict.Although his enemies called it â€Å"Mr. Madison's War,† James Madison was shy and deferential, hardly measuring up to such war leaders as Abraham Lincoln, Woodrow Wilson, or Franklin Roosevelt. Moreover, the best American generals in this war – Andrew Jackson, Jacob Brown, and Winfield Scott – were unable to turn the tide because each was confined to a one or two theaters in a war that had seven or eight theaters. No one like George Washington, Ulysses Grant, or Dwight Eisenhower emerged to put his stamp on the war and to carry the nation to victory.Although these things are true though, the War of 1812 is the most important event for America, because it officially broke us as the United States of America apart from Great Britain. Another reason for the obscurity of this war is that its causes are complex and little understood today. Most scholars agree that the war was fought over maritime issues, particularly the Orders in Council, which restricted American trade with the European Continent, and impressment, which was the Royal Navy’s practice of removing seamen from American merchant vessels.In contemporary parlance, the war was fought for â€Å"Free Trade and Sailors' Rights. † These issues seem arcane today. Moreover, the only way that the United States to strike at Great Britain was by attacking Canada, and that made it look like a war of territorial agg ression. Even today Canadians are likely to see the war in this light, and who can blame them? A war fought to secure maritime rights by invading Canada strikes many people as curious. The prosecution of the war was marred by considerable bungling and mismanagement. This was partly due to the nature of the republic. The ation was too young and immature – and its government too feeble and inexperienced – to prosecute a major war efficiently. Politics also played a part. Federalists vigorously opposed the conflict, and so too did some Republicans. Even those who supported the war feuded among themselves and never displayed the sort of patriotic enthusiasm that has been so evident in other American wars. The advocates of war appeared to support the conflict more with their heads than their hearts, and more with their hearts than their purses. As a result, efforts to raise men and money lagged far behind need.Despite the bungling and half-hearted support that characterized this conflict, the War of 1812 was not without its stirring moments and splendid victories. American success at the Thames in the Northwest, the victories at Chippewa and Fort Erie on the Niagara front, the rousing defense of Baltimore in the Chesapeake, and the crushing defeat of the British at New Orleans – all these showed that with proper leadership and training American fighting men could hold their own against the well-drilled and battle-hardened regulars of Great Britain.Similarly, the naval victories on the northern lakes and the high seas and the success of privateers around the globe demonstrated that, given the right odds, the nation’s armed ships matched up well against even the vaunted and seemingly invincible Mistress of the Seas. The war also produced its share of heroes–people whose reputations were enhanced by military or government service. The war helped catapult four men into the presidency – Andrew Jackson, John Quincy Adams, James M onroe, and William Henry Harrison – and three men into the vice-presidency – Daniel D.Tompkins, John C. Calhoun, and Richard M. Johnson. The war also gave a significant boost to the political or military careers of other men. Indeed, for many young men on the make, the war offered an excellent launching pad for a career. In some ways, the War of 1812 looked more to the past than to the future. As America's second and last war against Great Britain, it echoed the ideology and issues of the American Revolution. It was the second and last time that America was the underdog in a war and the second and last time that the nation tried to conquer Canada.It was also the last time that Indians played a major role in determining the future of the continent. In this sense, the War of 1812 was the last of the North American colonial wars. The war was unusual in generating such vehement political opposition and nearly unique in ending in a stalemate on the battlefield. Although mos t Americans pretended they had won the war – even calling it a â€Å"Second War of Independence†Ã¢â‚¬â€œthey could point to few concrete gains – certainly none in the peace treaty – to sustain this claim. It is this lack of success that may best explain why the war is so little remembered.Americans have characteristically judged their wars on the basis of their success. The best-known wars – the Revolution, the Civil War, and World War II – were all clear-cut successes. Although many people remembered the War of 1812 as a success, it was in a very real sense a failure, and perhaps this is why it attracts so little attention today. The obscurity of this war, however, should not blind us to its significance, for it was an important turning point, a great watershed, in the history of the young republic.It concluded almost a quarter of a century of troubled diplomacy and partisan politics and ushered in the Era of Good Feelings. It marked the en d of the Federalist party but the vindication of Federalist policies, many of which were adopted by Republicans during or after the war. The war also broke the power of American Indians and reinforced the powerful undercurrent of Anglophobia that had been spawned by the Revolution a generation before.In addition, it promoted national self-confidence and encouraged the heady expansionism that lay at the heart of American foreign policy for the rest of the century. Finally, the war gave the fledgling republic a host of sayings, symbols, and songs that helped Americans define who they were and where their young republic was headed. Although looking to the past, the war was fraught with consequences for the future, and for this reason it is worth studying today, and that is why it is the most important event for America.

A Strategic Empty Container Logistics Optimization Essay

A Strategic Empty Container Logistics Optimization - Essay Example Therefore, they get limited in other regions that export more than they import. The other problem is that it is unknown when demand will rise for containers and return date for containers is uncertain. Also, Epstein et al., says that capacity for ships returning empty containers is not known, and a lot of information needs to be processed hence at times delay decision making that would help decrease stocks of empty containers. Another problem is of ensuring communication of interrelated decisions around all countries that CSAV operates; this was to ensure making decisions at a worldwide level to get rid of empty container challenge. Alternative Solutions to the Empty Container Problem. Different shipping companies have come up with solutions to overcome the problem of empty containers by use of advanced technologies. Among the technologies is the use of foldable containers. Taking containers to nearby ports with equipment necessary to fold the containers follows emptying them. The co ntainers on folding are space-saving hence can be shipped back to where they came from so that they can be used in moving more goods to other various destinations instead of staying where they had been taken waiting when they will be used to ship goods, which may never happen. It is clear that some regions are high importers but export fewer goods hence the containers may never leave that region. Therefore, incurrence of storage costs and lowering efficient in regions the containers are in need by customers.

Nutritional deficiencies in a First Nations population Research Paper

Nutritional deficiencies in a First Nations population - Research Paper Example Nourishment of the body would require ingestion of the six general categories of nutrients – protein, carbohydrates, fat, fibers, vitamins and minerals, and water – that would help the body fight off diseases and promote the overall health of the being. Majority of the inhabitants in Third World Countries live below the poverty line, and this reflects their level of health and nutritional intake. Many people in these countries survive by taking only one meal a day. Water is a vital element in maintaining a person’s health. People living in dry and arid lands have limited access to water. They have to dig deep into the desert lands to have water to drink. And most likely, the water taken is not safe for drinking. According to Michael Latham (Program in International Nutrition director, Cornell University), in his lectures at Pullman Washington State University, malnutrition in the Third World Countries cause death and diseases among the people. From protein defici ency alone, 10 million people are dying annually. Millions are also suffering from vitamins and minerals deficiency (Urvina, 1984). Malnutrition and micronutrient deficiency are reported to comprise 32 percent of the world disease problem (Nelson, 2006). But nutritional deficiencies exist in the First World Countries or developed countries as well. Developed countries, such as Canada, USA and other European countries, also experience malnutrition among the populace. Malnutrition is these countries can be attributed to several factors. One reason for such imbalanced nutritional intake is eating of junk food, which besides not giving the nutrition needed by an individual, also contains excessive salt and traces of other unhealthy elements. Malnutrition is also attributed to the lack of access of individuals to nutritious food, or lack of means to purchase them. One of the causes of malnutrition is limited financial resource that leads to prioritizing less buying of nutritious food (Ab erg, 2006). According to Pett (1950), no foolproof system has been devised in determining malnutrition because of the variation in individuals, in that even healthy individuals have different urine and blood biochemical results. He said that malnutrition could occur in the following stages that overlap each other: a) inadequate consumption of food or particular nutrients, or interference in utilization and absorption of nutrients that results to malnutrition, b) a decrease in â€Å"bodily reserves† that may only be detected through biochemical tests, c) impairment in functioning although the tissues show no changes, and d) changes in the structure of tissues (common clinical evaluation used). Structural changes must be confirmed with dietary background and laboratory tests, otherwise, the clinical evaluation could result to error (Pett, 1950). In the many studies conducted in Canada, subjects who follow good dietary regimen even show signs of malnutrition (Pett, 1950). This c an be clearly seen in the First Nations of Canada. First Nations is the terminology used to refer to the aboriginal groups, the Inuit and Metis (Terminology of First Nations, n.d.). The term replaced the use of â€Å"Indian† in the 1970s, as well as â€Å"Band† when referring to original peoples in Canada (Government of Saskatchewan, 2009, para. 17). The government has the primary obligation to improve the health and nutritional intake of the First Nations in Canada. It is actively engaged in the

Strategic planning and control Assignment Example | Topics and Well Written Essays - 2000 words

Strategic planning and control - Assignment Example In order to sell more in the beginning, the production capacity had also been increased, but the result demonstrated that the demand was only half of the production. So, I have learned that it is not necessary to utilize all the resources as inventory got larger and it is not good for the company. We need to observe the internal position of the organization which will enable us to determine how well the company can manage the competitive and external environment. I also came to know that a strategic planning and critical success factors need to be developed for the products and services. SWOT (strengths, opportunities, weaknesses, and threats) analysis must be carried out, which will allow the company to evaluate their strategic situation. The product life-cycle model needs to be taken into consideration in order to discuss how the cost of product can vary over a product’s life cycle. I also discovered that key performance indicators of the company need to be analyzed, through which we can know what factors are leading to its success and competitive advantage. I also learnt that working in a group is more beneficial than working as an individual as it comprises the ideas of four to five people and involve more communication and consequently leads to an enhanced decision making process. Soft skills need to be developed in order to resolve the conflict which arises in the discussion process within the group. At the same time, time management is also important for successful completion of a project. Strategic planning is defined as the method of defining the plans of the companies for achieving their missions. The strategy of an organization is therefore a derived approach towards attaining that mission. Organizational level and divisional level planning should be directly related to the strategic plan of the organization (Gates, 2010). Through the module, I came to know the elements of strategic planning and why it is important

Cost of Production - Larson & Larson Company Assignment

Cost of Production - Larson & Larson Company - Assignment Example 8660/12800 = ?0.68/unit For T, 50 labour hours @ ?12 + ?1800 for 2,400 Rate per unit = ?2400/2400 = ?1/unit Part b ABC system would be used if the other costs such as run and inspection are actually considered to obtain the true value of the project costs. With the weighted percentages, it can be possible to determine the product value considering each part of the process. In addition to the works on OAR, we calculate according the apportionment of the other expenses such that we will have the calculation that includes all the aspects for ABC as follows: For R, 68 x ? 12 apportioned appropriately in the ratio 3:4:3 then calculated for one unit by dividing by 560, the value is then added to other cost due to material and direct labour hours. = ?1.46/unit The total unit cost of R being ?2.69/ unit ?2.69/ unit1.46/ unit = ?3.15/unit For S, = 50 x ? 12 in the ratio 3:4:3 and calculated for one unit by dividing by 12,800 = 600/12800 = ?0.05/unit Total unit cost being 0.68 + 0.05 = ?0.73/u nit For T, would similarly be obtained as 58 x ?12/600 + ?1/unit =?2.26/unit Part c ABC as a method or accpunting model as developed inorder to solve problems related to accounting that has actually evolved over time due to the change in technology as well operations within the industries (Warren, Reeve & Fess 2005). It is clear that overhead costs have been increasing in companies to the point that it may be extremely difficult to use the direct methods which only emphasized on resources as well as the absorbed costs of the out. This assumed at a great expense, the impact of operations and the many intermediaries involved which comprise of the majority of the overhead costs. ABC therefore is the only practical remedy to the inefficiencies of the traditional accounting methods. At the core of ABC there exist very important principles and arguments which contribute to differentiating it from other accounting methods. ABC holds that the cost objects will consume the activities contrar y to the principle of other traditional accounting methods which argue that cost objects may only consume the resources (Naidu, Babu & Rajendra 2006). In normal operations, the costs actually will end utilizing the activities in the production line which actually depend on the resources. This aspect makes ABC more realistic and effective in determine the unit cost of production. Whereas other traditional methods base on volume allocation of the production resources, ABC considers the drivers at each level and their effect on production to determine the allocation. The drivers considered include activity drivers as well as the activity drivers which check every other production element and its cause effect relationship to the output. Further difference and principle of ABC comes from the fact that the traditional accounting are developed on the basis of structures while ABC actually depends on the process itself and therefore takes care of the various that may occur in the process. A BC begins from the process as it moves upwards to assess the amount of resources utilized and that might be required. Critically, ABC analyses the activities with the understanding that it is not easy or possible to manage costs but the activities causing the costs are manageable so that in the end, it is the activities that the organization takes or that is taken in the production process which will determine the costs (Pryor 1998). The

Babylonians and Sumerians Essay Example | Topics and Well Written Essays - 500 words

Babylonians and Sumerians - Essay Example The researcher states that one of the points of commonality between Sumerians and Babylonians is religion. Babylonians and Sumerians were both highly polytheistic. At some points, as neighboring city-states, Babylonians and Sumerians shared the same gods. All these gods were based on the perceptions that people had towards forces of nature. To this extent, both the Sumerians and Babylonians had the god(s) of air, sun, moon, rain and sea. Both civilizations also had towers or ziggurats in the middle of their cities. Sacrifices were offered to the pantheon of gods in Sumeria and Babylon. Nevertheless, in the offering of sacrifice, there is a parting point since the Sumerians offered only crop harvests while the Babylonians sacrificed even their children. Both civilizations were city-states. Again, both civilizations had all-dispensing rulers. In Sumeria, the powerful political ruler, Gilgamesh was also a priest. However, in Babylon, Hammurabi (fl. ca. 1792 – 1750 BC) the ruler w as a king, priest and lawgiver. Both civilizations used the Sumerian language, though the Babylonians limited their use of the Sumerian language to religious purposes. The Babylonians used the Akkadian language for official purposes while the Sumerians had their own language. According to Finkel and Reade, Babylonians is no doubt one of the biggest city-states in Mesopotamia. For one, as touching architecture, Babylonians erected massive buildings and architectural structures such as the Hanging Gardens and the Ishtar Gates. The Babylonians among many other things invested advanced techniques of irrigation along the Euphrates and Tigris rivers. This helped the Babylonians grow a lot of crops. Gadotti observes that the Sumerians also had their inventions, even in the field of architecture and art. One of the most remarkable works of Sumerian art is the Erech vase in alabaster.

How to write a professional resume Essay Example | Topics and Well Written Essays - 1000 words

How to write a professional resume - Essay Example This is a very important document that is used in different organizations for selection as well as recruitment purposes of the employees. A professional resume is carefully designed and the layout is catchy such that it helps the reader to grasp all the necessary information about a person without any hassle. A close analysis of the resume for Paul DiCicco shows that a resume is a document that contains important information about a prospective job candidate. Firsts and foremost, it can be noted that a resume is focused and it does not meander in as far as the subject matter is concerned. For instance, the name of the candidate as well as personal contact details are presented on top of the information. This makes the document visible such that it can be read clearly by any person without labouring to access the information needed about a candidate. Professional resume writing requires considerable effort as well as practice since this document determines the chances of success or fa ilure of the prospective job seeker in his endeavour to secure employment in a certain organization. Another important consideration when writing a resume is that a short career summary should be inserted at the beginning of the resume. This helps to describe the job applicant and it also gives information about the prospective candidate. A potential employer can easily read the resume and he can gain insight about the qualities of the person applying for a certain position in the company. Information about the candidate is written in a brief and clear manner such that it can be understood by any person who has browed the resume. The main purpose of writing a brief summary is that it captures all important details about a job applicant without presenting unnecessary details that may congest the document. Potential employers do not have time to read all details about a candidate on a resume since they go through hundreds of resumes on a daily basis. It is therefore important to captu re the attention of a potential employer through designing a resume in a professional manner. Professional experience The other important consideration when writing a resume is related to professional experience. As shown in the resume for Paul DiCicco, it can be seen that the section for professional experience should contain important information about the job candidate such as the period he has done the same type of work. This helps the employer to evaluate the capability of the job applicant’s potential of performing the same task should he be hired to fill the vacant post. This section also helps the employers to screen the number of candidates vying for the same post since the resume contains information about experience possessed by different individuals. This section of the resume also helps the employer to evaluate if he is dealing with the right candidate. In most cases, work experience is very important since helps the employer to save money in as far as training a nd development of the employee is concerned. The number of years in terms of experience is also very important when writing a resume. This helps the employer to select the right person who has knowledge in the work being offered. Education This is one of the most important sections of a resume. This section is presented in a reverse chronological order, that is from top to bottom. The highest level of education or qualification is presented on top and this is followed by other less important qualifications in order of the years they were obtained. When recruiting candidates for certain posts within an organization, the employers are more interested in the professional qualifications of the person involved. These

Peace Versus War Essay Example for Free

Peace Versus War Essay A war cannot achieve what peace can. The forces of peace can rule over ignorance and superstition, over illiteracy and immorality, over disease and physical suffering, over poverty and governmental oppression. The conquests of peace are non ­violent and bloodless. They cause no grief to humanity and do not damage life or property. War causes streams of blood and untold havoc. Only the victories of peace leave no maimed limbs or mutilated bodies, no ruined cities or scorched fields. Even a superficial glance at the course of the two world wars will tell us that their victories were gained at an incalculable cost. The triumph of the First World War proved to be of a short duration. The victory itself sowed, in fact, the seeds of the Second World War. Who knows that the victory of World War- II may also prove to be of an equally short duration and a third global war may even now be in the offing. The victories of Peace, however, are everlasting. They do not rankle in the mind of any nation and their fruits are enjoyed by all people. The victorious in war exploits the conquered people. The example is the occupation of Germany and Japan by the forces of the allied countries. If the axis powers had won the war, they would have exploited the Allies in the same, if not in a worse way. Thus, victory in war is gained at a heavy cost of life, and also implies the annexation and enslavement of many territories and the exploitation of many more. The victories of peace, on the contrary, involve no butchery of human beings and are, besides, of value to the entire world. Only peace social reforms. During war men are too busy in militaristic activities to think of social improvement. It is only during peace that a literacy campaign can be started, that the standard of living of the masses can be raised, that better houses can be built for the poor, that more schools and colleges can be opened, that prisons can be reformed, that crime can be effectively checked. Even the proper working of democracy itself is possible only in times of peace. There can be no elections, no government of the people when a country is in the throes of war. Peace promotes democracy. In short, it is during peace that a general improvement is possible in cleanliness and decency, in refinement and taste, in habits and morals, in manners and speech. In peace, too, lies the opportunity for sports, for horse-racing, skiing, tennis, cricket, football and hockey tournaments and athletic contests of all kinds. It is often said in favour of war that it brings out the best in man by creating opportunities for human beings to display their great powers of endurance, their courage, their capacity for self- sacrifice, their patriotism. This is true enough. In times of peace, people do tend to become lethargic and indolent. Too much ease begets idleness and an indifference to work. But to applaud war because it stimulates men into activity would really be preposterous. So grim are the horrors of war and so devastating its effects that no defence of it on any ground whatsoever is possible.

The Connotation Of Marketing Marketing Essay

The Connotation Of Marketing Marketing Essay Introduction Nowadays, marketing activities influence people in both the roles as suppliers of products and services and as customers. Marketing plays a great part for companies in knowing their clients, the products and services to offer, the advertising means and so forth. As for individuals, marketing is important for them to choose a particular brand of fashionable dresses and even toothpaste. But marketing is much more than selling or advertising activities. In this essay, the concept of marketing will be introduced in the beginning, and then the essay places an emphasis on the full range of connotation for marketing including marketing strategies, the consumer behavior, environmental analysis, and marketing ethics. Finally, it is concluded that marketing is a comprehensive process that involves all of the activities of managing and satisfying demand through the exchange process. Marketing is a Comprehensive Process As to the definition of marketing, most people, even some entrepreneurs, would hold that marketing mean selling or advertising, however, marketing is an activity more complex than selling or advertising. A proper definition of marketing should not only consider economy, but also includes institutions, people, and new ideas. Marketing is a process of offering products and services, pricing, promotion and distribution to meet the individual and organizational demand through exchanges (AMA, 1985). A company achieves its goals by satisfying both the domestic and foreign customers, and marketing is concerned with the activities to enlarge the market share of the company by matching the demand. This definition indicates that marketing includes not only the enterprises and individuals, but also the activities of non-profitable institutions or the marketing of a great idea or a service as well as a product. All in all, marketing involves products, services, organizations, people and ideas. Marketing Strategies According to McCarthy (1960), marketing strategies include products, pricing, promotion and place. Products or services are the basic content in the marketing process, which can be classified as goods or services and as customer or industrial. Classification is significant because it concentrates on the disparities in the characteristics of products and the different marketing implications. A reasonable pricing also counts in the process of marketing which should be profitable to the company and beneficial to the consumers. In the process of marketing, promotion is necessary to make the products, services or ideas known to the consumers. Means of promotion includes personal selling, advertising and public relations, price discounts and so forth. Distribution planning exerts a significant impact on the marketing program used by a firm, because middlemen can play a wide variety of marketing roles, the firmà ¢Ã¢â€š ¬Ã¢â€ž ¢s marketing plan will be different if it sells its products dir ect rather than through intermediaries. Environmental Analysis Environmental influences consist of sociocultural and technological, economic and competitive as well as political and legal influences (Kotler, 2006). Individuals are easily influenced both by the trends of the whole society and by a need to comply with the rules of the different social groups to which they belong, and to improve their status in those groups. With the development of technology, consumers can receive more individually-oriented offerings, and thus their expectations are raised about the quality of the product and service. The flourish of products and services lead to brand changing or offer the consumers with the information to make more meticulous decisions. And regulation and legislation, whether they relate to the product introductions, customer rights or advertising means, also decrease the risk of decision-making. This reduces some pressure of the customer, leading to discerning and easier decisions and less risk of post-purchase disturbance. Marketing Ethics Marketing ethics are the marketerà ¢Ã¢â€š ¬Ã¢â€ž ¢s standards of behavior and moral values, as Homburg (2001) maintains. They are related to the decision to do what is morally right or what is morally wrong. Traditionally, the concept of business responsibility has cared about the relationship between the enterprise and consumers, the work staff, and the stockholders. The enterprise is responsible for providing the customers with high-quality product at a rational price, decent salaries and a comfortable working environment for the staff and an adequate profit level for stockholders. Contemporary marketing decisions must regularly consider the external social environment. Decisions must also account for eventual, long-run effects. Socially responsible decisions must consider future generations as well as existing society. Conclusion In conclusion, in the process of marketing, selling or advertising is essential if a company want to attain its objectives, but more emphasis must be placed on the marketing strategies, and it is also of great importance to take environmental influences into consideration, which can exert impact on consumerà ¢Ã¢â€š ¬Ã¢â€ž ¢s decision-making. With people concern more about the ecology and healthy ways of consumption, marketers must care about environmentally-friendly marketing despite the high-quality products and services.

Theory Of Reasoned Action

Theory Of Reasoned Action CHAPTER 2 LITERATURE REVIEW 2.0 Introduction This chapter will deals with survey of literature review in the area of online purchase intention and perceived risk and its determinants. This section will discuss the dependent, independent and mediating variables and the relationship among the variables that might influence consumer perceptions of perceived risk towards online purchase intention. Researcher was replicates the framework from the study Factors influencing consumer perceptions of brand trust online by Hong-Youl Ha, 2004 and The influence of prior experience and age on mature consumers perceptions and intentions of internet apparel shopping by Wi-Suk Kwon and Mijeong Noh, 2009. The reason to choose this framework are because, this framework seem like fit with Malaysian culture and tradition. Although researcher was replicate the framework but some changes were made, which is researcher will combine both of the frameworks into one new framework and will test the framework into different setting of place. 2.1 Theory of Reasoned Action (TRA) To make some improvement for the past studies, researcher will apply the Theory of Reasoned Action (TRA) by (Fishbein, 1980) and Theory of Planned Behavior (TPB) by Ajzen in 1991. Theory of Reasoned Action (TRA) by Fishbein, 1980 was developed to explain how a consumer leads to a certain buying behavior, this theory asserts that attitude toward buying and subjective norm are the antecedents of performed behavior. Two antecedents which are (attitude and subjective norm) influence the purchase behavior additively (Ha, 1998). Two important propositions underlying the theory of reasoned action offered by Lutz (1991) are the first one is to predict a purchase behavior, it is necessary to measure a persons attitude toward performing that specific behavior, not only the general attitude toward the object around which the purchasing behavior is. The second one is, in addition to the attitude toward the behavior, TRA includes a second determinant of overt behavior namely the subjective norm (SN). SN is intended to measure the social influences on a persons behavior such as family members or friends and colleagues expectations. Sometimes in some situations expectation o f relevant from others may be a major factor in ultimate behavioral performances and simply not under the attitudinal control of individuals. Another study Lada et al., 2009, claim that according to the TRA, a persons intention is a function of two basic determinants, which are one personal in nature and the other one is reflecting social influence. The personal factor is the individuals positive or negative evaluation when performing the behavior and this factor is termed attitude toward the behavior. The second determinant of intention is the persons perception of the social pressure put on him or her whether to perform or not to perform the behavior in question and this factor is termed subjective norm since it deals with perceived prescriptions, (Ajzen and Fishbein, 1980). According to Ajzen and Fishbein, 1980), attitudes are a function of beliefs when someone believes that performing a given behavior will lead to mostly positive outcomes they may hold a favorable attitude toward performing the behavior, contrary a person who believes that performing the behavior will lead to mostly negative outcomes then they will hold an unfavorable attitude. The beliefs that underlie a persons attitude toward the behavior are termed behavioral beliefs while subjective norm is a function of beliefs that specify individuals or groups to think whether they should or should not perform the behavior and these beliefs which is underlying a persons subjective norm termed as a normative belief. A person who believes that most referents with whom they are motivated more to comply think, that they should perform the behavior will receive social pressure to do so (Lada et al., 2009). 2.2 Theory of Planned Behavior (TPB) The second theory is Theory of Planned Behavior (TPB), which is proposed by Ajzen in 1991 as an extension of the first theory discussed above which is theory of Reasoned Action (TRA) (Fishbein, 1980). (Ajzen and Fishbein, 1980), the TPB has been used by many researchers over the past 20 years and its shown to be able to predict a variety of intentions and behaviors perform by persons. According to Ajzen (1991), a persons action is determined by their behavioral intentions, which in turn are influenced by an attitude toward the behavior and subjective norms as discussed above. (Azjen, 1991), behavioral intentions are factors that capture how people are willing to try to perform a behavior, behavioral intention also the most influential predictor of behavior and its shown that in TPB constructs, intention was a better predictor of behavior. In the TPB, attitude toward the behavior is defined as ones positive or negative feelings about performing a specific behavior and determined through an assessment of ones beliefs regarding the consequences which is arising from ones behavior and an evaluation of the desirability of these consequences. 2.3 Conceptual Definition of Dependent Variable (Online Purchase Intention) It is best to start this study by explaining what an online purchase intention is it in order to give some idea and to dispel some common misconceptions that might occur. Purchase intention can be defined as a plan to purchase a particular goods or services in the future. Purchase intentions is the likelihood that a consumer will buy a particular product in which resulting from the interaction of his or her need for it, attitude towards it and perceptions of it and of course from the company itself which produces the products or services (J. Baker, 1998). This study using definition from (Azjen, 1991), behavioral intentions are factors that capture how people are willing to try to perform a behavior, behavioral intention also the most influential predictor of behavior, intention also was a better predictor of behavior. 2.4 Conceptual definition of Mediating Variable (Perceived Risk) Risks is a part of everyday life and always come as a routine in between us and exist when there is a less than 100 percent probability that things will turn out as someone expected will happen (Baeur, 1967). Risks are different for different persons, according to Martin and Camarero (2008), some people view risk as a their inability to value the quality of the product directly, lack of personal contact with the salesperson, the cost involve of learning on how to use the internet, cost switching different channels, security of payment and personal information. Whilst others, view risk as a (Stone and Gronhaug, 1993) degree of uncertainty about the outcome of an action which might carries the possibility of physical harm or damages. Manzano et al., 2008 offered six dimensions of perceived risk which are security risk, privacy risk, performance risk, time loss risk and social risk. Whilst Beardon and Mason, 1978 proposed different dimensions of perceived risk namely, financial risk, social risk, performance risk, psychological risk and physical risk. Although there are different kind of names or term used but the meaning is quiet same in a context of online shopping. Financial risk or security risk share a same meaning, it can be incurred when customers financial circumstances are damaged because of loss of money in cash or via credit card (March, 2006; Manzano et al., 2008). Social risks come through purchasing process that is perceived to be down-market (March, 2006). Littler and Melanthiou, 2006 found that social risk is concerned with the possibility of attracting unfavorable attention and response from purchasing a particular product. Consumer attitudes to the different methods of purchasing highly depend on their characteristics. Performance risk according to (Littler and Melanthiou, 2006) is concerned with how well the product perform relative to expectations for example, the lack of personal contact with a salesperson prevent the consumer from correctly evaluating the characteristics of the product which in turn decreasing confidence (Ba, 2001) among consumer. It is good if consumer can try out the product they will buy before they make a payment, (Gerrard and Cunningham, 2003) in their study reveal that the opportunity to conduct a trial before make payment provides the necessary confidence to consumers with high perceived performance risk. Whilst March 2006, implies that performance risk is occur when a product does not fulfill its functio n as expected especially services which may take risk time wasted in waiting. Time loss risk happen when consumer incur time costs from using online purchasing, the time of learning how to buy on a certain products, the time to wait for respond or the time for searching process( Littler and Melanthiou, 2006). Physical risk leading with purchases that might include products which are unsafe or will cause physical harm to the user or in services, allow customers to take risks whilst undertaking risky activity such as cycling (March, 2006). The last dimensions of perceived risk are psychological risk, which may be caused by consumers wearing unfashionable clothes, leading to the social risk of not fitting in and in turn will decrease confidence level among consumer. We do not always accurately perceive the threats of risks, accurately understanding and effectively eliminating or limiting risks are part of the survival and safety especially in online industry. Risk management must be an active part of facility marketing manager duties, risk should be well manage to control the financial and personal injury loss from sudden, unforeseen, unusual accident, and intentional torts (Ammon et al., 2004). In summary, for the purpose of this study, perceived risk can be summarize as a degree of uncertainty about the outcome from an action which carries the possibility of physical harm especially in financial and information fraud. Hence, this study assumes customer perceived risks are all the six dimensions discuss above which are, security risk, privacy risk, performance risk, time loss risk and social risk. 2.5 Conceptual definition of Independent Variables 2.5.1 Security Theres a various definition of security, Yoo and Donthu, 2001; Wolfinbarger and Gilly define security as to protecting the user from the risk of fraud and financial loss. According to (Milne et al., 2004), security often breaches of internet transmissions and databases enable the unauthorized use of consumers confidential information from third parties such as, name, address, password, social security and credit card numbers and, often result in identity theft. In reality, the prospect of privacy losses and information misuse in e-commerce settings may offset any convenience, time, and financial savings afforded to consumers thus by providing security for consumers will lead to customer satisfaction and in turn will decrease risk perception among consumers. Unfortunately, security breaches are occurring at a growing rate from time to time. Indeed, Miyazaki and Fernandez (2001) found that internet users highly concerns with regard to online shopping were privacy, system security breaches from third parties in which due to faulty technological security and security breaches in the form of fraudulent online retailer behavior. Security plays a vital role on customer trust and customer satisfaction, thus by providing security to consumers will lead to brand trust and would expect (Mayer et al., 1995) security decrease risk perceptions among consumers. On the other hand, Krisnahmurthy (2001) also found that consumers who experience positive security leads to improvements in the levels of familiarity on the web, accordingly security should affect brand trust as well as decrease risk perceptions. 2.3.2 Privacy Consumers patronizing an online service which requires the regular transmission and remote storage of confidential information may perceive elevated concerns regarding threats to the privacy of their personal and confidential information is very important during online transactions (Mauricio et al., 2007). Privacy refers to protection of personal details implicit or explicit agreement and not to sell or exchange the personal information gathered from consumers during transactions (Yoo and Donthu, 2001; Wolfinbarger and Gilly, 2003). Another definition of privacy from (Parasuraman et al., 2005) is the claim of individualsà ¢Ã¢â€š ¬Ã‚ ¦to determine on when, how, and to what extent information about them is communicated to others. (Caudill and Murphy, 2000; Sheehan and Hoy, 2000) proposed in their studies that consumer concern for information privacy is considered one of the most important issues nowadays. Fried (1998) was one of the earliest modern scholars to evaluate the notion of privacy; he argued that privacy is especially valuable since it allows people to conduct online transactions that result in trust, which would not be possible in the absence of privacy. Caudill and Murphy (2000) argued that both public and private information should be included in the debate regarding privacy since technologies today are making it increasingly easier to move private information into the public domain, which will cause consumers serious concerns regarding their private information. If the private information going into public meaning that, there is no privacy at all and this will cause distrust among customers and will lead to unsatisfied customers. 2.3.3 Brand Name Theres are various definition of brand, one of the definition is proposed by Bennett, 1988 claim that a brand is a name, term, sign, symbol, design, or any combination of these concepts, used to identify the goods and services of a seller. Keller (1998) states that brand name are one of the main factors facilitating the development of brand awareness or familiarity. The more specialized and reputable a brand name is in selling or recognizing the product or service, the more highly will its brand trust be perceived by consumers. Choosing a brand name for a consumer product or service is so critical that some writers argue it is one of the most important marketing management decisions that marketing manager should take highly considerations about choosing a brand name (Landler et al., 1991). A well chosen brand name can provide a customer with a symbolic meaning which assists in both the recognition of the product and the decision-making process (Herbig and Milewicz, 1993), it is also can produce a number of specific advantages including suggesting product benefits (McCarthy and Perault, 1990), contributing to brand identity, simplifying shopping, implying quality (McNeal and Zerren, 1981), evoking feelings of trust, confidence, security, strength, durability, speed, status and exclusivity and at the end of the day can decrease risk perceptions (Shimp, 1993). The more positively the persons perceived the brand, the higher the consumers brand awareness and loyalty, allowing the firm to command larger margins, higher market share, more inelastic consumer response to price increases, less vulnerability to competitive activity, increased marketing communications effectiveness, additional brand extension opportunities and other competitive advantages such as distribution leverage, customer satisfaction and as well as decrease risk perceptions (Keller, 1998). 2.3.4 Word of Mouth Word of mouth (WOM) plays a vital role in consumer behavior because Word of mouth (WOM) would affect purchase and intention to purchase and also experience of other consumers by conveying their consumption experience of others, namely the satisfaction or dissatisfaction after the purchasing process occur. WOM is commonly defined as informal communication about the characteristics of a business, services or a product which occurs between consumers (Westbrook, 1987). Most importantly, WOM also allows consumers to exert both informational and normative influences on the product or service evaluations and purchase intentions to fellow consumers (Bone, 1995; Ward and Reingen, 1990). According to Ha, 2004, WOM has been shown to influence awareness, expectations, perceptions, attitudes, behavioral intentions and behavior towards a product or services. Online shopping consumers will perceive higher purchase risk than that of the traditional shopping since the purchase occurs in virtual space rather than face to face transactions. They will accordingly rely more on WOM information to reduce uncertainty and purchase risk to make decisions (Kim and Song, 2010). According to Assael (1995), since online shopping has higher purchase risk than face to face interactions, (Richins and Shaffer, 1987) consumers carry out WOM action to obtain market information while making buying decision especially consumers who rely more on WOM as they perceive higher risks. Nowadays, there a growing body of evidence that the internet based opinion mechanism influence consumers when making a purchase such as blogs, social network (facebook, myspace, twitter) (Hong, 2006) and this is a new form of word of mouth communication and is known as electronic Word of Mouth (e-WOM). e-WOM is any positive or negative communication among the potential, current or former customers about a product, services or company that is available to public on the internet. Indeed, (Sen, 2008; Sen and Lerman, 2007) claimed that the impact of e-WOM is not as effective as the traditional face to- face word of mouth (WOM). In contrast, Steffes and Burgee (2009) found that the information gained from the e-WOM forum is more influential and beneficial in decision making process rather than speaking with friends in person (WOM). 2.3.5 Good Online Experience Often consumers tend to remember best the last experience they encounter (the recency effect): thus, one positive experience may be sufficient to alter perceptions of more than preceding negative experience, and vice versa (Ha, 2004). Experiences are sometimes confused with services, but experiences are as distinct from services as services also distinct from goods because experiences exist only in the mind of the individual. They are rich with emotional, physical, intellectual, or spiritual sensations created within the consumer during transactions (Kotler et al., 2005). According to Pine and Gilmore (1999), An experience occurs when a company intentionally uses services as the stage, and then goods as props to engage individual customers in a way to create a memorable event that consumer will remember best. The more satisfied the customer with the experience that the web sites offer, the more durable is the relationship among consumer and that particular brand (Buchanan and Gillies, 1990), and the relationship is highly depends on the customers experience, whether positive or negative experience. Experience plays a vital role in trust by making it possible to compare the realities of the firm with customer preconceived expectations. Ganesan (1994) goes further, and views experience as an antecedent to build brand trust among customers which in turn will lead to making purchasing. Usually customers expect Web sites to offer them not just a message, but a positive experience such as, security and privacy, ease of use, web site design and aesthetic elements and interactivity. The ease of use of the web sites is important factor which refers to the layout and design of the web site and the ease of making ones way around it, how the users perceives and interacts with the site, and how easy t o use it (Nielsen, 1999). While (Steur, 1992) covers the web sites design and aesthetic elements as a representation of the web site environments, associated with its formal characteristic such as graphics, colors, images, icons, animated sequences, videos and pop -ups which will influence customer to trust the web site as well as to proceed at the end action which is making purchasing. (Yoo and Donthu, 2001) claim that these elements has contribute to the atmosphere of the web site and are important in evaluating the web site experience. Thus, if the web sites offer all of this experience to customer will lead to customer satisfaction and build brand trust among customer thus will decrease customer risk perception. General speak in detailed, the fact that it easy to access and use the site, including the access speed and the overall guide design and layout, as well as the information provided; requirement fulfillment refers to whether the sites handling and goods delivery in a systematic way; system accessibility refers to whether the site has been technology based or still using a traditional based, or is vulnerable to attacks; and privacy, also known as security, refers to whether the site can keep the customers information secret and payments safe (Sheng and Liu, 2010) are experience that customer want in which we can called it positive experience will lead to customer satisfaction and purchase as well as to build brand trust. 2.3.6 Quality of Information There is various definition of information. Some writers make no distinction between data and information (Wang et al., 1998) while some writers see the differences as most crucial (Tozer, 1999). Information is logically derived from theories or principles, it is an artifact. The producer of information has an intention to produce a symbolic meaning of certain entities or events, put it into a context, assign it into a pre defined meaning and then transmit the information into receiver. The producer of information expected that the receiver will capture the meaning as intended (Lillrank, 2002). Consumers search for information in their pre-purchase search process for a product or service they intend to buy thus, by providing effective information does lead to improved awareness and brand perception among consumers (Aaker and Joachimsthaler, 2000; Ha, 2002; Keller, 1998), particularly for individuals with high brand trust and high perceived risk (Duncan and Moriarty, 1998). Many online buyers indicate that their buying decisions mostly depend on the information offered online (Long Ching, 2009). Bickart and Schindler (2001) found that consumers who gathered information from online discussions namely electronic word of mouth (e-WOM) reported greater interest and intention to buy in the product than did those consumers who gathered information from the marketer-generated sources. The main reason for this is highly likely to be the trust issue as raised in a study by Sen (2008). Customized information has become more important in internet nowadays based applications due to the multitude of choices that are available on the internet (Simonson, 2005; Ha, 2002). (Ha (2002), has shown that internet users are very interested in customized information offer by the web sites be this is because mostly firms today have added value by providing appropriate information to simplify the customers decision making process (Murthi and Sarkar, 2003). In addition, the source of the information is very crucial for a message to be effective and reliable and it often depends on the receivers perception of the senders trustworthiness and expertise (Kiecker and Cowles, 2001) they also suggest that the information also must be perceived believable, competent, valuable and trustworthy for information recipients. (Robinson and Kaye, 2000), found that consumers, who relied on online sources for more information, rated the online sources as more credible than other sources, so it is important tasks for managers to provide quality information online to gain trust from customers. Meyvis and Janiszewski (2002) reveal that irrelevant and lack in quality information will weakens consumers belief in the products or services ability to deliver the benefit. Hence, whether perceived quality of information is provided and, if it is provided, the quality of customized information for customers, also highly influence the level of brand trust and custom er satisfaction on the web (Ha, 2004). 2.4 Relationship among the Variables Individuals who perceive a low risk in online buying likely make decisions more quickly and less likely to take into account aspects outside of the web site. In contrast, individuals who are more fearful will behave in a more cautious way, searching for external information that warrantees a successful buying decision to decrease uncertainty in internet purchase (Martin and Camarero, 2008). Bhatnagar et al., 2000, reported that consumers were less likely to shop online in which perceived product performance risk was high than those with low product performance risk, consumers perceived risk negatively influences their intention to purchase products online. Customer who satisfied with the security, privacy and online good experience offered by the web sites will experience lower perceived risk and will have effect on the purchase intention. (Chen and Hsin, 2008) results show that consumers perceived risk towards specific online retailer with regards to purchase intention was influence by trust. As consumer trust increases because of decreasing perceived risk will influence consumer to make purchase (Chen and Hsin, 2008). 2.5 Summary This chapter reviewed literatures on consumer perception of perceived risk towards online purchase intention in detailed. Based on the findings from literature reviews, definition conception of online purchase intention, perceived risk, security, privacy, word of mouth, brand name, good online experience and quality of information are developed. In the last part of this chapter, the relationship between independent variables, mediating variable and dependent variable are constructed. Conceptualizing definitions of variables is important in order to construct a research framework in which would be discussed in chapter 3.

Cyber Studies Essay -- Technology Media Technological Papers

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