Monday, December 30, 2019

Management of Diversity in Organization - 2147 Words

Management of Diversity in Organization Abstract Organizations have been becoming increasingly diverse in terms of gender, race, ethnicity, and nationality. This diversity brings substantial potential benefits such as better decision making, greater creativity and innovation, and more successful marketing to different types of customers. But, increasing cultural differences within a workforce also bring potential costs in higher turnovers, interpersonal conflicts, and communicational breakdowns. The utilities of diversity training and the essential managerial skills required for effectively managing diversity will also be discussed. Diversity Management vs. Organizational Performance Diversity of skills among individual members will†¦show more content†¦Research tends to support this relationship. Kanters study of innovation in organizations revealed that the most innovative companies deliberately establish heterogeneous teams to create a marketplace of ideas, recognizing that a multiplicity of points of view needs to be brought to bear on a problem. Kanter also specifically noted that companies high on innovation had done a better job than most on eradicating racism, sexism, and classism, in addition, tended to employ more women and racioethnic minorities than less innovative companies. Research by Charlene J. Nemeth found that minority views can stimulate consideration of non-obvious alternatives in task groups. Nemeth found that the minority groups adopted multiple strategies and identified more solutions than the majority groups. She concluded that the groups exposed to minority views were more creative than the more homogeneous, majority groups. She further concluded that persistent exposure to minority viewpoints stimulates creative thought processes. Another experiment compared the creativity of teams that were homogeneous on a series of attitude measures against teams with heterogeneous attitudes. Problem solution creativity was judged on originality and practicality. Results indicated that as long as the team members had similar ability levels, the heterogeneous teams were more creative than the homogeneous ones. IfShow MoreRelatedThe Impact Of Effective Diversity Management On An Organization Essay2777 Words   |  12 Pageseffective diversity management i n an organization. This report also includes the benefits and future planning and development on how to enhance the process so that companies can enjoy further advantages regarding diversity management. First, the introduction contains in-depth research of diversity management† along with â€Å"cultural diversity management and then screened to evaluate in line with a multinational company â€Å"Apple†. Then the literature review concerning effective management. The end partRead MoreDiversity Within The Organization : Workforce Diversity Management Essay1325 Words   |  6 PagesThe term â€Å"diversity† usually refers to individual characteristics such as gender, ethnicity, culture, age but as time has advanced, it is now also known to defer between those of sexual orientation and physical or mental abilities. Through time, not only the notion of diversity has become more broad but it has also been more focused on. Due to its ability to provide benefits such a s improved morale, contrasting perceptions and strategies, enhanced teamwork and mutual understanding within the organisationRead MoreDiversity Management in South African Organizations700 Words   |  3 Pagesd) Diversity management is described as the voluntary organisational actions that are designed to create greater inclusion of employees from various backgrounds into the formal and informal organizational structures through deliberate policies and programs (Barak, 2014). These various backgrounds include race, religion, ethnicity, gender and disabilities. Diversity helps an organisation because it broadens the skillset available to the organisation because of peoples varying backgrounds, and itRead MoreDiversity Management Focuses On The Heterogeneity Inside The Organizations1315 Words   |  6 PagesDiversity management focuses on the heterogeneity inside the organizations. Diversity management was a response to the common situation when companies started to hire employees of various age, nationality, race, religion etc. It is based on the principle that the differences between people do not have to prevent them from working together. This is directly connected with the concept of ethical behavior. Generally ethics is defined as a moral code which is accepted in a concrete society, thoughRead MoreSexual Orientation Diversity Management At Small And Large Organizations1235 Words   |  5 PagesUniversity â€Æ' A Case for Sexual Orientation Diversity Management in Small and Large Organizations I. Introduction A. â€Å"Approximately 9 million Americans identify themselves as being lesbian, gay, bisexual, or transgender (LGBT). With alternate sexual orientation. Managers and employees are becoming more tolerant and there is a growing respect for individuals with non-traditional sexual orientation† (Mathis, Jackson, Valentine, 2014, p. 3-4d). B. Organizations must build strong, creative, talent basedRead MoreOrganizational Behaviour the Pros and Cons.1634 Words   |  7 PagesElements of successful organizational diversity Management. Why is organizational diversity important? Historically, diversity in the workplace has been recognized as an employment equity issue. Now, however, diversity in the workplace is being recognized as a benefit that will contribute to an organizations bottom line. Increased employee and customer satisfaction end up as increased productivity, all of which are measurable outcomes (Goff, 1998). Diversity goes beyond employment equity toRead MoreHuman Resources Strategic Planning And Measurement Task Force1414 Words   |  6 Pagesis often called upon to be the hub of an organization in addition to the glue that holds the organization together in collaboration with the leadership team. In many (Gutmacher, 1998, para. 3) organizations Human Resources is the department to lead the way in ensuring an organization is committed to creating diversity within the work place. This includes in hiring, recruitment, promotions, board selection etc. The staffs that are apart of any organization come in many different shapes, sizes andRead MoreDiversity Management and Cultural Intelligence1260 Words   |  6 PagesCARROLL 1 Shavasia K. Carroll Current Issues in OB Final Diversity Management and Cultural Intelligence Diversity Management and cultural intelligence is the crucial keys in today’s workforce to successfully compete in a global marketplace. Corporations can no longer use lack of cultural intelligence as an excuse. Organizations pursuing global success must embrace diversity in their thoughts, actions, and innovations. Diversity doesn’t just focus on making the numbers, but how the organization’sRead MoreEffective Diversity Management Essay1485 Words   |  6 Pagesof work population. Managing diversity is over merely acknowledging variations in individuals. It involves recognizing the worth of differences, promoting inclusiveness and combating or uprooting discrimination. Managers may be challenged with losses in personnel and work productivity because of prejudice and discrimination and complaints and legal actions against the organization (Devoe, 1999). Negative attitudes and behaviors may be barriers to organizational diversity as a result of they will damageRead MoreDiversity For Success Of The Company1036 Words   |  5 Pagesin the workplace. The author reveals that management has to ensure it successfully handles diversity in the workforce. The author argues that in the current workforce, which is diverse, the challenge is exclusion. The book has compiled extensive current information on social policy trends, legislative and demographic, as well as the analysis of causes and effects of workforce exclusion, and reveals that learning about how to manage the issue of diversity is critical. Therefore, based on the extensive

Sunday, December 22, 2019

Analysis Of Chronicle Of A Death Foretold By Gabriel...

What could have been more valued than honor during 1900’s culture in Colombia? During this time period honor, especially in the form of a woman s value based on sexuality, was a prevailing influence of one s importance in society. Although, today one may say this perception of status has vanished and been interchanged by wealth, it is still an essential concept that differentiates one s superior qualities and character in society. This notion of honor is greatly portrayed in the novel Chronicle of a Death Foretold, by Gabriel Garcia Marquez, when Angelica’s brothers kill Santiago Nasar for taking her value as a woman. However, the nature of mystery in the novel also leaves many questions about Santiago s actual guilt in taking Angelica†¦show more content†¦This quote from the text suggests the reader that Angelica did not have any connection with Santiago, instead it suggests that she vaguely chose any name to satisfy her family desire to recoup her honor. This is because Angelica’s thought process of looking for the name in the shadows and finding it at first sight has the connotation that she did not think clearly and just picked the name that first came to her mind. Additionally, she thought of saying the name of a dead person which conveys that she did not have anyone to blame and was just trying to prevent someone from getting murdered. However, she did not have a logical reason to accuse a dead person so she chose to sentence Santiago. Therefore, considering that it was very unlikely for Angelica to have lost her virginity to a man combined with her questionable and unproven sentencing of Santiago; there’s a lot confusion and questioning about how Angelica is not a virgin on her wedding night. The most plausible explanation for Angelica’s inexplicable events leading to the discovery that she is not a virgin could be due to her not wanting to marry Bayardo San Roman. This is shown through the forcefulness of Angelica’s family in making her get married, since â€Å"Bayardo San Roman hadn t even tried to court her, but had bewitched the family to his charm,† (Marquez 34). Additionally Angelica immediately follows by saying her family,Show MoreRelatedMaria Alejandrina Cervantes in Chronicle of a Death Foretold1239 Words   |  5 PagesMaria Alejandrina Cervantes—Commentary—Chronicle of a Death Foretold â€Å"I dreamed that a woman was coming into the room with a little girl in her arms, and that the child was chewing without stopping to take a breath, and that half-chewed kernels of corn were falling into the woman’s brassiere. The woman said to me: ‘She crunches like a nutty nuthatch, kind of sloppy, kind of slurpy.’ Suddenly I felt the anxious fingers that were undoing the buttons of my shirt, and I caught the dangerous smellRead MoreChronicle Of A Death Foretold By Garcia Marquez1134 Words   |  5 PagesRealism through Setting in Garcà ­a Mà ¡rquez’s Chronicle of a Death Foretold Question: How far does setting serve to reinforce or emphasize meanings or themes within Chronicle of a Death Foretold? Work Used: Chronicle of a Death Foretold by Gabriel Garcà ­a Mà ¡rquez In Chronicle of a Death Foretold by Gabriel Garcà ­a Mà ¡rquez, the setting plays a potent role in showing a certain theme. Especially what happens in a certain setting plays a dominant part in developing a theme. Mà ¡rquez is best known for hisRead MoreAnalysis of Cultural Flaw in Chronicle of a Death Foretold1485 Words   |  6 PagesAnalysis of Cultural Flaw in Chronicle of a Death Foretold Humanity has built grand and wondrous cultures and societies, for the better of mankind people have devoted themselves to a functional structured society. But have these creations become merely fabrications that hinder one’s true beliefs? Throughout the novel Chronicle of a Death Foretold, author Gabriel Garcia Marquez gives insight into Colombian society. As the story of a murder unravels Marquez projects the themes of honor and fateRead MoreChronicle of a Death Foretold Reflective1503 Words   |  7 PagesChronicle of a Death Foretold: Cultural Analysis In America, there is a judicial system that helps justice prevail, to punish criminals, and let the innocent walk. The judicial system allows for there to be a trial where evidence is presented. Through the evidence presented, the jury then decides if the person on trial is innocent or guilty. Never in any trial, in any courthouse, under any judge would it be allowed for a murder to be justified so that one could restore a relative’s honor. HoweverRead MoreChronicle Of A Death Foretold By Gabriel Garcia Marquez1492 Words   |  6 PagesHowever often this may happen, Latin Americans are indeed American. Dealing with this identity crisis, many turned to writing as an outlet. Gabriel Garcia Marquez is a successful author that utilizes this form of expression.Writing Chronicle of a Death Foretold, a story surrounding the true life of a Latin American at an earlier time in history. This enabled Marquez to extract his personal interpretation of America and exaggerate it in such a way that it is unique and believable in comparison to that

Friday, December 13, 2019

Understanding the Measles Virus (MV) Free Essays

string(165) " of 20 and occur in individuals who arepoorly nourished, especially those insufficient in vitamin A, or individuals with existing immunodeficiency such as HIV/AIDS\." Introduction Measles is a highly contagious disease caused by the Measles Virus (MV) which belongs to the Paramyxovirus family, and is of the genus Morbillivirus as it does not possess any virus-associated neuraminidase activity (Topley Wilsons 2005, Morgan Rapp 1977). It is primarily considered a childhood disease, easily communicable within a non-immunised population. Moreover, acute infection with the virus will confer lifelong immunity in most individuals (Schneider-Schaulies Meulen 2000). We will write a custom essay sample on Understanding the Measles Virus (MV) or any similar topic only for you Order Now Therefore as the virus is also confined to humans with no asymptomatic carrier state, to remain endemic within a population it relies upon infection of those still susceptible to infection. The MV itself is approximately 100–300 nm in diameter, with a core of single-stranded RNA which encodes for 8 proteins, surrounded in a helical capsid (Griffin 2010; Schneider-Schaulies Meulen 2000). Two viral transmembrane proteins; fusion (F) protein is responsible for fusion of virus and host cell membranes, viral penetration, and hemolysis. Hemagglutinin (H) is responsible for adsorption of virus to cells. Antibodies to these proteins may mitigate against infection of host cells (Griffin 2010). Other proteins include the matrix or M protein which links the envelope to the ribonucleoplasmid core, and the nucleoprotein (N) forms part of the ribonucleocapsid along with phosphoprotein (P) and large polymerase protein (L) which both are also necessary for RNA synthesis. Non structural proteins C and V also regulate response to infection (Topley Wilson 2005). A schematic of the virus is shown in figure 1. Fig 1. Adapted from Morgan Rapp 1977 Schematic of Measles virus Canine distemper and rinderpest viruses also belong to the same genus and share close antigenic relationship. In October 2010 the UN Food and Agriculture Organisation announced that Rinderpest had been successfully eradicated. Infection with measles also provided the first insight into suppression of the immune system by a virus, thus permitting secondary infections to occur relating to the mortality of infection (McChesney et al 1989). This area is of much interest to immunologists and was first noted over 200 years ago as TB infection was seen to follow measles infection (Karp 1999), of which alterations in cell mediated immunity is of most clinical concern. This was noted by von Pirquet whist performing the tuberculin skin test which failed to respond to it thus predisposing to secondary infectious from measles induced immunosuppression (Topley Wilson 2005). Isolation of the virus in 1954 by Enders and Peebles allowed the advent of measles vaccination, with the first vaccines being produced in 1963. Safe and effective vaccination programmes with the live further attenuated vaccine have eliminated the virus from most westernised societies (WHO weekly 2008); however the virus remains a major cause of mortality in populations lacking access to adequate medical care (Kerdiles et al 2006). In 2008, 164 000 measles deaths were recorded globally (WHO fact sheet 2009) and as recent as January 2011 Kofi Annan called for the UN Executive Board to set an eradication date for measles (Measles Initiative 2011). Progress on this front continues with immunisation programmes and effective surveillance this is highlighted by the reduction of measles deaths by 78% between 2000 and 2008. Symptoms The measles virus normally enters the body through the upper respiratory tract, or conjunctiva. The first clinical sign of infection is usually a febrile illness (38.3Â °c), which begins about 10 to 12 days after exposure to the virus, and lasts four to seven days (fig2). Further signs and symptoms then develop in this prodromal illness these include malaise, cough, coryza (runny nose), conjunctivitis, as the MV establishes a systemic infection involving multiple organ systems leading to Koplik spots and typical maculopapular rash and immunosuppression. Fig. 2. Adapted from Topley Wilson Microbiology Microbial Infections Immunology 10th edt. 2005. Transmission occurs through the air and involves close personal contact with an infected individual, surfaces or objects which they have been in contact. As the virus is highly contagious, it will remain active in the air and on these surfaces for up to two hours. It has been noted that up to 90% of people without immunity sharing a house with an infected individual will become infected (Schneider-Schaulies Meulen 2000). Infected individuals can transmit the MV from four days prior to the onset of the rash to four days after the rash erupts. Studies also show the MV can be inactivated by heat, light, acidic pH, ether, and trypsin (Topley Wilson 2005). The virus replicates in the respiratory tract and then reaches local lymphoid tissue, producing primary viremia. Lymphoid tissues such as the thymus, spleen, and tonsils are normal sites of replication. Following replication within the lymphoid tissue, the MV spreads to other organs including the skin, kidney, lungs, liver and gastrointestinal tract known as secondary viremia. The MV replicates in epithelial and endothelial cells and is accompanied by vascular dilation, increased vascular permability, mononuclear cell infiltration and infection of surrounding tissue (Topley Wilson 2005). Small white spots develop inside the buccal cavity known as Koplik’s spots (fig 3a) due to nectrotic infection of the submucous glands, at this stage the individual is highly contagious and giant cells are present in the sputum and other secretions this occurs just prior to development of the typical rash. Each of these signs is a typical characteristic of measles infection the rash then erupts, usually on the forehead, face and upper neck. The rash then spreads to cover the entire body over the next 3 days, lasts for about six days before it begins to disperse, this typical presentation is seen in figure 3b. This rash is said to occur due to vascular congestion epithelial necrosis and oedema. The entire course of uncomplicated measles, from late prodrome to resolution of fever and rash, is approximately 7-10 days. Fig 3. Characteristics of Measles infection (accessed from google images) Complications arising from measles infection result mainly from opportunistic secondary infections due to the immunosuppression induced by MV. The depression of the immune response may last up to 6 months (Kerdiles et al 2006). Complications are more common in children under the age of five, or adults over the age of 20 and occur in individuals who arepoorly nourished, especially those insufficient in vitamin A, or individuals with existing immunodeficiency such as HIV/AIDS. You read "Understanding the Measles Virus (MV)" in category "Essay examples" Diarrhoea and severe dehydration is not uncommon in developing countries where secondary infection is likely and worsens their individual’s nutritional status; this along with lack of substantial vitamin A may lead to post-measles blindness. Ear infections and pneumonia may also occur which will require antibiotics to treat the imposing infectious agent. Treatment of giant cell pneumonia is a very protracted and causes the majorit y of measles related deaths. However, more serious complications like encephalitis and persistent brain inflammation known as subacute sclerosing panencephalitis (SSPE) also occur though these are rare. SSPE will be discussed further on in this text. Measles infection during pregnancy may induce spontaneous abortion or still births other reports have stated measles infection during pregnancy may produce infants with a low birth weight or congenital malformaty (Schneider-Schaulies Meulen 2000). Administration of antimeasles gammaglobulin less than three days after exposure may protect from infection this is discussed further in vaccination section. Acute encephalitis results in death in approximately 15% of patients who develop it (Schneider-Schaulies Meulen 2000). Development usually occurs eight days after onset of the rash, symptoms of this can include recurrence of a high fever, persistent headache, vomiting, drowsiness, seizures and coma. Measles Inclusion Body Encephalitis occurs only in the immunocompromised e.g. individuals with leukaemia present without rash as no immune response was elicited and is often confused with SSPE. Symptoms include seizures stupor or coma which is dependent on localisation of the disease within the CNS. This type of encephalitis has no antibodies detectable in the CSF (Schneider-Schaulies Meulen 2000). Infection and spread MV replication involves the transcription of viral RNA to give + sense mRNA before this can be translated. The F protein facilitates fusion with the plasma membrane. Viral multiplication occurs in the cytoplasm, using the RNA polymerase and RNA modification enzymes packaged in the virus and use the nucleoplasmid as a template to transcribe viral mRNAs; theseare capped, methylated and polyadenylated translated and packed into the new virues and bud out through the cell plasma membrane. The non structural proteins C and V also play an important role in replication of the virus, this has be confirmed by in vitro studies, results of studies with animal models show that these proteins are also important for the virulence of the virus. They have also been investigated for their ability to produce IFN responses; C protein was shown to inhibit this (Kerdiles et al 2006). MV interaction with the immune system involves studying measles infection in humans, naturally and experimentally infected rhesus monkeys, cotton rats and transgenic mice and also some in vitro models (Griffin 2010). It is well known that the primary target for the MV is the monocyte and primarily causes the viremia during infection with accompanied leukopenia. Three cellular receptors for MV are recognized: the low affinity membrane co-factor protein CD46, present on all nucleated cells was the first receptor identified for the MV (Topley Wilson 2005). CD46 is the natural binding site for C3b/C4b complement components however; it also binds to the viral hemagglutinin (H) protein of the measles virus. The second receptor; higher affinity signaling lymphocyte activation molecule (SLAM ? CD150), a glycoprotein belonging to the immunoglobulin superfamily is present on subsets of lymphocytes, thymocytes, macrophages, and DCs; and an unidentified receptor present on ciliated columnar respiratory epithelial cells (Griffin 2010). Recent studies have questioned the role of CD46 in vivo. This is confirmed as all viral strains tested preferentially bind CD150, therefore CD150 is the primary determinant of MV tropism (Griffin 2010). MV infections usually produce very distinctive cytopathic effects enabling formation of multinucleated giant cells. Binding of H protein to both CD46 and CD150 downregulate receptor expression; this may lead to activation of complement against uninfected lymphocytes, thus contributing to the associated leukopenia. This profound suppression of cell-mediated immunity was confirmed by Karp et al in 1996. Conversly interaction of H protein with TLR2 on surface of monocyte will stimulate IL-6 and increase CD150. This process also results in decreased IL-12 production from infected monocytes which may be a result of the reduction of IFN-? produced by T cells. The nucleocapsid protein (N) also reduces the release of IL-12 from monocytes, with resultant reduction in T cell proliferation which may lead to cellular apoptosis (Topley Wilson 2005). IFN-? also aids in the production of nitric oxide, though with down regulation of CD46 will alter the immune response to other intracellular pathogens e.g. mycobacteria. Therefore, CD46 as receptor in MV infection may disturb different aspect of the immune response. Downregulation of CD150 after infection may impair the Th1 response towards other pathogens due to the decrease in IFN-?. Cytokines and chemokines produced during infection include IL-8 which is increase in early infection. IL-2, IFN-?, are increased during the corresponding rash. In vitro systems have shown there is reduced IL-2 production during the inital stage of infection, Griffin et al shown that introduction of recombinant IL-2 along with neutralisation of high IL-4 restores lymphocyte proliferation (Topley Wilson 2005). The rash is associated with MV infection is due to the infiltration of CD4+ and CD8+ T cells into the site of replication, with the CD8+ response occurring more rapidly than CD4+ which is more protracted. IgM response to infection occurs alongside appearance of the rash, to which serological detection is diagnostic. Increased MV specific IgG follows recovery from infection conferring lifelong immunity, notably in vitro infection of B cells reduces Immunoglobulin production, through binding of N protein to activated cells however in vivo studies show no B cell defect (Niewiesk et al 2000). After resolution of the rash regulatory CD4+ cells produce IL-4, IL-10 and IL-13 (Griffin 2010). Changes to the cytokine profile seen with CD150 interactions may show that infection starts with a Th1 response and then converts to a regulatory Th2 response in later infection resulting in delayed hypersensitivy response. Diagnosis Treatment Diagnosis of measles is based upon the individuals’ history and clinical presentation, with appearance of Koplik spots and typical rash being diagnostic. However, laboratory methods may be required for more complicated cases e.g. in the case of modified or atypical measles. The virus is detectable by a number of different methodologies these include direct microscopy, immunofluorescence of nasopharyngeal secretions or urine, viral cultures and electron microscopy can all provide diagnosis. Though measles is best confirmed by serological detection of; IgM antibody against the virus, in the acute phase and IgG in the convalescent phase of disease using ELISA. Prevention of disease by administration of vaccine should always primary goal rather than treatment of disease, as the vaccine is cheap, safe, and effective. Adequate nutrition, fluid replacement and appropriate use of antibiotic if required is all that can be provided to treat measles infection though its recommended that all children in developing countries diagnosed with measles should receive treatment with two doses of vitamin A, given 24 hours apart should be provided to individuals in developing countries prevent permanent loss of vision, provision of this supplement has shown to reduce the number of deaths from measles by 50% (WHO factsheet 2009). Vaccination Vaccination is the greatest success in Immunology; historically it all started with Jenner, cowpox and smallpox which led to production of a vaccine. However, now in the 21st century there are a multitude of vaccinations available. The WHO classified smallpox as being eradicated worldwide in 1980 and publish lists of prevalence of those diseases which they continue to strive to eliminate worldwide. The first measles vaccines were licensed in 1963. This included an inactivated vaccine and a live attenuated vaccine known as the Edmonston B Strain. The inactivated vaccine was withdrawn as it did not produce an immunogenic response and therefore did not provide immunity to the disease, those immunised with this vaccine may have later developed atypical measles if infected with the wild type virus. Atypical measles progresses similarly to measles though individuals will also experience headaches and abdominal pain with the rash beginning on the extremities and spreading over the body. It has been proposed the inactivated vaccine did not produce antibodies to the F protein and thus was unable to prevent its spread (Schneider-Schaulies Meulen 2000). Modified measles is another form of the disease which occurs in partially immunised children or individuals who have received immune serum globulin and symptoms appear much milder than seen in acute measles (Schneider-Schaulies Meulen 2000). The original Edmonston B vaccine was able to seroconvert 95% of recipients however it was withdrawn in 1975 as it produced a mild form of measles in up to 10% of those vaccinated, to reduce the side effects gammaglobulin was administered. Thus, further live attenuated vaccines were sought including the Schwarz strain in 1965, and the Edmonston-Enders strain produced by passage in chicken cells was licensed in 1968, which caused fewer reactions than the original Edmonston B vaccine (Undergraduate Notes). The vaccine was combined with mumps and rubella vaccines and is licensed in 1971 as MMR (Undergraduate Notes). Furthermore, two doses of the vaccine was recommended to ensure immunity in 1989, as about 15% of vaccinated children fail to develop immunity from the first dose (WHO factsheet 2009). Varicella vaccine may also be combined and administered as MMRV, this format of vaccination was licensed in 2005. These vaccines are now supplied lyophylised and contain a small amount of human albumin, neomycin, sorbitol, and gelatine and are reconstituted prior to use. Clinical study of 284 triple seronegative children, 11 months to 7 years of age, demonstrated high immunogenic capability of the vaccine as it induced hemagglutination-inhibition antibodies in 95% of individuals for the measles vaccine thus conferring its effectiveness (MMR vaccine 2010). However, dispute that the vaccine causes autism first arose when Wakefield et al reported this in 1998 which may have reduced uptake of vaccine in theUKfor a period time before these claims were discredited by epidemiological studies which consistently found no evidence of a link between the MMR vaccine and autism. Vaccination rates in theEnglandhave increased from the 80% low in 2003-4 but are still below the 95% level recommended by the WHO to ensure herd immunity (HPA), notably the number of measles cases recorded in 2010 has decreased with improved uptake of the vaccination (HPA2). Global cooperation between a number of organisations has also ensured that 83% children received their first measles vaccine by the age of 1, up from 72% in 2000 (WHO factsheet 2009), and will work together in advancing the global measles strategy. In countries where measles has been largely eliminated, cases imported from other countries remain an important source of infection. Subacute sclerosing panencephalitis(SSPE) SSPE is an extremely rare degenerative condition of the brain caused by the reactivation of the measles virus after an interval of 6-8 years though incidences have also occurred almost 30 years from primary infection. The disorder is usually fatal and effects males more often than females, though incidence of SSPE is very low 1 case per 100 000(Schneider-Schaulies Meulen 2000). Most individuals with SSPE contracted the MV before the age of two, symptoms usually are slow and progressive, and begin with deterioration in the individuals’ mental faculty and individuals may experience hallucinations. Symptoms may not be recognised until further neurological or motor symptoms appear such as convulsions, dyspraxia, aphasia and other abnormal uncontrollable muscle movements. Visual disturbances may also occur if the virus invades the retina leading to complete blindness. The disease is nearly always fatal within 1 to 3 years. Diagnosis is made on the clinical presentation and confirmation by a high titre of antibody to the MV (Schneider-Schaulies Meulen 2000). Investigations would include electroencephalogram (EEG), and computerised tomography (CT) to shown scarring of the brain and neuronal activity. There is no treatment available for those afflicted with SSPE; anticonvulsants such as Phenobarbital, valproic acid and others may be prescribed to control seizures. Although this disease is very severe and rare the final cause of death is usually pneumonia, the pneumonia results from extreme muscle weakness. With adequate vaccination cases of SSPE have also declined. References Topley Wilsons Microbiology Microbial Infections – Immunology 10th edt. Published by Edward Arnold Ltd. 2005 Chapter 39 Acquired immunodeficiencies pgs 803-806 Morgan EM Rapp F. Measles Virus and Its Associated Diseases. Bacteriological reviews Sept. 1977, Vol. 41, No. 3 pgs. 636-666 Principles and Practice of Clinical Virology 4th edt. Published by John Wiley sons Ltd. 2000 chapter 11 Measles by Schneider-Schaulies Meulen pgs 357-385 GriffinDE. Measles virus-induced suppression of immune responses. Immunological Reviews 2010 Vol. 236: 176–189 McChesneyMB, Oldstone MBA, Fujinami RS et al Virus Induced Immunosuppression: Infection of peripheral blood mononuclear cells and suppression of Immunoglobulin synthesis during natural measles virus infection in rhesus monkeys. Journal of infectious diseases 1989 159:4 757-760 Karp CL. Measles: immunosuppression, interleukin-12, and complement receptors. Immunological Reviews 1999 Apr;168:91-101. World Health Organisation. Weekly epidemiological record: Progress in global measles control and mortality reduction, 2000–2007 2008, No. 49, 83, 441–448 Kerdiles YM, Sellin CI, Druelle J, Horvat B. Immunosuppression caused by measles virus: role of viral proteins. Reveiws in Medical Virology. 2006 Jan-Feb;16(1):49-63. World Health Organisation. Mealses factsheet no 286 2009 Measles Initiative UN: Statement on Eradication by Kofi Annan 2011 http://www.measlesinitiative.org/ Figure 3 images obtained from http://www.google.co.uk/images Karp CL, Wysocka M, Wahl LM, et al. Mechanism of suppression of cell-mediated immunity by measles virus. Science. 1996 Jul 12;273(5272):228-31. GriffinDE, Moench TR et al. Peripheral blood mononuclear cells during natural measles infection; cell surface phenotypes and evidence for activation clinical immunology and immunopathology 1986 40 305-312 Niewiesk S, Gotzelmann M, and ter Meulen V. Selective in vivo suppression of T lymphocyte responses in experimental measles virus infection Proceeding of the natural academy of sciences USA 2000 97;4251-5 Information from Undergraduate notes 2008 MMR vaccine kit insert from Merck Co Inc.Whitehouse Station NJ,USApublished 2010 Health Protection Agency. (HPA1) Completed primary course at two years of age: Englandand Wales, 1966-1977, Englandonly 1978 onwards. http://www.hpa.org.uk/web/HPAwebHPAwebStandard/HPAweb_C/1195733819251. Health Protection Agency. (HPA2) Confirmed cases of measles, mumps and rubella 1996-2009. http://www.hpa.org.uk/web/HPAwebHPAwebStandard/HPAweb_C/1195733833790 How to cite Understanding the Measles Virus (MV), Essay examples

Thursday, December 5, 2019

My Last Duchess Analysis Essay Example For Students

My Last Duchess Analysis Essay My Last DuchessIn â€Å"My Last Duchess† by Robert Browning, we are introduced to the dramatic monologue. In a dramatic monologue, the speaker unknowingly reveals his personality through his speech. In this poem, the audience listens to a conversation between the Duke and a nameless envoy who are making the final arrangements for the Duke’s second wedding. Strangely, the Duke brings out a portrait of his former wife whom he rambles incessantly about. Through the Duke’s ramblings, we learn that he is a self-centered, arrogant, and completely chauvinistic man, asserting emotions of both power and weakness. The Duke is a materialistic, proud man. He has a high rank in nobility and a well-respected name. Thus, he tries to portray himself as powerful and sophisticated. But his underlying motives shine through and we see the Duke as jealous and possessive. The Duke was formerly married and this marriage ended tragically. His last Duchess had a wandering eye and a smile for everyone. This infuriated the Duke – â€Å"She smiled, no doubt, whene’er I passed her; but who passed without much the same smile?† (line 44). The Duke must have been a Leo because he always had to be in the spotlight, his pride injured when the attention was not there. He felt he should be the only one in his Duchess’s life to cause her joy or any sort of emotion, really. â€Å"All and each would draw from her alike the approving speech, or blush at least. She thanked men – good! But thanked someone I know not how – as if she ranked my gift of a nine hundred year old name with anybody’s gift,†(lines29-34). The Duke feels that he has made this woman. Who was she before he bestowed the almighty name on her? How dare she not show her full thanks! The Duke was like many men we see today – envious and completely ridiculous. Unfortunately for the Duchess, her innocent flirtations must have boiled the Duke over the edge. He could not talk to her about his feelings, â€Å"Even had you skill in speech – which I have not,† (line 35). And even if he was able, he probably would not because this would injure his ego even more. Sure maybe she would listen, but now she knows she has the upperhand over the Duke. It is all a control issue with these two. â€Å"And if she let herself be lessoned so, nor plainly set her wits to yours, forsooth, and made excuse – E’en then would be some stooping; and I choose to never stoop,†(lines 39-42). So he decides on a different plan. â€Å"I gave commands; then all smiles stopped together,†(line 45). From this statement, we can infer that the Duke became enraged to the point he hired someone to kill his wife. It is one of those nice deals with power marriages – you do not listen to my command, you get blown away. Then we wonder w hy the divorce rate in America is 50%. All this has not changed the Duke, however. In this upcoming marriage, the Duke will act in the same way. That is the whole purpose in showing the envoy the portrait. It is a forewarning to what will happen to the next wife if she does not listen to her master – she will end up living through a portrait on the wall. The Duke does not even care about the money he is making from this marriage, he only wants another young, beautiful woman to control. â€Å"The Count your master’s known munificence is ample warrant that no just pretense of mine for dowry will be disallowed; though his fair daughter’s self, as I avowed at my starting, is my object,†(49-52). Women are not people to the Duke, but rather creatures to tame, which he implies when he shows the envoy one of his other possessions. â€Å"Notice Neptune though, taming a sea horse, thought a rarity, which Claus of Innsbruck cast in bronze for me,†(54-56). .u68caba78dbb2d84ef1bcf7ae19c0ffb5 , .u68caba78dbb2d84ef1bcf7ae19c0ffb5 .postImageUrl , .u68caba78dbb2d84ef1bcf7ae19c0ffb5 .centered-text-area { min-height: 80px; position: relative; } .u68caba78dbb2d84ef1bcf7ae19c0ffb5 , .u68caba78dbb2d84ef1bcf7ae19c0ffb5:hover , .u68caba78dbb2d84ef1bcf7ae19c0ffb5:visited , .u68caba78dbb2d84ef1bcf7ae19c0ffb5:active { border:0!important; } .u68caba78dbb2d84ef1bcf7ae19c0ffb5 .clearfix:after { content: ""; display: table; clear: both; } .u68caba78dbb2d84ef1bcf7ae19c0ffb5 { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .u68caba78dbb2d84ef1bcf7ae19c0ffb5:active , .u68caba78dbb2d84ef1bcf7ae19c0ffb5:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .u68caba78dbb2d84ef1bcf7ae19c0ffb5 .centered-text-area { width: 100%; position: relative ; } .u68caba78dbb2d84ef1bcf7ae19c0ffb5 .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .u68caba78dbb2d84ef1bcf7ae19c0ffb5 .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .u68caba78dbb2d84ef1bcf7ae19c0ffb5 .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .u68caba78dbb2d84ef1bcf7ae19c0ffb5:hover .ctaButton { background-color: #34495E!important; } .u68caba78dbb2d84ef1bcf7ae19c0ffb5 .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .u68caba78dbb2d84ef1bcf7ae19c0ffb5 .u68caba78dbb2d84ef1bcf7ae19c0ffb5-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .u68caba78dbb2d84ef1bcf7ae19c0ffb5:after { content: ""; display: block; clear: both; } READ: Nationalism and patriotism EssayThe Duke was a women-thirsty, power-hungry man. He knew what he wanted and if he did not get it, he took drastic measures to insure his success in further endeavours. In this second marriage, he will either be jilted or have complete success for the envoy will go back with the story of the portrait and the Count will either hide his daughter or give her away without any qualms. If he does get left at the altar though, it would not even bother the Duke. He would just have more time to play his game of hunter and the little prey. English Essays