Monday, July 22, 2019

Cell Phone Use While Driving Essay Example for Free

Cell Phone Use While Driving Essay Cell phone use while driving has caused unnecessary injuries and deaths throughout history. Those injuries and deaths prove the ignorance of the victims and set an example for others. Many people have lost their loved ones in cell phone related accidents but with every experience comes a lesson, which in this case is that cell phone use while driving should not be allowed. The road would be a safer place to drive if the use of cell phone while driving is prohibited. The risk of accidents increases significantly when a cell phone is being used while driving. A study by the Harvard Center for Risk Analysis estimated that six percent of vehicle crashes causes about 2,600 deaths and 330,000 injuries a year, which can be linked to one or more of the drivers involved using a cell phone (â€Å"Cell Phone Use While Driving a Big Cause of Accidents†). According to this study, the use of cell phones while driving is causing many unnecessary deaths and injuries. To treat those irresponsible drivers, all the citizens of the United States pay in the form of taxes. The forbiddance of cell phone use while driving will not only make the United States to be a safer nation, but it will also make it a happier nation. Many people are unaware of the dangers and effects of cell phone use while driving. To most people, drunk driving is a very serious crime, but using a cell phone while driving is a trivial matter. However, a research by the University of Utah proves that drivers drunk at the .08 percent blood-alcohol level drive slower than drivers using a cell phone. Driving with a cell phone is more distracting because drivers tend to concentrate less on the road, and more on the conversation, which leads to many accidents. If one is caught driving drunk in Michigan, his or her license is suspended for several months and an additional fine ranging from $250-$10,000 has to be paid. If the crime of drunk driving has such punishments, then the use of cell phone while driving should also have severe punishments. To many people, it may seem that cell phone use while driving should not be outlawed because emergency calls need to be attended or made any time. However, people can pull over to the side and make or receive emergency calls. According to the Human Factors and Ergonomics society, cell phone distraction puts the driver at a four time great risk of a crash. It may take more effort to pull over, stop, and call, but doing so would decrease the number of accidents by a massive number. . Even using cell phones during school times can be a big problem. It can  distract a students studies, since he/she will be too busy texting and calling people; he/she wont be able to concentrate and will keep thinking about those text messages. If there is something bad then they will be depressed all day long. If parents need to talk to their children urgently they will be able to talk to them during school. Some students during classes are always tense because of someone/something so by calling or texting they can clear their tension and focus on studies. Cell phones will help them solve the problems outside the school so they can peacefully study. Schools should understand how important it is for students to study and this is only possible if they are not thinking about anything else. The rate of accidents for drivers using cell phones has increased alarmingly. The convenience that cell phones offer must be judged against the hazards that they pose. Therefore, the government should ban the use of cell phones while driving, which would not only decrease the number of traffic injuries and deaths, but will also make the road a safer place to drive. The use of cell phone while driving is a crime that should be outlawed and punished for severely. There are two dangers linked with driving and cell phone use, including text messaging. First, drivers should not take their eyes off the road while dialing. Secondly if the drivers start talking on the phone then they get so lost in others conversations that they have no clue what is going on in front of them which causes them to get in an accident. That is one reason why so many states and countries banned the use of cell phones while driving and even in schools so young teenage people know when they have to use the phone and when not to.

Sunday, July 21, 2019

Sickle Cell Disease: Causes, Effects and Treatment

Sickle Cell Disease: Causes, Effects and Treatment Abstract Sickle cell disease is a genetically inherited hematological (blood) disorder that results from a mutation in the beta globin gene that is responsible for the development of hemoglobin. Hemoglobin is the protein that delivers oxygen to the red blood cells throughout the body. In the disease, a mutated variant of normal hemoglobin generates an abnormal structure of the cells, leading to the development of symptoms. Sickle cell anemia and beta thalassemia are two common types of sickle diseases that are discussed in this review. The symptoms, complications, and therapies are also highlighted in the context of the pathophysiology of the disease. Sickle Cell Disease: An Overview Sickle cell disease is a genetically inherited blood disorder and it is characterized by an abnormal structure or production of hemoglobin. Hemoglobin is the protein in red blood cells that transports oxygen to cells throughout the body (National Institutes of Health, 2014). The disease results from a mutation in the beta globin gene causing a class of sickle diseases, such as sickle cell anemia and beta thalassemia (Thein, 2008). Together, they are often referred to as the beta hemoglobinopathies and present a range in disease severity (Thein, 2008). Beta globin is a protein that produces hemoglobin and the gene mutation in both diseases produces abnormal variants of hemoglobin in the blood. This results in either a predominance of abnormal hemoglobin molecules in red blood cells or an absence of normal hemoglobin, and thus, normal red blood cells (Edwards et al., 2005). There are a number of available therapies that manage sickle cell disease and the only curative treatment is hema topoietic cell transplantation. Pathophysiology of Sickle Cell Disease The National Institutes of Health reports that sickle cell disease is the most common inherited blood disorder in the United States and it affects 70,000 to 80,000 Americans (National Institutes of Health, 2014). It is estimated to occur in 1 in 500 African Americans and 1 in 1,000 to 1,400 Hispanic Americans (National Institutes of Health, 2014). The disease affects 30 million people worldwide and it is most common among people who have ancestors from Africa, Mediterranean countries, the Arabian Peninsula, India, parts of South America, Central America and the Caribbean (Khoury, Musallam, Mroueh, Abboud, 2011; National Institutes of Health, 2014). As it is an inherited disease, the sickle gene is presumed to have a genetic advantage in which it protects from the development of malaria infection (Stuart Nagel, 2004). There are many types of sickle diseases, such as sickle cell anemia and beta thalassemia. Sickle cell anemia is considered the most commonly occurring type of sickle c ell disease (National Institutes of Health, 2014). In sickle cell anemia, hemoglobin S replaces both beta-globin and the sixth amino acid is changed from glutamic acid to valine (National Institutes of Health, 2014; Rees Gibson, 2011). Sickle cell trait is not considered a disease and it is found in approximately 1 in 10 African Americans (Edwards et al., 2005). When both parents have the sickle cell trait, there is a one in four chance with each pregnancy that the child will have sickle cell anemia (Edwards, et al., 2005). Today, many health organizations offer newborn screenings that can determine if a child has either the disease or trait (National Institutes of Health, 2014). The development of the disease occurs due to the polymerization of deoxygenated hemoglobin S (Chirico Pialoux, 2012). The polymer formation modifies the normal red blood cell disc shape into a rigid, irregular-shaped, unstable cell and causes intravascular hemolysis, or rupture of the cells, to release hemoglobin into the plasma of the blood (Chirico Pialoux, 2012). The repeated polymerization leads to sticky blood cells (blood cell adhesion), obstruction of blood vessels (vasocclusion), and restriction of blood supply to tissues and organs in the body (ischemia) (Chirico Pialoux, 2012). Additionally, the endothelium and leukocyte, or white blood cells, are also found to play a role in disease mechanisms. Studies have found a connection between the endothelium, a thin layer of cells that line the interior surface of blood vessels, and sickled red blood cells (Stuart Nagel, 2004). The red blood cell receptors that are associated with cell adhesion are present in increased numbers on sickled immature red blood cells and mature sickle cells compared to normal red blood cells (Stuart Nagel, 2004). This finding demonstrates a structure-function abnormal activity that leads to coagulation on cell surfaces, leading to anemia (Stuart Nagel, 2004). Like cell adhesion, leukocytes have an impact in disease activity. White blood cells are found to be at an increased baseline in sickle cell disease, which serves as an independent risk factor for pulmonary and cardiac complications (Stuart Nagel, 2004). The size of the white blood cell, its rigidity, and adhesive characteristics are implicated in microvascular blood flow, vascular inflammation, and vasocclusion (Stuart Nagel, 2004). Clinical Symptoms of Sickle Cell Disease The clinical manifestation of sickle cell disease can lead to inflammatory responses and may result in acute chest syndrome, pulmonary hypertension, and stroke (Chirico Pialoux, 2012). People with sickle cell disease may also encounter several physical complications, such as delayed growth, fatigue, headaches, and cerebral vascular damage (Edwards et al., 2005). Acute chest syndrome is considered the second most common cause of hospital admissions and a leading cause of death in patients with sickle cell disease (Khoury, Musallam, Mroueh, Abboud, 2011). It involves the presence of a pulmonary infiltrate on a chest X-ray and the symptoms may include chest pain, a temperature of more than 38.5 degrees Celsius (101.3 degrees Fahrenheit), tachypnea (rapid breathing), wheezing or cough ((Khoury, Musallam, Mroueh, Abboud, 2011). The symptoms at clinical presentation vary with age as wheezing, cough, and fever are common in children 10 years or younger (Khoury, Musallam, Mroueh, Abboud, 2011). Pain in the arms and legs and shortness of breath are more commonly presented in adults with the disease (Khoury, Musallam, Mroueh, Abboud, 2011). It is believed that there are three mechanisms involved in acute lung injuries, which include infection, fat embolization (clotting) from bone marrow, and sequestration of sickled red blood cells (Khoury, Musallam, Mroueh, Abboud, 2011). People with sickle cell disease have an increased risk for developing infections, particularly pneumonia. Treatment for acute chest syndrome is primarily supportive and includes supplemental oxygen to keep the saturation above 92% (Khoury, Musallam, Mroueh, Abboud, 2011). Pain is considered the most frequent complication associated with the disease and acute chest syndrome stimulates this crisis (Edwards et al., 2005; Khoury, Musallam, Mroueh, Abboud, 2011). Repeated episodes of acute chest syndrome predispose patients to chronic pulmonary disease, such as pulmonary hypertension (Stuart Nagel , 2004). The occurrence of asthma is also associated with the increased incidence of acute chest syndrome, which is considered a comorbid condition found in people with sickle cell disease (Khoury, Musallam, Mroueh, Abboud, 2011). Beta Thalassemia Beta thalassemia is a common genetic blood disease that reduces hemoglobin production (National Institutes of Health, 2014). The hemoglobin gene mutation results in an unusually low level of beta-globin (National Institutes of Health, 2014). There are different levels of thalassemia based on the number of copies of beta thalassemia alleles or different copies of the same gene (Thein, 2008). The variety in alleles impacts the deficit in beta globin production, which, in turn, impacts disease severity (Thein, 2008). Carriers, for example, who have inherited a single copy of the beta thalassemia allele are clinically asymptomatic and may demonstrate mild anemia (Thein, 2008). Unlike a globin imbalance that is found in sickle cell anemia, variants of beta chains are broken down and result in ineffective red blood cell production in beta thalassemia (Thein, 2008). Physical complications involve cardiac and bone disease, bilirubin metabolism, and iron metabolism. Such symptoms may include jaundice and a predisposition to gallstones (Thein, 2008). Treatment for Sickle Cell Disease Several complications may emerge from sickle cell disease, whether it is in sickle cell anemia or in beta thalassemia. The purpose of therapies for sickle cell disease is to prevent and treat complications (Inati, Chabtini, Mounayar, Taher, 2009). The treatment of sickle cell disease is best achieved by decreasing the amount of hemoglobin S through the prevention of its production (Inati, Chabtini, Mounayar, Taher, 2009). People with severe sickle cell disease are treated with three validated therapies: hydroxyurea, transfusion and chelation therapy, and a hematopoietic or stem cell transplant (Inati, Chabtini, Mounayar, Taher, 2009). Hydroxyurea has been shown to be an effective form of treatment for children and adults with the disease. It has been demonstrated to reduce pain and acute chest syndromes, and it decreases the frequency of hospitalizations and the need for transfusions. This therapy has also been found to play a role in stroke prevention (Inati, Chabtini, Mounayar, Taher, 2009). At a molecular level, hydroxyurea reduces the adhesion of sickle red cells to endothelial cells. It also modulates endothelial cell activation and nitric oxide generation (Inati, Chabtini, Mounayar, Taher, 2009). Nitric oxide has been found to affect acute and chronic complications of sickle cell disease (Stuart Nagel, 2004). Nitric oxide, on a normal functioning level, induces relaxation of smooth muscle and dilation of blood vessels. In sickle cell disease, the bioavailability of nitric oxide is impaired, resulting in an imbalance between endothelial production and consumption (Stuart Nagel, 2004). The lungs are most affected by a reduction of nitric oxide and tend to constrict, which predisposes an individual to acute chest syndrome (Stuart Nagel, 2004). No adverse effects have been thus far reported on the usage of hydroxyurea and any toxicity is typically reversible (Inati, Chabtini, Mounayar, Taher, 2009). Transfusion therapy is currently considered a standard of care treatment for primary and secondary stroke prevention in children with sickle cell disease (Inati, Chabtini, Mounayar, Taher, 2009). It is used for short and long term management, preventing a first stroke in high-risk children as well as preventing against a recurrent stroke (Inati, Chabtini, Mounayar, Taher, 2009). Transfusions are also used for chronic and severe pain or in cases when patients with acute chest syndrome do not respond to hydroxyurea (Inati, Chabtini, Mounayar, Taher, 2009). Chelation therapy is used for patients who experience iron overload. Iron overload is a serious and inevitable outcome from receiving regular transfusion therapy (Inati, Chabtini, Mounayar, Taher, 2009). Unless treated, iron overload may result in severe organ damage and other life threatening complications and this treatment mediates this by removing excess metals from the body (Inati, Chabtini, Mounayar, Taher, 2009). While hydroxyurea, tranfusions, and chelation therapy aim to prevent and treat complications, they do not cure sickle cell disease (Inati, Chabtini, Mounayar, Taher, 2009). The currently available curative treatment is a stem cell transplant. A transplant is indicated in those patients who experience complications, such as recurrent severe pain, acute chest syndrome, and stroke (Inati, Chabtini, Mounayar, Taher, 2009). Only one-third of affected children meet the criteria for a stem cell transplant as it is an aggressive and serious procedure (Inati, Chabtini, Mounayar, Taher, 2009). The goal of a stem cell transplant is to replace the host’s marrow with normal cells, resulting in a new immune system (Stuart Nagel, 2004). Studies on stem cell transplant as a curative option for patients with severe sickle cell disease are demonstrating mean overall survival and event-free survival rates between 95 and 85% (Inati, Chabtini, Mounayar, Taher, 2009). Significant advancements have been made for pediatric patients who have beta thalassemia and were treated with a stem cell transplant. Over the last three decades, disease-free survival rates have exceeded 80% in patients who received transplants from biologically compatible family donors (Mehta Faulkner, 2013). Sickle cell disease is a genetically inherited blood disorder that is primarily diagnosed in people who have ancestors from Africa, Mediterranean countries, the Arabian Peninsula, India, parts of South America, Central America and the Caribbean (Khoury, Musallam, Mroueh, Abboud, 2011; National Institutes of Health, 2014). The disease results by a mutation in the gene that creates beta globin, which is the protein that is responsible for producing hemoglobin. Hemoglobin is the protein in red blood cells that transports oxygen to the body’s organs and tissues. When the mutation occurs, a hemoglobin variant is produced, resulting in a structural and functional change in the red blood cells. Several physical complications emerge in both children and adults who have the disease. These may include, but not limited to, pain, acute chest syndrome, cerebral and vascular damage (Edwards et al., 2005). There are three primary therapies for managing and/or treating the disease. These inc lude the drug, hydroxyurea, transfusion and chelation therapy, and hematopoietic cell transplantation (Inati, Chabtini, Mounayar, Taher, 2009). More research is underway in the development of additional treatment options, such as gene therapy and clinical trials are exploring this possibility. References Chirico, E. N., Pialoux, V. (2012). Role of oxidative stress in the pathogenesis of sickle cell disease. International Union of Biochemistry and Molecular Biology Life, 64 (1), 72-80. Edwards, C. L., Scales, M. T., Loughlin, C., Bennett, G. G., Harris-Peterson, S., De Castro, L. M., Whitworth, E., Abrams, M., Feliu, M., Johnson, S., Wood, M., Harrison, O., Killough, A. (2005). A brief review of the pathophysiology, associated pain, and psychosocial issues in sickle cell disease. International Journal of Behavioral Medicine, 12 (3), 171-179. Inati, A., Chabtini, L., Mounayar, M., Taher, A. (2009). Current understanding in the management of sickle cell disease. Hemoglobin, 33 (S1), S107-S115. Khoury, R. A., Musallam, K. M., Mroueh, S., Abboud, M. R. (2011). Pulmonary complications of sickle cell disease. Hemoglobin, 35 (5-6), 625-635. Mehta, P. A., Faulkner, L. B. (2013). Hematopoietic cell transplantation for thalassemia: a global perspective BMT tandem meeting 2013. Biology of Blood and Marrow Transplantation, 19, S70-S73. National Institutes of Health (2014). Genetics home reference: beta thalassemia. U.S. Department of Health and Human Services, Retrieved from http://www.ghr.nlm.nih.gov/condition/beta-thalassemia. National Institutes of Health (2014). Genetics home reference: sickle cell disease. U.S. Department of Health and Human Services, Retrieved from www.ghr.nlm.nih.gov/condition/sickle-cell-disease. Rees, D. C., Gibson, J. S. (2011). Biomarker in sickle cell disease. British Journal of Haematology, 156, 433-445. Stuart, M. J., Nagel, R. L. (2004). Sickle-cell disease. Lancet, 364, 1343-1360. Thein, S. L. (2008). Genetic modifiers of the ÃŽ ²-haemoglobinopathies. British Journal of Haematology, 141, 357-366.

Defining And Measuring Poverty Sociology Essay

Defining And Measuring Poverty Sociology Essay In this essay I intend to define poverty, explain definitions and measurements of poverty absolute and relative. I will identify groups experiencing poverty, social exclusion and discrimination. I will then discuss the New Right and Social Democrat explanations for poverty, and assess their weakness and strengths. Poverty is about a lack of economic, social, physical, environmental, cultural and political resources that prevent people of all ages from fulfilling their potential. There is, however, not just a only single definition of poverty. The term can be split into two views that are, absolute poverty and relative poverty. Despite the introduction of housing and education acts and other legislation to improve standards of living, poverty is still a reality.   In society today there are still many who have little to sustain their everyday existence, and who survive well below the poverty line.   The arguments surrounding the definition of poverty centre on the two concepts of absolute poverty and relative poverty.   Absolute Poverty is the inability of a citizen to participate fully in the economic terms in the society in which he lives, also is experiencing lack of food, shelter clothing, healthcare care to survive. In many countries, absolute poverty is common people who face absolu te poverty have short life expectancy, poor nutrition and high levels of infant mortality. Continents like, Africa, Asia, and South American are more likely to experience this type of poverty, this may occur because of a complete lack of resources, or unequal distribution of wealth. Relative poverty is measured on poor standards of living relative to the rest of the society. The lack of access to many of the goods and services expected by the rest of the contemporary society. E.g. afford holidays this leads to social exclusion and damaging individuals and families in relative poverty. Relative poverty is used in Britain because in a rich country such this, there should be certain minimum standards below, that no one should be. The British society is becoming more richer ,norms changes and the levels of income and resources that are considerate to be adequate rises , for instance if poor citizens can keep up with the growth in average incomes, they will become more excluded from the opportunities that the rest of the society enjoy. If there is a large numbers of people who fall below the minimum standards, then they are excluded from ordinary patterns. The strength of this approach is that advocate a poverty line which moves in response to changing social expectations and living standards. Peter Townsend argued that income alone is not a satisfactory measure of poverty because households may have a variety of other resources at their disposal. Townsend work was criticised from those on the right, they argued that his research measure inequality rather than poverty, because they see inequality as inevitable, they that the concept of relative poverty in meaningless. Seebohm Rowntree devised a scale in 1901 to determine: the minimum necessities for the maintenance of merely physical efficiency .Rowntrees  measure from Stitt and Grant, 1993, explains the differences between two types of poverty.   Primary Poverty are families whose total incomes were insufficient to maintain physical efficiency and Secondary Poverty are families whose incomes would have been sufficient but for wasteful activity such as poor housekeeping, drunkenness and gambling.   Those who fell below this minimum level were said to be in poverty. This method of defining poverty is known as the budget standard approach, some of which are still in use today in defining poverty.  Ã‚   It is a measurement of absolute poverty, which is the most common way in which people visualise poverty.  Ã‚   In other words looking at what level of income is needed to provide a nutritionally adequate diet and other necessities of life.   This again can be and is debated. It is purely d own to personal perception and opinion upon the subject. This method provides a very clear definition, however it conceals the fact that the minimum level changes continually with time.   There are basically three current definitions of poverty in common usage: absolute poverty, relative poverty and social exclusion. Absolute poverty is defined as the lack of sufficient resources with which to keep body and soul together. Relative poverty defines income or resources in relation to the average. It is concerned with the absence of the material needs to participate fully in accepted daily life. Social exclusion is a new term used by the Government. The Prime Minister described social exclusion as a shorthand label for what can happen when individuals or areas suffer from a combination of linked problems such as unemployment, poor skills, low incomes, poor housing, high crime environments, bad health and family breakdown. The House of Commons Scottish Affairs Committee. However there are some critics say that absolute definitions of poverty have the merit of give fixed and universal definition which can be used for measuring and comparing poverty in all societies. They can also reveal changes in living standards in a society over time. Rowntree was been criticized by the fixed nature of absolute measurement. Some sociologists that support the relative definition of poverty argue that universal definitions not count since what count as poverty varies from time to time and place. They say that human needs cannot be objectively measured, based in measurement of human nutritional requirements in not possible. 2- physical needs are affected by age , sex, occupation and other social factors. 3- Necessities and essentials varies from time to time and place to place , human needs are culturally defined , reasonable standards of housing, diet, clothing in Britain are different from those in other societies and from Britain a hundreds years ago. In this ideol ogy poverty is relative, it is measured in relation to the standards of a society and place, it is not fixed because circumstances changes over time. The groups more likely to be in poverty are ethnic minorities, disabled, women , lone parents , older people, asylum seekers Ethnic minorities live in low income households, twice the rate for white people. Although they are variations by ethnic groups. Unemployment rates are higher among this group, black people are more likely to be in lows paid jobs. Also are disadvantaged by the way the social security system operates. These group is more concentrated in the inner London normally they are rehoused together in group causing mini ghettos, creating isolation, fear and violence and discrimination .Ethnic minorities such as asylum seekers are discriminated by society, and other groups from ethnic minorities through religion or culture. By the government policies, being refused citizenship, receiving lower payments than other families on benefits. Refugees could be considered by as a sub underclass, Murray. 1994:26. I totally agree with this citation because they live below the poverty line and the minimum standards that Britain says that no one should Governments accept responsibility for ensuring all citi zens receive a minimum income and have access to the highest possible provision in the fields of healthcare , housing education, and personal social services.( Deacon 2000,51) Lone parents also are discriminated specially lone women with children , in these group also can be included elderly women pensioners ,women are likely to experience pay inequalities , mens earning more, Blacks being labeled inferior compared to white men, women the weaker sex Hacker, 1972,51, to tackle this type of discrimination was introduced anti -discrimination acts , such as Race Relations Act (1976, 2000 amended), Sex Discrimination Act 1975 and Equal Pay Act 1970. The risk of poverty, inequality and social exclusion is not shared equally.   Some groups in society are more likely than others to find themselves in poverty. Children are at greater risk of poverty than adults in the UK and women are at greater risk than men.   To investigate poverty it is necessary to look at statistics compiled from various sources.   Whilst these statistics give some indication, it cannot completely show the poverty experienced by women and children. Despite compelling reasons, the importance of childhood poverty is not always recognised by policy makers.   They may need a policy that addresses the shorter-term situation whist policies aimed at longer-term changes are implemented. It is therefore not good enough to say that a policy will be beneficial in the long term.   Children who are growing up during that shorter-term period of lack of investment in primary health care or primary education, for example, will lose opportunities that they may not be able to regain later in life. Thus a generation may be facing to live in poverty. The New Right view about poverty is that the welfare state is responsible for causing poverty, Marsland (1996) argue that in a democratic, capitalist society wealth is created by those who are successful in business, and by others who innovate ,have entrepreneurial ideas and start new companies, people work for them , and generate income, they say entrepreneurs are motivated by money , and the government need to support them e.g. free market. They say that taxation should be low , by minimizing the size of government and by keeping expenditure low. Cutting on the provision of state benefits for those unemployed, in a indirect perspective the welfare state cause of poverty , is because discourages the efforts of entrepreneurs to start new companies which create jobs. Established companies pay higher taxes. In a direct point of view they blame the welfare state because they provide free health, financial support for those who dont want to work. People living in benefits increase the ta xes and there is a lost of productivity. They say that just some will be successful , inequality will always occur. The welfare state and the minimum wage protect exploitation from employers This approach was criticized because if they abolished the welfare state poverty was going to increase plus they saw poor people like lazy. Social Democrat view about poverty is that the welfare state is related to the 1940, Crosland (1956) argues that in any society, there will be groups in poverty , thought are not their fault some may be disabled, retired, unable to work because of childcare. Or crisis in the economy and not having enough jobs. For them the welfare state is responsible for these people and have to guarantee a decent standard of living then everyone in poverty is in need. By this the welfare state eliminates poverty with income provided by the state and paid out of general taxation. However the Third way criticized the saying that they kept the same welfare state like in 1940, and was failed to respond to the growth in single parenthood, and the change of women in society, single mothers remain in poverty trap, the state benefits they lost when they start to work, outweighed the income they received, then disempowered them to work. Plus the costs of welfare state increased higher expectations on health care, housing. However there will always exist poverty and inequality , the government will need to reform the welfare state , providing more professional courses given by the European Union , cut council tax, because I think that will make more people to going back to work. Instead of giving incentives for people to still waiting at home or in the bar waiting for the next payment.

Saturday, July 20, 2019

The Lesson of Chaim Potok’s The Chosen :: Potok Chosen Essays

The Lesson of The Chosen The Chosen, written by Chaim Potok, is about two boys from different religious sects that become friends despite all of their conflicts. Danny and Reuven participated in a baseball game against each other and Danny smacked the ball directly into Reuven's face, shattered his glasses, and a piece of glass penetrated his eye. Danny went to visit him in the hospital but, before he could say anything, Reuven started screaming at Danny and commanded him to leave while Danny only wanted to say that he was sorry. When Reuven's eye healed, Danny went over to Reuven's house and they apologized and forgave each other. From then on Danny and Reuven help each other achieve their foremost important ambition in life. Reb Saunders poses an important question, "How can we raise ourselves above the dust?" which is the main theme in the novel. Danny searches for intellectual truth, Reb Saunders, Danny's father, tried to become as spiritual as possible while still on this earth, and Reuven desires to help other people. Danny Saunders yearned for more knowledge other then Talmud and wanted to raise his intellectuality higher then what he obtained in his isolated world. He learned Talmud most of the day and "After a while it gets a little boring"(69). The first time Danny met Reuven properly, Rueven was astonished because, " [Danny] recited about a third of [a] page [of Talmud] word for word, including the commentaries and the Maimonidean legal decisions of the Talmudic disputations. He did it coldly, mechanically, and, listening to him, [Reuven] had the feeling [he] was watching a sort of human machine at work"(69). He studies Talmud as if it were involuntary. Danny himself sometimes even "...gets the feeling we are all ants" because he has the same routine everyday, and learns Talmud over and over as if he was programmed. Also, ants do not do what they wish but are programmed and have natural instinct. This is beneficial in some ways, because if they all do the same thing their work pay s off. They are capable of building magnificent mounds that are amazing knowing that they are still ants and if it is destroyed they can speedily and sufficiently rebuild it exactly as it were before.

Friday, July 19, 2019

Athletes Essay -- Sports, High Salary

How much money does the average person really need to be able to eat three times a day, have a roof over their head, send their children to school and have a car? All this could be done on an income between $30,000 and $40,000 easily. But somehow it was decided that people who labour harder than most, city workers, janitors and factory workers, would be paid less than someone who sits behind a desk all day or someone who plays a game for a living. Today athletes are the highest paid people in the country, with the exception of Donald Trump and his toupee. It is ridiculous to believe that someone is really worth hundreds of millions of dollars, and all they have to do is play a sport that millions of people would play for free if given the chance. Therefore, I strongly believe that professional athletes are overpaid due to several reasons. Schingle stated that personal athletes get paid what the market will bear (2008). If attendance at sporting events were to decrease, or advertising dollars were to dry up, they would start getting paid less (Schingle 2008). Since professional sports are a form of entertainment, Schingle said that in America, people pay for their entertainers dearly (2008). Moreover, Schingle compared sports with other field which is Hollywood where he stated that actors are also overpaid in their industry (2008). Bate stressed that most people are jealous that they keep complaining about athlete’s pays (2008). Some people claimed that they pay the athlete’s wages through the ticket money but they did not realize that the endless demand for the tickets and the thirst for the game is what created the high wages (Bate 2008). An athlete has to sacrifice a lot to reach the top of his profession which is being a pr... ... in Africa who are dying from hunger (2008). On top of that, the money can be used for other beneficial things such as increase the salary of doctors, engineers, low paid factory workers working 12 hours a day and make this world a better place to live in (Wadhwa 2008). Lastly, Wadhwa stressed that athletes entertain us but they do not save lives or make this world a better place to live, like doctors and other workers who spend the whole life time just earning enough to survive (Wadhwa 2008). In conclusion, the reason that the athletes are overpaid because of the market demand is not acceptable because the individual’s greed, the owner’s greed and the fact that sports are only for entertainment make it clear that athletes are overpaid for no beneficial reasons. The government should control the flow of money and use it for the development of the country.

Thursday, July 18, 2019

Synopsis on Customer Relationship Management

G. PULLAIAH COLLEGE OF ENGINEERING & TECHNOLOGY, KURNOOL MASTER OF BUSINESS ADMINISTRATION 2012-2013 SYNOPSIS REPORT On A STUDY ON CUSTOMER RELATIONSHIP MANAGEMENT WITH REFERENCE TO M. S. A. MOTORS, KURNOOL Submitted by C. VENKATA NAGA SINDOOR Roll no: 11AT1E0052 Under the guidance of K. NAGAIAH, MBA Assistant Professor. INDEX| 1. | Introduction| | 2. | Objectives of the Study| | 3. | Need for the Study| | 4. | Scope of the Study| | 5. | Research * Source of data * Procedure of sample size| | 6. | Limitation of the Study| | 7. Company details| | Synopsis Approval Letter This is to certify that Mr. C. Venkata Naga Sindoor, Reg. No 11AT1E0052 submitted the synopsis report entitled â€Å"A Study on Customer Relationship Management with reference to M. S. A. Motors, Kurnool in fulfillment for the award of Master of Business Administration to G. Pullaiah College of Engineering and Technology is a record of bonafide work carried out by him under my guidance and supervision. Signature of t he Guide Signature of the HOD IntroductionRelationship building with customers is now accepted as over-riding goal of marketing and of the business as a whole. In service industries, the goal is especially emphasized since a repeat customer is believed to cost merely a fraction of what needs to be spent in servicing a new customer is service transaction. It is believed that relationships flourish when marketers play the book, meet customers. core expectations and exceed in respect of other features of their total offering. Service firms have been the pioneers in adopting the practice of Customer Relationship Management practices.Indian banking industry has witnessed rapid development in recent past with the initiation of financial sector reforms. The thrust of financial sector reforms was to improve efficiency, competitiveness and productivity of the financial system. The entry of new generation private sector banks which provided technology aided services like Internet banking, Mob ile banking, Inter Branch network, etc. , has electrified the banking environment in India and has added a new dimensions to automation in Indian banking. Customer Relationship Management is a vital factor to improve the performance of the banks.Most of the banks in India are now turning to CRM as they are increasingly realizing that the cost of acquiring new customers is for higher than the cost of retaining existing customers. This quest has led to the implementation of CRM in banks. The concept of CRM is in the initial stage of implementation in banks, as getting the CRM philosophy work in a bank is quite complex as well as a challenging task for, its implementation is based on certain key principles, namely, ?The banks must realize that all customers are not equal; Customer profitability varies from person to person; ?Not all customers are evenly desirable for the banks; ?The banks must differentiate their customers based on the „Value Criteria; ?Value is the profit that t he customer adds to the bank account; and ?A more profitable customer is a „High Value customer and a less profitable customer is a „Low Value customer. Changing perception of customer The perception of a customer has drastically changed. Peter Drucker said twenty-five years ago, that the purpose of a business wads to attract and retain a customer.There has been a phenomenal change and paradigm shift towards customer focus during the past five decades in the Indian context, ?1961-1970 Servicing the Customer, ?1971-1980 Satisfying the Customer, ?1981-1990 Pleasing the Customer, ?1991-2000 Delighting the Customer, ?2001 and beyond Relating the Customer. Today, the customer relationship between the banker and customer has come under the sharp focus both the customers? ends. 2. OBJECTIVES OF THE STUDY * To identify various services offered by MSA motors to consolidate their CRM strategies. To study the customer perception on factors influencing Customer Relationship Manageme nt in MSA motors * To classify the customers opinion on initial strategies, maintenance strategies, technology, service satisfaction and impact of CRM. * To ascertain the perception of show room executives on various aspects of CRM. 3. Need for the study As lifestyles change people begin to have more experiences in banking. There are two consequences of this 1) Customers have different feelings about services provided for them by Show rooms 2)Customers develop higher expectations for their Buying experience. . Scope of the study Scope of this study is it will assist MSA motors to get its own customer relationship management system mirror well and it will get all the important things before eyes to apply all the possible ways to provide a superb service to the customers and accordingly make them loyal and retain them long lasting and also to get new customers to be served. Scopes can be stated in few points as follows * Maintain current/ existing customers. * Achieve new potential cu stomers. * Retain all the customers * Profitability increment Reputation and credibility increment, etc. , 5. Research Methodology Source of the Data: Primary Data 1. Primary data are always original as it is collected by the investigator. 2. Suitability of the primary data will be positive because it has been systematically collected. 3. Primary data are expensive and time consuming. 4. Extra precautions are not required. 5. Primary data are in the shape of raw material. 6. Possibility of personal prejudice. Primary data is collected from interview and questionnaire in this study. Secondary dataSecondary  data, is data collected by someone other than the user. Common sources of secondary data for  social science  include  censuses, organizational records and data collected through qualitative methodologies or  qualitative research. Primary data, by contrast, are collected by the investigator conducting the research. Secondary data analysis saves time that would otherwise be spent collecting data and, particularly in the case of  quantitative data, provides larger and higher-quality  databases  that would be unfeasible for any individual researcher to collect on their own.In addition, analysts of social and economic change consider secondary data essential, since it is impossible to conduct a new survey that can adequately capture past change and or developments. Secondary data is collected from company, newspapers, journals, websites, and from library books. 6. Limitations of the Study * The response from the customer may be biased * Since the sample size is limited, it may lead to the partial true factor about the research. * The information obtained or the collection of data is limited. Due to time constraint the study is restrict to Kurnool onlyCOMPANY DETAILS Maruti Suzuki India Limited (MSIL, formerly known as Maruti Udyog Limited) is a subsidiary of Suzuki Motor Corporation, Japan. MSIL has been producing cars in India since 1983. Maruti ’s revenues totaled approximately 73. 3 billion rupees in 2009-2010. It’s operating profit as of 2009-2010 is 75 billion rupees while its net profit comes to 6. 8 billion rupees. The company has two manufacturing facilities located at Gurgaon and Manesar, south of New Delhi, India, which have an annual combined capability to produce over a 12 lakh (12, 00,000) passenger car units.The company is planning to invest 17 billion rupees in the Manesar plant. Maruti is known for its hatchback cars, especially the Maruti 800. Other popular hatchback models include the Maruti Zen and the Alto. It offers fourteen brands and over one hundred and fifty variants – Maruti 800, Omni, Eeco, Alto, Alto-K10, A-star, WagonR, Swift, Ritz and Estilo, Gypsy, SUV Grand Vitara, sedans SX4 and Swift DZire. Maruti Suzuki introduced factory fitted CNG option on 5 models across vehicle segments. These include Eeco, Alto, Estilo, Wagon R and Sx4.Maruti Suzuki has an employee strength over 7 ,600 (as at end March 2010). In 2009-10, the company sold a record 10,18,365 units including 1,47,575 units which we exported primarily to Europe, the remaining 870,790 sold in India. In the third quarter of 2009-2010, the company sold 258, 026 units. Thus, in March 2010, Maruti Suzuki had a India market share of 53. 3 per cent of the Indian passenger car market of 16,33,752 passenger car units. Maruti Suzuki will be investing around Rs. 1,250 crore (Rs 12. 5 billion) on capacity expansion of the K-series engines between 2010 and 2012.The expanded annual capacity will be over 7 lakh units from the present 5 lakh units of K-series engine cars. This will be a progressive investment to be completed by 2012. It has a sales network is 802 centers in 555 towns and cities across India. The customer service support network comprises of 2,740 workshops in over 1,335 towns and cities. In 2008, Maruti Suzuki India Limited, unveiled a National Road Safety Mission under which it would train 500, 000 people in safe driving in 3 years at 61 Maruti Driving Schools and 4 Institutes of Driving Training and Research (IDTR) in Delhi, Dehradun and Vadodara. HISTORYIn 1981, Maruti was launched. The company was started by the Government of India and was initially called Maruti Technical Services Private Limited. The first Managing Director of the company was Sanjay Gandhi, late-Indian Prime Minister Indira Gandhi’s son. During the period of 1985 to 1996, a few other significant developments took place including Suzuki taking up 50% stake in Maruti, leading to a 50-50 joint venture between Maruti and the Government of India and over 60 per cent of its parts being produced in India leading to lower costs of production as the parts didn’t have to be imported from abroad.When asked why Suzuki was chosen as the partner of this established corporation, the chairman of Maruti, Mr. R. C Bhargava said that the company went to Japan and none of the companies out of Nissan, Mitsub ishi and Daihatsu were ready to bring 40 per cent equity in India. Suzuki was the only company which agreed to bring 26 per cent equity in India and raise it to 40 per cent thereafter. The first car that the company produced was a four-door Maruti 800 and the second car that the company produced was a Multi-Utility Vehicle called the Omni. Between 1994 and 1996 Maruti released the Esteem, the Gypsy, the Omni, the Gypsy King, Zen and Esteem.It also opened a second plant in Manesar whose capacity at the time of opening was 2,00,000 units. In 2000 Maruti launched a call center. This was the first time a car company had ever launched a call center in India. In this year, Maruti setup a website for its Wagon-R car, introduced a new model of the Zen, got the IRTE National Award for its safety initiative, traffic management and environment protection, launched the Baleno and the Wagon R with electric power steering, joined hands with Sumitomo for providing after-sales service and introduce d the Suzuki Alto. The Gurgaon plant had stopped production due to a strike by the employees.Maruti introduced its first CNG car in 2001. In the same year Maruti invested 550 crore rupees in manufacturing cars. In 2002, Maruti launched Maruti Finance to offer financial services like extended warranty and finance for car insurance. It also hiked its car prices and launched the Versa. This was a good year for Maruti in exports as it produced 16,000 cars for an order to Europe. In the next few years Maruti got into collaboration with various companies to launch car-selling schemes. They partnered with State Bank of India to launch a scheme where each branch of the bank would sell a Maruti car.The company also tied-up with Reliance Industries Limited for lease and fleet management. This was the same year Kumar Mangalam Birla joined Maruti as an independent director. From 2005 – 2007 Maruti became the market leader of Indian cars and in 2006 unveiled the new Wagon-R in Punjab. In 2007, Maruti launched the SX4 sedan. TECHNOLOGY Maruti Suzuki uses an innovative Compressed Natural Gas technology – the Intelligent Gas Port Injection (iGPI) on five of its models – the SX4, Eeco, WagonR, Estilo and Alto. The iGPI technology delivers more power and runs like a petrol-filled engine while achieving fuel-efficiency.The iGPI technology uses injectors for each cylinder and a particular amount of CNG is injection in the engine through gas ports. The Engine Control Unit controls the amount of CNG needed for each ride. Two components used by Maruti in cars such as the Maruti Omni to help increase fuel economy are the crankshaft sensor and knock sensor. They control the ignition timing and fuel injection. The crank shaft is a part of the car’s engine that translates its linear motion into rotation. The sensor is part of the internal combustion engine which monitors the position and rotational speed of the crankshaft.The knock sensor is a part thatâ€⠄¢s linked to the car’s engine-when the car’s engine is not working it knocks on it and usually you hear the knocking sound. The knock sensor will send a signal to the Powercontrol Car Module (PCM). The Maruti Swift has a Direct Diesel Injection System engine. This engine has efficient combustion, higher torque and cleaner emissions. It is an extremely light engine and has a 75 bhp, 190 Nm of torque capacity. It has a five-step multi-injection technology that makes the car run more smoothly than other cars.It also has a Double Over Head Camshaft that gives the engine a quick run. It also has a Chain Drive Timing System. This engine is way better than the Maruti 800 engine which has a Single Over Head Camshaft and only two valves per cylinder while the Swift has sixteen-valve cylinder. The Maruti Suzuki SX4 has a Variable Valve Timing engine. According to the company, they will use K-Series engines in all car models. India’s largest car manufacturer Maruti Suzuki decided to implement the K-series petrol engine in all the models for at least five years according to a company report.The K-Series engine is a straight four cylinder engine that comes in Single Overhead Camshaft and Double Overhead Camshaft variants. This engine will be made in the Maruti Manesar plant in Haryana for the A-Star car which is produced in India and sold in Europe. The K-Series engine is Euro 4 and Euro 5 compliant and is the most advanced of engines. The engine has a CO2 emission of 109 gm/km and plans to reduce it further. The engine is extremely fuel efficient. ————————————————- Awards & RecognitionAs one of the top Indian brands of cars, Maruti Suzuki has won many national and international awards since it began production. Some of the major accomplishments of Maruti are listed below: 1. Maruti Suzuki Alto received the TNS Voice of Customer Award in 200 8. TNS Global is a market research firm. In the same year Maruti received the CNBC-Autocar India Award in the category Best Value for Money Car for the SX4. It also received the CNBC-Autocar India Best Mid Size Car Award and the CNBC-Autocar India Car of the Viewers’ Choice Award for the SX4.Maruti Suzuki India Limited received The Car Manufacturer of the Year Award in 2008. 2. In 2009, Maruti won the JD Power Asia Pacific Customer Satisfaction Index (CSI) Survey award, the JD Power Asia Pacific Sales Satisfaction Index (SSI) Survey award, the Most Preferred Car Brand Award at CNBC AWAAZ Consumer Award, the Golden Peacock Eco-Innovation Award, and the Gold-Award by India Manufacturing Excellence Awards (IMEA). 3. In 2010, Maruti won the CNBC-TV18 Overdrive Manufacturer of the Year Award and the Autocar Manufacturer of the Year Award. 4.Alto’s â€Å"Boondon Mein† campaign won the Silver medal of the prestigious â€Å"Effie Award† in 2006 and 2007. 5. Alto won the â€Å"Car of the Year† and â€Å"Most Exciting New Car of the Year† by India’s automobile magazine in 2000. Some of the international awards that Maruti has won include the following: 1. Japan – It won the Car of the Year award by the Automotive Researchers' ; Journalists' Conference, the 2005-2006 Car of the Year, the Goof Design Award by Japan Industrial Design Promotion Organization and the 2005-2006 Carview of the Year Award. 2.Iceland & Ireland – Maruti Suzuki won the Car of the Year 2006 given out by the BIBD Association of Automotive Journalists, the Samperit Irish Car of the Year 2006 given out by the Irish Motoring Writer’s Association. 3. New Zealand and Australia – Maruti won the Fairfax AMI Small Car of the Year Award by Autocar, the National Business Review Small Car of the Year Award by The National Business Review and the 2005 Carsguide Car of the Year. 4. Malaysia – Maruti Swift was the winner in the NST Mastercard Car of the Year 2005 â€Å"Small Car† category. 5.China – Maruti Swift won the 2005 CTV COTY â€Å"Economical Car† by CCTV. ————————————————- International Operations Maruti Suzuki is a global company with over 8,500 employees engaged in sales, customer service, manufacturing, and distribution in many countries across the world. It is partly owned by the government of India and partly owned by the Japanese company, Suzuki Motor Corporation. Suzuki Motor Corporation, the parent company owns 54% of Maruti’s shares. Maruti’s cars are of European style but custom-made to cater to the local markets.Maruti Suzuki has launched the Grand Vitara, SX4 and the Swift as part of the worldwide strategy. Maruti Suzuki not only provides hatchbacks, mid and small level cars but also luxury cars. Maruti Suzuki has also launched another concept car called Kizashi which was showcased in the Frankfurt Motor Show and is now available in India. The Grand Vitara, which is an SUV and Kizashi, which is a sports sedan are imported from Japan as completely built units(CBU). Maruti Suzuki is sold in China by Jiangnan Auto. The company has launched the car at Rs. 1. 24 lakhs.Four companies that produced the Maruti 800 in China are: Chang’an Auto, Jiang Nan, Xi’an Tai and Sichuan Auto Maruti Suzuki also has office in Japan. Indian engineers sometimes travel to Japan to work on Maruti cars and Japanese engineers sometimes travel to India to provide their expertise for Maruti Suzuki. ————————————————- Exports Maruti Suzuki exports entry-level models across the globe to over 100 countries and the focus has been on identifying new markets. The company exports to the United Kingdom, Italy, Hungary, Netherlands, Germ any, Latin America, Africa, Philippines and Indonesia.Along with these countries, Maruti also sells its cars to Algeria, Chile, Sri Lanka and Nepal. The company exported 38,000 passenger cars in 2006-2007, around 6. 4 per cent of its total sales. The car that contributes most to Maruti’s export income is the A-Star model. In 2007, Maruti got an export order of 11,000 units of the Zen Estilo to Indonesia and 1,500 units of the Maruti Alto to the Philippines, become the initial car manufacturer to export to South East Asia. Maruti crossed the cumulative half-a-million export mark in February 2008, becoming the first Indian car company to export half-a-million units.Maruti has tied up with the Mundra post for development of port facilities for export shipments through Pune Car Carriers. Maruti started exporting cars from this post in January 2009. Moving to international markets, Maruti has large export volumes to Latin America and the lesser-developed region of Africa. Marutiâ €™s exports have increased by 60% over the years at these two locations. In 2008, in a joint venture between Maruti Suzuki, Mundra Port and the Special Economic Zone, the company exported 1,00,000 units of the A-Star from the Mundra Port.Even though the company exports to all five continents, Europe makes up 56 per cent of Maruti’s cumulative exports as of February 2011, making it the single largest source of export income for the company. The sales figures for the continent of Europe as of February 2011, by country are given below: – Netherlands – 67,700 units – Italy – 41,000 units – United Kingdom – 34,000 units – Germany – 20,000 units – Hungary – 20,000 units ————————————————- Future Plans On May 11, 2011, Maruti announced its plans to design new car models at its Rohtak Plant in India.Th e new car models will be crafted for the next four years for the Indian and International Market. Maruti is experimenting with new car models in an effort to stay ahead of its competition and will be responsible for 25 per cent of Suzuki, its parent company’s, revenues. In the financial year 2010-2011 Maruti Suzuki reported a net sales figure of 37,522 crore rupees. Maruti will invest in a new plant in Gujarat which will produce 6 million units a year which is being done in an effort to make the company the leader in the car market. The company is having a look at different plants as shown by the Government of India.In another effort, Maruti will introduce four new cars in the Indian market: The mass-market hatchback, a utility vehicle, a new and improved Swift, and a unique SX4. The company plans to release the design of the YE3, the hatchback by June-July 2011 while the car will actually be shown in the Auto Expo 2012. The company plans to design the YE3 without any involve ment of Suzuki which is a major feat since most of its cars have been designed in collaboration with Suzuki in the past. The YE3 will be a four-door, four seat hatchback and will be available in a 600-800cc engine and a five speed manual transmission.The company also plans to launch the Maruti R3 under a different name. The Maruti R3 is a Multi-Utility Vehicle that will come in a Rs. 7 lakhs – Rs. 9 lakhs ex-showroom price and is a six-seater compact van strapped with three rows of seats and rear-hinged rear doors. The car will come in both 1. 2 litre K-Series engines and a 1. 6 litre Variable Valve Timing engine, each of which have been present in the popular models of Swift and SX4. The R3 will compare to an Innova. The company plans to sell it in emerging markets. It will be showcased in the Auto Expo 2012.The company plans to get a diesel engine for the car from Volkswagen. The third new model of Maruti, the new Swift will be launched by July 2011 will a 1. 3 litre multi- jet diesel engine and a 1. 2 litre K-Series engine. The new Swift fall in the Rs. 3. 5 – 5. 5 lakhs bracket depending on the model and approximately 17,000 units will be produced each year. Along with coming up with new cars and new plants, Maruti is also expanding its transportation capacity. The company has forged partnerships for this with the Adani group to set up a mega car terminal at the Mundra port.

Muslim views on medical and sexual questions Essay

Trans cozys atomic number 18 plurality who believe that their creative thinker is trapped within the body of psyche who is of the opposite sex. umpteen of them who atomic number 18 unable(p) to have the necessary sex harmonium change operation end up committing suicide. However in the terms of sharia law, it is non allowed for men and women to change their sexuality to the opposite sex. If one and only(a) goes against the sharia law, consequently he/she will be violating the commandments of the Quran and Hadith.The sharia has also gone to the extent where women ar not allowed to dress as men, and men are not allowed to dress as women. It is noted in an Hadith that visionary Muhammed (pbuh) cursed those men who imitated women and those men who imitated women. If one was to undergo a sex change, wherefore he/she will be fixture the natural features and organs that Allah had blessed them with.Many perseverings have problems with their sex lives, so they look the he lp of a relate or in much(prenominal) cases, they are recommended to go to sex counselling sessions. However it is not allowed for Muslim physicians to engage such conversations. If a husband and wife had problems in their sexual lives, whence they would consult a desexualize of their own sex. They should so give a broad bulge outline of their problem and not go into such detail. The Muslim doctor would not be allowed to find out such hard-core details or show the patient videos that demonstrate such sexual feigns.However during sexual therapy lessons, intelligible video films which demonstrate such explicit acts may be shown to the patient. It is totally against the Shariah Law for the patient to watch such explicit acts.Some people bow advantage of mentally retarded people by having sex with them. So in order to reduce the chance of them move pregnant, they rump be sterilized. This is ca pulmonary tuberculosis delinquent to their mental state, they would be unable to dispense for the child. Methods of contraception such as the use of pills can be used rather of using the method of sterilisation as it would mean that all chances of a prospective hope of pregnancy will be lost.It is not allowed for the mental patient to be castrated but euphony can be administrated which would suppress their sexual urges.late(a) studies show that homosexuality is genetically inclined. In Islam, homosexuality is forbidden so it is however a plot from Shaytaan whos heraldic bearing is to make homosexuality more agreeable in our society. The main duty of a Muslim psychiatrist is dissuade his/her patient from indulging in such haram acts. The act of homosexuality has been condemned in the Quran and Hadith.Brain-stem expiration is accepted in the field of medicine as doctors have been entrusted in collateral that a mortal is dead. In Islam, a person is only considered dead when his someone has left its body. The body then becomes frore and stiff. If left f or a long peak of time, then the body begins to decompose. If these signs are visible, then the person is considered to be dead in terms of the Shariah. If these signs are not visible, then the person is not considered to be dead.In this case, whether a brain-stem dead person is dead or not is not relevant. In either case, the persons organs are not allowed to be removed from the body. The organs and limbs of a deceased person belongs to Allah, so the person has no right in deciding as to whom his organs are donated to. If a fellow human is death and the only option of survival is of alimentation another(prenominal) humans limb and another human gladly offers the too, it will not be allowed.