SAP ERP systems Essay Example | Topics and Well Written Essays - 1000 words

SAP ERP systems - Essay Example SAP product design and development deals with business expansion and advancements. The system reduces marketing time while increasing productivity from the developed products. As the product design cycles are reduced, collaboration also improves under the integrated SAP software dealing with product development. It connects development and design, manufacturing, procurement and services seamlessly via flexible collaborations’ environment. Its other tasks are to raise the innovation speed, lower marketing duration through aligning products developments and designs with manufacturing and procurement. It allows for flawless environments collaboration to avoid time wastage and minimizes the cost of the designed products through streamlining design and optimizing components. The system ensures regulatory compliance under transparency during the phases in product definition. Decision-making becomes speedy to maximize quality in 3D visualization embedding. Production and inventory co ntrol offers a suite full of features essential for the success of supply chain management and inventory controls. The objective is to a kitty, track objects, industry specified customization to ultimately assist in boosting the bottom line. It has several benefits in that it increases revenue, accelerates decision making and identifies non-moving and discounted products in real-time. The I.T infrastructure is simplified whilst optimizing inventory levels by ensuring production of the right products at the right time.

Market Demand Essay Example for Free

Market Demand Essay The calculation above shows that Bonia Group practice elastic demand for the previous 10 years. This is mainly due to strong competition among competitors. Bonia Group, which target the mid-high price range market encounter a few international branding competitor like Calvin Klein, DKNY, Paris Hilton, Armani Exchange and Lacoste in the market and were highly competitive for years. Bonia Group was advised to avoid price increase for the coming years as sales figures for the past 10 years show that Bonia Group were in elastic demand. In order to increase yearly sales amount, the Group could actually remain or decrease price as in elasticity demand, sales growth is oppositely proportional to price. They are always encourage to remain or decrease the price, and at the same time remain the quality and material of goods to boost up the sales quickly and to show immediate results. Besides that, the mid-high price range in Bonia Group show that their products are actually inferior goods. In order to overcome the coming economic crisis and recession, lower down the price range to normal goods is another way to avoid for profit losing. Economists predict that beginning from this year, it would be another recession coming ahead. During recession, the average salary for population will decrease and unemployment increase. People will try to find out substitute for expensive goods. Thus, Bonia as an inferior goods brand will encounter sales decrease during recession. It is good to change from inferior goods to normal goods so that they can still gaining profit during recession.

Child With Failure To Thrive Health And Social Care Essay

Child With Failure To Thrive Health And Social Care Essay In this review article, the definition, aetiology, evaluation, differential diagnoses, management, prevention and prognosis of failure to thrive are discussed. Failure to thrive (FTT) is a common problem in paediatric practice, affecting 5-10% of under-fives in developed countries with a higher incidence in developing countries. Majority of cases of FTT are due to a combination of nutritional and environmental deprivation secondary to parental poverty and/or ignorance. Many infants with FTT are not identified. The key to diagnosing FTT is finding the time in busy clinical practice to accurately measure and plot a childs weight, height and head circumference, and then assess the trend. In the evaluation of the child who has failed to thrive, three initial steps required to develop an economical treatment-centred approach are: (i) A thorough history including itemized psychosocial review, (ii) Careful physical examination and (iii) Direct observation of the childs behaviour and of parent-child interaction. Laboratory evaluation should be guided by history and physical examination findings only. Once FTT is identified in a particular child, th e management should begin with a careful search for its aetiology. Two principles that hold true irrespective of aetiology are that all children with FTT need a high-calorie diet for catch-up growth (typically 150 percent of their caloric requirement for their expected, not actual weight) and all children with FTT need a careful follow up. Social issues of the family must also be addressed. A multidisplinary approach is recommended when FTT persists despite intervention or when it is severe. Overall, only a third of children with FTT are ultimately judged to be normal. Keywords: Failure to thrive, growth deficiency, undernutrition. INTRODUCTION Although the term failure to thrive (FTT) has been in use in the medical parlance for quite some time now, its precise definition has remained debatable1. consequently, other terms such as undernutrition1 and growth deficiency2 have been proposed as preferable. FTT is a descriptive term applied to young children physical growth is less than that of his or her peers.3 The growth failure may begin either in the neonatal period or after a period of normal physical development.4 The term FTT is not, in itself, a disease but a symptom or sign common to a wide variety of disorders which may have little in common except for their negative effect on growth.5 In this regard, a cause must always be sought. Often, the evaluation of children who fail to thrive pose a difficult diagnostic problem. Some of the difficulties result from the numerous differential diagnoses, the definition used or misdirected tendency to search aggressively for underlying organic diseases while neglecting aetiologies based on environmental deprivation.6 In addition, early accusations and alienation of the childs parents by the health-care provider will make the evaluation and management of the child who has failed to thrive more difficult.7 In general, factors that influence a childs growth include: (i) A childs nutritional status; (ii) A childs health; (iii) Family issues; and (iv) The parent-child interactions.3,8,9 All these factors must be considered in evaluation and management of child who has failed to thrive. This paper presents a simplified but detailed approach to the evaluation and management of the child with FTT. DEFINITION The best definition for FTT is the one that refers to it as inadequate physical growth diagnosed by observation of growth over time using a standard growth chart, such as the National Center for Health Statistics (NCHS) growth chart.10 All authorities agree that only by comparing height and weight on a growth chart over time can FTT be assessed accurately.11 So far, no consensus has been reached concerning the specific anthropometric criteria to define FTT.11 Consequently, where serial anthropometric records is not available, FTT has been variously defined statistically. For instance, some authors defined FTT as weight below the third percentile for age on the growth chart or more than two standard deviations below the mean for children of the same age and sex1-3 or a weight-for-age (weight-for-hieght) Z-score less than minus two.1 Others cite a downward change in growth that has crossed two major growth percentiles in a short time.3 Still others, for diagnostic purposes, defined FTT as a disproportionate failure to gain weight in comparison to height without an apparent aetiology.6 Brayden et al.,2 suggested that FTT should be considered if a child less than 6 months old has not grown for two consecutive months or a child older than 6 months has not grown for three consecutive months. Recent research has validated that the weight-for-age approach is the simplest and most reasonable marker of FTT.12 Pitfalls of these definitions: One limitation of using the third percentile for defining FTT is that some children whose weight fall below this arbitrary statistical standard of normal are not failing to thrive but represent the three percent of normal population whose weight is less than the third percentile.5,6 In the first 2 years of life, the childs weight changes to follow the genetic predisposition of the parents height and weight.13,14 During this time of transition, children with familial short stature may cross percentiles downward and still be considered normal.14 Most children in this category find their true curve by the age of 3 years.6,14 When the percentile drop is great, it is helpful to compare the childs weight percentile to height and head circumference percentiles. These should be consistent with the position of height and head circumference percentiles of the patient.5 Another limitation of the third percentile as a criterion to define FTT is that infants can be failing to thrive with marked d eceleration of weight gain, but they remain undiagnosed and therefore, untreated until they have fallen below the arbitrary third percentile.6 These normal small children do not demonstrate the disproportionate failure to gain weight that children with FTT do.6 This approach attempts not only to prevent normal small children from being incorrectly labeled as failing to thrive, but also excludes children with pathologic proportionate short stature.14 Having excluded these easily distinguishable disorders from the differential diagnosis of FTT, simplifies the approach to evaluation of the child who has failed to thrive.6 A more encompassing definition of FTT includes any child whose weight has fallen more than two standard deviations from a previous growth curve.3,15,16 Normal shifts in growth curves in the first 2 years of life will result in less severe decline (i.e, less than 2 SD).13 Some authors have even limited the definition of FTT to only children less than 3 years old17,18 A precise age limitation is arbitrary. However, most children with FTT are under 3 years of age.6,8 EPIDEMIOLOGY In young children, FTT which does not reach the severe classical syndrome of marasmus is common in all societies.19 However, the true incidence of FTT is not known as many infants with FTT are not identified, even in developed countries.20-22 It is estimated to affect 5 10% of young children and approximately 3 5% of children admitted into teaching hospitals.3,5,23 Mitchell et al,24 using multiple criteria found that nearly 10% of under-fives attending primary health care centre in the United States showed FTT. About 5% of paediatric admissions in United Kingdom are for FTT.4 The prevalence is even higher in developing countries with wide-spread poverty and high rates of malnutrition and/or HIV infections.3,19 Children born to single teenage mothers and working mothers who work for long hours are at increased risk.22 The same is true of children in institutions such as orphanage homes and homes for the mentally retarded5,22 with an estimated incidence of 15% as a group.5 Under-feed ing is the single commonest cause of FTT and results from parental poverty and/or ignorance.19,22,24 Ninety five percent of cases of FTT are due to not enough food being offered or taken.25 The peak incidence of FTT occurs in children between the age of 9 24 months with no significant sex difference.22 Majority of children who fail to thrive are less than 18 months old.3 The syndrome of FTT is uncommon after the age of 5 years.3,22 AETIOLOGY Traditionally, causes of FTT have been classified as non-organic and organic. However, some authors have stated that this terminology is misleading.27 They based their opinion on the fact that all cases of FTT are produced by inadequate food or undernutrition and in that context, is organically determined. In addition, the distinction based on organic and non-organic causes is no longer favoured because many cases of FTT are of mixed aetiologies.3 Based on pathophysiology (the preferred classification), FTT may be classified into those due to: (i) Inadequate caloric intake; (ii) Inadequate absorption; (iii) Increased caloric requirement; and (iv) Defective utilization of calories. This classification leads to a logical organization of the many conditions that cause or contribute to FTT.10 Non organic (psychosocial) failure to thrive In non-organic failure to thrive (NFTT), there is no known medical condition causing the poor growth. It is due to poverty, psychosocial problems in the family, maternal deprivation, lack of knowledge and skill in infant nutrition among the care-givers5,11. Other risk factors include substance abuse by parents, single parenthood, general immaturity of one or both parents, economic stress and strain, temporary stresses such as family tragedies (accidents, illnesses, deaths) and marital disharmony.6,8,22 Weston et al,28 reported that 66% of mothers whose infants failed to thrive has a positive history of having been abused as children themselves, compared to 26% of controls from similar socioeconomic background. NFTT accounts for over 70% of cases of FTT.6 Of this number, approximately one-third is due to care-givers ignorance such as incorrect feeding technique, improper preparation of formula or misconception of the infants nutritional needs,29 all of which are easily corrected. A cl ose look at these risk factors for NFTT suggest that infants with growth failure may represent a flag for serious social and psychological problems in the family. For example, a depressed mother may not feed her infant adequately. The infant may, in turn, become withdrawn in response to mothers depression and feed less well.10 Extreme parental attention, either neglect or hypervigilance, can lead to FTT.10 Organic failure to thrive It occurs when there is a known underlying medical cause. Organic disorders causing FTT are most commonly infections (e.g HIV infection, tuberculosis, intestinal parasitosis), gastrointestinal (e.g., chronic diarrhoea, gastroesophageal reflux, pyloric stenosis) or neurologic (e.g., cerebral palsy, mental retardation) disorders.6,19,22 Others include genitourinary disorders (e.g., posterior urethral valve, renal tubular acidosis, chronic renal failure, UTI), congenital heart disease, and chromosomal anomalies.6,7 Together neurologic and gastrointestinal disorders account for 60 80% of all organic causes of under nutrition in developed countries.30 An important medical risk factor for under nutrition in childhood is premature birth.1 Among preterm infants, those who are small for gestational age are particularly vulnerable since prenatal factors have already exerted deleterious effect on somatic growth.1 In societies where lead poisoning is common, it is a recognized risk factor for p oor growth.5,31 Organic FTT virtually never presents with isolated growth failure, other signs and symptoms are generally evident with a detailed history and physical examination.32 Organic disorders accounts for less than 20% of cases of FTT.6 Mixed failure to thrive In mixed FTT, organic and non organic causes coexist. Those with organic disorders may also suffer from environmental deprivation. Likewise, those with severe undernutrition from non-organic FTT can develop organic medical problems. FTT with no specific aetiology Review of the literature on FTT indicate that in 12 32% of cases of children who have failed to thrive, no specific aetiology could be established.23,33-34 Causes of failure to thrive A. Prenatal cases: (i) Prematurity with its complication (ii) Toxic exposure in utero such as alcohol, smoking, medications, infections (eg rubella, CMV) (iii) Intrauterine growth restriction from any cause (iv) Chromosomal abnormalities (eg Down syndrome, Turner syndrome) (v) Dysmorphogenic syndromes. B. Postnatal causes based on pathophysiology: A. Inadequate caloric intake which may result from: i. Under feeding Incorrect preparation of formula (e.g. too dilute, too concentrated). Behaviour problems affecting eating (e.g., childs temperament). Unsuitable feeding habits (e.g., uncooperative child) Poverty leading to food shortages. Child abuse and neglect. Mechanical feeding difficulties e.g., congenital anomalies (cleft lip/palate), oromotor dysfunction. Prolonged dyspnoea of any cause B. Inadequate absorption which may be associated with: Malabsorption syndromes e.g. Celiac disease, cystic fibrosis, cows milk protein allergy, giardiasis, food sensitivity/intolerance Vitamins and mineral deficiencies e.g., zinc, vitamins A and C deficiencies. Hepatobiliary diseases e.g., biliary atresia. Necrotizing enterocolitis Short gut syndrome. C. Increased Caloric requirement due to Hyperthyroidism Chronic/recurrent infections e.g., UTI, respiratory tract infection, tuberculosis, HIV infection Chronic anaemias D. Defective Utilization of Calories Inborn errors of metabolism e.g., galactosaemia, aminoacidopathies, organic acidurias and storage diseases. Diabetes inspidus/mellitus Renal tubular acidosis Chronic hypoxaemia Clinical manifestations of FTT3,22 Commonly the parents/care-givers may complain that the child is not growing well or losing weight or not feeding well or not doing well or not like his other siblings/age mates. Usually FTT is discovered and diagnosed by the infants physician using the birthweight and health clinic anthropometric records of the child. The infant looks small for age. The child may exhibit loss of subcutaneous fat, reduced muscle mass, thin extremities, a narrow face, prominent ribs, and wasted buttocks, Evidence of neglected hygiene such as diaper rash, unwashed skin, overgrown and dirty fingernails or unwashed clothing. Other findings may include avoidance of eye contact, lack of facial expression, absence of cuddling response, hypotonia and assumption of infantile posture with clenched fists. There may be marked preoccupation with thumb sucking. EVALUATION A. Initial evaluation It has been proposed that only three initial investigations are required to develop an economical, treatment-centred approach to the child who presents with FTT and this include:35 (i) A thorough history including an itemized psychosocial review; (ii) Careful physical examination including determination of the auxological parameters; and (iii) Direct observation of the childs behaviour and of parent-child interactions. The Psychosocial Review: The psychosocial history should be as thorough and systematic as a classic physical examination Goldbloom35 suggested that the interviewers should ask themselves three questions about every family: (i) How do they look; (ii) What do they say; and (iii) What do they do? a. HISTORY (1) Nutritional history Nutritional history should include: Details of breast feeding to get an idea of number of feeds, time for each feeding, whether both breasts are given or one breast, whether the feeding is continued at night or not and how is the childs behaviour before, after and in between the feeds. It would give an idea of the adequacy or inadequacy of mothers milk. If the infant is on formula feeding: Is the formula prepared correctly? Dilute milk feed will be poor in calorie with excess water. Too concentrated milk feed may be unpalatable leading to refusal to drink. It is also essential to know the total quantity of the formula consumed. Is it given by bottle or cup and spoon? Also assess the feeling of the mother e.g., ask how do you feel when the baby does not feed well? Time of introduction of complementary feeds and any difficulty should be noted. Vitamin and mineral supplement; when started, type, amount, duration. Solid food; when started, types, how taken. Appetite; whether the appetite is temporarily or persistently impaired (if necessary calculate the caloric intake). For older children enquire about food likes and dislikes, allergies or idiosyncracies. Is the child fed forcibly? It is desirable to know the feeding routine from the time the child wakes up in the morning till he sleeps at night, so that one can get an idea of the total caloric intake and the calories supplied from protein, fat and carbohydrate as well as adequacy of vitamins and minerals intake. (2) Past and current medical history The history of prenatal care, maternal illness during pregnancy, identified fetal growth problems, prematurity and birth weight. Indicators of medical diseases such as vomiting, diarrhoea, fever, respiratory symptoms and fatigue should be noted. Past hospitalization, injuries, accidents to evaluate for child abuse and neglect. Stool pattern, frequency, consistency, presence of blood or mucus to exclude malabsorption syndromes, infection and allergy. (3) Family and social history Family and social history should include the number, ages and sex of siblings. Ascertain age of parents (Down syndrome and Klinerfelter syndrome in children of elderly mothers) and the childs place in the family (pyloric stenosis). Family history should include growth parameters of siblings. Are there other siblings with FTT (e.g., genetic causes of FTT), family members with short stature (e.g. familial short stature). Social history should determine occupation of parents, income of the family, identify those caring for the child. Child factors (e.g., temperament, development), parental factors (e.g., depression, domestic violence, social isolation, mental retardation, substance abuse) and environmental and societal factors (e.g., poverty, unemployment, illiteracy) all may contribute to growth failure.5 Historical evaluation of the child with FTT is summarized in Table 1. (b) PHYSICAL EXAMINATION The four main goals of physical examination include (i) identification of dysmorphic features suggestive of a genetic disorder impeding growth; (ii) detection of under lying disease that may impair growth; (iii) assessment for signs of possible child abuse; and (iv) assessment of the severity and possible effects of malnutrition.36,37 The basic growth parameters such as weight, height / length, head circumference and mid-upper-arm circumference must be measured carefully. Recumbent length is measured in children below 2 years of age because standing measurements can be as much as 2cm shorter.36,37 Other anthropometric data such as upper-segment-to-lower-segment ratio, sitting height and arm span should also be noted. The anthropometric index used for FTT should be weight-for-length or height. Mid-parental height (MPH) should be determined using the formula.40 For boys, the formula is: MPH = [FH + (MH 13)] 2 For girls, the formula is: MPH = [(FH 13) + MH] 2 In both equations, FH is fathers height in centimetres and MH is mothers height in centimetres. The target range is calculated as the MPH Â ± 8.5cm, representing the two standard deviation (2SD) confidence limits.14 Assessment of degree FTT The degree of FTT is usually measured by calculating each growth parameter (weight, height and weight/height ratio) as a percentage of the median value for age based on appropriate growth charts3 (See Table 3) Table 3: Assessment of degree of failure to thrive (FTT) Growth parameter Degree of Failure to Thrive Mild Moderate Severe Weight 75-90% 60 -74% Height 90 -95% 85 89% Weight/height ratio 81-90% 70 -80% Adapted from Baucher H.3 It should be noted that appropriate growth charts are often not available for children with specific medical problems, therefore serial measurements are especially important for these children.3 For premature infants, correction must be made for the extent of prematurity. Corrected age, rather than chronologic age, should be used in calculations of their growth percentiles until 1-2 years of corrected age.3 Table 2: Physical examination of infants and children with growth failure. Abnormality Diagnostic Consideration Vital signs Hypotension Hypertension Tachypnoea/Tachycardia Adrenal or thyroid insufficiency Renal diseases Increased metabolic demand Skin Pallor Poor hygiene Ecchymoses Candidiasis Eczema Erythema nodosum Anaema Neglect Abuse Immunodeficiency, HIV infection Allergic disease Ulcerative colitis, vasculitis HEENT Hair loss Chronic otitis media Cataracts Aphthous stomatitis Thyroid enlargement Stress Immunodeficiency, structural oro- facial defect Congenital rubella syndrome, galactosaemia Crohns disease Hypothyroidism Chest Wheezes Cystic fibrosis, asthma Cardiovascular Murmur Congenital heart disease(CHD) Abdomen Distension hyperactive Bowel sound Hepatosplenomegaly Malabsorption Liver disease, glycogen storage disease Genitourinary Diaper rashes Diarrhoea, neglect Rectum Empty ampulla Hirschsprungs disease Extremities Oedema Loss of muscle mass Clubbing Hypoalbuminaemia Chronic malnutrition Chronic lung disease, Cyanotic CHD Nervous system Abnormal deep tendon Reflexes Developmental delay Cranial nerve palsy Cerebral palsy Altered caloric intake or requirements Dysphagia Behaviour and temperament Uncooperative Difficult to feed. Adapted from Collins et al 41 Growth charts should be evaluated for pattern of FTT. If weight, height and head circumference are all less than what is expected for age, this may suggest an insult during intrauterine life or genetic/chromosomal factors.2 If weight and height are delayed with a normal head circumference, endocrinopathies or constitutional growth should be suspected.2 When only weight gain is delayed, this usually reflects recent energy (caloric) deprivation.2 Physical examination in infants and children with FTT is summarized in Table 2. Failure to thrive due to environmental deprivation Children with environmental deprivation primarily demonstrate signs of failure to gain weight: loss of fat, prominence of ribs and muscles wasting, especially in large muscle groups such as the gluteals.6 Developmental assessment It is important to determine the childs developmental status at the time of diagnosis because children with FTT have a higher incidence of developmental delays than the general population.36 With environmental deprivation, all milestones are usually delayed once the infant reaches 4 months of age.42 Areas dependent on environmental interactions such as language development and social adaptation are often disproportionately delayed. Specific behavioural evaluations (e.g., recording responses to approach and withdrawal), have been developed to help differentiate underlying environmental deprivation from organic disease.43 Assess the infants developmental status with a full Denver Developmental Standardized test.44 Parent-child interaction: Evaluate interaction of the parents and the child during the examination. In environmental deprivation, the parent often readily walks away from the examination table, appearing to easily abandon the child to the nurse or physician.6 There is little eye contact between child and parent and the infant is held distantly with little moulding to the parents body.6 Often the infant will not reach out for the parent and little affectionate touching is noted.6 There is little parental display of pleasure towards the infant.6 Observation of feeding is an integral part of the examination, but it is ideally done when the parents are least aware that they are being observed. Breast-fed infants should be weighed before and after several feedings over a 24-hour period since volume of milk consumed may vary with each meal. In environmental deprivation, the parents often miss the infants cues and may distract him during feeding; the infant may also turn away from food and appear distressed.6 Unnecessary force may be used during feeding. Developing a portrait of the child-parent relationship is a key to guiding intervention.11 LABORATORY EVALUATION The role of laboratory studies in the evaluation of FTT is to investigate for possible organic diagnoses suggested by the history and physical examination.33,34 If an organic aetiology is suggested, appropriate studies should be undertaken. If history and physical examination do not suggest an organic aetiology, extensive laboratory test is not indicated.6 However, on admission full blood count, ESR, urinalysis, urine culture, urea and electrolyte (including calcium and phosphorus) levels should be carried out. Screen for infections such as HIV infection, tuberculosis and intestinal parasitosis. Skeletal survey is indicated if physical abuse is strongly suspected. In addition to being unproductive, blind laboratory fishing expeditions should be avoided for the following reason:5,6 (i) they are expensive; (ii) they impair the childs ability to gain weight in a new environment both by frightening him/her with venepuncture, barium studies and other stressful procedures and the no oral f eeds associated with some investigations prevent him/her from getting enough calories; (iii) they can be misleading since a number of laboratory abnormalities are associated with psychosocial deprivation (e.g., increased serum transaminases , transient abnormalities of glucose tolerance, decreased growth hormone and iron deficiency);21 and (iv) they divert attention and resources from the more productive search for evidence of psychosocial deprivation. In one study, a total of 2,607 laboratory studies were performed, with an average of 14 tests per patient. With all tests considered, only 10(0.4%) served to establish a diagnosis and an additional 1% were able to support a diagnosis.34 Further Evaluation (1) Hospitalization: Although some authors state that most children with failure to thrive can be treated as outpatients,4,5,11,45 I think it is best to hospitalize the infant with FTT for 10 14 days. Hospitalization has both diagnostic and therapeutic benefits. Diagnostic benefits of admission may include observation for feeding, parental-child interaction, and consultation of sub-specialists. Therapeutic benefits include administration of intravenous fluids for dehydration, systemic antibiotic for infection, blood transfusion for anaemia and possibly, parenteral nutrition, all of which are often in-hospital procedures. In addition, if an organic aetiology is discovered for the FTT, specific therapy can be initiated during hospitalization. In psychosocial FTT, hospitalization provides opportunity to educate parents about appropriate foods and feeding styles for infants. Hospitalization is necessary when the safety of the child is a concern. In most situations in our set up, there i s no viable alternative to hospitalization. (2) Quantitative assessment of intake: A prospective 3-day diet record should be a standard part of the evaluation. This is useful in assessing under nutrition even when organic disease is present. A 24-hour food recall is also desirable. Having parents write down the types of food and amounts a child eats over a three-day is one way of quantifying caloric intake. In some instances, it can make parents aware of how much the child is or is not eating.11 Table 4: Summary of risk factors for the development of failure to thrive Infant characteristics Any chronic medical condition resulting in: Inadequate intake (e.g, swallowing dysfunction, central nervous system depression, or any condition resulting in anorexia) Increased metabolic rate (e.g, bronchopulmonary dysplasia, congenital heart disease, fevers) Maldigestion or malabsorption (e.g, AIDS, cystic fibrosis, short gut, inflammatory bowel disease, celiac disease). Infections (e.g., HIV, TB, Giardiasis) Premature birth (especially with intrauterine growth restriction) Developmental delay Congenital anomalies Intrauterine toxin exposure (e.g. alcohol) Plumbism and/or anaemia Family characteristics Poverty Unusual health and nutrition beliefs Social isolation Disordered feeding techniques Substance abuse or other psychopathology (include Muschausen syndrome by proxy) Violence or abuse Adapted from Kleinman RE.1 Table 1: Summary of historical evaluation of infants and children with growth failure Prenatal General obstetrical history Recurrent miscarriages Was the pregnancy planned? Use of medications, drugs, or cigarettes Labour, delivery, and neonatal events Neonatal asphyxia or Apgar scores Prematurity Small for gestational age Birth weight and length Congenital malformations or infections Maternal bonding at birth Length of hospitalization Breastfeeding support Feeding difficulties during neonatal period Medical history of child Regular physician Immunizations Development Medical or surgical illnesses Frequent infections Growth history Plot previous points Nutrition history Feeding behavior and environment Perceived sensitivities or allergies to foods Quantitative assessment of intake (3-day diet record, 24-hour food recall) Social history Age and occupation of parents Who feeds the child? Life stresses (loss of job, divorce, death in family) Availability of social and economic support (Special Supplemental Nutrition Program for Women, Infants and Children; Aid for Families with Dependent Chi

Child Labor Essay example -- essays research papers fc

Child Labor   Ã‚  Ã‚  Ã‚  Ã‚  Child Labor, refers to the economically active population under the age of fifteen years old, who are employed in various industries (Grootaert, 2). Recently, child labor has become a large topic of debate; however, in most cases, it is very unfavorable. The perception that globalization is leading towards the exploitation of children, is becoming an important problem for international business. In my opinion, child labor should be eradicated. It is not only harmful to the health of children, but it takes away their chance for an education, and simply takes away their childhood.   Ã‚  Ã‚  Ã‚  Ã‚  The International Labor Organization estimates that 250 million children around the world, between the ages of five and fourteen, work. Out of the 250 million, 120 million of them work fulltime (ILO, 5). Child labor is common in industries such as agriculture, domestic services, carpet and textile, quarrying and brick making, and also prostitution. Some children work in factories and other workplaces in the â€Å"formal economy;† however, many work on farms or in homes. Child labor has many hazardous effects on the health of children. Some children work in areas such as stone quarries, tanning leather, and electroplating metals. All of these working conditions endanger the health of the child. Children in different occupations face different fatal diseases. Silicosis, which is caused from working in stone cutting, brick factories, granite and slate factories is one such disease. Tuberculosis, is also another disease endeared by children in pottery related i ndustries. Another very big problem, because of poor living conditions, is malnutrition.   Ã‚  Ã‚  Ã‚  Ã‚  The lack of education for working children is also another very serious problem. Child laborers work for most of the day, and in some cases 16 hours a day. There is no question, that education is a major contributing factor to the overall development of the child. Yet, because of the long working hours, children are deprived of time for education. Some children are more or less slaves, controlled by their employer to work all the time. In other cases, the parents are even responsible for child labor, because they give priority to labor and making money, over education. Some children must earn the income for the entire household (Grootaert, 3). Asi... ...). However, developing countries including Brazil and India, which have very high rates of child labor, rejected the proposal. But the rate of child labor is still dropping. In 1996, Brazil had 3.3 million child laborers. Soon after, international pressures, forced President Fernando Henrique Cardoso to create an anti-child labor initiative. This program basically paid parents to send their children to school. By the year 2000, the amount of child workers decreased to 2.5 million.   Ã‚  Ã‚  Ã‚  Ã‚  Today, child labor is still decreasing, but it seems almost impossible to eradicate. Child labor is ethically wrong and immoral; and yet, there are still businesses that choose to turn their heads away. Works Cited: Bachman, S. L. â€Å"The Political Economy of Child Labor and its Impacts on International Business.† Business Economics Jul. 2000: 1-4. Buckley, Stephen. â€Å"The Littlest Laborers: Why does Child Labor Continue to Thrive in the Developing World?† Washington Post 16 Mar. 2000: 1-5. Grootaert, Christian. â€Å"Child Labor: an Economic Perspective.† International Labor Review 136. 1995: 2, 3, 7. International Labor Organization. 1996. 20 Jun. 2001.

Comparative Essay Of 4 Poems Essay

In this essay I will be talking about the comparison of characters in the following poems: Mother any distance, Havisham, The Laboratory and My Last Duchess. When we first look at these poems they all have something in common, they are all about relationships. Mother any distance is about a mother and son relationship, Havisham shows a failed relationship with her fiancà ¯Ã‚ ¿Ã‚ ½, The Laboratory shows a relationship in shreds that leads to the use of poison and finally My Last Duchess shows the differences between two people in a relationship and what it can lead to. The structure in Mother any distance is approximately sonnet length but not exactly, this could show that it is a loving relationship but in a different way, as it is a mother and son. This shows that they are very close to each other. Havisham on the other hand has 4 x 4 line stanzas and is very precise. This could mean that it has been rehearsed over the years and she knows exactly what to say. The Laboratory is very different from Havisham structure wise as it has 12 stanzas varying in length and split up. This shows that she is making it up as she goes along. Finally My Last Duchess is only1 stanza, which adds more flow to the overall piece. The duke in my last duchess is a rich, handsome man who believes that he deserves to be treated better than anyone else. When talking to an envoy he recalls the story of how his wife acted and that he had her killed because she treated everyone equally not just him and was quite flirtatious. The duke can be compared to the poisoner in The Laboratory as they both are involved in death/murder. The poisoner however wants revenge on her husband as he is cheating on her. Compared to the duke the poisoner acts much less calm and more psychotic. The idea of revenge also appears in Havisham, she is an old woman who was jilted on her wedding day. She now hates all men and wishes to have her revenge on the man that ruined her life. Havisham uses bitter and twisted language to portray her emotions. As with all of these poems love appears somewhere and it is the same with Mother any distance but this time with a mother and son. The writer uses measurements and distances to show a parting relationship, as the son is moving into a new house. Havisham and The Laboratory are very similar if we look at thoughts and attitudes. They both show strong hatred/anger and they both want revenge so much that they seem to turn psychotic with insanity. Mother and my last duchess on the other hand are possessive and controlling. The mother wants her son to stay and always tries to help him as she thinks he needs a second pair of hands. The duke tries to control his wife and expects her to let her beauty speak not her mouth. â€Å"Seen not heard† and thought that she would respect his 900-year-old name. The difference though is that the duke acts very calm about it all so much so that it almost justifies his actions. In conclusion all 4 poems are related to each other yet are about different subjects. My last duchess shows the duke seeing his wife as an object not a person. The laboratory shows how far people will go to get revenge. In Havisham we see the effect of breaking someones heart and finally we see how we need to let go of those who we love and let them make their own path.

How to Write an Abstract for a Business Research Paper

How to Write an Abstract for a Business Research Paper How to Write an Abstract for a Business Research Paper An abstract for business research paper is a summary of the entire paper. Students doing business research papers often mistake abstracts to be the introductory paragraph since abstract appears at the beginning of the work. Business research papers are general audience papers that are likely to be read by any member of the society. The abstract is given much attention by the audience since it is a snapshot of the entire work. There are two types of abstract that can be developed in a business research paper: descriptive and informative abstracts. Students must decide which type of abstract to include in their business research papers though they accomplish the same goal. Descriptive abstracts are best suited for shorter business research papers while informative abstracts are for lengthy and technical research papers. Concisely, an abstract is supposed to explain the purpose of business research paper, its goals and methodology used for research. Results can be included in the abstract but they are only relevant if the paper if lengthy. In most cases, students use informative abstracts when they write their business research papers. Informative business research papers can be one page long. Students state the business problem or idea in the first sentence of abstract. This can be followed by a brief description stating why the idea is interesting or why the problem is worth consideration. Keen students always include reasons that motivate them to develop business research papers on the stated topic. It is important to state the scope of the paper in the abstract so that readers can understand the main target of the paper. The methodology sentence in a business research paper abstract gives an overview how the study was accomplished, how the researcher did his work and a brief description on the work of others who did business researches under the same topic. In an informative abstract, results must be discussed. Results are s imply the findings or the answers that the research sought to investigate. These are usually general findings, which support the hypothesis or the business idea under discussion. An abstract for business research papers should be able to summarize the whole business idea making the information understandable without necessarily reading the full report. A concise business abstract will be able to capture the reader’s imagination hence providing them with full and conclusive information should they otherwise decide not to read it in full. As the researcher, one must state the goals and objectives he or she intends to achieve. This is done by presenting a clear and critical outlining of the approach for achieving those goals i.e. the available research methodology and the thoroughness employed will help in capturing the reader’s confidence.

Critical Reading Final 2 Essay Example

Critical Reading Final 2 Essay Example Critical Reading Final 2 Essay Critical Reading Final 2 Essay After reading the article on Image busters by Todd Gitlin you will see that the author provided the best argument. The Authors purpose in this article was made clear and supported by the evidence. The author’s purpose was to educate the reader on the severity of who is to blame for the amount of violence in society today and is it to blame on television. TV is being called a major determinant regarding media violence. The author is matter of fact and provides support in the majority of his statements. The premises of this article are on if television contributes to the violence in our society today.When reading this article it gives you a lot of insight on how the media can contribute to a lot of violence on the street. The author states in the conclusion that, for that matter the drug epidemic, the crisis of the family and the shortage of serious jobs that the image busting campaigns permit without having to take on specific associations. The author seems to have a mutual bias in this article he seems to support his facts with evidence but at the same time also justifies how television shows could not be to blame for all the violence in America.He seems to be open minded and take all of the facts into consideration when writing this article. This gives the reader a fair shot at making up their own decision by having information on both sides of the story. After reading Imagebusters the article has some assumptions from the author such as he states in his first sentence that I consider Hollywood’s slashes, splatters, chain saws and car crashes a disgrace, a degradation of culture and a wound to the souls of producers and consumers alike.He also gives a conservative argument in paragraph six by saying that our culture looks to violence to resolve conflicts, and parental authority so the author is giving a broad range of things that actually could be contributing to the violence in America today. A metaphor is used to describe how today’s censorious forces smell smoke; it is not in the absence of fire and again in paragraph five by saying a child who shoves another child after watching a fistfight on television is not committing a drive by shooting. Todd Gitlin uses a couple different forms of fallacies in his article.You will find in the paragraph two shows a hasty generalization that says that the Senator and Attorney General against violence on television are only cheap shots. Then if you read onto paragraph three there are bandwagon techniques that show two other authority type figures have signed on to the traditional pastime. This article does also use some cross clarification when presenting its facts by stating that television is to blame for the violence then going on to say it is caused by other actions such as parenting and authority such as in paragraph nine.After reading and reviewing again the article IMAGEBUSTERS I am still in the middle on whether I think that television is a factor in the violence in society today. The author made very good points and did not have a bias in this article because he was able to provide information from both points of view. With having to young children I do not feel it is in their best interest to watch violence on TV or movies but at the same time it is so common on television and even in cartoons that it is impossible to prevent them from seeing it.I agree with the author on parenting and authority at the end of the day you are the main example and role model in your child’s eyes and by teaching them right and wrong and by them having a understanding of what is right and wrong will help them to see that violence is not the answer and does not solve problems. Overall this was a great article it covered many points of views and made me as the reader consider different scenarios of why or how violence is interpreted today and what is the cause and who is to actually blame.I feel out of the two articles this one carried the best argument because in the first article TV ISNT VIOLENT ENOUGH by Mike Oppenheim the author seems to already have a bias and provides a lot of information and to me it was k ind of misleading because it went into detail about stabbing and arteries and was kind of all over the place. Todd Gitlin did a better job in organizing his thoughts and supplying significant support and was open minded in his article leaving it to the reader to decide what their thoughts where on the subject.

All the ACT Idioms You Need Complete List

All the ACT Idioms You Need Complete List SAT / ACT Prep Online Guides and Tips Idiom questions on the ACT are different from the other grammar questions on the ACT. Why? Idiom questions don’t conform to specific rules. You have to rely on your intuitive grasp of English and your familiarity with certain phrases. Because you’re likely to encounter at least a few idiom questions on the ACT English test, I’ll provide you with some information about idioms that should help you raise your ACT English score. In this post, I’ll do the following: Explain the concept of an idiom. Detail the most common types of idiom questions on the ACT English section. Offer strategies to help you identify and correctly answer idiom questions. Give a thorough list of idioms to help guide your studying. Provide you with ACT English practice questions to test you on what you’ve learned. What Is an Idiom? Idioms are phrases or expressions that do not conform to simple rules. Each idiom, by definition, is unique. Most people think of idioms as expressions that often have figurative meanings different from their literal meanings. Examples of this type of idiom include "actions speak louder than words," "barking up the wrong tree," and "make a long story short." However, the ACT does not test you on these colloquial expressions. ACT English idiom questions will test you on different types of idioms. Idioms have no rules. How Are Idioms Tested on the ACT English Section? While the ACT doesn't test you on the figurative expressions I referenced above, the ACT does test you on two types of idioms: prepositional idioms and idioms with gerunds/infinitives. Prepositional Idioms For prepositional idioms, you must know which prepositions to use with a given word based on the context of the sentence. For example, you should say that you "wonder about" something, not "wonder on" something. You're "suspicious of" something, not "suspicious by" something. There is no rule to determine the correct preposition to use. You must be familiar with the phrase or rely on what you think "sounds right." Here's an example sentence with a prepositional idiom: Unsurprisingly, after Corey decided not to pay back the substantial loan given to him by his best friend, everyone was outraged for Corey’s behavior. This is a typical sentence with an idiom error you may encounter on the ACT. There's no violation of a specific grammar rule in the sentence. However, the phrase "outraged for" is incorrect. The sentence should read: Unsurprisingly, after Corey decided not to pay back the substantial loan given to him by his best friend, everyone was outragedbyCorey’s behavior. The proper expression is "outraged by." There is no rule that allows you to determine the correct idiomatic expression. Familiarity with the given phrases will greatly help you in identifying idiom errors. There's another type of idiom that is commonly tested on the ACT. Idioms with Gerunds or Infinitives Gerunds are verbs that are used as nouns and end in "ing." Examples of gerunds include skipping, talking, and performing. Infinitives are verbs used as nouns and are constructed by using the word "to" plus a verb. Examples of infinitives include to do, to analyze, and to explain. So what are some examples of idioms with gerunds or infinitives? The correct phrase is "capable of being," not "capable to be." The proper idiomatic expression is "regarded asbeing," not "regardedto being." For these types of idioms, you need to know which preposition to use and whether to use a gerund or an infinitive. With some idioms, depending on the context, it's acceptable to use an infinitive or a gerund. Here's an example with the gerund in bold: I neglected doing my homework. The sentence is also correct if you use an infinitive: I neglected to do my homework. While both of those sentences are correct, this is a sentence with an idiom error: Shelby will succeed in to graduate from college. The phrase "succeed in to graduate" is incorrect. Do you know the right idiomatic expression to use? This is the corrected version of the sentence: Shelby will succeed in graduating from college. There's no rule to learn that will indicate that "succeed in graduating" is the correct phrase. Here's one more example of an idiom error: Gina decides leaving the group when we go out. This is how the sentence looks after we fix the idiom error: Gina decides to leave the group when we go out. The infinitive form should be used with the word "decides." Now here are couple of actual idiom questions from real ACTs. Real ACT English Examples Try to answer this idiom question from a real ACT: Explanation: The answer is D. The right idiomatic expression is "sat across from." Here's one more for you: The court agreed with Kevin that a person's right for wearing clothing of his or her own choosing is, in fact, protected by the Fourteenth Amendment. A. NO CHANGE B. of wearing C. to wear D. wearing Explanation: The correct expression is â€Å"right to wear clothing of his or her own choosing." The answer is C. Why Are Idiom Questions Difficult/Easy? Why They're Difficult Idiom questions can be challenging because other grammar questions follow specific rules or patterns that can be applied to all sentences. Idiom questions test your knowledge of specific idiomatic expressions. Literally, there are thousands of idioms. It's not practical to try to remember each one. Furthermore, ESL students are less likely to be able to identify idiom errors. Knowledge of idioms tends to be built throughout a lifetime of exposure to them. Why They're Easy Idiom questions are the only ones where solely relying on what "sounds right" is likely to give you the right answer. These questions do not require you to understand and apply a rule. If you're familiar with the specific idioms that appear on the ACT English section, you can easily spot any idiom errors. ACT English Tips for Idiom Questions #1: If a preposition, gerund, or infinitive is underlined, check for idiom errors. #2: The question may be testing idioms if the answer choices are all prepositions. #3: Keep a list of idioms that appear on your practice tests. #4: Review and familiarize yourself with the list of idioms below. List of ACT Idioms While there are thousands of idioms in the English language, almost all idiom questions I’ve encountered on the ACT involve prepositional idioms or idioms with gerunds/infinitives. I've listed some of the more common prepositional idioms and idioms with gerunds/infinitives to help guide your studying. Idioms that have appeared on questions in the Real ACT Prep Guide (the red book) are listed first. It's not practical for you to memorize every single idiom on this list. There are usually less than a handful of idiom questions on the ACT English section. Spending numerous hours learning hundreds of idioms would not be the best use of your study time. However, I do recommend that you review this list periodically to become more familiar with these phrases. Thinking about proper idiom construction should benefit you when you encounter idiom questions on the ACT. You'll improve your intuitive grasp of idioms and be able to better recognize idiom errors. After trying to learn every idiom This is my extensive list of idioms: IDIOMS FROM REAL ACT PREP GUIDE come to a conclusion come to a halt come to an end earned a living from/by doing in the dusk modeled on principles of such as PREPOSITIONAL IDIOMS About anxious about ask about bring about curious about hear about think about talk about worry about Against adviseagainst argue against count against decide against defend against go against rebel against As celebrate as regard as see as view as At aim at arriveat laugh at look at succeedat By accompanied by amazed by confused by followed by go by impressed by organized by struck by For advocate for ask for blame for famous for known for last for meant for named for necessary for pay for ready for responsible for tolerance for strive for wait for watch for From abstain from different from excuse from far from obvious from protect from Into enter into lookinto inquire into read into In engage in fall in love in Aas inB interested in succeed in take in Study hard! On base on draw on focus on impose on insist on move on prey on rely on Over argue over ruleover talk over thinkover Of approve of capable of certainof characteristic of combination of A and B cure of deprive of die of a fan of in danger of in the hope of in recognition of made up of a model of an offer of on the border of remind of a selection of a source of suspicious of take advantage of an understanding of a wealth of To able to accustomed to adapt to adhere to admit to adjacent to agree to as opposed to belong to central to come to contribute to devoted to in addition to in contrast to listen to object to prefer Ato B partial to reluctant to reply to see to similar to a threat to try to (NOT try and) unique to With agree with bargain with correlate with familiar with identify with in keeping with interfere with sympathize with trust with You can do it! GERUNDS VS. INFINITIVES Verbs Followed by a Gerund accuse of admire for allow appreciate capable of complete concentrate on confess to consider delay describe discourage from discuss dislike effective at enjoy escape finish forbid imagine insist on permit plan on postpone refrain from report resent resume stop tolerate PrepositionsFollowed by a Gerund before after without Verbs Followed by an Infinitive agree attempt choose condescend dare decide deserve encourage expect fail intend love mean neglect offer plan prepare promise refuse scramble seem strive swear tend threaten want Additional ACT English Practice Questions Hooray for making it to this point in the article! I know that was a long list. By now, you should understand the concept of idioms and how idioms are tested on the ACT. I've created some realistic ACT English questions on idioms for you. Consider the proper construction of idiomatic expressions and try to answer these questions without referring to the list above. 1. My parents allow me staying out late because I have earned their trust. A. NO CHANGE B. stayed C. to stay D. is staying 2. Despite his efforts, Gerald is incapable at eating without staining his shirt. A. NO CHANGE B. to eat C. eating D. of eating 3. Even though I tend to not enjoy magic, I was amazed to the trick the illusionist did at the end of his show. A. NO CHANGE B. by C. from D. into 4. Wyeth insisted on watching The O'Reilly Factor every single night. A. NO CHANGE B. insisted by C. insisted in D. insisted to Answers:1. C, 2. D, 3. B, 4. A What's Next? Congratulations on your continued efforts to improve your ACT English score. Make sure you check out this article on the five critical concepts you must understand to ace ACT English. Also, many students fear ACT English questions about commas; you don't have to live in fear. If you're looking for a basic overview of the ACT English section, read about what's actually tested on ACT English. Want to improve your ACT score by 4 points? Check out our best-in-class online ACT prep program. We guarantee your money back if you don't improve your ACT score by 4 points or more. Our program is entirely online, and it customizes what you study to your strengths and weaknesses. If you liked this English lesson, you'll love our program.Along with more detailed lessons, you'll get thousands ofpractice problems organized by individual skills so you learn most effectively. We'll also give you a step-by-step program to follow so you'll never be confused about what to study next. Check out our 5-day free trial:

Parent interview Essay Example | Topics and Well Written Essays - 500 words

Parent interview - Essay Example Both Meighan and Mitch read the ‘required’ books that a lot of young parents read, from ‘What to Expect When You’re Expecting† to the numerous pamphlets and handouts from their OB/GYN. They took a parenting class through their local health unit that taught the proper breathing techniques, as well as what to expect through labor and delivery and after the baby arrived. Settling into life with a new baby wasn’t that difficult for the Stevens’. Their personal life didn’t change that much from having the baby around all the time, they had support from both families and the transition to parenthood was a smooth one. Parenting isn’t always easy though, and there were some stressful times. Meighan says that she had a lot of problems trying to breast feed, at the time there was a lot of pressure to breast feed (from the many books, pamphlets and even the nurses in the hospital who seemed to push it) over bottle feed and Meighan felt like a failure when she couldn’t live up to the expectations. Thankfully, after a visit from a health unit nurse, who suggested that formula was not the enemy, Meighan relaxed and supplemented with formula. She felt less of a failure when subsequent doctor visits showed Sarah was thriving.

Human Resource Management Essay Example | Topics and Well Written Essays - 2000 words - 5

Human Resource Management - Essay Example First of all, an international human resource management system ensures that positions are filled by appropriately qualified persons if there are no local nationals available. Secondly, it enables management development across borders. Thirdly, human resource management in multinational companies allow the building of linkages between the parent company and the international subsidiaries. This paper examines the critical factors that shape managers' choice in transferring the parent company's human rights management (HRM) to overseas subsidiaries. It identifies the influential forces that shape such choices and illustrates them with practical examples. To this end, the paper tries to fulfil the following objectives: 1. Identification of business strategy and structure that affects the choice of HRM systems for foreign branches of a business. 2. Analysis of external factors that affect a business' choice of human resource management transfer systems for an international business in it s overseas operations 3. Examination of implementation issues that affect the type of choices that HR managers of parent companies can make about the transfer of human resource management systems to overseas branches. Business Strategy & Structure & International Human Resource Management Choices Every MNC has to draw a balance between globalisation and localisation. Meier (2009) calls it a balance between standardisation and customisation. In other words, a business will have to either prescribe a set of uniform standards for all the international branches or allow international branches to develop their own local standards. In real life, a UK business that has international subsidiaries will have to decide whether the subsidiaries around the world will operate according to standards in the UK or create their own systems and methods. In the case of PriceWaterHouse Coopers, there is an international application of standards that exist in the UK head office. This is a globalised enti ty. On the other hand, KPMG exists as a group of independent accounting firm. Each national branch operates independent of the Swiss headquarters. According to Meier, the way this discourse exists in relation to human resource management transfer can best be examined on three fundamental levels. The strategy of a business in relation to whether it wants to go according to globalisation or localisation determines the policies of the business (Tempel, 2001 p115). In other words, the strategy determined by the top-level management set the tone for functional managers of strategic business units to come up with a policy. The policies determine the practice in the department. Thus, for the Human Resource department, the main determinant of the transfer of practices is the overall strategy of the business. The strategy determines the HRM activities of the business. This goes a long way to influence the transfer and other practices related to the overall tone of human resource management a nd its transfer. Strategy refers to the overall plans for a business determined by top level management with a view of guiding a company between the medium and long term (Cook, 2008 p76). Strategy is a critical element that affects the Human Resource Manager's choice of transferring company Human Resource Management to overseas management because it sets the framework between which the HR Manager operates. As such, the manager needs to remain within the scope of the

Information System Briefing Essay Example | Topics and Well Written Essays - 1000 words

Information System Briefing - Essay Example Though, the nature and practices involved in this process can differ from industry to industry, however this process remains extremely critical to the success of the firm. The research suggests that healthcare firms and their staff members (as they are the most important stakeholders who can influence the success of this process) must be knowledgeable and informed on the information before initiating the process of selecting and acquiring an information system for them firm. In addition, all the associated stakeholders must have knowledge of this process, how the goals of their organization comply with the selection and acquiring process as well as the roles and responsibilities each organization’s stakeholder’s perform all the way through this process. In this scenario, one of the initial and most important decisions on which the entire process depends is whether an organization needs to select between outsourcing the IS and/or to bring in information technology expert s in order to work within the task (Hicks, 2013; Beatty, 2013). In the first step, the considering firm should find out what their information requirements are. This can be done by determining their capabilities and tasks they carry out throughout the business environment. It will require them to examine the decisions they make and the information they need to make these decisions. In this scenario, there is need for building an initial system design according to planned system inputs, outputs, processes, and required data bases. In fact, the analysis of these aspects will allow the firms to effectively recognize what information they need, what processes are carried out in order to translate the data into information, what data need to be collected in order to develop the information, and what data need to be stored and maintained for future analysis (Beatty, 2013; Hicks, 2013). After finalizing all the initial requirements, the considering firm should determine their budget. In th is scenario, the firm needs to analyze what expenditure are they willing to use on the complete process. They should determine their budget by keeping in mind all the contexts of the selection and acquiring process. For instance, the requirements and conditions for the new process and what are the benefits that can be achieved through different choices (as discussed above such as in-house development or outsourcing). Without a doubt, answers of these questions will help the acquiring firm to get the accurate direction regarding the implementation of a new information system (Hicks, 2013; Beatty, 2013; Braley, 2013). The firm that is going to acquire and select an information system must determine and set its business goals that it wants to achieve through the implementation of a new information system. In this scenario, a firm must set goals in a way that they demonstrate what is wanted and needed out of the implementation of a new information system. Additionally, the firm should l ist down its goals comprising the goals of staff members independently as well as all together. In the same way, it must include the goals of the front office, all the stakeholders that can be affected through the implementation of a new information system, the goals of the back office, physicians and the goals required to attain patient fulfillment. In addition, the acquiring firm must determine these goals for the reason that these goals will help them establish the tone for how the

Reflection on American studies Essay Example | Topics and Well Written Essays - 750 words

Reflection on American studies - Essay Example â€Å"Gendering† the conversation of globalization reveals the restrictions stuck between the actualities of women’s and men’s survive and normal academic work regarding worldwide procedures. Joint with essential concentration to race and racial procedures, â€Å"gendering† ought to construct a enhanced consideration of current worldwide issues. Before clarifying several of the wide-ranging feminist work that has gendered worldwide investigate and hypothesis, I momentarily scrutinize the thought of sexual category. Sexual category as used here is defined as discrimination, splitting up, and distinction communally rises around assumed difference between feminine and gentleman. Gender is a necessary classifying standard in communal life, a faith for allotment of responsibility, human rights, rewards, and authority, as well as the resources of fighting. Gender is a issue in arranging daily existence for persons, relatives, group of people, and civilization as large arrangements. Women are frequently underprivileged in stipulations of authority and substance and rank rewards. Gender is neither a necessary trait of persons nor a stable in communal existence, but consists of objects and figurative features of survivals, continuously shaped and reproduces in the track of continuing societal actions and performance. The trouble at this time is not one of a skilled sentiment â€Å"missing out.† Relatively, it is a pervasive issue in human studies and American studies of point- reluctance to find the paths where the American studies and human studies can easily improve their understanding with each other. Surrounded by average genealogy of US-based cultural lessons, national studies and new racially-based studies began from a comparable instant of empowerment in the efforts for ethnic and racial civil rights in the 1960s and 1970s, frequently in unity with Third World decolonization engagements. More and more, Native American lessons hi ghlights relations connecting Native America and native group of people in the area of the globe, reframing queries of power and native human rights in global conditions whereas continue to confront opinionated conversations of the realm. Such employment decanters paradigms of primary contact with European regal authority and consequent command by the United States armed and administration that have eclipsed debates of local contact with working class of other origins. Corresponding theories of history as the revision of the history and social evaluation of the life sciences, different ideas regarding the American studies in a disciplinary point of view enforce the results and findings of  American  culture’s understanding in its entirety and the general concepts of American culture at its surroundings. Some authors describes their suggestions at the University of California Faculty of American studies e.g. Jay Mechling, Robert Merideth, and David Wilson, How Jews Became White Folks and what it depicts in American culture, American Jewish narration go into the dialogues. The writer conveys the just around the corner as an anthropologist to this energetic combination of literatures transversely obedience. The effect is a fine investigation of the crossroads of

The United Nations and international order Essay

The United Nations and international order - Essay Example From the research it can be comprehended that when the Great powers came together in the immediate aftermath of the Second World War, the prevailing issues that obviated the need to form the United Nation were limited to those factors that characterized oppressive powers in Germany, Japan and Italy. Thus international order was perceived in an entirely different way than it is perceived today. Moreover, the founding fathers were embattled having just endured a major war and wanted to take advantage of the failures attributed to the League of Nations in that it had not been able to prevent a Second World War. The resolution was perceived as cooperation among the international community. However, the veto powers and the virtual autonomy of the five permanent members to the United Nation illustrate that the United Nation has been far from cooperative in coping with the prevention, management and cessation of breaches of the peace. Be that as it may, since the establishing of the United Nation the world has not suffered through a world war. It can therefore be argued that maintaining the world peace may not require international cooperation as called for by the United Nation. However, having regard to the proxy wars in the Middle East, the Gulf Wars and many other conflicts and humanitarian crimes, the effectiveness of the United Nation in maintaining international order, peace and security is seriously in doubt... Similarly, the UN decided on promoting peace and security via a framework that consisted of an â€Å"international organization† as opposed to the League of Nation’s framework of a global government.4 Thus the UN set out to consciously distance itself from the failed League of Nations. Setting the general tone of equality among the international community, Article 2(1) of the UN Charter 1945 specifically states that the UN was â€Å"based on sovereign equality of all of its Members†.5 The UK and the USSR were opposed to the UN becoming involved in anything outside of political and security issues. Even so, it was determined that the UN could not be effective without the authority to delve into the underlying root causes of armed conflict such as the economic, social and ideological factors the create tensions among and within states.6 In this regard, the UN’s mandate in maintaining international order would be somewhat expansive. It would not merely limit the scope of its authority to actual conflict, but would take on a much broader role in the international order. Early Challenges to the UN’s International Order Agenda The Allies of the Second World War were for all intents and purposes the founding fathers of the UN. Collectively, the Allies were the world’s Great Powers, having successfully defeated fascism and the Nazi powers. Thus the Great Powers assumed a pivotal role in the UN’s peacekeeping mandate that was designed to maintain and regulate international order. At the time, the main powers with the authority to negotiate peace and order were vested in the US and the USSR. The prevailing belief was that world peace and security was not possible unless the Great Powers cooperated and coordinated efforts to prevent and punish â€Å"aggression†. 7

My life would be like if all my wishes came true Essay

My life would be like if all my wishes came true - Essay Example I find it extremely disturbing that there are so many people who suffer on and off our streets because they cannot afford a meal or a roof over their heads, many times I walk home in the evenings I run into them waiting for soup kitchens to open, sleeping on park benches and sometimes under culverts. I have always wished there was a way I could help them and if may wishes were to come true, such people would get second or third shot at life, and they would be off the streets and with their families once again. I dislike and always try to avoid conflict situation be it with my friend’s parents, or teacher, I feel that most arguments and disagreements are because people misunderstand me. As a result, I have always wished I could read minds, that way I would know what my teachers want  and what they  are  thinking so I can react accordingly. Mind reading would also help keep me safe since I would know what everyone around me is thinking, and this is would be very useful to avoid getting into dangerous situations by avoiding people with violent thoughts. I would generally have more money, friends and my life would change in so many ways, I would never have to ask for money from my parents and I could just go to the mall and pick out the latest gear without worrying about the price tags. I would be more comfortable around my friends since they would be loyal and I would not have to worry about being backstabbed or betrayed. Furthermore, I have always wished to travel around the world and see the wonders one summer, I would have the time of my life vesting the pyramids the great wall of China, as well as the all the other famous sites. I would go back in time and try to undo the mistakes I have made and also prevent major disasters such as September 2011s terrorist attacks. I would also travel forward in time so I could see how the future will look like especially the levels of technology which I would bring back and try to develop today’s

Reflection on American studies Essay Example | Topics and Well Written Essays - 750 words

Reflection on American studies - Essay Example â€Å"Gendering† the conversation of globalization reveals the restrictions stuck between the actualities of women’s and men’s survive and normal academic work regarding worldwide procedures. Joint with essential concentration to race and racial procedures, â€Å"gendering† ought to construct a enhanced consideration of current worldwide issues. Before clarifying several of the wide-ranging feminist work that has gendered worldwide investigate and hypothesis, I momentarily scrutinize the thought of sexual category. Sexual category as used here is defined as discrimination, splitting up, and distinction communally rises around assumed difference between feminine and gentleman. Gender is a necessary classifying standard in communal life, a faith for allotment of responsibility, human rights, rewards, and authority, as well as the resources of fighting. Gender is a issue in arranging daily existence for persons, relatives, group of people, and civilization as large arrangements. Women are frequently underprivileged in stipulations of authority and substance and rank rewards. Gender is neither a necessary trait of persons nor a stable in communal existence, but consists of objects and figurative features of survivals, continuously shaped and reproduces in the track of continuing societal actions and performance. The trouble at this time is not one of a skilled sentiment â€Å"missing out.† Relatively, it is a pervasive issue in human studies and American studies of point- reluctance to find the paths where the American studies and human studies can easily improve their understanding with each other. Surrounded by average genealogy of US-based cultural lessons, national studies and new racially-based studies began from a comparable instant of empowerment in the efforts for ethnic and racial civil rights in the 1960s and 1970s, frequently in unity with Third World decolonization engagements. More and more, Native American lessons hi ghlights relations connecting Native America and native group of people in the area of the globe, reframing queries of power and native human rights in global conditions whereas continue to confront opinionated conversations of the realm. Such employment decanters paradigms of primary contact with European regal authority and consequent command by the United States armed and administration that have eclipsed debates of local contact with working class of other origins. Corresponding theories of history as the revision of the history and social evaluation of the life sciences, different ideas regarding the American studies in a disciplinary point of view enforce the results and findings of  American  culture’s understanding in its entirety and the general concepts of American culture at its surroundings. Some authors describes their suggestions at the University of California Faculty of American studies e.g. Jay Mechling, Robert Merideth, and David Wilson, How Jews Became White Folks and what it depicts in American culture, American Jewish narration go into the dialogues. The writer conveys the just around the corner as an anthropologist to this energetic combination of literatures transversely obedience. The effect is a fine investigation of the crossroads of

My life would be like if all my wishes came true Essay

My life would be like if all my wishes came true - Essay Example I find it extremely disturbing that there are so many people who suffer on and off our streets because they cannot afford a meal or a roof over their heads, many times I walk home in the evenings I run into them waiting for soup kitchens to open, sleeping on park benches and sometimes under culverts. I have always wished there was a way I could help them and if may wishes were to come true, such people would get second or third shot at life, and they would be off the streets and with their families once again. I dislike and always try to avoid conflict situation be it with my friend’s parents, or teacher, I feel that most arguments and disagreements are because people misunderstand me. As a result, I have always wished I could read minds, that way I would know what my teachers want  and what they  are  thinking so I can react accordingly. Mind reading would also help keep me safe since I would know what everyone around me is thinking, and this is would be very useful to avoid getting into dangerous situations by avoiding people with violent thoughts. I would generally have more money, friends and my life would change in so many ways, I would never have to ask for money from my parents and I could just go to the mall and pick out the latest gear without worrying about the price tags. I would be more comfortable around my friends since they would be loyal and I would not have to worry about being backstabbed or betrayed. Furthermore, I have always wished to travel around the world and see the wonders one summer, I would have the time of my life vesting the pyramids the great wall of China, as well as the all the other famous sites. I would go back in time and try to undo the mistakes I have made and also prevent major disasters such as September 2011s terrorist attacks. I would also travel forward in time so I could see how the future will look like especially the levels of technology which I would bring back and try to develop today’s

Outer Space Essay Example for Free

Outer Space Essay Outer Space started about 100 kilometers above the Earth, but there is still part of the Earth’s atmosphere. Outer Space is the void that exists between celestial bodies including the Earth. In space, two pieces of metal can weld together with no heat or other substances present because Its not completely empty but its consists of hard vacuum containing a low density of particles which is predominantly a plasma of hydrogen and helium as well as electromagnetic radiation, magnetic fields, and neutrinos which its called Cold Welding and it was discovered in the 1940s. The baseline temperature as set by the background radiation from the Big Bang is 2.7 Kelvin (K) but in more exact term, the temperature of the emptiness of outer space is about 3 degree Kelvin. So obviously the temperature of outer space is nearly absolute zero and very cold. There is no firm boundary where space begins. Outer space is the closet natural approximation to a perfect vacuum because it has effectively no friction, allowing stars, planets and moon to move freely along their ideal orbits. By comparison, the air we breathe contains about 10 billions light years. Stars, planets and moons retain their atmospheres by gravitational attraction. Atmospheres have no clearly delineated boundary: the density of atmospheric gas gradually decreases with distance from the object until it becomes indistinguishable from the surrounding environment. Effect on human bodies: Sudden exposure to very low pressure, such as during a rapid decompression, could cause pulmonary barotrauma—a rupture of the lungs, due to the large pressure differential between inside and outside of the chest. Rapid decompression can rupture eardrums and sinuses, bruising and blood seep can occur in soft tissues, and shock can cause an increase in oxygen consumption that leads to hypoxia. As a consequence of rapid decompression, any oxygen dissolved in the blood would empty into the lungs to try to equalize the partial pressure gradient. Once the deoxygenated blood arrived at the brain, humans and animals will lose consciousness after a few seconds and die of hypoxia within minutes. Outer Space Facts: -Space can begins roughly 100 kilometers above the surface of Earth when the air shell surrounding the planet disappears since there is insufficient air for scattering sunlight and producing a light blue color of the sky, space looks like a dark blanket sprinkled with stars -Space is filled with numerous types of radiation, which are generally injurious to astronauts, most of the ultraviolet and the sun causes infrared radiation. -Space is not empty; the huge gaps between the planets and stars are packed with large quantities of dust and gas. -There are three orbiters that fly in space which are Endeavor, Atlantis and Discovery. -In 1981, there are two orbiters; Challenger and Columbia were lost in space because of accidents. -The matter found in space is extremely hot and this is mainly because of radiation. -Space trash that orbits at altitudes above 1,000 kilometers circles the Earth for more than a century. -Sound cant travel through outer space because space is a vacuum, which h as no molecules in it, and sound needs molecules to compress or refract. -The Pluto is the coldest planet in Solar system due to its distance from the Sun. The temperature might go down to amazing -390 degrees Fahrenheit which its little bit different than the ice on Earth because of the extreme temperature make it becomes harder than steel. -The light hitting the earth right now is 30 thousand years old because it spent most of this time passing through the dense atoms that make the sun and just 8 minutes to reach us once it had left the sun. The temperature at the core of the sun is 13,600,000 kelvins and all of the energy produced by fusion in the core must travel through many successive layers to the solar photosphere before it escapes into space as sunlight or kinetic energy of particles. -There are more than 100 billion of galaxies in the universe and it would take about 3,000 years to count all of the stars. -The Moon is drifting away from the earth because every year, the Moon moves 3.8 cm further away from Earth and the Earth is slowing down. Every century, the Earths rotation will be 2 milliseconds slower. -The most accurate definition, there are 14 black holes which are only absorb things that cross their event horizon, so they wouldnt destroy an entire universe, its also possible for black holes to collide and merge, and they also absorb light. -The solar system is around 4,500 million years old and it will probably last another 5000 million years. -There are currently 166 moons in our solar system.

Flag State Jurisdiction On The High Seas International Law Essay

Flag State Jurisdiction On The High Seas International Law Essay This essay will focus on the internationally recognized right of hot pursuit and the rights and duties that lay upon the coastal states pursuing ships (pursuing aircrafts will not be included here). Since article 23 of the Geneva Convention on the High Seas (1958) has been revised into article 111 United Nations Convention on the Law of the Sea, the following text will therefore mainly refer to the latter convention. It is important to notice that both conventions reflect international customary law in this area. This gives the conditions that are set up in the conventions a wider significance, since not only the states that have adopted the conventions are bound by the right of hot pursuit stated there. The focus will be on the following questions: What is the nature of hot pursuit and what are the international legal conditions that have to be fulfilled in order to exercise it? What is the objective of the right of hot pursuit? To answer the latter question, the focal point will be on what function the hot pursuit actually fill since it at first sight could be seen as a way for the coastal state to extend their sovereignty and jurisdiction to include foreign ships on the high seas, something that in general is supposed to be reserved to the flag state. Hot pursuit is not the only exception to the flag state principle. As will be seen below, piracy, slave trade, unauthorized broadcasting and major pollution incidents are other examples of exceptions to the flag state principle, but, given the limited scope of this essay, there would not be much said about each exception if all of them were included in this essay. 1.2. Purpose and disposition The purpose of this essay is to clarify the international recognized conditions for a state to exercise the relatively extensive right of hot pursuit and to critically examine the objectives of this right. Since this is a rather far-reaching right, being a derogation from the general rule prohibiting any interference by a state with non-national ships on the high seas, it is important to examine the original objectives behind hot pursuit and what function it actually fills. Since this is a rather far-reaching right that is limiting the jurisdiction of the flag state on the high seas (and in a way therefore also affect the freedom of the high seas), The essay will have the following disposition: First, the freedom of the high seas will be described in short together with the principle of flag state jurisdiction (section 2), to give a sufficient background to the reader. Thereafter, the circumstances which serve as prerequisites for the exercise of hot pursuit will be examined. 2. Jurisdiction on the high seas 2.1. The freedom of the high seas an overview Ever since the eighteenth century the high seas  [1]  have been open to all states, with no state able to claim sovereignty over any part of it. This concept, called the freedom of the high seas, was developed as opposed to the closed seas-principle which was claimed by Portugal and Spain in the fifteenth and sixteenth centuries, leading to a division of the seas of the world between the two powers in 1506.  [2]  However, the high seas are nowadays subject to res communis and the general rule is that states cannot in principle control the activities and the whereabouts of other states on the high seas.  [3]  The freedom of the high seas has been traditionally established in customary international law but the first draft of codification was formulated in the Resolution on the Laws of Maritime Jurisdiction by the International Law Association in 1926, which declared that no state may claim any right of sovereignty over any portion of the high seas or place any obstacle to the free and full use of the high seas  [4]  . The principle of the freedom of the high seas was eventually also declared in the Geneva Convention on the High Seas (1958) as well as in the 1982 United Nations Convention on the Law of the Sea (the first hereinafter referred to as GCHS and the latter as UNCLOS). These conventions clarified international customary law and made it easier to comprehend. Some articles in the conventions will be brought into light in the text below in order to give a clear and fuller view of the subjects presented. Some of the key-principles regarding the high seas are stated in article 2 GCHS and article 87 and 89 UNCLOS, which affirm that the high seas are open to all states and that no state may validly purport to subject any part of them to its sovereignty. Furthermore, article 87 UNCLOS states that the freedom of the high seas includes inter alia the freedoms of navigation, overflight, laying of submarine cables or pipelines, the construction of artificial islands and other installations permitted under international law, fishing and scientific research. However, these freedoms are to be exercised with due regard for the interests of other states and for the rights under the convention with respect to activities in the area (meaning the International Seabed Area  [5]  ). Worth noting is also that the high seas are reserved for peaceful purposes (article 88, UNCLOS). 2.2. Flag state jurisdiction Thus, the high seas have relatively far-reaching freedoms for all states, but there must however be some kind of maintenance of order and jurisdiction so that these freedoms do not get violated and used in a wrongful way by any state and so that wrongful acts on the high seas do not go unpunished. The main rule is that the state which has granted to a ship the right to sail under its flag (the flag state) has the exclusive right to exercise legislative and enforcement jurisdiction over its ships on the high seas.  [6]  It is accordingly the flag state that enforces the rules and regulations of its own municipal law as well as international law.  [7]   The general principle that the flag state alone may exercise jurisdictional rights over its ships was elaborated in the Lotus-case (1927) where the Permanent Court of International Justice held that vessels on the high seas are subject to no authority except that of the state whose flag they fly  [8]  .  [9]  The flag state-principle is nowadays also stipulated in article 92 UNCLOS (and article 6 GCHS), where it is stated that ships must sail under the flag of one state only and that they will, as a general rule, be subject to that states exclusive jurisdiction on the high seas. Each state sets up its conditions for the grant of its nationality to ships, for registration of ships and for the right to fly its flag. This was declared by the International Tribunal for the Law of the Sea in the M/V Saiga (No.2) case, where one concluded that the determination of the criteria and procedures for granting and withdrawing nationality to ships are parts of the flag states exclusive ju risdiction.  [10]   The nationality of the ship depends accordingly upon the flag the ship flies, but there must be a genuine link between the state and the ship.  [11]  The requirement of a genuine link was intended to counter the use of flags of convenience (often operated by states such as Liberia and Panama) where states grant their nationality to ships looking for favorable taxation and work- and social agreements.  [12]  However, if a ship sails under the flags of more than one state according to convenience, the ship does not have any nationality in a juridical point of view and may therefore be boarded and seized on the high seas by any state. This is to be compared with ships that do have a flag, which (as a general rule) only can be boarded and seized by its own flag state on the high seas.  [13]   Worth mentioning is that there are also some duties and responsibilities attached to the flag state jurisdiction, such as the obligation to legislate to make it an offence to break or injure submarine cables and pipelines under the high seas. Furthermore, the flag state also has to provide for compensation in case such an offence occurs and to adopt and enforce legislation dealing with assistance to ships in distress in compliance with international duties regarding safety at sea.  [14]   When it comes to warships and ships owned or operated by a state where they are used only on governmental non-commercial service, the exclusivity of the flag state-principle is applicable without exception. As can be read in articles 95 and 96, UNCLOS, those ships have complete immunity from the jurisdiction of other states than its flag state.  [15]  Though, the principle of flag state jurisdiction on the high seas is not absolute. It is subject to some exceptions in which third states may share enforcement or legislative jurisdiction (or both) together with the flag state. In the following, the focus will be on the exception of hot pursuit, but some other exceptions worth mentioning are: piracy, unauthorized broadcasting, slave trade, drug trafficking and major pollution incidents.  [16]  The right of hot pursuit is however different from the other exceptions to the flag state principle, since the right of hot pursuit derives from jurisdiction under the territorial (+ EEZ a nd continental shelf?) principle whereas enforcement related to slave trade and piracy (for example) derives from jurisdiction based on the universality principle.  [17]   3. Hot pursuit an exception to flag state jurisdiction 3.1. Historical background and objective When a foreign ship has infringed the rules of a costal state, the right of hot pursuit makes it possible for the state to pursue and seize the ship outside its territorial sea in order to ensure that the ship does not escape punishment by fleeing to the high seas. This principle limits the freedom of the high seas and represents an exception to the exclusive jurisdiction of the flag state on the high seas, since it makes it possible for the coastal state to follow and seize a ship registered in another flag state and in this way extend its jurisdiction onto the high seas.  [18]   The right of hot pursuit is an act of necessity which is institutionalized and restricted by state practice. It emerged in its present form in Anglo-American practice in the first half of the nineteenth century.  [19]  In England there was an old rule of fresh pursuit where the role of the pursuer was played by a mere individual, unlike todays hot pursuit where the pursuer must be played by a person in his official capacity or by a member of a certain authority (see below).  [20]  The principle has now been recognized in international customary law for a long time. The Im alone-case, 1935, can lead as an example, where it was stated that warships or military aircrafts of a state are allowed to engage in hot pursuit if a foreign ship has violated that states laws within its internal waters or territorial sea and to make an arrest on the high seas.  [21]  The Hague Codification of 1930 served as an evidence of general recognition of the right of hot pursuit by states when i t provided the basis for the draft article adopted by the International Law Commission which later on became article 23 of the Geneva Convention on the High Seas of 1958.  [22]   The objective of the right of hot pursuit is to make it possible for states that are exposed to delicts made by non-national ships to bring the escaping offenders before its jurisdiction. In this way the high seas may not provide a safe haven for ships having committed a delict within a states maritime jurisdictional zones. Hot pursuit could be seen as contrary to the exclusive principle of flag state jurisdiction on the high seas, but seen in the light of the high seas, it is not reckless to conclude that the right of hot pursuit is in accord with the objective of order on the high seas.  [23]  Moreover, the right of hot pursuit has a preventive function derived from the psychological effect of the increased disciplinary rights that the violated coastal state is entitled to. The psychological effect is not to be underestimated since it could prevent wrongdoers to undertake illegal activity, knowing that they may be pursued, arrested and punished by the authorities of the state w hose laws have been violated.  [24]   Pursuit onto the high seas does not offend the territorial sovereignty of any state and it involves no intrusion into foreign territory since there is no sovereign to the high seas, except the state of the flag. To let the flag state principle stand in the way for effective administration of justice when a ship has committed a delict in another states juridical maritime zones has been seen as disproportionate, hence hot pursuit has become an international right for coastal states, regardless of the flag of the ship. Furthermore, the right of hot pursuit is a right of necessity since the coastal state would not be able to enforce its laws and regulations against fleeing ships without being able to pursue them.  [25]   3.2. Legal status As mentioned above (section 2.1.), the right of hot pursuit was codified and recognized by states in the Hague Codification in 1930, which led to the development of article 23 of the Geneva Convention on the High Seas (1958). The provisions on hot pursuit in article 23 GCHS was thereafter essentially reproduced in article 111 of the United Nations Convention on the Law of the Sea (1982), comprising the new developments in the international law of the sea, such as the generated rights followed by the establishment of the new jurisdictional zones of the continental shelf and the exclusive economic zone.  [26]  Since article 111 UNCLOS is a renewed definition of the right of hot pursuit, it is the definition stated in UNCLOS that is the most updated and will be in focus below. Article 111 UNCLOS has the title Right of hot pursuit and contains eight paragraphs, in comparison to article 23 GCHS which only has seven paragraphs. (See the appendix for the full and exact wording of article 111 UNCLOS). Article 111 declares the coastal states right to engage in hot pursuit and lays down a number of cumulative conditions under which this right may be exercised. These conditions have been set up in order to avoid abuse and incorrect exercise of hot pursuit by the coastal states, such as situations where the wrong ship is pursued by accident. The specific conditions are also of great importance when it comes to upholding the freedom of navigation on the high seas and to ensure that the coastal state have enough evidentiary material to support a hot pursuit before exercising it.  [27]   4. International conditions and the nature of hot pursuit 4.1. General conditions (ta bort?) The International Tribunal for the Law of the Sea has emphasized that the conditions laid down in article 111 UNCLOS are cumulative, which means that each one of them has to be fulfilled in order for the hot pursuit to be lawful.  [28]  The basis for the exercise of hot pursuit is specified in paragraph 1 of article 111 UNCLOS which notes that such pursuit may be undertaken when the authorities of the coastal state have good reason to believe that the foreign ship has violated its laws and regulations. The violation must be made within one of the costal states maritime zones, such as its internal waters, archipelagic waters, territorial sea, exclusive economic zone or its continental shelf. Furthermore, the laws and regulations that were violated must have been enacted in accordance with international law.  [29]  Thus, article 111 UNCLOS makes it possible to pursue a foreign ship onto the high seas, but with respect of international law and the principle of state sovereignty, the pursuit must cease as soon as the ship enters the territorial sea of its own flag state or any other state. Otherwise, the pursuit would end up in a violation of another states sovereignty.  [30]   4.2. Involved vessels As can be seen in article 111 (5) UNCLOS, the coastal state may only exercise hot pursuit through the use of certain ships and aircraft having a connection to the governmental authority of the state. Warships and military aircrafts, together with other specially authorized government ships or aircrafts which are clearly marked and identifiable as such, are the only vessels that are required to exercise the pursuit.  [31]  This limitation to vessels vested with governmental authority ensures that the pursuing state cannot avoid its state responsibility for actions made by its pursuing ships acting on behalf of the coastal state. It is not the specific authority to pursue that is of importance; it is rather the general authority of applying laws and to take necessary measures in this regard. This guarantees the responsibility of a state for the actions made by its ships operating under the government. A states official connection to military aircrafts or warships needs not to be ma nifested since this connection is self-evident, thus, other pursuing vessels need to be specifically authorized by the state to exercise these measures.  [32]   Commercial ships in government service as well as private ships are subject to the jurisdiction of the coastal state and can be pursued if there is good reason to believe that a violation of the laws have been made. However, it is not in accordance with international law to exercise hot pursuit against other states warships. These, together with other non-commercial ships operating under a foreign government, are generally immune from the jurisdiction of any state other than the flag state. Although these ships are excepted from a coastal states right of hot pursuit, this does obviously not mean that they do not have to follow the laws and regulations of the coastal state. The only immunity warships enjoy is the immunity from enforcement jurisdiction of the coastal state, so the flag state might have to answer for the violation made by one of its governmental ships. Furthermore, the coastal state may pursue and arrest warships and non-commercial ships in foreign government service in self-defense.  [33]   4.3. Offences The right of hot pursuit arises whenever the offending ship has violated a law which has been validly enacted for the purpose of the zone where the offence has occurred  [34]  . In order to be entitled to hot pursuit, the coastal state has to have good reason to believe that the foreign ship has made such an offence, or as it is stated in article 111 (1) UNCLOS: violated the laws and regulations of that State  [35]  . The article states no predefined offences, so what kind of offences does this actually refer to? There is in fact no limit of how severe the delict must be in order to entitle the state to hot pursuit. The coastal state is entitled to undertake hot pursuit as soon as any local law or regulation has been violated, no matter how trivial. The wording in article 111 UNCLOS allows hot pursuit whenever a law has been violated, no matter what the character of the offence is.  [36]  There has been a view that the right of hot pursuit should arise only in respect of certain kinds of offences which could be considered as quasi-international offences (such as security offences), but the predominant view at the time of the Geneva Conference was that there should be no catalogue restricting the right of hot pursuit to offences of a certain character.  [37]   The seriousness of the offence should however be taken into account by the coastal state before starting a pursuit, so that the freedom of navigation is not hindered for minor offences.  [38]  This would otherwise result in a disproportionate exercise of power.  [39]  Furthermore, international comity and goodwill can be seen as important reasons why a coastal state should not exercise in response to trivial offences. Naturally, this principle of comity does not legally bind the coastal state to behave in a certain way, since it is not a principle under international law. In general, states are however anxious to submit to this principle of comity, since it is in their own best interest to show respect to other sovereign states. A state that does not act hospitably to other states and pursues their ships without good reason may be subject to the same abuse when its own merchant fleet navigates in other states territorial seas. Except taking comity into account, states decisio n to exercise hot pursuit is also based on the practical reality that states are not likely to find minor offenders worth the trouble of pursuit. Besides, ships guilty of trivial offences are unlikely to risk the dangers of flight in the hope of avoiding arrest for a minor delicts. Although such flight could indicate that the ship has been engaged in a delict that is much less trivial than the coastal state first suspected.  [40]   The nature of the offence entitling the state of hot pursuit is related to the competence to enact laws for the different maritime zones. In the territorial sea this competence is unlimited (except for the right of innocent passage), but regarding the contiguous zone or other zones of extraterritorial jurisdiction, the states competence to make acts offences is restricted since these are zones of limited jurisdiction. The right of hot pursuit arises when an offence has been made within one of these zones, but it is provided that the offence is made against laws which international law allows to be enacted for the purposes of that zone.  [41]   Article 111 (1) UNCLOS sets up the condition that a state must have good reason to believe that a ship has violated the states laws and regulations. This good reason standard prevents states from pursuing a foreign ship solely based on the suggestion that an offence has been made by it. However, this condition does not require that the coastal state has actual knowledge of an offence. The proper interpretation of this good reason condition lies somewhere between suspicion and actual knowledge of an offence. In regard to this, the mere flight of a vessel could be sufficient to justify hot pursuit, since it could give the state a suspicion that the ship is trying to flee from the consequences of an offence made by it. Even though the state originally lacked good reason to believe that the ship had made an offence, this suspicious behavior could be enough to live up to the good reason standard.  [42]   Offences that are not attributed to the foreign vessel itself do not lay ground for hot pursuit, for example when an offence is committed by a passenger. The coastal states jurisdiction is towards the ship only, the passengers and crew remain under the jurisdiction of the flag state as long as their actions are not attributable to the ship itself. Robert C. Reuland states that the delict must have been committed under the color of the ships authority  [43]  in order to give rise to hot pursuit. Finally, when it comes to offences, one can conclude that there are two main conditions that have to be fulfilled in order to give right to hot pursuit: first, the state must have good reason to believe that an offence has been committed and second, the offence must be attributable to the ship itself.  [44]   4.4. Commencement and cessation Article 111 (1) UNCLOS states from which maritime zones a state may commence hot pursuit under international law; namely when the foreign ship (or one of its boats) is within the pursuing states internal waters, archipelagic waters, territorial sea or contiguous zone.  [45]  It is only when the offence is committed within one of these zones that the coastal state may undertake hot pursuit. However, in comparison to article 23 GCHS, article 111 (2) UNCLOS is more extensive and stipulates that the right applies mutatis mutandis to violations of legislation applicable to the exclusive economic zone or the continental shelf (including safety zones around continental shelf installations).  [46]  The right to begin hot pursuit while the foreign ship is within the contiguous zone is limited to the enforcement of certain rights, that is to say if there has been a violation of the rights for the protection of which the zone was established.  [47]  Robert C. Reuland mentions that a lthough a states legislative jurisdiction within the contiguous zone may not be limited to the four purposes set out in both sea conventions, such laws should nevertheless be limited to the protection of the states territory and territorial sea. It follows that hot pursuit may not be commenced from the contiguous zone for violations of laws that do not reasonably comport with the littoral states legislative competence with respect to this zone.  [48]  . Whether pursuit may start while the ship is in the continental shelf or in the exclusive economic zone is more directly an aspect of the question whether the violation was made against legislation relation to these zones, than in the case of the contiguous zone. The offence is more directly related to the regime of the zone.  [49]  The state may enact laws consistent with the sovereign rights in these zones, for example relating to protection of fisheries etc in the case of the exclusive economic zone. Similarly, the violatio n of any law enacted by the coastal state that is consistent with the states sovereign rights over the continental shelf may give rise to the right of hot pursuit.  [50]   The right of hot pursuit ceases as soon as the pursued ship enters the territorial waters of its own or a third state.  [51]  To continue therein would result in a violation of that states sovereignty and that is accordingly offending international law.  [52]  This general rule may however be put aside where hot pursuit in another states territorial sea is permitted by treaty.  [53]  It is important to mention that the general rule of cessation at the territorial sea of another state does not apply to other maritime zones beyond the territorial sea, so the pursuing state may actually pursue the foreign ship into the exclusive economic zone or even the contiguous zone of another state. Such zones are to be considered as high seas when it comes to hot purs