Transsexuals and those who choose gender re-assignment surgery

Transsexuals and those who choose gender re-assignment surgery Free Online Research Papers With the help of modern medicine, many transsexuals throughout the country and globe are able to experience relief from the gender conflicts they experience. Becoming educated about transsexuals and the facts surrounding gender re-assignment surgery are key ingredients for tolerating and accepting this prevailing hamlet. According to the text, â€Å"medical estimates place transgenderism at about 1 in 30,000 for MTF and 1 in 100,000 for FTM. However, many gender activists claim that these figures vastly underestimate the true prevalence and are based on statistics of the number of sex reassignment surgeries performed rather than the overall number of people who are living transgender lives [and] prevalence may be at least 10 times higher† (Hock, p. 385). With numbers this great, and possibly greater, it is highly probable to cross paths with such a person in an educational, social or work setting, and some people may even â€Å"date, have sex with, and even marry a postop erative transsexual and be unaware of the person’s transgender status unless he or she† were to divulge the truth (Hock, p. 386). Ergo, tolerance and acceptance of transsexuals and those who choose gender re-assignment surgery is even more exigent. The first step to achieving a complete understanding of gender re-assignment surgery is briefly educating oneself on the history of transsexuals and gender re-assignment surgery. The concept of transsexuals has been referred to in classic literature by such authors as Herodotus and Shakespeare and â€Å"[w]ell known historical examples of psychosexual inversion span the time from the Roman emperor Caligula to the famous French diplomat Chevalier d’Eon† (Edgerton, Knorr and Callison). In 1830, â€Å"German author Friedreich first called attention to this syndrome in the medical literature†; in 1870, â€Å"Westphal was the first to give a clear and complete description† of transvestism; in 1949, Cauldwell was the first to coin the term transexualism (Edgerton, Knorr and Callison). Regarding the birth of gender re-assignment surgery, there are varying opinions. Some believe that early â€Å"examples relate to practices carried out in ancient cultures. Gender reassignment surgery (GRS) developed from reconstructive procedures for congenital abnormalities. Some surgery was disguised, techniques were not recorded, and operations were carried out in secret† (Goddard, Vickery, Terry). However, it is also argued that even though â€Å"castration has been used throughout recorded history, and penectomies have not been unknown, it is not always clear that people given these operations desired any change of sex† (Edgerton, Knorr and Callison). Therefore, the first documented case of GRS was reported in 1931 by Abraham. (Edgerton, Knorr and Callison) During the 1950s, Sir Harold Gillies and gynecologist Dr. Georges Burou developed the first of two methods for male-to-female gender re-assignment surgery, which â€Å"used invagination of the penile skin sheath to form a vagina†(Goddard, Vickery, Terry). Howard Jones from Johns Hopkins developed the second method of this avant garde concept, which used penile and scrotal skin flaps. Both methods serve as the basis for all male-to-female gender re-assignment surgeries performed today. While development of male-to-female GRS was in progress, Burou was also independently developing female-to-male gender re-assignment surgery in his Clinique du Parc in Casablanca. His method consisted of â€Å"the anteriorly pedicled penile skin flap inversion vaginoplasty† and this â€Å"technique was to become the gold standard of skin-lined vaginoplasty in transsexuals† (Hage, Karim, Laub). According to the text, gender re-assignment surgery has evolved into a multi step process that requires â€Å"psychological counseling, hormone therapy, and a pre-surgical transition period† before surgery can even take place. For both transitions, there are several surgeries that have â€Å"anatomically very realistic† results. A male-to-female gender re-assignment surgery may involve any or all of the following: penectomy (removal of the penis), uroplasty (rerouting of the urethra), orchiectomy (removal of the testicles), vaginoplasty (the use of penile skin to construct labia and a vagina), breast implants, chondrolaryngoplasty (reduces the size of the Adam’s apple) and phonosurgery (raises voice pitch). A female-to-male gender re-assignment surgery may involve any or all of the following: mastectomy (removal of breasts), hysterectomy (removal of uterus, fallopian tubes and ovaries), metadioplasty (creation of small erectile phallus from the clitoris), pha lloplasty (formation of a penis from tissue taken from other areas of the body and transplanted using microsurgical techniques in the genital area; requires a penile implant for erection), uroplasty, scrotoplasty (reshaping and stretching of the labia to resemble a scrotum and the insertion of silicone prosthetic testicles). If performed in the United States, such surgeries can cost anywhere from $18,000 to $50,000 while other countries such as Thailand offer GRS costing anywhere from $7,000 to $10,000.(Hock, p. 386) The first gender re-assignment to receive media attention was the male-to-female re-assignment of Christine Jorgensen. Christine, born a man, lived as George Jorgensen until she had her gender re-assignment surgery in February of 1953. Christine grew up knowing that she was biologically a man but psychologically a woman and after her service in the military ended, she began hormone therapy consisting of the female hormone estradiol. Because of the nescience that enveloped the United States medical community concerning gender re-assignment surgery during the 1950s, Christine found it difficult to find a doctor willing to help her resolve her gender conflict and reach her goals. Eventually, a doctor in Denmark was able to perform surgery that consisted of a bilateral orchiectomy, removal of the scrotum and a penectomy. Several years after this initial surgery, Christine had cosmesis surgery to construct a vagina. As a result of the media coverage she received, Christine became â€Å"a spokesperson for transgender, gay, and lesbian causes† (Hock, p. 386). Sexual and physical health after gender re-assignment surgery is a major concern for candidates. One study conducted by the Department of Plastic Surgery, Ghent University Hospital, Gent, Belgium states that â€Å"[t]actile and erogenous sensitivity in reconstructed genitals is one of the goals in sex reassignment surgery† (Selvaggi, Monstrey, Ceulemans, T’Sjoen, De Cuypere, Hoebeke). The study outlines â€Å"specific surgical tricks used to preserve genital and tactile sensitivity† that focus on the preservation of the clitoris, the inguinal nerve, two dorsal nerves of the clitoris for phalloplasty and preservation of the glans penis, the prepuce and the penile shaft for vaginoplasty. The study states that a â€Å"long-term sensitivity evaluation† was performed on the â€Å"27 reconstructed phalli and 30 clitorises† of the 105 total phalloplasties and 127 vaginoclitoridoplasties performed over a ten year period of time at the Ghent University H ospital. The study concludes that â€Å"all female-to-male and 85% of male-to-female patients reported orgasm† and the tactile sensitivity techniques that are practiced at the hospital are essential for achieving such results. (Selvaggi, Monstrey, Ceulemans, T’Sjoen, De Cuypere, Hoebeke) For obvious reasons, gender re-assignment surgery is a major medical procedure. Any surgery presents the possibility of adverse health effects and urogenital surgical procedures are no different. They can include a variety of issues from urinary tract problems to sensations of phantom genitals to Lupus Erythematosus Tumidus. One study in Japan suggests that through the course of their research, â€Å"several complications occurred such as partial flap necrosis, rectovaginal fistula formation and hypersensitivity of the neoclitoris† (Namba, Sugiyama, Yamashita, Tokuyama, Hasegawa, Kimata). Every person is different and while there are factors that contribute to such problems, it is difficult to predict what adverse effects, if any, someone who elects for these types of procedures will experience. In 2007, a research study based on the hypothesis that Lupus Erythematosus Tumidus can be induced by gender re-assignment surgery was published in the Journal of Rheumatology. The study highlights that the pathology of Lupus Erythematosus Tumidus is both intrinsic and extrinsic. It is stated that â€Å"[t]he intrinsic abnormalities are complicated, with diverse genetic polymorphisms described in different ethnic groups, strongly suggesting that the actual pathology underlying the immunologic disarray might not be the same for each patient† (Zandman-Goddard, Solomon, Barzilai, Shoenfeld). Extrinsic factors are outlined in the same study as the exposure to â€Å"drugs capable of modulating immune responses such as exogenous estrogens.† The study indicates that it is presenting information about â€Å"the first reported case of sex reassignment surgery and the subsequent development of cutaneous lupus† and that the purpose of the report is to â€Å"emphasize t hat environmental triggers including high doses of estrogens as part of sex reassignment surgery may lead to the development of lupus in a nonpredisposed individual.† One study published in Archives of Sexual Behavior , the official publication of the International Academy of Sex Research, observed â€Å"preoperative preparations, complications and physical and functional outcomes of male-to-female sex reassignment surgery† on 232 patients. Each patient had penile-inversion vaginoplasty and sensate clitoroplasty which was performed by the same surgeon using the same technique on each patient. It is reported that almost all the patients stopped hormone therapy and received electrolysis to remove genital hair prior to the gender re-assignment surgery. While none of the patients â€Å"reported rectal-vaginal fistula or deep-vein thrombosis†, at least a third of the patients â€Å"reported urinary stream problems.† (Lawrence) Another problem linked with gender re-assignment surgery is reported episdoes of phantom genitals which is comparable to the phantom limb phenomenon. First described by Weir Mitchell in 1871, phantom limb is the â€Å"vivid sensation of still having a limb although it has been amputated† (Ramachandran, McGeoch). Since these episodes are not restricted to people with amputated limbs, it is reported to also occur â€Å"after amputation of the penis or a breast [and] 60% of men who have had to have their penis amputated for cancer will experience a phantom penis† (Ramachandran, McGeoch). The first documented case of â€Å"‘phantom penis’ was reported by Crone in 1951 (Namba, Sugiyama, Yamashita, Tokuyama, Hasegawa, Kimata). Recent studies have shown that phantom sensations may be a result of â€Å"‘cross’ activation between the de-afferented cortex and surrounding areas† (Ramachandran, McGeoch). Another contributing factor to phanto m limb is that â€Å"our body image is innately ‘hard-wired’ into our brains† and it is interesting to note that â€Å"congenitally limbless patients can still experience phantom sensations† (Ramachandran, McGeoch). In the aforementioned study, researchers hypothesized that â€Å"due to a dissociation during embryological development, the brains of transsexuals are ‘hard-wired’ in manner, which is opposite to that of their biological sex.† Proving or disproving this hypothesis will be essential to â€Å"showing the basis of transsexuality and provide farther evidence that we have a gender specific body image, with a strong innate component that is ‘hard-wired’ into our brains. This would furnish us with a better understanding the mechanism by which nature and nurture interact to link the brain-based internal body image with external sexual morphology† (Ramachandran, McGeoch). With an understanding that this phenomenon plagues a greater pool of people than once assumed, researchers from the Department of Plastic and Reconstructive Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan observed and documented the sensations of phantom erectile penis in 14 male-to-female patients that they performed vaginoplasty surgery on during an almost seven year period. Their conclusions state that just after their gender re-assignment surgery â€Å"some patients feel that their penises still exist, but by several weeks postoperatively, this sensation has disappeared† but that there was one case where the â€Å"sensation of a phantom erectile penis persisted for much longer† (Namba, Sugiyama, Yamashita, Tokuyama, Hasegawa, Kimata). One 52 year old patient who underwent male-to-female re-assignment during this study reported â€Å"the feeling of a phantom erectile penis for over six months and was enhanced when the patient was standing.† After a second surgery, the phantom sensation disappeared. Since transsexuals seeking gender re-assignment surgery are trying to reach a goal that includes lifestyle satisfaction, research has been conducted to find out if gender re-assignment surgery will actually help transsexuals reach this goal. While there are possible adverse physical effects to gender re-assignment surgery, one study says that â€Å"[n]o single complication was significantly associated with regretting SRS. Satisfaction with most physical and functional outcomes of SRS was high; participants were least satisfied with vaginal lubrication, vaginal touch sensation, and vaginal erotic sensation† (Lawrence). Another study also reported on by Lawrence â€Å"examined factors associated with satisfaction or regret following sex reassignment surgery (SRS) in 232 male-to-female transsexuals operated on †over a six year period of time. A vast majority of the patients who participated in this study reported â€Å"that they were happy with their SRS results and t hat SRS had greatly improved the quality of their lives. None reported outright regret and only a few expressed even occasional regret.† While one may feel dissonance as a transsexual, gender re-assignment surgery patients have been proven to be â€Å"better adjusted in life† than those who continue their struggle â€Å"trapped† in the wrong body. (Hock, p. 386) A few issues rarely traversed in the medical field that are pertinent to the understanding and tolerance of transsexuals and gender re-assignment surgery are recommended for further study and observation. For example, there is limited research or published studies concerning transsexuals who have undergone GRS and their adjustment to society, or furthermore, society’s adjustment to them. It would be intriguing to learn if transsexuals feel as though society accepts them more before or after their surgery. Another issue that would be intriguing, is to learn about patients’ postoperative relationships. The text says that a transsexuals new genitals are so anatomically real that it is possible to meet, date, have sex with or even marry such a person without even realizing it. This deserves further study. While a transsexual manages their gender dissonance, gender re-assignment surgery has proven to be a feasible solution. With references in classic literature and well known historical figures, transexualism has been around for hundreds of years. Study and development of gender re-assignment surgeries are relatively new, but the field has many pioneers who are striving to help improve the quality of life for transsexuals across the globe. As with any surgery, gender re-assignment surgery poses several risks, most of them postoperative. Since gender re-assignment surgery is both physically serious and irreversible, and has possible adverse affects such as Lupus, urinary tract issues or even phantom genitalia, the decision to have such procedures is a long process. Beginning with intense psychological preparation, hormone therapy and a period of transition, gender re-assignment surgery can not be completed until all these steps are completed successfully. On a promising note, stu dies conducted on overall satisfaction of patients who receive GRS overwhelmingly show that patients now feel a greater quality of life and are satisfied with their decision of gender re-assignment. References Bullough, 1975. Transexualism in History, Archives of Sexual Behavior, 4(5). January 18, 2009. Edgerton, Knorr, Callison, 1970. The Surgical Treatment of Transsexual Patients, Plastic and Reconstructive Surgery, 45(1). January 18, 2009. Goddard, Vickery, Terry, 2007. Development of Feminizing Genitoplasty for Gender Dysphoria, Journal of Sexual Medicine, 4(4). January 19, 2009. Hage, Karim, Laub, 2007. On the Origin of Pedicled Skin Inversion Vaginoplasty: Life and Work of Dr. Georges Burou of Casablanca, Annals of Plastic Surgery, 59(6). January 18, 2009. Lawrence, 2003. Factors Associated with Satisfaction or Regret Following Male-to-Female Sex Reassignment Surgery, Archives of Sexual Behavior, 32(4). January 19, 2009. Lawrence, 2006. Patient-Reported Complications and Functional Outcomes of Male-to-Female Sex Reassignment Surgery, Archives of Sexual Behavior. January 18, 2009. Namba, Sugiyama, Yamashita, Tokuyama, Hasegawa, Kimata, 2008. Phantom erectile penis after sex reassignment surgery, Acta Medica Okayama, 62(3). January 18, 2009. Ramachandran, McGeoch, 2007. Occurrence of phantom genitalia after gender reassignment surgery, Medical Hypotheses, 69(5). January 18, 2009. Selvaggi, Monstrey, Ceulemans, T’Sjoen, De Cuypere, Hoebeke, 2007. Genital Sensitivity after sex reassignment surgery in transsexual patients, Annals of Plastic Surgery, 58(4). January 18, 2009. Zandman-Goddard, Solomon, Barzilai, Shoenfeld, 2007. Lupus Erythematosus Tumidus Induced by Sex Reassignment Surgery, The Journal of Rheumatology, 34(9). January 19, 2009. Hock, 2007. Human Sexuality, Gender: Expectations, Roles, and Behaviors, 373-374 385-386. Upper Saddle River, New Jersey: Prentice Hall. Research Papers on Transsexuals and those who choose gender re-assignment surgeryInfluences of Socio-Economic Status of Married MalesMoral and Ethical Issues in Hiring New EmployeesResearch Process Part OneMind TravelThe Relationship Between Delinquency and Drug Use19 Century Society: A Deeply Divided EraAnalysis Of A Cosmetics AdvertisementPersonal Experience with Teen PregnancyCapital PunishmentMarketing of Lifeboy Soap A Unilever Product

Applying Models of Health Promotion to Improve Effectiveness of Pharmacist-Led Campaign in Reducing Obesity in Socioeconomically Deprived Areas The WritePass Journal

Applying Models of Health Promotion to Improve Effectiveness of Pharmacist-Led Campaign in Reducing Obesity in Socioeconomically Deprived Areas Abstract Applying Models of Health Promotion to Improve Effectiveness of Pharmacist-Led Campaign in Reducing Obesity in Socioeconomically Deprived Areas ). The multi-factorial nature of obesity suggests that management of this condition should also take a holistic approach and should not only be limited to health promotion models designed to promote individual health. Hence, identifying different models appropriate for communities would also be necessary to address obesity amongst socio-economically deprived families. One of models that also address factors present in the community or environment of the individual is the ecological approaches model (Goodson, 2009). Family, workplace, community, economics, beliefs and traditions and the social and physical environments all influence the health of an individual (Naidoo and Wills, 2009). The levels of influence in the ecological approaches model are described as intrapersonal, interpersonal, institutional, community and public policy. Addressing obesity amongst socio-economically deprived individuals through the ecological approaches model will ensure that each level of influence is recogn ised and addressed. Pharmacist-led Campaigns in Reducing Obesity The health belief, stages of change and the ecological approaches models can all be used to underpin pharmacist-led campaigns in reducing obesity for communities that are socio-economically deprived. Blenkinsopp et al. (2003) state that community pharmacists have a pivotal role in articulating the needs of individuals with specific health conditions in their communities. Pharmacists can lobby at local and national levels and act as supporters of local groups who work for health improvement. However, the work of the pharmacists can also be influenced by their own beliefs, perceptions and practices. Blenkinsopp et al. (2003) emphasise that when working in communities with deprived individuals, the pharmacists should also consider how their own socioeconomic status influence the type of care they provide to the service users. They should also consider whether differences in socio-economic status have an impact on the care received the patients. There should also be a consideration if th ere are differences in the culture, educational level and vocabulary of service users and pharmacists. Differences might influence the quality of care received by the patients; for instance, differences in culture could easily lead to miscommunication and poor quality of care (Taylor et al., 2004). Bond (2000) expresses the need for pharmacists to examine the needs of each service user and how they can empower individuals to seek for healthcare services and meet their own needs. In community settings, it is essential to increase the self-efficacy of service users. Self-efficacy is described as the belief of an individual that they are capable of attaining specific goals through modifying their behaviour and adopting specific behaviours (Lubkin and Larsen, 2011). In relation to addressing obesity amongst socio-economically deprived individuals, pharmacists can use the different models to help individuals identify their needs and allow them to gain self-efficacy. For example, pharmacists can use the health belief model to educate individuals on the consequences of obesity. On the other hand, the stages of change model can be utilised to help individuals changed their eating behaviour and improve their physical activities. Uptake of behaviours such as healthy eating and increasing physical activities are not always optimal despite concerted efforts of communities and policymakers (Reilly et al., 2006). It is suggested that changing one’s behaviour require holistic and multifaceted interventions aimed at increasing self-efficacy of families and allowing them to take positive actions (Naidoo and Wills, 2009). There is evidence (Tucker et al., 2006; Barkin et al., 2012; Davison et al., 2013; Zhou et al., 2014) that multifaceted community-based interventions aimed at families are more likely to improve behaviour and reduce incidence of obesity than single interventions. Community-based interventions can be supported with the ecological approaches model. This model recognises that one’s family, community, the environment, policies and other environment-related factors influence the health of the individuals. To date, the Department of Health (2010) through its Healthy Lives, Healthy People pol icy reiterates the importance of maintaining an active and healthy lifestyle to prevent obesity. This policy allows local communities to take responsibility and be accountable for the health of its community members. Pharmacists are not only limited to dispensing advice on medications for obesity but to also facilitate a healthier lifestyle. This could be done through collaboration with other healthcare professionals in the community (Goodson, 2009). A multidisciplinary approach to health has been suggested to be effective in promoting positive health outcomes of service users (Zhou et al., 2014). As discussed in this essay, pharmacists can facilitate the access of service users to activities and programmes designed to prevent obesity amongst members in the community. Finally, pharmacists have integral roles in health promotion and are not limited to dispensing medications or provide counselling on pharmacologic therapies. Their roles have expanded to include providing patients with holistic interventions and facilitating uptake of health and social care services designed to manage and prevent obesity in socio-economically deprived individuals. Conclusion In conclusion, pharmacists can use the different health promotion models to address obesity amongst individuals with lower socioeconomic status. The use of these models will help pharmacists provide holistic interventions to this group and address their individual needs. The different health promotion models discussed in this essay shows that it is crucial to allow service users gain self-efficacy. This will empower them to take positive actions regarding their health. Finally, it is suggested that a multi-faceted, community based intervention will likely lead to a successful campaign against obesity. References Adams, J., Tyrrell, R., Adamson, A. White, M. (2012). Socio-economic differences in exposure to television food advertisements in the UK: a cross-sectional study of advertisements broadcast in one television region. Public Health Nutrition, 15(3), 487-494. Barkin, S., Gesell, S., Poe, E., Escarfuller, J. Tempesti, T. (2012). Culturally tailored, family-centred, behavioural obesity intervention for Latino-American Preschool-aged children. Pediatrics, 130(3), 445-456. Blenkisopp, A., Panton, R. Anderson, C. (2000). Health Promotion for Pharmacists, 2nd ed. Oxford: Oxford University Press. Blenkisopp, A., Andersen, C. Panton, R. (2003). Promoting Health.   In: K. Taylor G. Harding (Eds.), Pharmacy Practice (pp. 135-147). London: CRC Press. Bond, C. (2000). An introduction to pharmacy practice. In: C. Bond (ed.), Evidence-based pharmacy (pp. 1-21). London: Pharmaceutical Press. Davison, K., Jurkowski, J., Li, K., Kranz, S. Lawson, H. ((2013). A childhood obesity intervention developed by families for families: results from a pilot study. International Journal of Behavioral Nutrition and Physical Activity, 10(3). Retrieved November 21, 2014 from ijbnpa.org/content/10/1/ De Silva-Sanigorski, A. (2011). Obesity prevention in the family day care setting: impact of the Romp Chomp intervention on opportunities for children’s physical activity and healthy eating. Child Care, Health and Development, 37(3), 385-393. Department of Health (2009). Change4Life. London: Department of Health. Department of Health (2010). Healthy Lives, Healthy People. London: Department of Health. Department of Health (2011). The Eatwell Plate. London: Department of Health. Goodson, P. (2009). Theory in health promotion research and practice: Thinking outside the box. London: Jones Bartlett Learning. Jones, S., Mannino, N. Green, J. (2010). Like me, want me, buy me, eat me’: relationship-building marketing communications in children’s magazines. Public Health and Nutrition, 13(12), 2111-2118. Lubkin, I. Larsen, P. (2011). Chronic illness: impact and intervention. London: Jones Bartlett Publishers. Levin, B., Hurd, P. Hanson, A. (2008). Introduction to public health in pharmacy. London: Jones Bartlett Publishers. Naidoo, J. Wills, J. (2009) Foundations for health promotion. London: Elsevier Health Sciences. Public Health England (2014). Trends in Obesity Prevalence. Retrieved November 21, 2014 from noo.org.uk/NOO_about_obesity/trends Reilly, J., Montgomery, C., Williamson, A., Fisher, A., McColl, J., Lo Conte, R., Pathon, J. Grant, S. (2006). Physical activity to prevent obesity in young children: cluster randomised controlled trial. British Medical Journal, doi: 10.1136/bmj.38979.623773.55 Retrieved November 21, 2014 from bmj.com/content/333/7577/1041.full.pdf+html Taylor, K., Nettleton, S. Harding, G. (2004). Sociology for pharmacists: An introduction. London: CRC Press. Tucker, P., Irwin, J., Sangster Bouck, L., He, M. Pollett, G. (2006). Preventing paediatric obesity; recommendations from a community-based qualitative investigation. Obesity Review, 7(3), 251-260. Zhou, Z., Ren, H., Yin, Z., Wang, L. Wang, K. (2014). A policy-driven multifaceted approach for the early childhood physical fitness promotion: impacts on body composition and physical fitness in young Chinese children. BMC Pediatrics, 14: 118 Retrieved November 21, 2014 from ncbi.nlm.nih.gov/pubmed/24886119

buy custom Cost Minimization Algorithm essay

buy custom Cost Minimization Algorithm essay To ensure that the web services provided are efficient and cost effective, the QoS has to be implemented so as to derive an algorithm with lower and upper limits. Given that S represents the number of inquiries made into the system at any given time t, then the total number of service requests inquired at any given time t, becomes SRt. From this, it can be deduced that the cost of the service, Cs, is given by; Cs = SRt S Since the main goal is to achieve the highest service exploitation at the least cost possible, let Es be the service exploitation and SA be the number of stops reached for every request made. Thus the service exploitation, Es is given by; Es= SAt S From these, the algorithm for the competence of the services, Cs can be derived as; SC = Es = SAt Cs SRt Now since the main objective is to reach as many stops as possible while maintaining the service at a low cost, a conscience should be reached between ES and CS. assuming that the total number of stops is N and that all the stops in the clusters are reachable, then two clusters can be described as 2/3N and 1/3N. Thus when one service request is made, the service competence becomes; 1/3N 2/3N =N/2 Consequently, assuming that there are G (t) groups at any time t, then service competence can be redefined as; SC = Es = SAt Cs SRt Meanwhile, SRt should be maintained at levels that less than or equal to G (t). Analysis Idyllically, in any ad-hoc network that has N number of stops and G (t) groups at any given time t, then there must exists a perfect clustering algorithm that is accurate enough to classify all stops into groups. When one stop is chosen as the representative stop for every group for the purpose of an acclimatizing service, then SC and Cs can be redefined as; SC = SAt and Cs = G (t) G (t) In the case that all the stops are able to reach the representative stops in their respective groups at a time t0, then SAt0 =S, and SC = SAt0 = SA/C (t0) G (t0) This therefore becomes the maximum value of service achieved. However, this may not always be the case since an expected probability that some stops in the same cluster may not be reachable from the service request may exist. This dissertation is intended to be completed in fifteen weeks. The first three weeks will be for making notes on all the research done pertaining to the study as well as identifying the appropriate web services and platforms that will be used for the experiment. A draft will then be made from these notes and the findings. The following three weeks will comprise of further research and preparation of a second draft based on the first research and the results drawn from the experiment. The next seven weeks will be allocated for completion of research and preparation of a final draft. And finally, the last two weeks will be set aside for completion and binding of the final dissertation for presentation. Since the data stored comes in many forms, resides in numerous devices and is accessed by many users, there is no single solution to the protection of this data. The solution is multi-phased just as the problem is therefore appropriate policies should be defined, enforced and monitored so as to ensure maximum data protection. Since it has been discovered from the research that most of the search results are below standard and as a result they do not successfully meet the users requirements. So as to ensure that the search results meet the standards of the users, the current technology used in searching should be improved. Appropriate schema for automatic data classification should be invented so as to enable automatic classification of data into searchable categories. This will not only improve the search but the accuracy of the results as well. Unstructured data that has not been accessed for long periods of time should be deleted from the dynamic databases so as to create more spac e for active data. For as much as new technologies are invented to ensure quality protection of unstructured data, individuals should also be educated on the risks of storing their data in unsecured databases. Governments should impose new policies on privacy of data so as to ensure that data stored in the cloud is well protected. Data protection should be both in transportation and at rest. But before this is put into consideration, apposite tools have to be development so as to determine what the current abilities are e.g. whether they can deliver as expected or they can only work on restricted cases. Data should be categorized in a manner that it will be simple and efficient to locate and search. The eminence of internet-based and rich media applications has led to the sudden growth of unstructured data, formless data that includes PDF files, slide decks, videos, web pages, images, MP4 and Mp3 files and word documents among others, that in turn require secure and more reliable storage and retrieval solutions. Even though several researches have been done, sufficient research has not been conducted on the scalability and dependability of web services. The objectives of this thesis include; the determination of a Confidentiality Integrity Availability (CIA) assurance model as well as to come up with a new algorithm that is scalable for the minimization of web service cost using the Service Level Agreement (SLA) and the Quality of Service (QoS). All the objectives have successful been met; service competence has been obtained while maintaining minimum cost of exploitation. Buy custom Cost Minimization Algorithm essay

Top Ten Countries Research Paper Example | Topics and Well Written Essays - 500 words

Top Ten Countries - Research Paper Example Our management team found that none of the ten most populous countries are included in the list of the top ten countries for population growth. Indeed, China is in 152nd place for population growth, while India takes 86th place. The United States is 114th; Indonesia is 111th; Brazil is 104th; Pakistan is 75th; Bangladesh is 76th; Nigeria is 59th; Russia is 223rd; and Japan is 215th (Central Intelligence Agency, 2002). The top ten countries for population growth are (in descending order): Zimbabwe, Niger, Uganda, Turks and Caicos Islands, Burundi, United Arab Emirates, Gaza Strip, Ethiopia, Western Sahara, Burkina Faso (Central Intelligence Agency, 2002). Zimbabwe is 72nd in population; Niger is 62nd; Uganda is 36th; Turks and Caicos Islands is 209th; Burundi is 81st; United Arab Emirates is 114th; Gaza Strip is 149th; Ethiopia is 13th; Western Sahara is 170th; and Burkina Faso is 61st (Central Intelligence Agency, 2011).

Services Directive Essay Example | Topics and Well Written Essays - 1750 words

Services Directive - Essay Example Services Directive The first of these is that the implementation of the application of the country of origin principle, which requires that only the law of the country in which the service provider is located should be applicable. Further, it enjoins upon the Member States not to restrict in a discriminatory way services from a provider established in another Member State. Second, empowering citizens to use the services provided by any other Member State without being delayed or discouraged by restrictive measures imposed by their country. Third, creation of a mechanism to provide assistance to citizens who use a service provided by an operator established in another Member State and fourth, the allocation of tasks between the Member State of destination and origin, in respect of the posting of workers. This directive is not applicable to non – economic and non – remunerated activities. Hence, it is not applicable to the non – remunerated activities of the governments of Member states in respect of its cultural, educational, legal and social commitments towards its citizens . The origins of this directive lie in the questions thrown up by the incident described in the next few lines; a liqueur, Crà ¨me de Cassis, was not allowed to be imported and sold in Germany by the importers Rowe-Zentral AG. The reason for this was cited as low alcoholic content for that particular type of alcoholic drink. The importer approached the European Court of Justice, which challenged the validity of national legislation that was attempting to introduce non – tariff barriers to trade. ... The importer approached the European Court of Justice, which challenged the validity of national legislation that was attempting to introduce non - tariff barriers to trade.2 One of the main bastions of the free movement of goods within the EU is the principle of mutual recognition. Its genesis lies in the above cited EU Court of Justice famous Cassis de Dijon judgment of February 20, 1979. This principle requires that, every Member State to accept products on its territory which are legally produced and marketed in another community Member State. The right of Member States is restricted to challenging this principle in cases involving risk to public safety, health or the environment. In such cases the measure taken must be in conformity with the principles of necessity and proportionality. On the 4th of November 2003, the European Commission published a communication aimed at illuminating the principle of mutual recognition.3 A businessman is often forced to abstain from selling a product, which does not satisfy the technical rules of that Member State, owing to ignorance as to how to proceed in such a discriminatory situation. A technical rule gives the specifications which define the features necessary in a product like its composition, presentation, packaging, labelling etc. The aim of this communication is to spell out the rights and methods of appeal which economic operators may derive from the principle of mutual recognition, when they encounter such difficulties. On the whole, wherever provisions of a national law are incompatible with the principle of mutual recognition, the national courts and administrations have to guarantee the full impact of the principle by removing, of their own

A day in the life of budget analyst Essay Example | Topics and Well Written Essays - 1250 words

A day in the life of budget analyst - Essay Example From this quote it is very clear that budget analysts must be such like a bird who have good voice mean he must have such skills that the whole organization can get benefit from it. Financing is the most important in every organization because no organization can run without the finance. So the management of the finance is very much important. He provides benefits of its analytical skills, communication skills, detailed oriented skills, mathematical skills, writing skills to all the organization. He makes budget, interpret its each item carefully so that a single mistake of him can lead to a disastrous loss. For this purpose organization hire budget analyst. Budget analyst also called budget coordinator, budget examiner, budget officer, chief financial officer and treasurer (Gloria. A 1987). In simple words we can say that budget analyst help the public and private organizations in managing their finance. They prepare budget reports and monitor the institutional spending. The budget is prepared monthly, quarterly, semiannually and on yearly basis (Ross & Firth 1987). The life of a budget analyst is very difficult. Here I will discuss a day in the life of budget analyst. Budget analyst performs the following duties in a day of his life: Work with project manager and discuss the organization’s budget ... Analyze the data to determine the costs and benefits of different projects from where future inflows are expected. He may give suggestions of program spending cuts and redistribution of extra funds. Top executive take decision on the work of budget analyst so the budget analyst who makes reports and budgets must give true picture about the organization’s inflows and outflows. He communicates its suggestions and opinions to officials. If there is any difference between desired budget and actual budget then he make a report to officials in which he explain the reasons of variation and give suggestions for reconciliation of actual and desired budget. He provides policy analysis and draft budget related legislation (Gloria. A 1987). Budget analyst has the following skills to perform its routine task. Analytical skill-He has ability to understand the things and of its interpretation as well. Communication skills-to defend its interpretation because there is need of explanation of t he results Detail oriented-ability to make explanation of every item of the budget Math skill-strong accounting skills and strong grip on finance usage of database software Writing skill-make such a budget and the interpretation of it are easily understandable to the others. He works in office. His shift is full time. But sometimes he has to do some extra work when the review of budget is made. He has normally bachelor’s degree but some organizations prefer that analyst have master’s degree. Because preparing the budget is not a simple task. For the development of budget strong numerical and analytical skills are required. These analytical skills are statistical techniques or accounting methods. He must have strong grip in finance. For the govt.

Interpreting Films and Analyzing Film Elements Essay

Interpreting Films and Analyzing Film Elements - Essay Example Indeed, when many people read lists of the 100 best movies they are often dumbfounded at the inclusion of many films they deem boring or plain bad. Similarly, many film critics will pan Hollywood blockbusters that go on to make millions of dollars. However, in film analysis the writer must go beyond these simple constructs and delve into the filmmaker’s thematic and stylistic intentions. This essay considers varying means by which academic film analysis can be achieved, with specific emphasis on thematic elements, visual elements, and editing, and also posits a personal perspective on the task of analyzing a film for its artistic qualities. One of the central areas of importance in film analysis concerns the examination of a film for its thematic elements. In these regards, films can be read similar to the means by which one would analyze a work of literature. While there are undeniable similarities between film and novels, writers (Boggs 2006) have argued that there is a distinct difference between examining theme in terms of a film and theme in terms of a novel; while the novel represents theme through an idea, for film the theme is understood as the central unifying concept of the entire text. Another feature that is notable when examining films are the varying stylistic devices that the filmmaker has at their disposal. They include, â€Å"1) plot, 2) emotional effect or mood, 3) character, and 4) style or texture† Boggs (2006, pg. 20). Indeed, it’s understood that while all these elements will exist within a film, the filmmaker will choose to emphasize one specific element over the others. It follows that in analyzing a film, one must determine which elements the filmmaker has chosen to analyze and for what purpose. While these theme elements seem like simple distinctions, the difference between a film that emphasizes plot over style or texture can be drastic; consider for instance the plot driven narrative in a film such as Raiders