Patient Rights Essay Example for Free

Patient Rights Essay Patient rights are also human rights. Every patient deserves to be treated respectfully and with every intention of helping patients improve their health. Due to past historical events, there was a need for the creation of two documents that give patients protection and rights when it comes to clinical experiments. These events were experiments that were conducted unethically and violated human rights. The names of these documents are: The Nuremberg Code and The Belmont Report. The first one that was created in the 1940’s was The Nuremberg Code which relates to the events that happened during the holocaust. Nazi physicians were responsible for performing malicious experiments on prisoners in the concentration camps. The Belmont Report was created later after the discovery of the Tuskegee Syphilis Experiment. In this study, which was conducted from 1930-1972, African American men were deceived into thinking they were being treated for syphilis when they actually were not. Even after the discovery that penicillin was an effective treatment for this disease, many men were still left untreated and left to die unnecessarily. The â€Å"Doctors’ Trial† was one of the main trials conducted after World War II in Nuremberg, Germany. This was an international trial made up of judges from the United States, Britain, France, and the former Soviet Union. This trial involved 23 defendants, 20 of them being physicians, all accused of torturing and murdering prisoners in concentration camps with the use of medical experiments. Sixteen of the 23 defendants were found guilty and sentenced to death, life in prison, 25 years, fifteen years and ten years in prison. The remaining seven were acquitted. After conclusion of the trial, the judges felt a strong need for an additional way to protect human research subjects. This is when they created the ten research principles now known as The Nuremberg Code. As the Hippocratic ethics was great for physician-patient relationships, it did not fit so well with scientific research. Everything changes because the primary goal of the physician is no longer the patient, but instead the results of his or her experiment. The Nuremberg Code solves this conflict. The first and main principle of the Nuremberg Code makes the voluntary consent of human subjects absolutely essential. Experiments should not be random or unnecessary; they should be in search of beneficial results. It should be based on experimentation of animals and help prove positive effects are the result. Mental and physical suffering or injury should absolutely be avoided. No study shall be performed when there is a risk of death or severe injury involved. The potential risks should never exceed the potential benefits. Sufficient preparations must be made and acceptable facilities must be used in order to protect against injuries, disabilities, or death. Only qualified individuals may perform such studies and the highest possible skill and care shall be applied throughout the entire process. Subjects will always hold the power to end the experiment at any time they feel is necessary for their own well-being. And last of all the scientist in charge must end an experiment as soon as there might be any reason to believe that there is a possibility that continuation of the study could result in injury, disability, or death to any of the participating subjects. In Tuskegee Syphilis Experiment the Nuremberg Code was disregarded and still continued to be sponsored by the U. S. government. The reason for this may be because the code and principles were not regulated and could not be enforced by laws. In 1978 the Department of Health and Human Services (HHS) published the Belmont Report. The Belmont Report is made up of three basic ethical principles which are: respect for persons, beneficence, and justice. All persons asked to be in a study should have total autonomy and complete control of their decisions. For beneficence researcher should not only attempt to achieve maximum benefits for the subjects, but also minimize all risks. Justice states all people should be treated fairly and benefits and problems should be distributed fairly as well. These are now regulation guidelines and remain the main focus to protect humans as subjects. To this present day the Belmont Report continues to be used as a reference for institutional review boards (IRB) which ensure that human based research follow all ethical regulations and guidelines. Anytime experiments on humans are being conducted, ethical issues will always be involved. With the creation of these two documents it helps determine whether a clinical trial is ethical or not. First of all the experiment must have some kind of social or scientific value in which it may produce results that will benefit health and well-being or even increase knowledge on a certain subject. Only qualified scientists or physicians are allowed to perform such studies using methods and techniques that will produce reliable results. Subjects must be chosen fairly. The risks of the study must be minimized while the benefits maximized, or at the least benefits and risks should be proportionate. Informed consent means subjects will be informed on the purpose of the research, its risks, benefits, and alternatives. This helps to make informed decisions and also subject have the power to end the study at any time. Subjects will also be provided confidentiality, information on any new discoveries and results of the studies. These documents not only provide protection and safety for test subjects, but it also protects certain individuals from being participants in any studies. There are certain populations or groups of people that cannot be selected for studies for certain reasons. Adults are preferred subjects over children. Individuals must be competent in order to give informed consent, which would eliminate using mentally ill people as subjects for a study. Prisoners should also be excluded as test subjects as they are already in a forced position. There must be a certain criteria met in order to use any of these subjects in a research study. I find it to be a real shame that the Nuremberg Code was overlooked in many studies performed in the United States after its creation. It was not regulated and it was not against the law to not follow these codes of ethics on research. Although it took a series of unfortunate events to come up with the Belmont Report, it sure is nice to know there is protection now for human test subjects. The creation of Institutional Review Boards (IRB) to enforce that studies are being conducted under ethical guidelines and researchers are following these rules was essential in helping to improve the search for better health in this country. This will continue to guide our effort as well as change when other issues arise. The good thing is that I do not seeing it ever changing much more as all the most important ethical issues is covered by these documents when performing any research on human subjects.

Masculinity and Advertising Essay -- Ads Advertising Marketing Gender

Masculinity and Advertising Picture this: There are three beach chairs on a beach and occupying each seat is a male college student. One guy has no shirt on and is wearing a hat. With a smile on his face, he looks to his right. The two guys sitting to his left are each reading a magazine. All three men seem to be enjoying the hot weather and the one looking to his right is enjoying a beer. Coming up on his right are three beautiful girls in bikinis. One girl is blonde, very well developed, and as she walks by you can see her breasts move back and forth with every step she takes. She smiles as she walks by, and by the expression on the guy's face he seems to be enjoying what he is seeing. Her two friends, who are brunettes, also have hourglass figures and smile at him as they walk by. The guy with the hat stares at them with a big smile. This guy then turns to his left and tells his friend, "It's your turn." His friend takes the beer that is offered to him, bangs it on the arm stand of the beach chair, and with this the girls rewind back to their starting positions. The music in the background plays again and the guy in the middle gets to enjoy the upcoming view. If you have not recognized this scene, it is a Miller Lite commercial that is typical of the ones shown during televised sporting events. In this paper I will analyze this commercial as well as others to reveal what the world of advertising on the Internet and on the tube set is all about. In a way, the advertising companies are prescribing certain roles of masculinity to men. These advertisers are suggesting that the men that are portrayed in their commercials or advertisement are the way men are or ought to be. I will explain why men should be aware of the issue... ...e use of half naked women walking around or the use of any alcohol. You can make it for T.V. or for a picture on a Web site. If you insist on making it a beer commercial you can have a dolphin swim up to the shore balancing a can of beer on its nose. I am not trying to persuade men to not watch the commercials or not go to the porn section, or go to the sports section of the web, but instead to view them in a different perspective. Men are portrayed as: having an identity crisis, unable to communicate with the opposite sex, and lastly a low level of language apprehension. Maybe even almost as cave man, we slam our beer down and the women go back to where they started. I'll be the first to admit that I enjoy looking at all types of women, whether they are clothed or half naked, but when I do my mouth is closed and when I open it, it's to carry on a conversation.

Albatross Anchor Proposal

Introduction Processes and technologies have many variables; planning, analysis, designing and innovations. Albatross Anchor needs to become more effective with the opportunities and challenges in its operating environment. Albatross’ operating system must be capable of producing quality products (anchors) that are n demand within a time frame that is acceptable to the industry. Question One Based on the information presented in the scenario/case study discuss Albatross Anchor’s competitiveness in relation to (please address all items in the below list and provide support for your conclusions): 1. Cost a) Cost or Production: The first issue that needs to be addressed is; how much of the fabricating of the anchors could be outsourced? Albatross, a vertically integrated company has an antiquated and technology-deprived plant as well as non-compliant on safety and environmental issues. The factors that can make outsourcing desirable to Albatross Anchors are quality and speed. Quality, which is â€Å"standardization of parts, supplier certification, and supplier involvement in design can improve the quality of supplied parts. † (www. allbusiness. om) Speed of the supplier can produce the components quicker, with adaptability, flexibility and reliability then this is a time benefit for outsourcing. Albatross Anchors is lacking the production capabilities to output products in relation to the industry and customers demands. Outsourcing would be a benefit to the production of the customized and specific anchors and a valuable asset to put into action and still be able to keep the competitive edge. Albatross’ ability to produce the anchors on a larger scale with fewer, less expensive costs needs to be implemented. Technology, specialized trained employees and bulk purchasing are factors that contribute to the economic scale. An investment in specific technological production techniques would give Albatross more of a competitive advantage over other â€Å"anchor† companies. Increasing production efficiency would allow Albatross to reduce the company’s expenses. Reduced expenses means more cash to spend on operational expansion. Experienced and a specialized skilled labor force would improve Albatross Anchor because the ore skilled workforce the more capable workers would be to complete complex tasks. Albatross could hire more skilled labor force to reduce the workforce for their competitors. The advantage of a more highly skilled workforce is to improve the economies of scales because they could produce more anchors in less time. b) Economies of Scale: The ability to grow and expand would lead Albatross to purchase materials in bulk. Bulk purchasing would allow Albatross Anchor to benefit from a reduced average cost per unit. Economies of scale refers to the decreased per unit cost as output increases. More clearly, the initial investment of capital is diffused (spread) over an increasing number of units of output, and therefore, the marginal cost of producing a good or service decreases as production increases. )† (www. uslaw. com) c) Cost of Raw Materials Sitting Idle in the Warehouse: d) Cost of Finished Goods Sitting Idle in the Warehouse: To stay competitive, Albatross needs to implement the â€Å"Just-in-time† inventory control system. This system identifies that a â€Å"finished product should be produced just in time for delivery and the raw materials should be delivered just in time for production. † (www. referenceforbusiness. com) The â€Å"Just-in-time† system is used so materials and goods never sit idle for extended periods of time. If products or materials sit for long periods of time in warehouses, Albatross is wasting money and valuable space. Inventory management is another key factor for the success of Albatross Anchors. If Albatross wants to maintain an effective inventory of their materials, regular maintenance needs to be a priority. Inventory maintenance on a regular basis needs to 1) review all transportation alternatives and how this affects inventory and warehouse issues, 2) do periodic reviews of inventory, especially raw materials and finished products to ensure that customers orders are filled in a timely fashion and 3) establish a review system for managing inventory to ensure that obsolete materials are disposed of properly. Success of Albatross Anchors depends on a successful inventory management system. 2. Speed of manufacturing process from order to finished product. Albatross’ manufacturing speed needs to be improved in order to stay competitive in the industry. Albatross Anchors would benefit from the use of a computerized production scheduler, this scheduler creates schedules for the production down to the very second. Using flowcharts as well as a computer-based scheduler will take the guess work out of production and increase speed so to improve the lead time, reduce inventories, satisfy customers and still stay competitive. 3. Flexibility in filling order(s): Implementing a flexible manufacturing system would enhance and increase the speed of fulfilling the anchor orders of Albatross. The ability to easily make changes in the production of anchors would be a major strength for flexibility in volume and product. The manufacturing flexibility has three components: 1) the flexibility to produce varieties of different sizes of anchors by using the same machines and producing the same anchors on different machines, 2) the ability to produce new sizes of anchors on the existing machines and 3) using the flexibility of the current machines to design changes in the anchors. The present time, Albatross has dedicated machinery which lacks flexibility. Utilizing an FMS would produce benefit as less waste, quicker tool change, better control of quality, efficient uses of machinery and labor force, reduction in inventory, faster shipping and receiving as well as reduction in expenses. 4. Technology Technology in manufacturing operations is a vital part of the success of Albatross Anchors. Implementing automated and flexible manufacturing systems can aid the company to make collaborative decisions about the production of specific and different anchors. Applying current process, manufacturing, product and information technologies will benefit Albatross to supply employees, suppliers and customers with the best output for their marine craft, whether large or small. 5. Capacity and facilities The current facility layout for Albatross is inefficient for several reasons. The current flows of work, materials, receiving/shipping are not grouped together. Albatross can reduce manufacturing costs and improve profitability by improving the plant layout. Product layout would be the most beneficial for Albatross Anchors. This type of layout is an assembly line and workers have their stations with tools, materials to complete the manufacturing process for the anchors. Once the anchors have been manufactured, shipping them to a warehouse for storage is the most effective way. Product layout has a sequential arrangement of manufacturing processes, a continuous mass production and assembly, special equipment, a fixed path for material handling, balance for scheduling and efficiency. Implementing the product layout for Albatross will; 1) minimize material movement, 2) minimize the cost of handling materials, 3) provide work flow in an orderly and efficient manner suitable for the repetitive operations of manufacturing anchors. 6. Service to customers (what types of services would an anchor company provide to marine wholesalers? In any organization, service that is provided to customers must be held at a high standard. Exceptional service will generate a return of customer and profitability. Services that a marine wholesaler would look for would be; databases for products and manufacturers, on-time delivery, cost effective and efficient supply solutions as well as understanding customer’s requirements. â€Å"Technical expertise, alliances with strategic partners, logistics, supply chain management and specialized outsourcing provides strength to customer base. † (www. anchormarinesupplies. com) Question Two There are many ways that mushroom/bell anchors may be manufactured. Albatross Anchor is considering two new manufacturing processes (Process A and Process B) to reduce costs. Analysis of the information below will help determine which process has the lowest breakeven point (this validates the process is more cost effective). For each process the following fixed costs and variable costs are identified below: |Anchor and Process |Process A |Process B | |Sale price per anchor |$ 42. 0 |$ 42. 00 | |Total Fixed cost |$ 650,000. 00 |$950,000. 00 | |Variable cost per anchor |$ 36. 00 |$ 29. 99 | Based on the information in the table above complete the table below: Anchor and Process |Process A |Process B | |(a) Fixed costs per anchor |3,900,000   |11,409,500   | |(b) The total number of anchors to attain |108,334   |79,101   | |break–even point for Process A and Process B | | | c) Based on your calculations which Process (A or B) that you would recommend for adoption (you can select only one). Please make sure to explain how you arrived a t your conclusion. I would recommend Process A for Albatross Anchors. The fixed costs per anchor are lower than the total fixed costs which would generate a profit for the company but, the number of anchors to manufacturer is greater. Producing a larger number of anchors is a benefit when Albatross purchases bulk materials for process A. If Albatross can produce a large number of anchors on a monthly basis with lower production expenses then the company will turn a profit. Process A has the factors that all management supervisors want, low costs with a high number of products coming off of the production floor. Conclusion Albatross Anchors has the abilities to mass produce anchors for small, medium and large marine vessels. Albatross Anchors is a company that began in 1976 and has grown rapidly. In order for the company to make a large profit, the plant needs to be updated with technology, expand the production of the anchors and be a more friendly manufacturing environment. Providing exceptional service to customers, updating the facility, technology, flexibility with fulfillment of orders, speed of the manufacturing process, cost of production and materials as well as utilizing inventory, Albatross can become competitive once again. Through enhancing the manufacturing processes, Albatross Anchors will be the leader in the manufacturing of anchors in the future. References Evans, J. (2005). Total Quality Management, Organization, and Strategy, (4th Ed. ). Thomson, South-Western. Wilson, Dennis R (2004, March 22). Outsourcing Production and Jobs: Cost and benefits.. Retrieved May 10, 2011, from http://www. allbusiness. com www. uslaw. com www. anchormarinesupplies. com www. referenceforbusiness. com

Battle of Chosin Reservoir in the Korean War

The Battle of Chosin Reservoir was fought from November 26 to December 11, 1950 during the Korean War (1950-1953). Following the Chinese decision to intervene in the Korean War in October, their forces began crossing the Yalu River in large numbers. Encountering elements of Major General Edward Almonds X Corps, including the 1st Marine Division, they attempted to overwhelm the Americans near the Chosin Reservoir. Fought in bitterly cold conditions, the resulting battle quickly entered US Marine Corps lore as the Marines, with support from the US Army, fought tenaciously to escape from the Chinese. After more than two weeks, they succeeded in breaking out and were ultimately evacuated from Hungnam. Fast Facts: Inchon Invasion Conflict: Korean War (1950-1953)Dates: November 26 to December 11, 1950Armies Commanders:United NationsGeneral Douglas MacArthurMajor General Edward Almond, X CorpsMajor General Oliver P. Smith, 1st Marine Divisionapprox. 30,000 menChineseGeneral Song Shi-Lunapprox. 120,000 menCasualties:United Nations: 1,029 killed, 4,582 wounded, and 4,894 missingChinese: 19,202 to 29,800 casualties Background On October 25, 1950, with General Douglas MacArthurs United Nations forces closing in a victorious end to the Korean War, Communist Chinese forces began pouring across the border. Striking the spread out UN troops with overwhelming force, they compelled them to retreat all across the front. In northeastern Korea, the US X Corps, led by Major General Edward Almond, was strung out with its units unable to support each other. Those units near the Chosin (Changjin) Reservoir included the 1st Marine Division and elements of the 7th Infantry Division. General Douglas MacArthur during the Inchon landings, September 1950. National Archives and Records Administration Chinese Invasion Advancing quickly, the Ninth Army Group of the Peoples Liberation Army (PLA) blunted X Corps advance and swarmed around the UN troops at Chosin. Alerted to their predicament, Almond ordered the commander of the 1st Marine Division, Major General Oliver P. Smith, to begin a fighting retreat back towards the coast. Commencing on November 26, Smiths men endured extreme cold and severe weather. The next day, the 5th and 7th Marines attacked from their positions near Yudam-ni, on the west bank of the reservoir, with some success against the PLA forces in the area. Over the next three days the 1st Marine Division successfully defended their positions at Yudam-ni and Hagaru-ri against Chinese human wave assaults. On November 29, Smith contacted Colonel Chesty Puller, commanding the 1st Marine Regiment, at Koto-ri and asked him to assemble a task force to re-open the road from there to Hagaru-ri. Colonel Lewis Chesty Puller, November 1950. US Marine Corps Hell Fire Valley Complying, Puller formed a force consisting of Lieutenant Colonel Douglas B. Drysdales 41 Independent Commando (Royal Marines Battalion), G Company (1st Marines), B Company (31st Infantry), and other rear echelon troops. Numbering 900 men, the 140-vehicle task force departed at 9:30 AM on the 29th, with Drysdale in command. Pushing up the road to Hargaru-ri, the task force became bogged down after being ambushed by Chinese troops. Fighting in an area that was dubbed Hell Fire Valley, Drysdale was reinforced by tanks sent by Puller. Battle of Chosin Reservoir Map. US Army Pressing on, Drysdales men ran a gauntlet of fire and reached Hagaru-ri with the bulk of 41 Commando, G Company, and the tanks. During the attack, the B Company, 31st Infantry, became separated and isolated along the road. While most were killed or captured, some were able to escape back to Koto-ri. While the Marines were fighting to the west, the 31st Regimental Combat Team (RCT) of the 7th Infantry was battling for its life on the eastern shore of the reservoir. US Marine engage Chinese forces in Korea, 1950. US Marine Corps Fighting to Escape Repeatedly assaulted by the 80th and 81st PLA divisions, the 3,000-man 31st RCT was worn down and overrun. Some survivors of the unit reached the Marine lines at Hagaru-ri on December 2. Holding his position at Hagaru-ri, Smith ordered the 5th and 7th Marines to abandon the area around Yudam-ni and link up with the rest of the division. Fighting a brutal three-day battle, the Marines entered Hagaru-ri on December 4. Two days later, Smiths command began fighting their way back to Koto-ri. Battling overwhelming odds, the Marines and other elements of X Corps attacked continuously as they moved towards the port of Hungnam. A highlight of the campaign occurred on December 9, when a bridge was constructed over a 1,500-ft. gorge between Koto-ri and Chinhung-ni using prefabricated bridge sections dropped by the US Air Force. Cutting through the enemy, the last of the Frozen Chosin reached Hungnam on December 11. Aftermath While not a victory in the classic sense, the withdrawal from the Chosin Reservoir is revered as a high point in the history of the US Marine Corps. In the fighting, the Marines and other UN troops effectively destroyed or crippled seven Chinese divisions which attempted to block their progress. Marine losses in the campaign numbered 836 killed and 12,000 wounded. Most of the latter were frostbite injuries inflicted by the severe cold and winter weather. US Army losses numbered around 2,000 killed and 1,000 wounded. Precise casualties for the Chinese are not known but are estimated between 19,202 to 29,800. Upon reaching Hungnam, the veterans of Chosin Reservoir were evacuated as part of the large amphibious operation to rescue UN troops from northeastern Korea.