Economics in Mexico Essay Example | Topics and Well Written Essays - 1250 words

Economics in Mexico - Essay Example However, the 2008 recession affected Mexico and other Latin American nations making its Gross Domestic product contract by more than six percent. Regardless of unprecedented macroeconomic stability that reduced the record of inflation and interest rates to be low, this has made the per capita income increase leading to enormous gaps between populations living in rural areas and urban areas, states on the northern part and the southern part, and between the rich and the poor. Some of the main challenge the Mexican government faces include improvement in infrastructure, modernizing revenue collection system, changing the labor laws and reduction of inequality of the income (Cantwell et al.). Mexico’s economy contains industrial and services sectors that are rapidly growing as well as an increasing private ownership; at the ports, the administration has increased competition, and other things such as distribution of natural gas rail roads, generation of electricity, airports and telecommunications have also increase. The economy of Mexico is often export oriented and over 90% of business that are conducted in Mexico are under free trade agreement with over forty countries that include Israel, Japan, Central America, etc. NAFTA is one of the most influential free trade agreements that are used in Mexico beginning 1994; some of the governments that signed into NAFTA include the United States and Canada. 90% of all the exports and 55% of all the imports that took place in 2006 was between Mexico and two northern partners; there has been an approval of the judicial reforms and import tax from the Congress of Union while the reforms regarding oil industry is still under debate. The labor force of Mexico is seventy eight million and World Trade Organization and OECD rank Mexico’s workers as one of the hardest working globally in numbers of hours worked a year although the profitability per man-hour is relatively low (Cantwell et al.). Mexico is ranked the 16th largest exporter and 82% of all the exports got to the United States, trade with both Canada and the United States has tripled after NAFTA was implemented in 1994. The products manufactured and exported from Mexico is equivalent to the amount of goods produced by all the other Latin American states combined together; hence a large percent of foreign trade takes place in Mexico’s economy as compared to any other large country. Manufactured products are Mexico’s number 1 exports and the country has recently built its infrastructure in order to enhance trade with other countries. Carlos Helu owns a telecommunication company in Mexico and is considered one of the world’s richest men; his company is however a monopoly in Mexico and it controls 70% of all mobile phones, 70% of broadband and 80% of home phones lines. There are concerns that the lack of competition in the telecommunications sector is hampering economic growth and mobile phone penetration in Mexico is similar to that of Iraq at 85%. In Mexico, its costs double to have broadband connection and this is similar to Chile, and things that are near monopolies include the Bimbo, Televisa and Cemex. Mexico is ranked the ninth in oil production and it exports over three million barrels daily; this is less than that of Iraq, Canada, and China but is more when compared to that of Nigeria, Venezuela and Kuwait. Pemex is the country’

Obama and the Presidency Essay Example for Free

Obama and the Presidency Essay It has been said that every presidential election is historical, and for all intents and purposes that is correct. But that particular statement could not have been more apt than now, with the election of Barack Obama to the presidency. The past presidential election is crucial to our country, primarily because these are extraordinary times. Along with economic recession –which has seen more and more loss of homes and jobs – there are likewise problems left by the preceding government that cannot be ignored. These factors are the root of Barack Obama’s win, and have made him the best candidate for the post. Polls conducted prior to the November 4 elections have seen Americans in the working class leaning towards Obama’s camp, and for good reason. Coupled with a clear, plausible, and practical plan which addresses the recession is the fact that Obama is someone that the average American can relate to. We’ve all heard of his life story, his background; we are aware of the obstacles he has and could have faced. There is a feeling of kinship that arises when we hear him talk of his childhood in Hawaii and Indonesia, of being raised single-handedly by his mother. As such, the average American will likely see him as not only a Harvard-educated politician, but someone who understands the plight of the less fortunate. He is seen as someone who can respond to the country’s problems skillfully and more importantly, aptly. Obama will be taking the helm of a problem-riddled government, and this is not just pertaining to the economy. The Bush administration will be leaving him with the huge responsibility of restoring not only the image of this country but more importantly, restoring peace and strengthening foreign relations with the war waged by Bush in the background. These are not easy tasks, surely; but the future seems bright for the newly-elected President. Already, foreign countries have expressed satisfaction over his election, with some even going as far as saying that his victory has been foreseen long before the beginning of the elections. Such a positive feedback is refreshing, and we can expect that with Obama at the forefront, our ties with other countries will be stronger and for some, renewed. With regard to the war, it is a good thing that at last, our brothers who are laying their lives on the line will be coming home. The war the previous administration has waged has yield nothing but negative results, and it is about time that the troops be pulled out before more blood is shed for a futile undertaking. Scores ago an African-American president would have been unthinkable; and until now, there are still traces of discrimination in this country that boasts of freedom as its most valued treasure. Obama’s historical ascent to the White House is a landmark of change and hope: change, in that he has broken the African-American stereotypical images that are still very much prevalent in society; hope, in that with his election, the remaining buds of racial discrimination will be nipped. On a grander scale, Obama’s presidency does not only signal the beginning of change (or â€Å"change we can believe in†) – it IS a symbol of change. This symbolism could not have come at a better time, not only for the American people but perhaps, for the world. On a smaller scale, Obama’s election is monumental for members of the minority – who came to this country with dreams of leading better lives – and for African-Americans, both of which are still fighting for equality in this country. It may be argued that the United States has come a long way from its history of slavery, and that racial discrimination is not as prevalent now as it was before. But it can likewise be argued that inequality is still there. With Obama’s election, the invisible barrier that has prevented these people from dreaming big and living their dreams has been shattered. How? With the mere act of electing him into office, the African-American stereotype was lifted: African-Americans can now dream of leading the most powerful country in the world – a vision that has remained unimaginable until now. And for other members of the minority – immigrants from Asia, and other countries – the election of Obama is more than welcome, what with his plans of rewriting immigration laws to see past race and country, and to look more into the abilities of those who seek refuge and chase dreams in the United States of America. As for the rest of the world, Obama’s presidency is also a hallmark of change. As said, his election to office has been welcomed by other countries, and has been met with celebration in all corners of the globe, not only for the American people but for countries that look to the President of the United States for leadership. There has not been much to look up to in the previous administration a fruitless war was waged, and bigger problems like the recession and climate change remained unanswered, or if answered, well, they were addressed unsatisfactorily. With Obama, it might be a different story. It has been reported that even hard-to-please academic analysts have hailed his election, and have provided positive feedbacks with regard to his ability to lead the nation and the rest of the world. He is not a superhero, of course, but if he follows through with his campaign promises, at least one or two of the bigger problems we – and the rest of the world – are experiencing can be solved. And that is good enough. In his speech in Chicago, Obama told more than 200,000 people gathered in Grant Park in celebration: If there is anyone out there who still doubts that America is a place where all things are possible, who still wonders if the dream of our founders is alive in our time, who still questions the power of our democracy, tonight is your answer. Indeed, with Obama’s election to the office of the president of the United States, history was made. More importantly, when he formally takes office on the 20th of January, he will make history. He has, after all, been dubbed as the â€Å"extraordinary man for extraordinary times†.

Dilutional Hyponatremia During Intrauterine Adhesion

Dilutional Hyponatremia During Intrauterine Adhesion Severe dilutional hyponatremia in a patient during hysteroscopic of intrauterine  adhesion : A case report YE Yuzhu, LIN Lina Abstract Hysteroscopy is a minimally invasive procedure for the patients of intrauterin adhesion, but may result in potentially disastrous complication labeled transurethral resection of the prostate (TURP) syndrome. Excessive absorption of large scale of distension media under high inflow pressure by openings of venous channels in endometrium, the large volume of transfusion fluid that is beyond the modulation ability of body may produce the most dangerous situation of severe hyponatremia, hypervolemia and hypoosmolality. The consequence of hysteroscopy is mainly determined by the type of distension medium, irrigation pressure,condition of endometrium, preoperative catheterization, type of electrode system and duration of the surgery. A case of hysteroscopic resection of intrauterine adhesion in which severely symptomatic hyponatremia and hypervolemia happended with epidural anesthesia is presented. Key words: Hysteroscopy, hyponatremia, distension medium, infusion pressure, TURP (transurethral resection of the prostate ) syndrome. Introduction Hysteroscopy technique in the detection and treatment of intrauterine diseases plays an dominant role because of its unique feature of minimal invasion and remains the â€Å"gold standard† mean for the diagnosis of uterine disease, but may result in potentially disastrous complication known as TURP syndrome or hyponatremia and hypervolemia. A hysteroscopy precdure requires an intrauterin installation inserting into the uterine cavity accompanied by a suitable type of distention medium including dextrose 5% in water (D5W), 2.7% sorbitol, 0.54% mannitol and saline for the visualization of intrauterine situation. The most common fluid used clinically is D5W for its distinct features of low-viscosity, electrolyte-free, safety and lower cost. TURP syndrome appears when large scale of distension media (D5W) is overly absorbed including the following clinical signs: dyspnea, headache, nausea and vomiting, coma, and even can progress to cerebaral and pulmonary edema. Signs and syndrom es are nonspecific when the conditon is in its early stages and, as a result, it’s easy to be ignored. Vigilance and communication of the whole medical team is extremely required to avoid state of illness aggravating. Early management must be rendered as soon as possible for the critically ill patients by anesthetists. We report a case of a 36-year-old woman who developed TURP syndrome during hysteroscopic of intrauterine adhesion herein. 2. Case Report A 36-year-old, weight 62 kg , no medication or coexisting diseases, ASA physical status II , underwent hysteroscopy treatment because of her reiterative intrauterin adhesion during epidural anesthesia. Past surgical history revealed four times of previous hysteroscopies within the year, both of which were aimed to remedy for her secondary infertility but failed in acquiring satisfactory therapeutic efficacy. There were no positive fingds on the preoperative physical examination and normal values in laborarory results included blood routine test and plasmic electrolytes, and the concerntrations of sodium ion, potassium ion and blood glucose level were 139 mmol/L, 3.47 mmol/L and 4.0 mmol/L, respectively. A 12-lead electrocardiogram showed sinus rhythm. Upon arrival to surgical operating room, 500 ml lactated Ringers solution was dripped intravenously as maintenance fluid after standard monitors were placed. The heart rate was 76 beats per minute, respiratory rate was 18 breathes per minute and the oxygen saturation was 99%. Contiuous epidural anesthesia was performed successfully with 0.5% lidocaine and 0.375% ropivacaine 15ml totally within 15 minutes. Then the patient was placed in lithotomy position and no catheterization was offered because of the short operation period we had anticipated preoperatively although she expressed her micturition desire. The surgery initially proceeded unevenfully with very steady state of hemodynamics. 8,000 mL D5W as the irrigation fluid was delivered throught the hysteroscope by gravity pressure (60cm above the patient), and the irrigation pressure for uterine cavity distending was 150 mmHg. Monopolar electrode system was selected for endometrium resection, and controled the watts of electroresec tion and electrocoagulation within 40 60 watts and 60 80 watts, respectively. Simultaneous ultrasonographic monitoring was used to identify the sickness of uterus wall and uterine cavity size. A total of 1,000 mL of lactated Ringers solution was infused during the 70 minutes of surgery, with a total blood loss of 20 mL. Twenty minutes before the termination of surgery , the patient complainted of difficulty in breathing with simultaneous polypnea, shiver, and sensations of vertigo and nausea. Oxygen saturation dropped from 98% to 90% and recoverd soon after mask oxygen inhalation. Thereupon tramadol 50 mg was administered intravenously, and excellent effect obtained. Approximately 300 mL output of urine when the bladder was squeezed incautiously by ultrasound probe and the patient vomited once just the procedure completed. The patient appeared haziness of spirit-mind but responded appropriately to verbal stimulate. A dorsalis pedis artery blood sample was obtained from the patient , and electrolytes were reported using a blood-gas analyzing device. Results as follows: PH 7.31; Na+, 115 mmol/L; K+, 3.0mmol/L; ionized Ca2+, 0.93 mmol/L; Glucose, 27.8 mmol/L; HCO3—, 18.6 mmol/L. Based on the symptoms mentioned above, TURP syndrome was suspected. An indwelling urinary catheter was inserted immediately and 1,800 mL urine output was collected totlly at twice. A mixture of 50ml 10% saline and 100ml 0.9% saline was dripped to raise sodium concentration, meanwhile metoclopramide 10 mg was used for anti-nausea. But there were no diuretic and insulin used in case of aggravating of hypokalemia. Oxygen saturation maintained in 92% after oxygen mask was removed and with a progressive rise. Vital signs on permission to PACU were as follows: blood pressure, 126/79 mmHg; heart rate, 79 beats per minute; breathing rate, 20 breaths per minute; and oxygen saturation, 96%. The patient was transported to postanesthesia care unit (PACU) for continued treatments and review of blood gas analysis. On our arrival into PACU, arterial blood gas (ABG) analysis was performed when the venous transfusion of the hypertonic saline solution ended, revealing PH 7.36; Na+, 127 mmol/L; K+, 3.0mmol/L; ionized Ca2+, 1.0 mmol/L; glucose, 22.9 mmol/L; HCO3—, 21.5 mmol/L; BE, -3.6 mmol/L. The patient still had low sodium and potassium level from ABG, a mixture of 100ml 10% saline and 100ml 0.9% saline containing potassium chloride 0.5 g was supplemented in low-speed intravenously. Nurse anesthetist was asked to record vital signs every 15 minutes. 16:15~18:05, the patient got her vital signs stablized gradually and oxygen staturation could maintain over 95%. Review of her blood gas analysis showed: PH 7.36; Na+, 137 mmol/L; K+, 3.4mmol/L; ionized Ca2+, 1.0 mmol/L; glucose, 7.2 mmol/L; HCO3—, 23.2 mmol/L; BE, -3.6 mmol/L. The patient recieved 500 ml lactated Ringers solution totally in PACU, with a total urine output of 850 mL(data from PACU anesthetic chart), and sent back to the ordinary ward without any complaints and Alderete scores 10. 2. Discussion Hysteroscopy has gained widely used in diagnostic and therapeutic in gynecologic surgery for many special advantages, but is not devoid of risks especially when hysteroscopy is applied to resection of extensively endometrial lesion. Excessive absorption of irrigation fluid during hysteroscopic surgery from uterine cavity is the main cause of TURP syndrome or water intoxication, of which reported incidence is 0.2% [1]. The TURP syndrome mainly has clinical symptoms in cardiovascular system, respiratory system and nervous system including elevation of blood pressure, bradycardia, dyspnea, pulmonary edema, cerebral hemia and even death. The severity of consequence is associated with multiple factors, analysis of this case were as follows. The patient’s uterine cavity has low compliance and severe adhesion, so an intrauterine pressure (IUP) of 150 mmHg is required to obtain excellent visual conditions of bilateral tubal orifices. 8,000 mL D5W as the irrigation fluid is delivered i nto uterine for uterine distension in 70 minutes operation time. Based on clinical research, the absorptivity of distension media by body is within the range of 10 30 ml/min only when the irrigation pressure is less than 100 mmHg [2]. Therefore, we estimated 700 2,100 mL D5W is absorbed into circulatory system approximately, along with an infusion of 1,000 mL lactated Ringers solution. As a result, 1,700 3,100 mL is administered into blood intravenously at least, and even more. Hyperglycemia caused by excessive absorption of D5W produces hyperglycemic hyperosmolar status and then makes intracellular fluid transfers to outside the cell, which bings about exacerbating of hyponatremia status. The patient received high frequency hysteroscopy procedure in the short term leads to large-scale and severe damage of endometrium, allowing the distension fluid entering into blood circulation more easily, which contributes to hypervolemia in a more faster pace. As one of essential factors, ex cessive irrigation pressure plays a crucial role in distension fuild over absorption in the condition that endometrial venous sinus are widely open in hysteroscopic electric resection. In our case, we have to raise the pressure to 150 mmHg for a clear surgical vision of uterine cavity, therefore, rendering excellent chance for fluid entering into body. No catheterization was performed preoperatively, thus a large amount of fluid accumulates in bladder and circulation system. To sum up, in this case, fluid overload, hyperglycemic hyperosmolar status, high intrauterine pressure, disruption of endometrial vessles and lack of preoperative catheterization lead to a significant increasement of circulating volume and a sharply reduce of plasma colloid osmotic pressure. Extracellular free water in brain are transported from the outside to the inside of the cell, which results in cerebral edema and causes intracranial hypertension. A serious of neurological syndromes develop including dizzin ess, headache, nausea, vomiting, and haziness of spirit-mind. Likewise, as a consequence of irrigation fluid overload and dilution of the plasma protein concentration, pulmonary hydrostatic pressure elevated, leading to the accurrence of acute pulmonary edema and pulmonary interstitial edema. The ventilation/perfusion imbalance occurs, and then manifests in dyspnea, hypoxemia and a sustained downward trend of oxygen saturation, etc. Timely recognition and urgent corresponding treatment measures should be taken in the early course of water intoxication to prevent the condition deteriorated. In a general way, for every liter of hypotonic fluid absorbed, the serum sodium concentration will decrease by 10 mmol/L(10 mEq/L) [3]. 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Ã‚ ¸Ãƒ ¦Ã¢â‚¬ Ã‚ ¶Ãƒ ©Ã¢â‚¬ ¡Ã‚ Ãƒ ¨Ã‚ ¾Ã‚ ¾1000 à ¯Ã‚ ½Ã… ¾2000 ml à ¦- ¶Ãƒ ¥Ã‚ Ã‚ ³Ãƒ ¥Ã‚ ºÃ¢â‚¬ Ãƒ ¥Ã‚ Ã…“à ¦Ã‚ ­Ã‚ ¢Ãƒ ¦Ã¢â‚¬ °Ã¢â‚¬ ¹Ãƒ ¦Ã…“ ¯:Issacson KBà ¯Ã‚ ¼Ã… ½ Complications of hysteroscopyà ¯Ã‚ ¼Ã‚ »Jà ¯Ã‚ ¼Ã‚ ½Ãƒ ¯Ã‚ ¼Ã… ½ Obstet Gynecol Clin North Amà ¯Ã‚ ¼Ã…’1999à ¯Ã‚ ¼Ã…’26(1):39à ¯Ã‚ ¼Ã‚ 51à ¯Ã‚ ¼Ã… ½ )à ¯Ã‚ ¼Ã…’à ¦Ã‚ £Ã¢â€š ¬Ãƒ ¦Ã‚ µÃ¢â‚¬ ¹Ãƒ ¨Ã‚ ¡Ã¢â€š ¬Ãƒ ¦Ã‚ ¸Ã¢â‚¬ ¦Ãƒ ©Ã¢â‚¬â„¢Ã‚   à §Ã‚ ¦Ã‚ »Ãƒ ¥Ã‚ ­Ã‚ Ãƒ ¦Ã‚ µÃ¢â‚¬Å"à ¥Ã‚ ºÃ‚ ¦Ãƒ ¯Ã‚ ¼Ã…’à ¦Ã‚ £Ã¢â€š ¬Ãƒ ¦Ã‚ µÃ¢â‚¬ ¹Ãƒ §Ã¢â‚¬ Ã… ¸Ãƒ ¥Ã¢â‚¬ËœÃ‚ ½Ãƒ ¤Ã‚ ½Ã¢â‚¬Å"à ¥Ã‚ ¾Ã‚ Ãƒ £Ã¢â€š ¬Ã‚ Ãƒ ¨Ã‚ ¡Ã¢â€š ¬Ãƒ ¦Ã‚ °Ã‚ §Ãƒ ©Ã‚ ¥Ã‚ ±Ãƒ ¥Ã¢â‚¬â„¢Ã…’à ¥Ã‚ ºÃ‚ ¦Ãƒ ¥Ã¢â‚¬â„¢Ã…’à ¥Ã‚ °Ã‚ ¿Ãƒ ©Ã¢â‚¬ ¡Ã‚ Ãƒ £Ã¢â€š ¬Ã¢â‚¬Å¡Ãƒ ¯Ã‚ ¼Ã‹â€ 4à ¯Ã‚ ¼Ã¢â‚¬ °Ãƒ ©Ã… ¡Ã‚ Ãƒ ¦- ¶Ãƒ §Ã¢â‚¬ ºÃ¢â‚¬ËœÃƒ ¦Ã‚ µÃ¢â‚¬ ¹Ãƒ ¨Ã‚ ¡Ã¢â€š ¬Ãƒ §Ã¢â‚¬ Ã‚ µÃƒ ¨Ã‚ §Ã‚ £Ãƒ ¨Ã‚ ´Ã‚ ¨Ãƒ §Ã… ¡Ã¢â‚¬Å¾ à ¥Ã‚ Ã‹Å"à ¥Ã…’-à ¯Ã‚ ¼Ã…’à ¥Ã‚ Ã… ¡Ãƒ ¥Ã‹â€ Ã‚ °Ãƒ ¦- ©Ãƒ ¦Ã…“Å ¸Ãƒ ¥Ã‚ Ã¢â‚¬ËœÃƒ §Ã… ½Ã‚ °Ãƒ ¤Ã‚ ½Ã… ½Ãƒ ©Ã¢â‚¬â„¢Ã‚  Ãƒ ¨Ã‚ ¡Ã¢â€š ¬Ãƒ §-†¡Ãƒ ¯Ã‚ ¼Ã…’à ¦- ©Ãƒ ¥Ã‚ ¤Ã¢â‚¬Å¾Ãƒ §Ã‚ Ã¢â‚¬  Ãƒ ¦- ©Ãƒ ¦Ã‚ ²Ã‚ »Ãƒ §Ãƒ ¯Ã‚ ¼Ã…’à ©Ã‹Å" ²Ãƒ ¦Ã‚ ­Ã‚ ¢Ãƒ §-†¦Ãƒ ¦Ã†â€™Ã¢â‚¬ ¦Ãƒ ¦Ã‚ Ã‚ ¶Ãƒ ¥Ã…’-à £Ã¢â€š ¬Ã¢â‚¬Å¡Ãƒ ¯Ã‚ ¼Ã‹â€ 5à ¯Ã‚ ¼Ã¢â‚¬ °Ãƒ ¦Ã…“ ¯Ãƒ ¥Ã‚ Ã… ½ à ¥Ã‚ ¿Ã¢â‚¬ ¦Ãƒ ©Ã‚ ¡Ã‚ »Ãƒ §Ã‚ §Ã‚ ¯Ãƒ ¦Ã… ¾Ã‚ Ãƒ ¨Ã‚ ·Ã… ¸Ãƒ ¨Ã‚ ¸Ã‚ ªÃƒ §-†¦Ãƒ ¤Ã‚ ºÃ‚ ºÃƒ §Ã… ¡Ã¢â‚¬Å¾Ãƒ ¤Ã‚ ½Ã¢â‚¬Å"à ¥Ã‚ ¾Ã‚ Ãƒ ¥Ã‚ Ã‹Å"à ¥Ã…’-à £Ã¢â€š ¬Ã¢â‚¬Å¡ à ¦Ã‚ °Ã‚ ´Ãƒ ¤Ã‚ ¸Ã‚ ­Ãƒ ¦Ã‚ ¯Ã¢â‚¬â„¢Ãƒ ¥Ã…“ ¨Ãƒ ¥Ã‚ ¤-à §Ã‚ §Ã¢â‚¬ËœÃƒ ¦Ã¢â‚¬ °Ã¢â‚¬ ¹Ãƒ ¦Ã…“ ¯Ãƒ ¤Ã‚ ¸Ã‚ ­Ãƒ ¯Ã‚ ¼Ã…’à ¥Ã‚ °Ã‚ ¤Ãƒ ¥Ã¢â‚¬ ¦Ã‚ ¶Ãƒ ¨Ã¢â‚¬ ¦Ã¢â‚¬ Ãƒ ©Ã¢â‚¬ ¢Ã…“à ¦Ã¢â‚¬ °Ã¢â‚¬ ¹Ãƒ ¦Ã…“ ¯Ãƒ ¯Ã‚ ¼Ã…’à ¥Ã…’†¦Ãƒ ¦Ã¢â‚¬ ¹Ã‚ ¬Ãƒ ¥Ã‚ ®Ã‚ «Ãƒ ¨Ã¢â‚¬ ¦Ã¢â‚¬ Ãƒ ©Ã¢â‚¬ ¢Ã…“à £Ã¢â€š ¬Ã‚ TURPà §Ã‚ ­Ã¢â‚¬ °Ãƒ ¯Ã‚ ¼Ã…’à ¨Ã¢â‚¬ ¹Ã‚ ¥Ãƒ ¤Ã‚ ¸Ã‚  à ¤Ã‚ ºÃ‹â€ Ãƒ ¤Ã‚ »Ã‚ ¥Ãƒ ©Ã‚ «Ã‹Å"à ¥Ã‚ ºÃ‚ ¦Ãƒ ©Ã¢â‚¬ ¡Ã‚ Ãƒ ¨Ã‚ §Ã¢â‚¬  Ãƒ ¯Ã‚ ¼Ã…’à ¥Ã‚ °Ã¢â‚¬  Ãƒ ¥Ã‚ ¸Ã‚ ¦Ãƒ ¦Ã‚ Ã‚ ¥Ãƒ ¤Ã‚ ¸Ã‚ ¥Ãƒ ©Ã¢â‚¬ ¡Ã‚ Ãƒ §Ã… ¡Ã¢â‚¬Å¾Ãƒ ¥Ã‚ Ã… ½Ãƒ ¦Ã… ¾Ã…“à ¯Ã‚ ¼Ã…’à ¦Ã¢â‚¬ °Ã¢â€š ¬Ãƒ ¤Ã‚ »Ã‚ ¥Ãƒ ¥Ã…“ ¨Ãƒ ¤Ã‚ ¸Ã‚ ´Ãƒ ¥Ã‚ ºÃ…  Ãƒ ¤Ã‚ ¸Ã…  Ãƒ ¤Ã‚ ¸Ã¢â€š ¬Ãƒ ¦- ¦Ãƒ ¥Ã‚ Ã¢â‚¬ËœÃƒ §Ã… ½Ã‚ °Ãƒ ¦Ã‚ °Ã‚ ´Ãƒ ¤Ã‚ ¸Ã‚ ­Ãƒ ¦Ã‚ ¯Ã¢â‚¬â„¢Ãƒ ¥Ã‚ ¿Ã¢â‚¬ ¦Ãƒ ©Ã‚ ¡Ã‚ »Ãƒ ¥Ã‚ Ã…   à ¦- ¶Ãƒ ¥Ã‚ ¤Ã¢â‚¬Å¾Ãƒ §Ã‚ Ã¢â‚¬  Ãƒ ¯Ã‚ ¼Ã…’à ©Ã‹Å" ²Ãƒ ¦Ã‚ ­Ã‚ ¢Ãƒ ¦Ã‚ Ã‚ ¶Ãƒ ¥Ã…’-à ¨Ã¢â€š ¬Ã…’à ¥Ã‚ Ã‚ ±Ãƒ ¥Ã‚ Ã…  Ãƒ §-†¦Ãƒ ¤Ã‚ ºÃ‚ ºÃƒ §Ã¢â‚¬ Ã… ¸Ãƒ ¥Ã¢â‚¬ËœÃ‚ ½Ãƒ £Ã¢â€š ¬Ã¢â‚¬Å¡ Reference [1] Jansen FW, Verdevoogd CB, Ulzen KV, et al. Complications of hysteroscopy: aprospective multicenter study [J], Obstet Gynecol, 2000, 96 (2): 266 270. [2] Rhymer JS, Bell TS, Perry KC, et al. Hyponatremia following transurethral resection of the postate [J].Br Jurol, 1985, 57(4): 450à ¯Ã‚ ¼Ã‚ 452. [3] Prost AM, Liberman RF, Harlow BL, Ginsburg ES. Complication of hysteroscopic surgery: predincting patients at risk. Obster Gynccol. 2000; 96:517-520 [4] Cooper JM Brady RM. Intraoperative and early post-operative complications of operative hysteroscopy. Obstetric and Gynecology Clinics of North America 2000; 27: 347-365 [5]Romer T. Benefit of GnRH analogene treatment for hysteroscopic surgery in patients with bleeding disorders [J].Gynecol.Obstet Invest,2003,50:112-120. [6]Murdoch JA. Tong JG. Anesthesia for hysteroscopy. Anesthesiol Clin North Am. 2001;19:125-140 [ J ].à ¤Ã‚ ¸Ã‚ ­Ãƒ ¥Ã¢â‚¬ ºÃ‚ ½Ãƒ ¥Ã‚ ¾Ã‚ ®Ãƒ ¥Ã‹â€ Ã¢â‚¬ ºÃƒ ¥Ã‚ ¤-à §Ã‚ §Ã¢â‚¬ËœÃƒ ¦Ã‚ Ã¢â‚¬Å¡Ãƒ ¥Ã‚ ¿-,2009,9(12):1097-109 à ¨Ã¢â‚¬Å¾Ã‚ ±Ãƒ ©Ã‚ «Ã¢â‚¬Å"à ©Ã… ¾Ã‹Å"à ¯Ã‚ ¼Ã… ¡Witz CA, Silverberg KM, Burns WN, Schenken RS, Olive DL. Complications associated with the absorption of hysteroscopic fluid media. Fertil Steril 1993;60:745-56.

A Reassessment of the !Kung San Essay -- Geography Geographical Papers

A Reassessment of the Kung San The !Kung San are a group of hunter-gathers that make their home in the northern Kalahari desert. Although many ecological and cultural changes have occurred within this group throughout the past thirty years, this article examines the gathering and subsistence patterns that characterize these people. Bentley examines the total fertility rate of the !Kung San and hypothesizes that the pattern of female energetics in their subsistence routine has a direct effect upon their fecundity (1984: 79). His perspective explores the topic of fertility in great depth, and represents a viewpoint that is absent from the text written by Richard Lee, The Dobe Ju’/hoansi. In fact, some of the hypotheses proposed by Bentley appear to contradict Lee’s own research, while others are supported by the findings of Lee. One question that remains undecided regarding the low fertility rates of the !Kung is the degree to which this is a result of sociocultural means, or an effect of physiological and biological processes. Bentley examines the "intermediate variables" within Bongaarts’ reproductive equation, which is one means of illustrating and quantifying the mechanisms that may cause the low fertility rate, and demonstrates that this research seems insufficient in explaining fertility. Briefly, Bongaarts’ equation incorporates the following variables: total fertility rate, index of proportions married, index of contraception, index of induced abortion, index of lactational infecundability, and total fecundity (which includes fecundability, intra-uterine mortality, and permanent sterility). In addition to showing that the intermediate variables of Bongaart’s equation are insufficient in explaining th... ...estyle may consist of foods that are more malleable, therefore reducing the amount of time mothers spend nursing their young. As the !Kung make cultural transitions into more sedentary lifestyles, fertility rates will presumably be affected. As Lee points out, in village life the men maintain the mobility while the women become housebound, with more of their time spent alone with the children. Thus, a more sedentary lifestyle may lead to an increase in fertility rates and a subsequent increase in population. In fact, the population of Dove has risen from 35 in 1964 to 165 at the time Lee wrote his book (1994: 154). Another result of such changes is that they may lead to the subordination of women. The new emergence of a sedentary lifestyle has implications for overall fertility, but also threatens to undermine the egalitarian values of this group of people.

Pestel Analysis of Coca Cola

Discuss the PESTEL changes of an organization over the last decade. PESTEL Analysis for Coke Coca-Cola, the largest manufacturer, distributor and marketer of beverage concentrates and syrups in the world. Coca-Cola is recognized as the world’s most valuable brand. They market four of the world’s top five non-alcoholic sparkling brands, including diet and light beverages, mineral water, enhanced waters, juices and juice drinks, teas, coffees and energy and sport drinks. Through the world’s largest beverage distribution system, consumers in more than 200 countries enjoy the company’s beverages at a rate of approximately 1. billion servings each day. The Company generates revenues, income and cash flows by selling beverage concentrates and syrups as well as finished beverages. [pic] Even Coca Cola, the worlds’ largest beverage company has to consider about their macro environment and its opportunities and threats. They too have to analyze their Politic al, Economical, Social Environment and Legal Factors in order to catch up with the fast changing world. Political Analysis Non-alcoholic beverages fall within the food category under the FDA. The government plays a role within the operation of manufacturing these products in terms of regulations. There are potential fines set by the government on companies if they do not meet a standard of laws. The following are some of the factors that could cause Coca-Cola Company’s actual results to differ materially from the expected results describes in their underlying company’s forward statement:- Changes in laws and regulations, including changes in accounting standards, taxation requirements, (including tax rate changes, new tax laws and revised ax law interpretations) and environmental laws in domestic or foreign jurisdictions. Changes in the non-alcoholic business environment. These include, without limitation, competitive product and pricing pressures and their ability to gain or maintain share of sales in the global market as a result of action by competitors. Political conditions, especially in international markets, including civil unrest, government changes and restriction on the ability to transfer capital across borders. Their ability to penetrate developing and emerging markets, which also depends on economic and political conditions, and how well they are able to acquire or form strategic business alliances with local bottlers and make necessary infrastructure enhancements to production facilities, distribution networks, sales equipment and technology. A threat that the Coca-Cola Company had to face recently due to the changes in the political factors was the War against Iraq made USA and UK very unpopular in Middle East as well as in other Muslim countries. Because Coca-Cola is known as the very American company, this had a huge effect on the sales of its products. Economical Analysis Last year the US economy was strong and nearly every part of it was growing and doing well. However, things changed. Most economists loosely define a recession as two consecutive quarters of contraction, or negative GDP growth. In 2008, we are witnessing a global economic crisis which was suggested by several important indicators of economic downtown worldwide. These included high oil prices, which led to both high food prices (due to a dependence of food production on petroleum, as well as using food crop products such as ethanol as an alternative to petroleum) and global inflation; a substantial credit crisis leading to the bankruptcy of large and well established investment banks as well as commercial banks in various nations around the world; increased unemployment; and the possibility of a global recession. As the inflation rate grows higher and higher, consumer buying power will represent a key threat in the industry. The rivalry between Pepsi and Coke has produce a very slow moving industry in which management must continuously respond to the changing attitudes and demands of their consumers or face losing market share to the competition. In addition, consumers can easily switch to the other beverages with little cost or consequence. Social Analysis Many people nowadays are practicing healthier lifestyles. This has affected the non-alcoholic beverage industry in that many are switching to bottled water and diet colas instead of beer and other alcoholic beverages. The need for bottled water and other more convenient and healthy products are in important in the average day-to-day life. Possible substitutes that continuously put pressure on Coke include tea, coffee, juices, milk and hot chocolate. Consumers from the ages of 37 to 55 are also increasingly concerned with nutrition. There is a large population of the age range known as the baby boomers. Since many are reaching an older age in life they are becoming more concerned with increasing their longevity. This will continue to affect the non-alcoholic beverage industry by increasing the demand overall and in the healthier beverages. Increasing awareness among consumers, public health professionals and government agencies of the potential health problems associated with obesity and inactive lifestyles represents a significant challenge to the Coca-Cola industry. The company has recognized that obesity is a complex public health problem. Their commitment to consumers begins with the company’s broad product line, which includes a wide selection of diet and light beverages, uices and juice drinks, sports drinks and water products. Coke has hot lot of sugar by which continuous drinking of Coca-Cola may cause health problems. Being addicted to Coca-Cola also is a health problem because drinking of it has an effect on your body after few years. Technological Analysis The effectiveness of company’s advertising, marketing and promotional programs. The e new technology of internet and tv which use specific effects for advertising through media. They make some products look attractive. This helps in selling of the products. This advertising makes the product attractive and is being used in media to sell their products. As the technology is getting advanced there has been introduction of new machineries all the time. Due to introduction of this machineries the production of the Coca-Cola company has increased tremendously then it was few years ago. A latest technical achievements made by the Coca-Cola Company was the new environmentally friendly version of the iconic â€Å"Coca-Cola† Contour bottle which has won number of awards for its light weight. Environmental Analysis The Coca-Cola system’s environmental commitments are focused on the areas in which they have the most significant opportunities to make a difference – water stewardship, sustainable packaging and energy management and climate protection. In 2007, the company used approximately 300 billion liters of water in their plants to produce beverages. To meet their water needs while helping to conserve watersheds and improve community water access; water stewardship leads the list of the companies’ sustainability efforts. In 2007, Coca-Cola announced their aspirational goal to return to communities and nature, an amount of water equal to what is used in the company’s beverages and their production. Coca-Cola calls this water neutrality. Coca-Cola vision is to advance a packaging framework in which their packaging is no longer seen as waste, but instead as a valuable resource for future use. To realize this zero waste vision, they have been guided by a commitment to continuous improvement. They continues to make strides by advancing packaging initiatives focus on reduce, recover and reuse. They invested in designing and producing sustainable fashion apparel made from recycled PET bottles too. Legal Changes Analysis Marketing decisions are strongly affected by developments in the political and legal environment. This environment is composed of laws, government agencies and pressure groups that influence and limit various organizations and individuals. Sometimes these laws also create new opportunities for business. Here are some legal affairs that Coca-Cola had to face recently: The European Commission has alerted EU member countries to ban Coca-Cola drinks because of recent poisoning of 100 children in Belgium and cause seems to be the wrong carbon dioxide which was used in the soft drinks. In 2003, the Centre for Science and Environment (CSE) a non-governmental organization, said Coca-Cola contained toxins including lindane, DDT, malathion and chlorpyifos – pesticides that can contribute to cancer and a breakdown of the immune system.

Lake qaraoun essays

Lake qaraoun essays Garbage threat to Lake Qaraoun and Litani Dumping garbage in Lake Qaraoun in the Bekaa is an environmental threat which should be remedied before it turns into a disaster, said Nasser Nasrallah, head of the Litani River After touring the lakes banks, where the garbage is being dumped, Nasrallah appealed to officials to combat such illegal waste disposal. We have a serious environmental problem, Nasrallah said. If the situation doesnt change, we risk losing the water coming from one of our main sources, the Litani River. He urged officials at the Health and Environment Ministries and at the Council for Development and Reconstruction to address the environmental troubles of the Bekaa. Efforts should be made to implement a grand strategic plan in the Bekaa to get rid of the sewage and trash produced by factories and gas stations, he said. Starting in October, Nasrallah announced, his department will implement in collaboration with the Environment Ministry a plan which will stop environmental violations at the lake. We cannot tell people now to stop throwing their trash in the lake, he said. We have to secure other dumps before taking such measures. ...