Ioi Corporation

IOI Corporation Case Study 1. IOI strong growth was achieved through a. Good plantation management practice * Continues improvements on yields performance * Maximize output from plantation and factories and minimize input to achieve a low-cost supply chain b. Diversified business base in palm oil industry, from downstream sector to upstream sector 2. IOI opportunities and threats c. Opportunity * Continues growth on palm oil in edible oils & fats market globally * Increase in non-food industry demand, like biofuel.Now, market is focus on renewable energy. Palm oil has been identified as one of the efficient and clean biofuel * Crude palm oil price getting higher and stable year-on-year. * Sales of properties at prime area especially in Singapore have been encouraging * Expansion in Indonesia with recent planting permit approval to the group’s directly owned plantations d. Threat * Major revenue is come from export markets to Europe and US. Weak economic situation affect the de mand on palm oil. With limited land bank in Malaysia * Unfavorable weather condition * Shortage of estate workers * Fierce competition from Sime Darby and Indonesia and upcoming markets like Africa and Brazil are catching up 3. Internal organization capabilities and it weakness. e. Top 3 executive directors are family members. Decisions making are among family members, higher chances in power abusing and lack of transparency f. Has operations in many countries, expose to foreign exchange risk 4. Change and unchanged g. Change Family based share holders lack of transparency. Need to maintain good relationship with stakeholders to increase the efficiency of the group h. Unchanged * Tissue culture research, leading to cultivation of clonal palms with superior traits * Continuous improvement in productivity and efficiency of its operations * Sustainable environmental friendly practices IOI Financial Analysis FY2012 1. Current liquidity ratio = Current asset / Current liability 2012 (RMà ¢â‚¬â„¢000)| 2011 (RM’000)| 9,185,620 / 2,202,499= 4. 7| 7,703,105 / 2,288,028= 3. 36| The group ratio increased in year 2012 2. Total debt to total asset = (short term debt + long term debt) / total asset 2012 (RM’000)| 2011 (RM’000)| 10,148,965 / 23,064,868= 0. 44| 7,393,721 / 19,655,119= 0. 37| Total funds that are  provided by creditors is increasing in year  2012 3. Total asset turnover = Sales / total asset 2012 (RM’000)| 2011 (RM’000)| 15,640,272 / 23,064,868= 0. 67| 16,154,251 / 19,655,119= 0. 82| 4. Profitability = net income / sales 2012 (RM’000)| 2011 (RM’000)| ,828,529 / 15,640,272= 0. 11| 2,290,513 / 16,154,251= 0. 14| After tax profits decreased per ringgit of sales 5. Market value * EPS = 0. 2785 * P/E = 18. 2047 * Price per share = 5. 07 * (Current assets – current liabilities) / ordinary shares = (9,185,620 – 2,202,499) / 6,419,174 = 1. 08 * Fair value = (5. 07 / 2) + (1. 08 / 2) = 2. 535 + 0. 54 = 3 . 075 IOI group’s profit is decreased on year 2012. The market fair value is much lower than the actual price per share. The option is to sell the share instead of buying it.

The Longest Memory enhance our understanding

How does Diagram's novel The Longest Memory enhance our understanding of the immorality of slavery and the horrible suffering of slaves? By glowered How does Diagram's novel The Longest Memory enhance our understanding of the immorality of slavery and the horrible suffering of slaves? The Longest Memory by Fred Diagrams is a multi-faceted narrative that follows the life of a hundred year old slave Whitecap and the lives of those on the Whitecap plantation in the late asses after the death of a young slave boy, Chapel.The Longest Memory heightens our understanding of the horrific suffering endured by slaves through an omniscient perspective with a graphic nature, written in a way that makes characters easy to relate to and understand how slavery impacts them personally. The Longest Memory features an omniscient perspective to tell the story of Whitecap and his step son. By using so many different styles of writing to give accounts from each character, Diagrams enables the readers to f urther understand how the slavery system impacted not only the African slaves, but also the lives of the hit people around them.Within the novel, each chapter is an excerpt from the lives of the people vital to the death of young Chapel. The style of writing varies between each chapter, enabling readers to relate to the characters on a more personal level. The contrast between the characters can be observed Just from the different styles of writing used to embody the thoughts and feelings of each character. Whitecaps chapter reflects his life that is like â€Å"counting hours that drag through the dark†, while Sanders Senior's diary entry style writing provides an absolute insight into his mind and feelings.Contrasting both of these accounts, is Lydia chapter, written in a way that enables readers to see a side of Chapel they wouldn't otherwise see, Lydia describes how â€Å"the lady I have become crept up on me† as she continued her life with Chapel before his death. By writing the novel from so many points of view, Diagrams opens the minds of those directly effect by slavery to the readers. Within The Longest Memory, the graphic language heightens our understanding of he immoral treatment of the African slaves by directly addressing the problems within the Whitecap Plantation.The biggest conflicts occur in the Cook, Sanders Senior and Whitecap chapters, where the rape of Cook and death of her son are central difficulties. The varying chapters discuss the monstrous and traumatizing rape of Cook by Sanders Senior, where both Cook and Sanders voice their experiences. Sanders describes a struggle where â€Å"she [Cook] fought so much that both our clothes were torn†. The language used to discuss such a horrific event eighteen a sense of immorality within the slave system. Another graphic scene in the novel is where the audience experience the death of young Chapel through his father's eyes. L literally saw the boy surrender to that whip† Whitecap states, creating a feeling of sorrow and heartbreak within the reader. Diagrams uses such visual language to express to readers the extent of the agony endured by slaves. Diagram's novel gives a deep insight into the impact of slavery on each individual. Whitecap opens the narrative by discussing how the events throughout his 100 ears caused him to become â€Å"nobody, nameless†. Mr.. Whitecap and Sanders senior express contrasting views on the â€Å"treatment of his slaves† as Mr.. Whitecap â€Å"thinks I'm too severe with them†.Lydia, Cook and Chapel, all have quite similar and remarkable chapters as each individual express their wisdom and loathe for the slavery system. These chapters leave the readers feeling indignant as such charismatic and lovable characters are cheated of happiness and freedom. A major contrast to these chapters is the excerpts from The Virginian and the Plantation wieners chapter, where readers can experience the views and v alues of the world outside of the Whitecap Plantation and understand how the â€Å"degree of humanity' was vastly different and much harsher on other plantations.Through an omnipresent perspective, Fred Diagrams conveys the impact of slavery on each of the characters in The Longest Memory using graphic language that allows readers to feel the characters emotions. The Longest Memory is an in depth exploration of the immorality, suffering and injustice of the Africans forced into slavery in the asses.

Ethical Standards Within the Healthcare Industry Essay

ABSTRACT   Ã‚  Ã‚  Ã‚   This research functions as an analysis of the essential similarities and differences between the ethical standards upheld by the health care sector and the non health care sector. The health care sector includes hospitals, clinics, and private practices while the non-health care sector includes commercial, technological, industrial and other sectors. The paper discusses regulations and legislation of ethical practices and finds that the extent to which ethics and law overlap is dependent on such factors as the type of harm that can be done to citizens as a result of an action. The paper also discusses the extent to which the administration of ethical rules takes place within the sectors in question.   Ã‚  Ã‚  Ã‚   It posits that the health care sector maintains a high standard in ethical practice, especially in the medical, pharmaceutical and a few paramedical fields. It distinguishes as well as defines clearly the concept of ethics and law and how they are legislated in a few selected establishments. Meticulous care has also been taken to probe and illuminate the nuances of the controversial disclosure law and to give insight into the strong ethical question that it addresses in the health care industry. Equally, the issues concerning the consent and privacy rules were also dealt with in an in-depth and comprehensive manner. In addition to this, the paper explains the several ways in which information can be protected from physical and electronic abuse. It also delves into the areas of weakness and threat faced in technological security.   Ã‚  Ã‚  Ã‚   The ethics of the health care and the non health care sectors were also examined through these lens of technological security, and analysis was done of the methods used by each sector to secure information. Finally, the implications of this research outlined at the end of this report and recommendations are then given for improving ethical practice. The researcher suggests ways of improving the quality of ethical standard in the major health sector as well as other branches like the paramedical. Furthermore, the recent developments in electronic assessment and the dissemination of business information are shown to create a need for both regulation and legislation. There is a demonstrated need for simplification of all ethical legislating and regulating information so that such might be made available to everybody who desires to learn and abide by ethical standards. Chapter 1 INTRODUCTION BACKGROUND   Ã‚  Ã‚     Ethics is a philosophy of life and became a part of the business world. The complexity and critical needs of the health care industry are more prone to medical errors which could cost human lives. The quality of care is measured by ethical factors related with the medical industry. However, ethics go beyond quality of care and include many other areas in the health care industry. The role of health care administration in the organization is to ensure that customers are protected completely and that their privacy are not violated.   Ã‚  Ã‚  Ã‚     The practice of ethics is also one of the duties and responsibilities of the Health Care Administrator and as such, the present paper aims to identify the position and practice of ethics in the health care industry with other non health care industries. In doing so, the paper intends to gain insights of ethical practices of non-health care industries and tries to recommend the best practices for the health care industry if gaps are found. In order to evaluate the key issues of ethical practices in both sectors, the paper considers the Information Security aspect of business Information.   Ã‚  Ã‚     Thus, the paper aims to compare the ethical practices mainly concentrating in the primary areas of information Privacy and Security from health care and the E-commerce sectors. Every responsible activity in any organized sector of human endeavor requires some form of regulation. Whether it is written or unwritten, legally documented or morally documented, the study also tries to observe the ethical practices against the industry specific ethical standards and legal policies.   Ã‚  Ã‚  Ã‚   Ethics can be defined as learning of what is right or wrong and then doing the right thing. Generally, ethics are aimed at the employees of organizations whose management experienced problems. LAW AND ETHICS   Ã‚  Ã‚  Ã‚   The Legal Information Institute (1999) defines â€Å"law† as a set of rules that are considered universal and that show both internal and external consistency. They are publicized and are usually accepted by the society in which they are published. They should also be enforced. Such laws are regulations that govern how persons in a given society are expected to behave toward others, who make up the society, and standards the persons who live within that environment are required (and not just expected) to adhere to. The government is responsible for enacting such laws, and is empowered to use security forces to ensure these laws are enforced. Sue Anstead (1999) has identified five following criteria that must exist for laws to be considered as such: consistency, universality, publication, acceptance, and enforcement. First, Consistency refers to the idea that contradictory requirements cannot be considered law, as it would be impossible for people to obey both. Second, universality demonstrates that the requirements should apply to all who share similar situations within a given society. Third, publication promotes the idea that the requirements should be available to all via some method of written publication. Fourth, acceptance means that the requirements must be generally considered appropriate. When acceptance of the law occurs, it will be nearly universally obeyed. Finally, the enforcement criterion reflects the idea that the members of the given group must be forced to comply with the regulation and punished should they choose to disobey.   Ã‚  Ã‚  Ã‚  Ã‚   Anstead (1999) has also noted that the Greek word ethos is that from which the English word â€Å"ethics† is derived. The Greek word is one that means character, and the Latin equivalent of same words adds the idea of custom to the meaning of the term. The combination of these ideas reflects the choice that people within a society make regarding their mode of interaction. The philosophical rendering of the word â€Å"ethics† gives the definition as that which is good or wholesome for the person as well as his social environment and it also describes the duties that should be performed from one person to another.   Ã‚  Ã‚  Ã‚  Ã‚   Ethics has many philosophical traits that one might describe as â€Å"common† to all forms of the term. It is concerned with the apprehension of things considered acceptable—or the distinguishing of right from wrong. Furthermore, ethics are designed compel the individuals to choose the right over the wrong. Decisions that are considered ethical are generally attended by consequences that extend over a discernible period. There are also generally several options regarding behavior, so that a person must make a choice to be ethical in his/her behavior.      Ã‚  Ã‚  However, ethics are not considered to be the same as morality. The difference that lies between them is delicate but important to learn   and understand. Judgment is at the heart of morality, as it has to do with certain â€Å"standards of behavior by which individuals are judged, and [†¦] which people in general are judged in their relationships with others (Anstead, 1999).† Ethics, however, differs from this as it encircles the entire belief system upon which a certain version of morality rests. The values connected with ethics and those principles one finds in conjunction with the law are generally related to each other. However, ethical responsibilities are often greater than legal ones. However, the opposite is also true at times. As a matter of fact, it might be said that â€Å"although law most times embodies ethical principles, law and ethics are far from co-extensive (Ibid).†   One finds that no laws exist against certain actions that may be considered even by many as unethical. On the other hand, the law does prohibit some acts that are not considered unethical but may just be dangerous. Examples of these abound, but just to name a couple: making false claims about a certain situation or betraying the trust of a friend is, in most cases, not considered illegal. However, such an act is almost universally considered unethical. Similarly, speeding is against the law, though many would agree that most people do not find such an action unethical (AMA, 1994; Anste ad, 1999).   Ã‚  Ã‚  Ã‚   McNamara (1999) has described a scenario in which the relationship between law and ethics is depicted. When setting up a set of criteria or guidelines that help in the detection, resolution, and the warding off or discouragement of breaches to ethical codes, an organization is often secured against involvement in further legal problems. According to Anstead (1999), â€Å"Federal sentencing guidelines passed in 1991, for example, permit judges to reduce fines and jail time for executives proportionate to the ethical measures a company has taken (Ibid).† This makes it a wise decision for any company to take time to develop a code of ethics. If an organization develops positive methods for dealing with situations concerning ethics, this will give them the opportunity to extend mitigated punishments, in the event that legal violations do occur.   Ã‚  Ã‚  Ã‚   Guidelines or codes that govern the conduct of individuals, and which are of the sort that is universally agreed upon as good actions, should be provided to the public in written form within a document. Such a document must be observed and upheld as one containing principles that are designed to guide the public (Anstead, 1999). At this point, the document should then be transformed into law. In several contexts, and especially in non-healthcare situations, one finds that the law contains no real documented types of ethical legislation. A person is generally viewed as being capable of and willing to exercise ethical conduct within a given scenario as the need arises. However, no general effort is usually placed into predicting the types of scenarios in which ethics might play a part, as well as the types of ethical behaviors that might be required. As a result, no systematic code of ethics has been captured and written down for several industries outside of the healthcare industry (Anstead, 1999). Many laws have been drafted and put into place, guarding against harm to employees and other modes of unethical conduct in the working environment. The Department of Labor is responsible for the administration of such laws within the United States. However, they are generally reflective of ethical benchmarks adhered to by most persons and organizations within society. Laws that perform such duties include the Americans with the Disabilities Act of 1990 (ADA). The ADA (1990) has stipulated the following: No covered entity shall discriminate against a qualified individual with a disability because of the disability of such individual with regard to job application procedures, the hiring, advancement, or discharge of employees, employee compensation, job training, and other terms, conditions, and privileges of employment (ADA, 1990).   Ã‚  Ã‚  Ã‚   It would not be against the ethical standards of most to admit that the denial of employment, promotions, or other benefits to a person with a disability would be wrong once that denial is based only on the fact that the person carries that handicap. This is especially true when the disability in question poses no impediment to the proper completion of the task required by the job. Ethics in the workplace also extends to the business person who finds himself under no legal obligation to refrain from divulging information given to him in private by a colleague. This is in direct opposition to the kind of confidentiality required in the healthcare system. Medical professionals must adhere to strict guidelines concerning the sharing of information about patients’ medical conditions (Agelus, 2004; AMA, 1994). In doing this, these professionals adhere both to ethical as well as legally binding guidelines. ETHICAL RULES FOR EMPLOYEES   Ã‚  Ã‚  Ã‚   Employees that work within corporations and at executive levels are held to guidelines that are usually termed â€Å"ethics standards† (Anstead, 1999). The sources from which these guidelines are obtained as statutes concerning â€Å"criminal conflict of interests† and those concerning â€Å"administrative standards of ethical conduct† (Ibid). It is by way of such statutes that the government itself has become involved in the enforcement of ethical behavior within the corporate world (Budd, 2005).   Ã‚  Ã‚  Ã‚   The United States has a Criminal Conflict of Interest Statute, and the ethical nature of this law can be reflected within the United States Code. This statute bans such behavior as employees performing such actions that show their own interests to be given priority over that of the Federal government itself. It is known that obtaining information within a business setting is for the purpose of protecting the interested parties equally. In the healthcare industry, this refers to the doctor and the patient. In these scenarios, it becomes in the interest of all persons involved that information divulged in private remains confidential (AMA, 1994). Part 2635 of the Code of Federal Regulations exemplifies standards of administration as stipulated by the Ethical Conduct Regulation. According to Anstead (1999), â€Å"The standards of conduct regulation establish principles of ethical conduct for employees within the executive branch and the regulation not only identifies the principles but also provides easy to understand examples of how the principles apply (Ibid).† These guidelines that govern conduct refer to such actions as how to handle the receipt of gifts obtained from sources outside the organization; how to regulate the exchange of gifts between one employee and another; how to mediate conflicts of interests in financial situations; the removal of biases when conducting official business; how to go about finding alternate employment; the proper handling of a position of authority; how properly to balance activities outside and inside the organization. CODE OF ETHICS   Ã‚  Ã‚  Ã‚   Companies and organizations within the private, non-health sector often set up their own ethical guidelines in addition to the already established guidelines provided by the government. These guidelines may be written in a formal manner, or just informally understood among those persons involved. It is usually up to these private bodies to enforce such codes, as the government is generally not capable. When these codes are violated, employees or members within the organization or group may have their employment terminated.   Ã‚  Ã‚  Ã‚   Within the healthcare industry, as well as in any related sector in which humans are heavily involved in research, strict rules generally govern the actions of the professionals involved. One example of the strictness of such rules is found in the ethics that govern the carrying out of experiments that involve human subjects. Such research is carried out in hospitals, clinics, and even in universities around the world. In such cases, ethics and law work hand-in-hand, and the idea of consent (which shall later be discussed in further detail) form a large part of that research.   Ã‚  Ã‚  Ã‚   The principle concern of all ethical research done on humans is the offer of informed consent to the subjects who participate in that research. This is defined by the researchers’ granting respect and justice to those being studied (Schrag, 1979). Such research methods that include deception, covert observation, or any other type of concealment regarding the use of information or purpose of the research is considered to be unethical. In some cases, however, it might be necessary that participants be recruited, who are unaware of certain aspects of the processes involved in the study. In such cases, an institutional review board or ethics committee must be approached, and accommodations made, to satisfy the committee’s stipulations of certain aspects of the project that may require deception (NHMRC, 2001). STATEMENT OF THE PROBLEM   Ã‚  Ã‚  Ã‚   In the main, this paper seeks to examine from a manager’s point of view, the ethical standards of securing business information in the healthcare industry and in comparison with the ethical standards of securing business information in the non-healthcare industries. As such, this paper intends to answer the following specific questions: What are the ethical standards of securing business information in the healthcare industry? What are the ethical standards of securing business information in the non-healthcare industries? and What is the comparison between the ethical standards of securing business information in the healthcare industry and the non-health care industries? HYPOTHESIS   Ã‚  Ã‚  Ã‚   The ethical standards of securing business information in the healthcare industry are more rigid and standardized compared with the ethical standards of securing business information in the non-health care industries. OBJECTIVES OF THE STUDY   Ã‚  Ã‚  Ã‚   This paper is written in order to achieve the following objectives from a manager’s point of view: To determine the ethical standards of securing business information in the healthcare industry; To determine the ethical standards of securing business information in the non-healthcare industries; To compare and analyze the similarities and differences between the ethical standards of securing business information in the healthcare and non-health care industries; and To recommend for policies or managerial improvements based upon the analysis and implications of the comparison of ethical standards in the healthcare industry, and non-health care industries.   METHODOLOGY   Ã‚  Ã‚  Ã‚   In this study, the literature search is considered to eliminate the possibility of needless duplication of the outcome of the study. The study found that there is no evidence that a comparative analysis of ethical practices was conducted in the health care and e-commerce industries. Hence the study started analyzing the ethical practices in both the industries to make a recommendation to the health care professionals.   The study found that literature review saves considerable time by building on what is already known as well as using tested methodology, including instruments. The study progresses by assessing the merit of previous studies: their soundness, relevance, design quality, findings and conclusions.   Ã‚  Ã‚  Ã‚   The literature research, especially in the findings and recommendations of others, often provides more and more persuasive justification for research on the problem. Previous researchers often identify gaps or areas where more research is needed. Besides enlarging the knowledge about the topic, the method allows to gain and demonstrate skills in areas such as: Information seeking: the ability to scan the literature efficiently, using manual or computerized methods, to identify a set of useful articles and books, and Critical appraisal: the ability to apply principles of analysis to identify unbiased and valid studies.   Ã‚  Ã‚  Ã‚   The Literature is collected from Journal articles, books, Government reports, Theses, Internet articles and online magazines. Each of the sources has its own contribution to the paper. Journal articles were used for their up-to-date and concise information. Books were reviewed to have a basic ground theory and to collect facts on ethical practices. Government and corporate reports were studied to understand the relevant policies and legal frameworks for the ethical practices of the industries considered for the study. Theses and research papers were reviewed to understand and compare the knowledge gained in similar fields by authors and scholars.   Internet articles and online magazines were studied to review the application areas of the study in recent times to gather different opinions and illustrations. ORGANIZATION OF THE STUDY   Ã‚  Ã‚  Ã‚   This paper is organized and structured in accordance with the American Pyschological Association (APA) format. Chapter one discusses the introduction and background of the study including the statement of the problem, hypothesis, and its objectives, and methodology. Chapter two reviews the literature which is also the main research method in data gathering as well as in the preparation for analysis and discussion.   Ã‚  Ã‚  Ã‚   Chapter three analyzes and discussed the ethical standards of gathering information in the healthcare and non-health care industries. Finally, Chapter four concludes and make recommendations. Chapter 2 REVIEW OF LITERATURE DISCLOSURE LAW AND SECURING INFORMATION   Ã‚  Ã‚  Ã‚   It must be agreed that the health sector is one of the most delicate and even complicated sectors of the national economy, and that it requires handling with utmost care. It is intimately concerned with handling the most delicate areas of personal information, as it is involved in the documentation of health records, and the treatment and handling of all ailments suffered by persons within society. So, the management of healthcare data requires competence and very high standard of ethics (Agelus, 2004). So here what must also inevitably be considered is the question of drafting laws and regulations to govern how this information can be secured in the best interest of the stakeholders (Morejon, 2006). Of importance is the question of what the ethical rules are which govern security of these data and information. Also of importance is the protection of the rights of all concerned, and this is what shall be explored here. Sage (2000) has identified the fact of the extreme popularity of laws that require physicians, hospitals, and other healthcare organizations to give extensive disclosure privileges to patients and customers.   He continues: The reason for this lies in politics, not policy: disclosure laws suggest a less intrusive role for government and greater reliance on individual choice and free markets than do other oversight mechanisms. This strikes   responsive chord in today’s anti-regulatory political climate. At a policy level, however, few healthcare disclosure laws have been carefully designed to achieve specific objectives (Sage, 2000).   Ã‚  Ã‚  Ã‚   An interesting and important way in which this process in which regulations are diversified is able to manifest itself is though the popularity of these disclosure laws. (Morejon, 2006). Researchers have expounded on this matter by showing how patients have been requesting extensive information about their health records in direct response to the widening scope of managed healthcare (Marshall et al., 2000).   Ã‚  Ã‚  Ã‚   It has also been applied to regulation ensuring the quality and safety of hospitals and physicians as well as to the laws that are responsible for the decisions made by patients concerning their treatment. The main issue that is currently being faced in the healthcare sector with the laws concerning disclosure is that they are not focused. In the words of Sage (2000), they are â€Å"scattershot, reflecting short-term political compromises or the equities of individual lawsuits rather than a coherent understanding of the purposes served by mandatory disclosure and the conditions necessary to achieve desired effects.† So it is obvious that managing and securing business information is a whole lot of serious issues. In spite of this fact, persons who advocate disclosure are usually quick to point toward such laws issued concerning federal securities as models for healthcare disclosure laws. Their argument is that Congress should carve out for the healthcare industry ethical regulations that are similar to those drafted and enforced by the Securities and Exchange Commission (SEC) or by other financial agencies, such as the Financial Accounting Standards Board (FASB). Sage (2000) agrees that these boards do have the ability to illuminate some of the issues regarding ethics that face the healthcare sector. However, Sage goes on to point out that â€Å"well-designed information requirements can serve therapeutic goals regarding openness, trust, and participation and can remind physicians and other health professionals of the tensions between their daily practice environment and their overarching ethical obligations (Sage, 1999).† Therefore, in order to design fitting ethical standards and reg ulations, the particular idiosyncrasies of the healthcare industry must be taken into consideration.   Ã‚  Ã‚  Ã‚   It is the job of the government to collaborate with the healthcare personnel to establish a hierarchy of actions through which ethical standards might be met. This will necessitate the prioritizing of such issues as education of the public and overall improvement of performance in as far as social issues may have a bearing on decisions made in healthcare. Furthermore, financial considerations should not have too great a bearing on the privacy and self-determination rights of citizens (Hsinchun et al., 2005). These are some of the basic issues that must be kept in mind in understanding the important role the healthcare sector is playing in securing and managing information. Another dimension of ethics exists in the form of economic theory, and in this dimension, no rule exists which stipulates that all consumers must necessarily be completely informed in order that efficiency exist in the sector (Baird et al., 1994). In fact, according to Sage: The SEC has had to accept the fact that the meaning of intricate corporate disclosure may elude unsophisticated recipients, especially as larger segments of the population purchase securities. It has become obvious that, the absence of a secondary market pricing mechanism in healthcare reduces the ability of a few sophisticated parties—such as large employers or government purchasers—to discipline the entire market and those few have smaller incentives to achieve informational superiority (Sage, 2000).   Ã‚  Ã‚  Ã‚   In the opinion of Baird et. al. (1994), â€Å"overcoming the current degree of public ignorance is [still] a weighty challenge for a disclosure regime. This is particularly true because the least educated users of healthcare often have the greatest health needs and are vulnerable both to risk-selection in insurance and to substandard provision of care (Baird et. al., 1994).† The federal security laws establishing disclosure law, as pointed out by Sage (1999), has suggested three core reasons for its necessity, which are to (1) Facilitate market competition; (2) Monitor agents and intermediaries; and (3) Improve corporate governance. The researcher has seen fit to take the time to explain what these disclosure law is as it is considered the basis upon which rests a healthcare officer’s ability to comply with his ethical demands. Again, â€Å"it can serve varied and sophisticated purposes, but only if objectives are clearly articulated and laws carefully designed to achieve them (Sage, 2000).† Dealing with the science of human even veterinary medicine without properly enabling regulatory laws will only lead to frustrations and conflicts (Agelus, 2004; AMA, 1994). This is the foundation and   understanding upon which this research is based. ETHICS IN BOTH INDUSTRIES Every sector in the health delivery field has governing ethical standards that regulate its operations, be it theoretical, clinical, paramedic or even veterinary sectors. Regardless of the different departments, the governing ethical rules are basically very similar. Therefore, bodies exist for the purpose of overseeing and managing, as well as securing the interest, survival and maintenance of these ethical standards. In the same way, the non healthcare sector (covering such fields as technology, law, business, commerce and sports) have their own ethical standards by which all companies are expected to act (Agelus, 2004; Budd, 2005). The stringency of laws that back these ethics, however, tends to differ between the two sectors. Every one who operates in the field of life has a moral or compulsive obligation to play by the rules, and every organized body is governed by sets of rules. These might be rules concerning financial management, training, membership, and qualification for certification in certain fields. These rules all involve the regulation of standards of practice and may be as diverse as the scope of the organization itself. The fact and reality to be noted here is that every member, and all those who desire to be responsibly associated with such a body, must abide by the ethics of such profession in good conscience, and may even be willing to be reprimanded and disciplined when the need calls for it (Baird et al., 1994). For example, lawyers believe that advertising their profession will have dire consequences (David, 2005). So it is expected that no lawyer will be so hungry for patronage as to put up an advertisement to improve his number of cases handled. Professionally that would be unacceptable. In instances such as this, a violation of an ethical standard does not constitute a punishable offence, but would be regarded as a moral burden on such an individual. If it is agreed that lawyers must appear noble, if a â€Å"deviant† lawyer decides to publicly put up an advertisement in the papers or electronic media, there is no law that recommends prosecution. Colleagues, however, may look down on him, or at least see his actions as contemptuous. On the other hand, a civil engineer who opts to carry out an inferior job for a client may go unnoticed for a while. But if, by chance, such a building collapses over time, he may be sought out and may face possible prosecution. However, the reality is that certain ethical standards hardly have strong backing from the law enforcement agencies. The reason for this is that many are merely regulations and unwritten codes of understanding (Anstead, 1999). On the other hand, most health sector fields are very strict in adherence and implementation of their ethics of practice (AMA, 1994). The reason is quite obvious. The health sector has very strong relationship with maintaining human life, human health, hygiene, animal life, environmental concern, etc. So laxity, negligence, deliberate omission and commission may lead to casualties and unintended sad consequences. It could be conceded, therefore, that the ethics in the healthcare sector has a much stronger backing than its counterpart in the non-healthcare sector. For instance, a doctor who violates his code of practice, or carries out action that is not in conformity with the rules of practice will stand the risk of having his license withdrawn In his preface to his book, The Ethics of Human Resources and Industrial Relations, J.W. Budd, had this to say: In the business and economic spheres, many of the most pressing ethical issues involve the employment relationship, such as the rights of employees versus ER shareholders, employee privacy and monitoring, whistle blowing, pay equity, discrimination, employee safety, anti-union campaigns, and minimum labor standards. Since the field of human resources and industrial relations is ultimately about people and quality of life, there is a pressing need to develop applications of business ethics for the employment relationship in the context of research, practice, and teaching (2005, p. 1).   Ã‚  Ã‚  Ã‚   In following the media coverage of the many scandals which have plagued countries throughout the world, the public has gained a greater understanding of what can happen when businesses do not adhere to ethical practices. Many scholars of business ethics consider that it is now time for the human resources and industrial relations communities to explore the application of ethics to the employment relationship and to discover the importance of treating employees, not just numbers, properly. This goes to show that the issue of observing ethics in profession is gradually taking a more serious dimension (Marshall et. al., 2000; Sage,   2000). POSSIBLE CONFLICTS   Ã‚  Ã‚  Ã‚     It has already been emphasized that certain beliefs and actions may be perfectly legal, but might yet be considered unethical. One organization, the Marriot Corporation, holds itself and its employees to some very high ethical standards (Anstead, 1999). In fact, certain aspects of the company’s standards might be said to be overdone. However, in the pursuit of comprehensive ethical standards, the dress code, for example, had once included certain stipulations that might today even be considered unethical. This had to do with the appearance of its employees while on the job, and on some level extends itself into areas that differentiate the sexes in what might be considered inappropriate ways today.   Some stipulations were (1) Prohibition of women from wearing skirts that go higher than about four inches above knee level; (2) Prohibition of women from showing bare legs and the requirement that they wear panty hose or long pants always; (3) Prohibition of women from wearing clothing that exposed their shoulders; (4) Prohibition of men from wearing their hair at a length that touches or goes beyond the collar without having express religious reasons for doing so; and (5) Prohibition of men from wearing certain types of jewelry, such as earrings. Despite the fact that such rules were considered binding within the confines of the company itself, nothing regarding them had anything to do with legal status at a judicial level. Still, within the culture of the Marriot Corporation, behaviors that went against the established codes were considered unethical (Anstead, 1999).   Ã‚  Ã‚  Ã‚   There is also no law exists that prohibits companies from outsourcing their manufacturing jobs for the sake of profit. Furthermore, though minimum wages might differ greatly between the host country and the United States, corporations are not bound to meet anything more than the minimum wage requirement of the host country in order to remain unsusceptible to legal action.    Succinct with to the two aforementioned examples, other practices (though lesser in degree by comparison) demonstrating illegal actions might be considered ethical by the majority of the public. The removal of office supplies at ones place of employment for personal use is one such example. Another is the installation of a copyrighted program on multiple computers within a company. Technically, such an action is in violation of intellectual property and other copyright laws (Budd, 2005; Software Use, 1999). Despite this, â€Å"the piracy of software is widespread, even in corporations that con sider themselves ethical† (Anstead, 1999). Like the healthcare industry, the software community has plenty of legal backing when it comes to the proper use of its products. Unlike the healthcare community, however, many breaches to the legal guidelines take place and little is (or can be) done to prevent this. One reason for this is that such illegal conduct is difficult to detect and control, and such widespread software knowledge exists that hackers may be able to get around security measures, further complicating the matter.   Ã‚  Ã‚  Ã‚   Copyright law enacted by the Federal government seeks to protect software creators as soon as the product has been developed. Title 17 of the United States Code concerns the Copyright Act, see 17 U.S.C.A.  § 102, and accords exclusively to the developers and owners of software the right to reproduce and disseminate the work in question. Anyone found to encroach upon the rights of the owner of the copyright is subject to penalties, and those who purchase a copy the software has license only to put the software on one computer and create a back-up copy for the purposes of archiving it.   Ã‚  Ã‚  Ã‚   The discrepancy one finds between the sentiments of different persons concerning software piracy is akin to the delicate difference between what is legal and what is ethical. Many people are adamant in their belief that certain illegal uses of software are indeed ethical. Yet, the financial impact that such piracy has globally is significant. One study has shown that in 1998, approximately 38% of all software installed in businesses worldwide was pirated, and this amounted to a reduction in profits of approximately $11 billion (SILA, 1999).   Ã‚  Ã‚  Ã‚   When one considers the management of a non-healthcare businesses, it becomes clear that rules governing ethical practices are less stringent than those within the healthcare industry. Ethics are not compulsory, though it usually benefits the company to demonstrate ethical practices. The relationship between law and ethics becomes evident here again, and such a relationship is of immense importance in the area of management. It is one of the duties of managers to assess both what is considered legal and what is considered ethical in the running of their businesses. It is the job of managers, therefore, to ascertain whether employees and the company as a whole abide by the legal statutes and societal standards concerning ethics. Also important here is the evaluation of what is considered acceptable and ethical behaviors by customers—as they also must be satisfied as much as managers and employees are with the ethics of the company (Budd, 2005). It is of course true that no policy developed to secure ethical standards will be satisfactory to all concerned. However, managers have the responsibility of establishing the most comprehensive code of ethics possible given the information currently available to him or her. The code will have the advantage of demonstrating to employees, customers, and society alike that the company is at least concerned with the ethical practices of those who do business in and with it. In this way, businesses outside the health industry do themselves a favor by demonstrating ethical practices above and beyond their legal obligations. However, within most non-healthcare sectors, such attention to ethics is not mandatory (Budd, 2005).   Pains have been taken to go through the above details for the purpose of making it possible for readers to appreciate what and how ethics apply in other aspects of life. However, this study will be limited to the healthcare and non healthcare industries, focusing on their ethical standards in securing information. ETHICS AND PRIVACY   Sometimes, people may act deliberately to defy the written and unwritten codes of ethics within their line of work in the organizations. This may be done through deviant means, such as sophisticated electronic devices that facilitate the bugging or taping conversations that were never meant to be recorded. It appears that such actions occur more in the business world than in the health world. It is not, for example, common to hear of health workers engaging in such extreme activities in order to gain access to information of a delicate and private nature. However, one does hear of other forms of ethical breaches in the health sector and the pharmaceutical industry. Some scientists may also attempt to misrepresent the results of clinical trials for similar reasons. Such actions are unethical as they may eventually prove harmful to the public at large (Bassett, et al., 1992; Girotra, Terwiesch & Ulrich, 2006).   Ã‚  Ã‚  Ã‚   The issue of consent according to the Privacy Rule, states that workers and establishments in the healthcare sector, such as physicians, hospitals and clinics must receive consent from patients or other clients before compromising or turning over to a third party information concerning that person’s state of health. Such permission must be given in written form prior to the disclosure and before any form of treatment or other operation can be performed (Sage, 2000). Currently, it is the practice of healthcare providers to â€Å"obtain a patient’s consent for disclosure of information to insurance companies or for other purposes (DHHS, 2001, p. 4).† This is done for reasons having to do with ethics and professionalism. The Rule itself has as its foundation these said practices, and these rules are eventually expanded for the purpose of having a uniform system by which workers in the healthcare sector can systematically gain consent for the procedu res necessary to ensure the proper treatment of patients (DHHS, 2001; Hsinchun et al., 2005). GENERAL PROVISIONS   Ã‚  Ã‚   According to McNamarra (1999), the general provisions for ethical standards in the healthcare industry are as follows:  Ã‚   It is necessary for patients to give consent prior to being treated by health care provider that offers direct treatment to that patient. Such a health care provider may utilize or share protected health information (PHI) only for purposes of TPO. Exceptions to this standard are given subsequently; When an emergency arises (such as in the event of life-threatening accidents or communication barriers), it is possible for health care workers to use and disclose information concerning a patient without first having obtained his/her consent. This is especially true in the health care sector, where laws require that workers treat patients that come into their care; Certain members of the healthcare community whose employees have very minimal contact with patients, such as persons who work in laboratories, may use or disclose information concerning those patients without first obtaining their consent. Other organizations within the health care sector, such as health insurance agencies and clearinghouses also have the privilege of using or divulging patients’ information without gaining consent. These agencies do have the option of getting this consent if they wish to do so—but it is left to their discretion; Health care providers have the right to refuse treatment to any patient who fails to grant permission for disclosing their protected health information. It is not necessary for such consent to be obtained by more than one provider at any given time; and There is no real need for the document that gives consent to be an in-depth one. Such permissions may be given in very general language. The language must, however, be plain enough to be easily understood. It must also contain all that is necessary to make it clear to the patient that any information that is provided might be shared and that he/she does have the right to refuse, impose restrictions, and to peruse the privacy statement of the organization. The consent may be a brief document in written from with general terms. Any such statement must then be signed and dated by either the patient himself or the patient’s proxy (McNamara, 1999). INDIVIDUAL RIGHTS   Ã‚  Ã‚  Ã‚     Individuals have the right to revoke statement of consent except when the health care provider has already acted in response to the consent. Restrictions may be imposed upon the permissions for disclosures and uses of protected information. The provider is not obligated to agree to these restrictions, but must abide by those to which it does agree (McNamara, 1999).   Ã‚  Ã‚     Patients must be privy to the privacy codes of the entity to which he/she gives permission to use or disclose information—and such access to the privacy code must occur before signing consent forms (Ibid). ADMINISTRATIVE ISSUES According to the Department of Health and Human Services (DHHS), any consent form that is signed by a patient must be kept by the health care provider (or other entity) for a period of six years following its last effective date. The forms may be retained in paper form, electronically, or otherwise—this is left to the discretion of the provider.   Ã‚  Ã‚  Ã‚   Further provisions for privacy and consent have been issued, which stipulate that if a covered entity obtains consent and also receives an authorization to disclose PHI for TPO, the covered entity may disclose information only in accordance with the more restrictive document, unless the covered entity resolves the conflict with the individual. CONSENT VERSUS AUTHORIZATION â€Å"Consent† is the name given to any document that accords to health care personnel the permission regarding the usage and disclosure of delicate information regarding a patient. This permission is granted solely to the particular health personnel (Sage, 2000). It is not necessary that the consent form be specific about the type of information that will be used included in the disclosure (Sage, 2000). It is generally only the â€Å"direct treatment provider† that has the legal right to obtain consent from the patient, and such a person should be â€Å"one that treats a patient directly, rather than based on the orders of another provider, and/or provides health care services or test results directly to patients.   Ã‚  Ã‚  Ã‚   An authorization differs in that it offers requests for permissions to patients in a fashion more tailored to suit them and their health needs. This offers permissions to use specific portions of a patient’s PHI for detailed and specific purposes. Such purposes are usually for things that are unrelated to the TPO or for disclosure to be done with a specified third party. Authorizations expire, while consent forms are more open concerning the time-frame in which information might be used or disclosed. Further stipulations include the fact that â€Å"covered entities may not condition treatment or coverage on the individual providing an authorization† and that it â€Å"states the purpose for which the information may be used or disclosed† (DHHS, 2001, p. 6). PRIVACY RULES IN THE HEALTH CARE SECTOR   Ã‚  Ã‚  Ã‚   It is highly necessary to have a deeper understanding of what privacy rule entails as a basis for sustaining quality ethical standard especially for someone working in the healthcare sector. In the healthcare industry, privacy is a more delicate issue than other sectors and its workings are very intricate. The background information released from the Office for Civil Rights, (DHHS, 2001; OCR, n.d.) indicates the intricacy of the Privacy Rule, which became effective on April 14, 2001. The Privacy Rule, according to the Department of Health and Human Services, â€Å"provides the first comprehensive federal protection for the privacy of health information† (DHHS, 2001, p. 1).   Ã‚  Ã‚  Ã‚     The different departments within the health care sector have all joined in support of the aims advocated by this rule to protect the privacy of the patient. However, these departments also understand how necessary it is that privacy not interferes with the treatment of patients (DHHS, 2001; OCR, n.d.). The delicacy of the privacy problem becomes even more apparent for other reasons. Though privacy consents and authorizations are generally granted to primary care providers, health care clearing houses and health insurers, it is usually the case that such entities require the aid of yet other entities (such as contractors) in order to provide the best care possible to the patient. To make allowance for the possibility of divulging PHI to such associates, conditions and stipulations are included in the privacy rule for ensuring that the provider obtain satisfactory assurances that the business associate will use the information only for the purposes for which they were engaged by the covered entity, will safeguard the information from misuse, and will help the covered entity comply with the covered entity’s duties to provide individuals with access to health information about them and a history of certain disclosures. Therefore, personal health information can only be shared with contractors and associates when such information is necessary for the providers to do their jobs accurately and thoroughly. To facilitate the usefulness of this regulation to the health care officer as well as the individual in securing information in compliance to the ethical requirements, most health care providers must know that they are covered by the new rule and therefore must comply with the new requirements. Analysts have wondered whether these requirements for consent have not presented barriers to the proper treatment of patients, as this often necessitates open consultation with other specialists and health care providers. However, the stipulations of the consent requirements should not hinder such comprehensive treatment, as those providers who had at one time treated the patient would have also been required to obtain such consent. Furthermore, since necessary consultations with other health personnel are considered part of the â€Å"treatment of an individual, it is considered within consensual boundaries to engage in such consultation. Such actions are therefore considered ethical.   Ã‚  Ã‚  Ã‚   The ethical practices in the commercial, technological and other industrial sectors are governed by corporate regulations and social responsibilities. The issues of these sectors differ from those of the health care sector, which deals with the more serious issues of providing medication for human and veterinary sciences, and as such, requires more serious and stringent ethical standard compliance (Hsinchun et al., 2005). PRIVACY IN THE CONTEXT OF E-COMMERCE   Ã‚  Ã‚  Ã‚   The ethical difficulties associated with e-commerce revolve around privacy and identity, both with reference to the human subject involved in the transaction and transaction non refutability (Baum 1998, p.65; Suprina 1997, pp.8–12; Joyanes, 1997, pp.277–281).   Ã‚  Ã‚  Ã‚   The online e-store Amazon (Linden, G., Smith, B. & York, J. as cited in Teemu Mutanen) uses consumer data on cross-selling growth and the   information about buying patterns is transformed into recommendations. Chris Anderson as cited in Teemu Mutanen argues that this combination of good-quality recommendations with huge inventory of items is a real business advantage. The advantage is gained only if the customer can be targeted with relevant recommendations, the variety of items is not sufficient. Hence E-commerce organizations tend to use the consumer data they have collected from their visitors through online transactions.   Ã‚  Ã‚  Ã‚   However, the online consumers expect ethics from the e-commerce traders in protecting the privacy of their details.   They want the e-commerce sites to have and to display a highly visible privacy policy, which can be easily understood. They want a prominent page where corrections of past mistakes are available. Berman & Mulligan highlights that an internet-user possesses three expectations when online: (1) an expectation of anonymity, (2) an expectation of fairness and control over personal information, and (3) an expectation confidentiality (Berman & Mulligan 1999).All three expectations are eliminated through three critical cyberspace practices that are (Gindin, 1997): 1) personal information provided on the Internet, (2) online transactions, and (3) government record keeping. Although each practice provides only a minute description of an individual’s personal life, the slow accumulation of such descriptive material may eventually expose a detailed profi le (Mason 1986).   Ã‚  Ã‚  Ã‚   The consumers’ experiences on the Net concerning their privacy lists several themes. Beth Givens in his presentation, ‘Privacy Expectations in a High Tech World’ outlined the following themes on consumer experiences regarding privacy concerns: The first theme is the invisibility of data capture.   Ã‚  Ã‚  Ã‚   A second theme is the potential ubiquitousness of data gathering, and the ability of data from several sources to be merged to create massive electronic dossiers on individuals. A third theme is invasion. Web sites can capture and track visitors’ clickstream data by placing small text files called â€Å"cookies† onto their hard drives. Unless users are savvy enough to set their browsers to notify them about the pending placement of a cookie, it is done without the user’s consent, and it’s an invisible process. A fourth theme is the fear of harm befalling Internet users – fear, and a fifth theme is confusion over their privacy rights.   Ã‚  Ã‚  Ã‚   The problem of privacy in e-commerce is concerned with the difficulty of securely conveying the information required for online transactions (Suprina, 1997 as cited in A.J.G. Sison).   Ã‚  Ã‚  Ã‚   Information technology and computer professionals began seriously considering the long-term effects of computer ethics in the late 1980s and early 1990s. They recognized the need to organize professionally through such bodies as the Association for Computing Machinery and the Institute of Electrical and Electronics Engineers to devise professional codes of conduct. However, the increasing proliferation of powerful computers in the hands of nonprofessionals widens the scope of potential problems. PRIVACY AND ETHICAL INFORMATION AMBIGUITY Ethical ideologists have confusing opinions most of the time, and such problems can actually undermine ethical practices (Budd, 2005). In one profession, an action which is not ethically sound may not even be considered an offense in law. In many cases, there is no clear demarcation as to what is ethically wrong and what is legally offensive.   Ã‚  Ã‚  Ã‚   These are some problems encountered by those who practice in the healthcare field, and there exists by no means a consensus on what should be done in such cases (AMA, 1994). For example, economic ethical theorists believe it is the right of every citizen of a country to access health and medical opportunities, irrespective of his financial status (Budd, 2005).   DISCLOSURE LAW IN HEALTH CARE   Ã‚  Ã‚  Ã‚   It must be agreed that the health sector is one of the most delicate and even complicated sectors of the national economy, and that it requires handling with utmost care. It is intimately concerned with handling the most delicate areas of personal information, as it is involved in the documentation of health records, and the treatment and handling of all ailments suffered by persons within society. So, the management of healthcare data requires competence and very high standard of ethics (Agelus, 2004). So here what must also inevitably be considered is the question of drafting laws and regulations to govern how this information can be secured in the best interest of the stakeholders (Morejon, 2006). Of importance is the question of what the ethical rules are, that govern security of these data and information. Also of importance is the protection of the rights of all concerned, and this is what shall be explored here. Sage (2000) has identified the fact of the extreme popularity of laws that require physicians, hospitals, and other health care organizations to give extensive disclosure privileges to patients and customers.   He continues: â€Å"The main issue that is currently being faced in the health care sector with the laws concerning disclosure is that they are unfocussed†. In the words of Sage (2000), they are â€Å"scattershot, reflecting short-term political compromises or the equities of individual lawsuits rather than a coherent understanding of the purposes served by mandatory disclosure and the conditions necessary to achieve desired effects.† So it is obvious that managing and securing business information is becoming a serious issue from the standpoint of ethics and law. In spite of this fact, persons who advocate disclosure are usually quick to point toward such laws issued concerning federal securities as models for healthcare disclosure laws. However, Sage goes on to point out that â€Å"well-designed information requirements can serve therapeutic goals regarding openness, trust, and participation and can remind physicians and other health professionals of the tensions between their daily practice environment and their overarching ethical obligations† (Sage, 1999).   Ã‚  Ã‚  Ã‚  Ã‚  Therefore, in order to design fitting ethical standards and regulations, the particular idiosyncrasies of the health care industry must be taken into consideration. This will necessitate the prioritizing of such issues as education of the public and overall improvement of performance in as far as social issues may have a bearing on decisions made in health care. Furthermore, financial considerations should not have too great a bearing on the privacy and self-d etermination rights of citizens (Hsinchun et al., 2005). These are some of the basic issues that must be kept in mind in understanding the important role the health care sector is playing in securing and managing information.   Ã‚  Ã‚  Ã‚   Certain practices that may be acceptable in a health care setting are included below under the condition that measures are taken to keep   minimum disclosures and other ways of exposing delicate information (Sage, 2000):   Health care personnel are at liberty to coordinate actions orally for the service of patients when located at nursing stations within a hospital;   Doctors, nurses, and others responsible for patients are allowed to converse about the condition of a patient currently under their care, whether on the phone, in the presence of the patient, with a provider, or with another (authorized) family member;   Doctors and nurses are allowed to converse concerning test results from a   laboratory. They may do so with the patient or just amongst themselves in an area for joint treatment; and   Health care personnel are also allowed to discuss the condition of a patient when involved in rounds dedicated to training when in an institution that facilitates the training of health care workers (Sage, 2000).   Ã‚  Ã‚  Ã‚   Also necessary are ethical measures that govern the language that might be used during the care of a patient. When talking in elevated tones becomes necessary in a less-than-private location, the language used should be carefully tailored and then reinforced as the proper method of oral communication among colleagues.   In the same way, businessmen who may be discussing classified information may not be aware of the ability of a person in another room to hear the details of their private conversation. Nothing forces this hearer to block his ears or otherwise ignore the delicate information being transmitted to him, and as a result he becomes privy to privileged information (Budd, 2005; Sage, 2000).   Ã‚  Ã‚  Ã‚   Self-protection mechanism can be described with the online users when they decide on the choices provided for them without any assistance.   When individuals chooses not reply to â€Å"Spam† e-mail even to request removal from a mailing list since replies indicate to a company that individual’s e-mail account is active and marketable (Navrette, 1998). Such measures protect privacy information by providing steps that may prevent the transmission of personal information to business and criminals. In this protective mechanism, individuals remain in control of their own personal information without the assistance of other groups. ROLE OF HEALTH CARE ADMINISTRATOR   Ã‚  Ã‚  Ã‚   Health care industry is also a business industry including management and administrative responsibilities. The managers of the health care industry are called as health care administrators who take responsibilities for planning, direction, coordination, and supervision and the delivery of health care. Unlike the administrators in other industries, health care managers include specialists and generalists. Generalists manage or help manage an entire facility or system, while specialists are in charge of specific clinical departments or services.   Ã‚  Ã‚  Ã‚   Due to the rapid changing in the structure, technology adaptations, evolving integrated health care delivery systems, an increasingly complex regulatory environment, restructuring of work, and an increased focus on preventive care, the role of the health care administrator is also changing and modifying according to the situation. They are responsible to improve efficiency in health care facilities and the quality of the health care provided.   Ã‚  Ã‚  Ã‚   The health care administrators are responsible for the maintenance of patient records, health plans etc., along with the regular Information System managers. In order to maintain authentication and privacy of such key records, the Healthcare administrators should be flexible with the technology, requirements and the developments in and around the industry. The accurate and continuous maintenance of patient record database lies in the hands of the health care administrator and he should maintain the patient record database accurately and completely.   In addition,   as the health care data is also being shared with others for the purpose of research and compliance practices, the expertise and skill levels of health care administrators have become more crucial in maintaining privacy and ethical practices of the industry.   Ã‚  Ã‚  Ã‚   In this context the health care administrators are often called on to maintain and develop professional standards, procedures, and policies for their institutional activities. The expanding role of the health care administrator includes management of preventive medicine and health care programs, medical and vocational rehabilitation, community health and welfare etc. which needs good leadership and managerial skills along with sound knowledge of policy and protection regulations. CONCLUSION   Ã‚  Ã‚  Ã‚  Ã‚   The review of the literature is also the main research method in this study. As such, it was found in the review that ethical standards in acquiring business information in the healthcare industries are much more rigid and organized compared to the ethical standards in the non-health care industries. Thus, the review   affirms the temporarily the hypothesis of this study. Thus, the next chapter would further discuss and analyze the ethical standards of both industries so as to make a conclusive finding regarding the hypothesis of this study.

Media Law Assignment Research Paper Example | Topics and Well Written Essays - 1000 words

Media Law Assignment - Research Paper Example Bruce would minister to his father on the phone and his stepmother Edie would listen quietly. One morning Edie asked Bruce questions about Jesus and she agreed to receive Jesus. The complainant's allegation was that the newsletter had published the story online, and one of Edith's relatives had seen it. Edith Rapp claimed that Jews for Jesus falsely alleged that she had joined their organization. In the alternative, the complainant alleged that the organization had meant that she had come to believe in the philosophy, actions and tenet of Jews for Jesus. In her second amended complaint, Edith alleged among others, false light. The court at trial allowed Jews for Jesus to have the complaint dismissed, and several paragraphs to be struck from the complaint as the Fourth District court had said that the paragraphs were primarily polemical ' against Jews for Jesus. The trial court dismissed all the subsequent complaints by Edith Rapp. On appeal, the Fourth District addressed the issue of Rapp's dismissed claims. With regard to defamation, the court was of the view that the 'common mind' reading the newsletter would not find Edith an object of among others, ridicule. The court’s conclusion was communication would only be defamatory if the plaintiff was prejudiced in the eyes of "substantial and respectable minority of the community." The conclusion of the court was that the standard had not been applied. Nevertheless, the court affirmed the dismissal of his defamation claim on the basis of the community standard applicable. False light had its origin in the common law tort of invasion of privacy. William L. Prosser, a leading scholar in tort law expounded on the tort of invasion of privacy developed this area of law. Prosser's proposal was that invasion of privacy was made of four torts, which were distinct, and among them was false light. The Supreme Court found that elements of false light and defamation overlap. The Supreme Court argued that having the tes t of "highly offensive to a reasonable person" standard has the risk of preventing free speech because the conduct, which is prohibited, is not very clear. It was the court's opinion that the law of tort is meant to prevent as well as recompense wrongful conduct, then it should be clear in identifying the wrongful conduct. The court thus found the tort of false light could not pass that test. The area in which this taught differed with defamation was ambiguous and prone to a lot of subjectivity. The court found that having "highly offensive" information recognized even when a reasonable person would find it highly offensive involved a component of subjectivity. Based on the court's review of the law in Florida and other jurisdictions, it stated that it could not ignore the overlap between defamation and false light. Though the court acknowledged that in a majority of the states does recognize false light as a cause of action, what was striking was the fact that the review of this de cision revealed that no case, in which judgment was solely based on false light cause of action has ever been successful. In conclusion, the court declined to recognize false light as a suitable cause of action in the state of Florida and quashed the Fourth District's decision in reinstating Rapp's false light claim. 2. Intrusion Intrusion is based how a person from the media behaves. Intrusion thus depends less on

Marketing Mix being used for the 2012 Olympic Games in London Coursework

Marketing Mix being used for the 2012 Olympic Games in London - Coursework Example Table of Contents 1.0 Introduction ................................................................................................. 4 2.0 Discussion ................................................................................................... 4 2.1 Marketing Mix ........................................................................................... 4 2.1.1 Product ................................................................................................... 4 2.1.2 Price ....................................................................................................... 5 2.1.3 Place ......................................................................................................... 5 2.1.4 Promotion ................................................................................................. ... fact that London’s successful and ambitious bid for the 2012 Olympics was to a great extent dependant on the commitment of hosting inspiring as well as spectacular Olympics for both London and the world. The pivotal objective of the organizers of these games is to connect the young people and varied social segments in the UK with the inspirational potential of sports (The London Organizing Committee of the Olympic Games and Paralympics Games Ltd 2010). The other paramount objective of the organizing committee is to retain the commercial and emotive appeal of the Olympic 2012 brand, which is so central to the objective of funding these games (London 2012: Online). 2.0 Discussion It goes without saying that the organizers of London 2012 are affiliating to a successful and effective set of marketing tools to give way to just the right marketing mix required to achieve the marketing objectives envisaged by them in the context of the target market (Kotler 2003, p. 15). 2.1 Marketin g Mix 2.1.1 Product The organizers of London 2012 are to a great extent relying on the established brand appeal of Olympic Games to cash on its popularity amongst the youth sans race, gender and social affiliations. A plethora of related brand building activities like parading the 2012 mascots Wenlock and Mandeville across UK, hosting the London 2012 Festival featuring artists from around the world, actively involving the young people and children across communities in the actual management and casting of games and organizing the London Prepares Series hosting world class athletes at the brand new and already existing Olympic venues are already under way to stimulate the excitement about London 2012 amongst the target segments that are young people from diverse racial and social segments in the

Organisational Performance Research Proposal Example | Topics and Well Written Essays - 750 words

Organisational Performance - Research Proposal Example Additionally, Morris & Maisto (2005) suggest that fears over unemployment in volatile or unpredictable business environments is a source of extreme stress, often leading to alcohol-related diseases or cases of extreme moodiness both personally and professionally. When thoughts of potential job loss are somewhat irrational and are not based on tangible organisational evidence, it is the responsibility of the employer to build a sense of security for their employees to avoid extreme stress development. This is accomplished, according to Griffin & Moorhead (2006) by reinforcing that their position is stable and, if they remain productive and active contributors to organisational success, they will continue to be employed and valued for their successes. Again, in this scenario, it is the responsibility of the employer to take a proactive leadership approach to boosting employee perceptions regarding job security, perhaps by offering the employee an opportunity to complete a fast-track ma nagement programme to illustrate that the company truly values the relationship. Th There are a wide variety of theories regarding employee and employer relationships in the modern organisation and how to utilise positive reinforcement and motivational theories as a tool to sustain these relationships and boost worker performance. However, establishing security and a sense of appreciation (from a self-esteem development perspective) appear to be the primary catalysts for positive organisational performance as a company whole. When employees are content and secure, they are likely to be larger contributors to securing long-term strategic objectives. The proposed study design Upon project approval, this impending study on organisational performance seeks to answer two specific research questions: What are the most viable methods for employers to establish a sense of security in employees without being misleading' Can employers actually develop self-esteem in their employee population and how is this accomplished in hectic or otherwise difficult organisational environments' This proposed study will take a qualitative approach to research analysis, which Henslin (2003) suggests involves the who, why, and how of relationships, utilising subjective analyses to determine causal relationships between two or more members of the same organisation. The qualitative research approach was determined to be a more viable research strategy than the quantitative approach, which generally relies on statistical information or numerical representation, such as analysis of information laid out in a closed-ended questionnaire format. Because this study requires qualitative research approaches, the semi-structured interview was selected as the most viable research instrument in this proposed study. This

Compares and contrasts the kernels of different operating systems Essay

Compares and contrasts the kernels of different operating systems - Essay Example This operating system is developed for common users. However, there are many other kinds of operating systems which serve specific operations and functions of individual users and organizations. In this scenario, Kernel is the most important element of an operating system. It allows an operating system to carry out some specific routines and tasks. The basic purpose of this research is to compare and contrast kernels of different operating system. This paper presents a comparative analysis of different operating systems and their kernels. An operating system is the most important element of a system. It runs all the software applications and tools installed on a computer (Tanenbaum, 2008). In this scenario, the kernel is the "core" or inner most important part of any OS (operating system). In fact, an operating system uses the capabilities of the kernel to offer a wide variety of callable routines that facilitate other applications to display text, access files and graphics, get input from a mouse or keyboard, and some other similar routines and tasks. As discussed above, at the present there are numerous kinds of operating systems which are developed for different environments. For instance, some of them include existing freeware and commercial OSs, and others are being developed at various universities as technology and research based projects. In the same way, these operating systems have some powerful features as well as flaws which make them suitable for diverse kinds of functions and hardware. In view of the fa ct that in the past few years, there have been massive developments and advancements in computers, as a result kernels have improved as well. In this scenario, some of the earlier operating systems are yet based on low-performance hardware of the 60s and 70s; however they do offer constancy as newer operating systems require advanced capacity of contemporary processors and still have

AGGREGATE DEMAND CURVE AND AGGREGATE SUPPLY CURVE AND HOW EACH FACTOR Term Paper

AGGREGATE DEMAND CURVE AND AGGREGATE SUPPLY CURVE AND HOW EACH FACTOR - Term Paper Example The combination of these individual demand and supply in the economy, results in aggregate demand and supply of the whole economy. The aggregate demand curve is downward sloping representing an inverse relationship between demand for goods and services and the price level in an economy. Aggregate demand consists of components such as; government spending, households and businesses consumption, total investments and net exports (Geoff). These components are also referred as real gross domestic product (GDP). Unlike in demand curve, in aggregate demand curve, price is assumed to be constant and aggregate demand is determined by changes in components of real GDP thereby prompting shifts in aggregate demand curve rather than movements along the curve. The aggregate supply curve is upward sloping showing a positive relationship between the price level and quantity of output supplied. It is assumed that the factors of production remain constant in the short-run due to time lag but in the long-run the price of inputs increases to offset rise in prices up to a level equal to supply of goods and services referred as normal or natural level of output or real GDP. The factors of production include labour, capital, technological advancements, wages and rent among others. These inputs combined with economic growth causes the aggregate supply curve to shift. However in the long-run, the quantity of goods and services supplied remains constant despite changes in price level hence the curve is vertical. On the other hand, factors such as labour may change due to unexpected events thereby shifting the long-run aggregate supply curve (Mankiw & Taylor, 693). This paper is a critique of aggregate demand curve and aggregate supply curve and equil ibrium of the two. It is a downward sloping curve showing inverse relationship between price level and quantity of goods and

Financial crisis 2007-2012 Essay Example | Topics and Well Written Essays - 1000 words

Financial crisis 2007-2012 - Essay Example The investments in the mortgage market in US were very lucrative as it offered high returns in short interval of time. More and more numbers of people considered the investments in US mortgage market as an instrument of short term gains. According to efficient market theory, the information flow from the market was such that it influenced not only the borrowers but also the lenders for purchase of housing properties (Harder, 2010, p.59). The policies of the US government also contributed to the flow of market information to the investors suggesting that the investments in the real estate and housing markets of US is likely to produce easy profits in a short span of time. The US government also made the ownership of houses for US citizens as a fundamental right. All these information flow from the markets influenced the investment decisions in the housing markets. Thus investments in the mortgage markets increased with instances of bank lending with open hands. On one hand when the ma rket information influenced the financial decisions, the underlying bubble of crisis was not noticed. Due to assumptions of the efficient market theory, the valuation of the underlying mortgages got overvalued. The banks provided finances for housing loans without adequate check on the credit parameters which led to the entry of huge borrowers who were not creditworthy (Carey and Stulz, 2007, p.44). The weight of bad loans started to increase when the borrowers defaulted in repayment of loans.... The US government also made the ownership of houses for US citizens as a fundamental right. All these information flow from the markets influenced the investment decisions in the housing markets. Thus investments in the mortgage markets increased with instances of bank lending with open hands. On one hand when the market information influenced the financial decisions, the underlying bubble of crisis was not noticed. Due to assumptions of the efficient market theory, the valuation of the underlying mortgages got overvalued. The banks provided finances for housing loans without adequate check on the credit parameters which led to the entry of huge borrowers who were not creditworthy (Carey and  Stulz, 2007, p.44). The weight of bad loans started to increase when the borrowers defaulted in repayment of loans. The valuation of the mortgages fell which were accepted as underlying securities at the time of financing the loans. This led to erosion of value of the company and the sharehold ers which eventually led to financial crisis of 2007-2012. The underlying causes of financial crisis were not reflected in the information flow to the investors that led to bad investments (Palan, 2007, p.25). This establishes the redundancy of efficient markets in explaining the financial decisions. Financial theories and models This part of the study will evaluate several aspects of Efficient Market Hypothesis and Random market Hypothesis. Efficient Market Hypothesis Efficient Market hypothesis is also known as joint hypothesis problem. It declares that the financial market is efficient. According to this hypothesis, an individual cannot

Defining Pholosophy Essay Example | Topics and Well Written Essays - 750 words

Defining Pholosophy - Essay Example Bertrand Russell, a philosopher, states that philosophy â€Å"is something intermediate between theology and science. Like theology, it consists of speculations on matters as to which definite knowledge has, so far, been unascertainable; but like science, it appeals to human reason..." (What is philosophy?, n.d.) The four main branches of philosophy are logic, epistemology, metaphysics and ethics. These branches of philosophy are divided as to the nature of the questions asked in each area; however, these divisions cannot be rigidly separated. Logic pertains to the attempt to codify the rules of rational thought. This is one of the primary tools used by philosophers in their inquiries. Logicians explore the structure of arguments that preserve truth or allow the optimal extraction of knowledge from evidence. The second branch of philosophy is epistemology which is the study of knowledge itself. It deals with the nature, scope, and limits of human knowledge. Epistemologists ask quest ions such as what are the limits to our knowledge, does science give us knowledge at all or can our powers of reasoning give us knowledge. The third branch of philosophy is metaphysics which is the study of the nature of things. Metaphysicians ask what kinds of things exist, and what they are like. This is the area of philosophy which deals with the ultimate nature of reality. Metaphysicians reason about whether or not people have free will, in what sense abstract objects can be said to exist, and how it is that brains are able to generate minds. Examples of questions asked by metaphysicians are: Given that something exists, why that and not something else? Why that and not nothing? Why is there change? How can there also be permanence through change? Ethics is the fourth branch of philosophy which deals with the study of the rightness and wrongness of actions, the kinds of things which are good or desirable, and the blameworthy and praiseworthy actions. This area deals with how we conduct ourselves within the world. Moral philosophers may investigate questions such as, is it right for rape victims to abort their babies or is euthanasia the solution to a comatose patient? Philosophical questions are conceptual not factual. Generally speaking, philosophical questions are often a series of "why-questions." These are questions which cannot be fully answered with a simple â€Å"yes† or â€Å"no†. These questions come about when people reflect on their lives and their world. They are often questions about our concepts and the relation between our concepts and the world they represent. Russell states that philosophical questions â€Å"appeal to human reason† (What is philosophy?, n.d.). Some philosophical questions are practical while others are theoretical. Example of a practical question is, "Is divorce justifiable?" A theoretical question on the other hand, often arise through thinking about practical issues such as â€Å"What is the meaning and purpose of our existence?† According to Stroll and Popkin, philosophical questions have seven characteristics (1972). First, it is a reflection about and the things nothing in it. Example is if one has a pen in his hand and took it off, there is nothing in his hand. So, does that mean that everything exists in nothing? The second characteristic of a philosophical question is it is a conceptual rather than a practical activity. The third characteristic is the use of reason and argumentation to establish a point. Fourth, a philosophical question asks for an explanation of the puzzling features of things such as the mirror, whether it reverses up or down or left or right. A philosophical question also digs beyond the obvious like what is a fact? Is a computer a fact? Another characteristic of

Malcolm a Homemade Education Essay Example for Free

Malcolm a Homemade Education Essay Down syndrome is the most common cause of mental retardationDown syndrome is the most common cause of mental retardation. It is caused by the presence of an extra chromosome. Chromosomes contain sequences of DNA called genes that represent the genetic information that exists within a cell. Twenty-three distinctive pairs of chromosomes which is 46 in total. They are located within the nucleus (a region of the cell that is bounded by a specialized membrane, and which houses the genetic material). When a sperm cell fertilizes an egg cell, the newly created zygote normally receives 23 chromosomes from each parent. The contribution of genetic information from each parent is what makes each baby a distinctive blend of both characteristics. In Down syndrome a mistake during division of the sperm or egg cell produces a cell with an extra chromosome 21. This event occurs during cell division and is referred to as nondisjunction, or the failure of all chromosomes to separately properly resulting in retention of one of the chromosomes in one of the two new daughter cells. This is also called trisomy 21 and is accounted for 95% of all Down syndrome patients. A rare number of Down syndrome cases the original egg and sperm cells begins with the correct number of chromosomes but shortly after fertilization during the phase where cells are dividing rapidly a single cell can divide abnormally creating a line of cells with an extra chromosome 21. It’s called a cell line mosaicism. The individual with this type of down syndrome has two types of cells: some 46 chromosomes which is the normal number and some with 47. Individuals who are mosaic for trisomy 21 typically have less sever sign and symptoms of the disorder. Another are location that can cause down syndrome is called a chromosome translocation. This is an even that unlike the numerical abnormally causing trisomy 21, there is a structural abnormality. Exchange of material from two different chromosomes during the production of sex cells can take place such that there is a whole chromosome 21 attached to another chromosome but the chromosome number is normal. [1]These types of translocation involving chromosome 21, occur in about 3-4% of cases of Down syndrome. Ancient cultures, such as those in Greece, Rome, and Egypt, put disabled infants to death. Compassion toward the disabled was awakened by the early Christian church, but its charitable influence waned during the middle ages. Down syndrome also affected this people due to no one really caring about what was going on with the ill children. Down syndrome has a lot of causes and this is normally what some parents want to know is why their child is born with this syndrome. Most times this is why they tell you while you are carrying your child you need to watch very closely and look for all signs of genetic disorders with pregnant. Down syndrome is a chromosomal disorder as I said before. A baby is usually identified at birth through observation of a set of common physical characteristics. Babies with Down syndrome tend to be overly quiet. When I say that I mean less responsive with weak floppy muscles. With that being said a number of physical signs might be present. This includes a flat bridge of the nose which is smaller than normal. It’s a low set nose. They will tend to have a small mouth with a protruding tongue, upward slanting eyes and also extra folds of skin located at the corner of each eye, near the nose. They will have small outwardly rotated ears and small hands as well. Usually they have an unusual deep crease across the center of the palm and a malformed fifth finger. They will have a wide space between the big and the second toes and unusual creases on the soles of the feet. They also experience shorter than normal height later on in their childhood. Before genetic testing became available, Down syndrome was diagnosed based on certain typical physical characteristics. Not all people with Down syndrome have all these characteristics though. This can vary from certain people and are caused by the extra chromosomes. Individuals with Down syndrome also have joints that are looser than normal. Their skulls are short and broad. Newborns usually have extra skin on the back of their neck, and as the child gets older the neck often appears short and wider than usual. [2]Facial shape is round in the newborn and also during infancy. When the child gets older their face shape becomes oval like. This is due to the underdevelopment they go through. Their cheeks are round and the teeth develop late and in an unusual order. Although Down syndrome is not curable and there will be no cure for it, parents, researchers, and also the Down syndrome individuals try to make the best out of life and try dealing with it. Advances in medical treatment over the past 40 to 50 years for conditions such as heart defects and respiratory disease have led to dramatic increases in the life expectancy of those with Down syndrome. [3] Half of the children born with Down syndrome during the late 1960s survived to age 5. Bronchopneumonia, a respiratory illness and heart defects were the most common causes of death. Now about 80% of those born with it survive to age 10, and about 50% of them survive to age 50 or beyond. The recent statistics from various study places show that the place of incidence of Down syndrome anywhere from 1 in 600 to 1 in 1,000 live births. An analysis published by various people. Bray and colleagues in 1998 of combined data from nine different studies found that the incidence varies from 1 in 1,445 live birth mothers at age 10 to 1 in 25 live births to mothers at age 45. Down syndrome really is a hard disorder to live with but at the same time it has its advantages. Down syndrome has no treatment options but they have a lot of programs to help cope with this syndrome. The development of a child is a joyous thing. It involves amazing ohhs and ahhhs that would shock you every day your child does something new. All kids from the time their able to sit up by them and walks are learning new things everyday. Even as adults we learn new things everyday but still with Down syndrome, everything that they accomplish is outstanding. All kids learn to develop their fine motor skills but there are different aspects when it comes to Down syndrome children. The development of motor skills is very hard. The first thing you have to do is have a laid out foundation of how you plan on teaching that child. This is very dependent on stability. [4]Stability is being able to push open a heavy door. It’s being able to put on your shoes without falling. It is carrying a tray full of drinks. Its really a list that goes on but with this syndrome most things aren’t accomplished because down syndrome babies lack stability. Most of the people diagnosed wit this syndrome also tends to walk a little strange. They walk from side to side and always have their head twisted. Now as kids get older and reach their age past ten, then your not exactly ok, but you can breathe a little. Most researchers are still concerned about the older ones but its really the babies that most are worried about. They tend to go through a lot as newborns and unto there early infants stages. [5] Babies with Down syndrome suffer a lot. They have a lot they feel and go through, but being an infant and not being able to talk doesn’t help at all. Being born with Down syndrome you experience how it is from that point on and for the rest of your life. Children with this syndrome almost always have some degree of intellectual disability. That is why they learn slower and have difficulty with complex reasoning and judgment. The degree of intellectual impairment various tremendously. These kids do learn and what they do learn they will not forget. Down syndrome can not be prevented but it is People with Down syndrome, whatever their age, are people first. They are people with abilities, strengths and weaknesses like everyone else. They may have additional needs but first they have the same needs as everyone else of their age group. The quality of health care, education and community support provided to children and adults with Down syndrome makes a real difference to their progress throughout life. This module provides an introduction to all the issues that need to be addressed to enable individuals with Down syndrome, and their families, to enjoy full and happy lives within their communities. It offers an overview of the development of individuals with Down syndrome from infancy to adult life. It also provides a summary of the causes of Down syndrome, the incidence and prevalence of the condition, life expectancy and associated education and health care needs. Children with down syndrome experience problems with their digestive tract at a rate that is much higher than that of other children. [6] some of these problems such as blockage of the digestice tract can be life threatening and can require emergency surgery. Blockage or atresia of the esophagus or the duodenum can cause starvation if not corrected. Atresia occurs when the anal opening does not develop. This condition prevents solid waste from being eliminated from the intestinal tract and must be corrected surgically. Anal stenosis will allow waste products to pass, but will cause constipation. Gastroesophageal feflux is also more common in individuals with down syndrome. During this stage food reenters the esophagus from the stomach. This can cause vomiting and irritation of the esophagus. You can also have vision problem s with down syndrome to. Theses problems are common with those suffering with down syndrome. Strabismus in which one or both euyes either truns in or out. Occurs in 43% of theses chuldren. It is caused by abnormal or incomplete development of the cneters in the brain that control the coordination of eye movements. This condition may require an eye patch, special glasses or even surgery. Vision therapy may also be benificial and should be considered before surgery. Hearing problems also come with syndrome. [7] anatomical differences that result from trisomy 21 contribute to the larger percentage of hearing difficulties founf in individuals with down syndrome. Appromately 53% in children with down syndrome have hearing problems. This makes it more difficult to examine the ars for wax buildup and infection. The middle ear is smaller than normal, as well. This contributes to the presence of chronic ear infections in 40% to 60% of children with downs syndrome. The shallow nasal bridge founfd in 61% of individuals with down syndrome also contributed. Collapse or blockage of the eustachian tube, which leads from the ear to the throat, causes fluid to build up in the middle ear and increases the risk of middle ear infection. [8]In children with down syndrome the eustachian tubes are often smaller tha normal and have lowered muscle tone. Problems with fluid build up in the middle ear occur in 60% of indiviuals with down syndrome this fluid buildup interferes with hearing and can cause permanent hearing loss if it remains for a long peopif of time. Estimates of hearing loss in people with down syndrome range from 60% to 80%. Hearing loss in children can contribute to language and speech difficulies as well as auditory attention. Monitoring for fluid buildup and infections of the middle ear should begin before the age of six months and should continue into adulthood. Hearin aids may be a choice as well. Another problem that occurs in down syndrome individuals is problems with thyroid gland. Weighing less than one ounce the thyroid is actually one of the largest endocrine glands. Thyroid hormones help regualte the synthesis of growth factore and many hormones. Thyroid hormones are crucial for proper brain development during pregnancy. They are also important in normal growth. Because they are composed of the amino acid tyrosine, to which iodine molecules have been atattched adequate iodine in the diet is esstenial for their production. Another hormone produced by the thyroid gland is calcitonin which regulates the levels and metabolism of calcium. The hormones tri-iodothyonine and tetraiodothyonine are produced by the thyroid gland in a ratio of 1;14. t4 is secreted by the thyroid gland in responses to TSH. The active form, T3 is formed in the kidney, liver, and pleen by removal of one iodine molecule from T4. individuals with down syndrome also are 10 to 30 times more likely to develop Leukemia. [9] This is a type of cancer caused by the production of abnormal qhite blood cells by the bone marrow. These abnormal cells eventually crowd out normal white and red blood cells. There are two main types of leukemia. Acute and chronic. Acute leuk emias develop slowly and the patienst condition worsens slowly. Chronic leukemia develops rapidly and the patients syptoms worsen quickly. About 10% of babies born with down syndrome develop a transient leukemia that usually goes away by 3 months of age. About 20% to 30% of those with this transient condtion go on to develop acute leukemia. Babies who do not have down syndrome rarely have the transient form of leukemia. This higher risk of leukemia is in contrast to the risk of other types of cancer in individuals with down syndrome. The incidence of most types of solid tumors is muh smaller than in the general population. Down syndromes rates has also increased. From 1979 to 2003, the prevalence (total number of cases of a disease in a population at a specific time) of Down syndrome (DS) at birth increased by 31 percent, from 9 to 12 per 10,000 live births in 10 US regions. Within the 10 regions, birth prevalence of DS ranged from a low of 9. 7 in Arkansas to a high of 13. 7 in Utah during 1997-2003. The number of infants born with DS was almost 5 times higher among births to older mothers (38. 6 per 10,000) than among births to younger mothers (7. 8 per 10,000). In 2002, DS was found to be present in about 1 of every 1,000 children and adolescents aged 0 to 19 living in 10 chosen regions of the United States, which means that approximately 83,000 children and adolescents with DS were living in the United States during that year. Prevalence of DS by age group was the highest in 0-3 year olds at 11. , declining to 10. 3 among 4-7 year olds, 9. 8 among 8-11 year olds, 8. 3 among 12-15 year olds, and 6. 0 among 16-19 year olds. A screening test will help identify the possibility of Down syndrome. Screening tests do not provide conclusive answers, but rather, they provide an indication of the likelihood of the baby having Down syndrome. An abnormal test res ult does not mean that your baby has Down syndrome. The goal with a screening test is to estimate the risk of t baby having Down syndrome. If the screening test is positive and a risk for Down syndrome exists, further testing may be recommended. Diagnostic tests can identify Down syndrome before the baby is born. January issue of Obstetrics Gynecology, the American College of Obstetricians and Gynecologists released guidelines recommending screening for Down syndrome to all pregnant women during their first trimester. Agnostic tests tend to be more expensive and have a degree of risk; screening tests are quick and easy to do. However, screening tests have a greater chance of being wrong; there are â€Å"false-positive† (test indicates the baby has the condition when the baby really does not) and â€Å"false-negatives† (baby has the condition but the test indicates they do not). As far as those individual kids with Down syndrome there is a lot that they can do, just as the regular ones. Kids with Down syndrome tend to have a sense of humor. Those with this disorder have slurred words and stutter but what you can understand they have pretty good conversation. Also in about 4 percent of all down syndrome cases the individual possesses not an entire third copy of chromosome 21 material, which has been incorporated via a translocation into a no homologous chromosome. In translocation pieces are swapped between two non-related chromosomes forming hybrid chromosomes. The most common translocation associated with Down syndrome is that between the long arm (down gene area) of chromosome 21 and an end of chromosome 14. [10] The individual in whom the translocation has occurred shows no evidence of the aberration since the normal complement of genetic material is still present only a different chromosomes location. The difficulty arises when this individual forms gametes. A mother who possesses the 21/14 translocation, for example has one normal 21 one normal 14 and the hybrid chromosomes. She is a genetic carrier for the disorder because she can pass it on to her offspring even though she is clinically normal. The mother can produce three types of viable gametes: one containing the normal 14 and 21. the presence of an extra copy of the long arm of chromosome 21 causes defects in many tissues and organs. One major effect of Down syndrome is mental retardation. The intelligence quotients of affected individuals are typically in the range of 40-50. The IQ varies with age but being higher in childhood than in adolescence or adult life. The disorder is often accompanied by physical traits. Trisomy 21 is one of the most common chromosomal aberrations occurring in about 0. 5 percent of all conceptions and in one out of every seven hundred to eight hundred live births. About 15 percent of the patients institutionalized for mental deficiency suffer from Down syndrome. Before the chromosomal basis for the disorder was determined the frequency of Down syndrome births was correlated with increased maternal age. For mothers at age twenty the incidence of down syndrome is about 0. 5 percent which increases to 0. 9 percent by the age thirty-five and 3 percent at age forty-five. Comparing the chromosomes of the affected offspring with those of both parents have shown that the nondisjunction event is maternal about 75 percent the time. The maternal age effect is thought to result from the different manner in which the male and female gametes are produced. Gamete production in the male event in females. Formation of the femaleâ €™s gametes begins early in embryonic life, somewhere but between the eight and twentieth weeks. During this time, cells in the developing ovary divide rapidly by mitosis forming cells called primary oocytes. These cells then begin meiosis by pairing up the homologues. The process is interrupted now and the cells are held in a state of suspended animation until needed in reproduction, when they are triggered to complete their division. Most individuals with Down syndrome have intellectual disability in the mild (IQ 50–70) to moderate (IQ 35–50) range, with individuals having Mosaic Down syndrome typically 10–30 points higher. Dr. Weihs notes the mental qualities of people with Down syndrome to be unisexual, playful, affectionate, mischievous and imitative. [21]Language skills show a difference between understanding speech and expressing speech, and commonly individuals with Down syndrome have a speech delay. Fine motor skills are delayed and often lag behind gross motor skills and can interfere with cognitive development. Effects of the condition on the development of gross motor skills are quite variable. Some children will begin walking at around 2 years of age, while others will not walk until age 4. Physical therapy, and/or participation in a program of adapted physical education (APE), may promote enhanced development of gross motor skills in Down syndrome children. A 2002 literature review of elective abortion rates found that 91–93% of pregnancies in the United Kingdom and Europe with a diagnosis of Down syndrome were terminated. [54] Data from the National Down Syndrome Cytogenetic Register in the United Kingdom indicates that from 1989 to 2006 the proportion of women choosing to terminate a pregnancy following prenatal diagnosis of Down syndrome has remained constant at around 92%. In the United States a number of studies have examined the abortion rate of fetuses with Down syndrome. Three studies estimated the termination rates at 95%, 98%, and 87% respectively. Medical ethicist Ronald Green argues that parents have an obligation to avoid genetic harm to their offspring, and Claire Rayner, then a patron of the Downs Syndrome Association, defended testing and abortion saying The hard facts are that it is costly in terms of human effort, compassion, energy, and finite resources such as money, to care for individuals with handicaps People who are not yet parents should ask themselves if they have the right to inflict such burdens on others, however willing they are themselves to take their share of the burden in the beginning some physicians and ethicists are concerned about the ethical ramifications of the high abortion rate for this condition. [59] Conservative commentator George Will called it eugenics by abortion. 60] British peer Lord Rix stated that alas, the birth of a child with Downs syndrome is still considered by many to be an utter tragedy and that the ghost of the biologist Sir Francis Galton, who founded the eugenics movement in 1885, still stalks the corridors of many a hospital†. Doctor David Mortimer has argued in Ethics Medicine that Downs syndrome infants have long been disparaged by some doctors and government bean counters. Some members of the disability rights movement believe that public support for prenatal diagnosis and abortion based on disability contravenes the movements basic philosophy and goals. Peter Singer argued that neither hemophilia nor Downs syndrome is so crippling as to make life not worth living from the inner perspective of the person with the condition. To abort a fetus with one of these disabilities, intending to have another child who will not be disabled, is to treat fetuses as interchangeable or replaceable. If the mother has previously decided to have a certain number of children, say two, then what she is doing, in effect, is rejecting one potential child in favor of another. She could, in defence of her actions, say: the loss of life of the aborted fetus is outweighed by the gain of a better life for the normal child who will be conceived only if the disabled one dies. Individuals with Down syndrome have a higher risk for many conditions. The medical consequences of the extra genetic material in Down syndrome are highly variable and may affect the function of any organ system or bodily process. Some problems are present at birth, such as certain heart malformations. Others become apparent over time, such as pilepsy. Other things Down syndrome patients go through are very emotional. For people with Down syndrome it is very hard to cope with the everyday activities. It is also hard on the family, especially the parents. It can be very frustrating for the parents to cope with having a child with Down. People born with Down syndrome require so much more extra attention than that of a normal child. Suggestions from some psychologists are for the parents to go to some kind of group sessions to talk to other parents who have children with Down. Therefore, someone else can understand the frustrations that they go through in raising their child. People with Down syndrome have a lot of different emotions running through their mind and body. People with Down syndrome, whatever their age, are people first. They are people with abilities, strengths and weaknesses like everyone else. They may have additional needs but first they have the same needs as everyone else of their age group. The quality of health care, education and community support provided to children and adults with Down syndrome makes a real difference to their progress throughout life. This module provides an introduction to all the issues that need to be addressed to enable individuals with Down syndrome, and their families, to enjoy full and happy lives within their communities. It offers an overview of the development of individuals with Down syndrome from infancy to adult life. It also provides a summary of the causes of Down syndrome, the incidence and prevalence of the condition, life expectancy and associated education and health care needs. Further modules in this series address each of these issues in detail. Down syndrome patients also have another way to look at things. The most of the time feel different and out of place. Most would like to know who Down syndrome affects. For instance what race and what are the ratios of living past a teenager Children and adults with Down syndrome have a wide range of abilities. A person with Down syndrome may be very healthy or may have unusual and demanding medical and social problems at virtually every stage of life. It’s important to remember that every person with Down syndrome is a unique individual. Each child will develop at his or her own pace. It may take children with Down syndrome longer than other children to reach develop Down syndrome cannot be cured. However, early treatment can help many people with Down syndrome to live productive lives well into adulthood. Children with Down syndrome can often benefit from speech therapy, occupational therapy, and exercises to help improve their motor skills. They might also be helped by special education and attention at school. Some of the medical problems common in people with Down syndrome, like cataracts, hearing problems, thyroid problems, and seizure disorders, can be also treated or corrected. It has been suggested that children with Down syndrome might benefit from medical treatment that includes amino acid supplements and a drug known as Piracetam. Piracetam is a drug that some people believe may improve the ability of the brain to learn and understand. However, there have been no controlled clinical studies with Piracetam to date in the U. S. or elsewhere that show its safety and efficacy. The life expectancy for people with Down syndrome has increased substantially. In 1929, the average life span of a person with Down syndrome was nine years. Today, it is common for a person with Down syndrome to live to age 50 and beyond. In addition to living longer, people with Down syndrome are now living fuller, richer lives than ever before as family members and contributors to their community. Many people with Down syndrome form meaningful relationships and eventually marry. Now that people with Down syndrome are living longer, the needs of adults with Down syndrome are receiving greater attention. With assistance from family and caretakers, many adults with Down syndrome have developed the skills required to hold jobs and to live semi-independently mental milestones, but many of these milestones will eventually be met.