Breast Cancer Occurring during Pregnancy Research Paper

Breast Cancer Occurring during Pregnancy - Research Paper Example Women have a 12.67 % of developing breast cancer during their lifetime. ( National Cancer Institute’s Surveillance, Epidemiology, and End Results Program Cancer Statistics Review rates from 2001 to 2003.) According to Loibl S, von Minckwitz G, Gwyn K, et al. (2006) the condition will occur in one in 3000 pregnancies. Despite this, there have been few recent studies on the subject, especially those seeking to look for the histopathologic and immunohistochemical features which are combined in breast carcinomas in these patients, possibly because of the comparative rarity of the condition. Pregnancy-associated breast cancer (PABC), often referred to as gestational breast cancer; can be defined as any cancer of the breast diagnosed during pregnancy and up to one year postpartum including lactation (Molchovsky & Madarnas, 2008). However, there is considerable variation among authors, with defined postpartum periods ranging from 6 months to 2 years. (Psyrri & Burtness, 2005). Another idea is that PABC can be defined as occurring during pregnancy and until lactation ceases. PABC is the second most common malignancy in women, after cervical carcinoma, and occurs in 1 in 3000 pregnancies (Pavilidis & Pentharoudakis, 2005). A mother is already facing the huge changes that come with a new child and when breast cancer is diagnosed concurrently with pregnancy and lactation this becomes a very challenging situation for the patient, physically but also psychologically and socially, as well as her family, physicians, and other health care providers. Treatment options, either local or systemic, are limited by concerns about possibly harming the fetus, and are also conditioned by the gestational length of the pregnancy.

Corrections Accreditation Essay Example for Free

Corrections Accreditation Essay Corrections Accreditation this is a system of verification that correctional agencies and facilities comply with national standards promulgated by the American Association. Accreditation Correction, which developed the national stand to be used in granting organization accredited status, accreditations officially began in 1978. In essence it measures the organizations compliance with nationally accepted standard in the field, as maintained by the accreditation program. (Ch. 8 p179) I feel that corrections accreditation affect the professional development of the correction officers in a good way, this helps the officer to develop skills on a higher level, special training as well as high qualities of head and heart makes a good prison or reformatory officer. While accreditation seek comparable status for their employing organization, accreditation help set the standard for training both operational and management level positions. (Ch. 8 p178) Privatization is a private operated prison that houses prisoners for a profit; it’s closely related to other important issues in corrections over the last past two decades, the role of the private corporation in correction or more specifically, the private operation of secure prisons and jails. In 1980, no secure privately operated jails or prisons existed in America. By 2001, about 150-100 prisons and jails were open for business hold about 120,000 prisoner, or 6 percent of the jail and prison population. (Ch8 p 192) There is not much of a different when comparing privatized prisons to state and federal prisons, a lot of the private operate the same way and sometime mimic the state and federal prisons, they appear to perform at the same level of efficiency as the public facilities, although they tend to house a higher proportion of minimum-custody inmates in relatively new facilities, private prisons tend to have the staffing patterns, provide the same level of work, educatio n and counseling program, so I would have to say that the private prison meet the criteria well. (ch 8 p189) The private prisons have an effect on both the state and federal prisons, with funding  and financial problems a lot of businesses feel the economic bite, but not the private prison systems. These institutions are run for the purpose of turning of a profit, state and federal prisons are contracted out to private companies who are paid a fixed amount to house each prisoner per day, their profits result from spending the minimum amount of state or federal fund on each inmate, only to pocket the remaining capital, the more inmate the more money.(Global Research.com) Some of the way that the industry leader plan to better correctional officers professionalization and accreditation is to educate, training, and better training programs, all of this are key parts in professionalization. I feel that if they take some of the money that make and put back into the training programs this would be helpful for the institution in the outcome of furture of young officer, corrections accreditation help set the sandards for the professionalism and operation of prisons.

Supply Chain Management Objectives in a Factory

Supply Chain Management Objectives in a Factory Automated sandwich making industry provides ready-to-eat, easy-to-consume and pre-packaged sandwiches. These sandwiches are very popular because of many factors like speed of delivery and the quality that comes with every unit of sandwiches. Automated sandwich plants employ a continuous production cycle that works as per a standard demand and supply schedule. The production process is precise and well maintained, while the process itself is a byproduct of well-calibrated marketing strategy. The production schedule is backed by several other departments whose support is very important to keep the production going without any hitch. Like any other production facility, even sandwich making plant operates in a similar way planning production, purchasing raw materials, registering orders, producing sandwiches, packing them and dispatching them are final delivery are some of the basic processes that occur there. This short paper analyses supply chain management objectives help an automated sandwich-making factory to focus on its production and sales management goals and to create strategies to enhance turnover and profits. This becomes very essential as a large super market chain places a large order for high quality sandwiches. The main objectives of the firm after getting this order is to evaluate, analyze, and review the exiting production practices and later design an action plan that result in the production of 12,000 units of sandwiches every week. To produce such an amount of weekly order, the firm will need to combine its plans and strategies along with streamlining the numerous supply chain components. In addition, the firm will also need to step up the supply chain profitability so that the production process retains its marketing and competitive edge. Like any other manufacturing facilities, even sandwich making plants works on the principles of supply chain management. Supply chain management objectives the most basic measures that drive the production process Lee and Billington (1993) define a supply chain: As a network of facilities that performs the functions of procurement of material, transformation of material to intermediate and finished products, and distribution of finished products to customers. In other words, a supply chain is also an intricate system of personnel, production activities, skills, knowledge, information and resources involved in transferring a given product from supplier to a customer. Supply chains also link value chains as described below in subsequent chapters. Supply chain management is an advanced concept that is considered by almost all businesses in the world. A sandwich making business can easily use the basic principles of supply chain to enhance its product delivery mechanisms by linking several business functions. To introduce a profitable supply chain, a business development manager should design and create a plan the leads to reliable and guaranteed supply chains that also provide high quality products. Supply chain management (SCM) demands a far stringent transformation from administering simple individual departments who handle individual functions, to integrate them in a seamless manner. The result of such an action is the creation of many important supply chain functions and processes. Let us consider a simple example: A firm gets a big order for some products. The details of the order will be dispatched from the sales department to the purchasing department. Now, the purchasing department will start placing the required order with the production department. The production department will produce the required products and dispatches them to the marketing department that in turn will sell the goods to wholesalers and retailers. However, the marketing department will need to asses customer demand by communicating with wholesaler and retailer distributers; the main goal of this exercise is to find out the exact demand for the product. It means that a method of process integration is carried out with different supply chain partners. Integrating supply chain business functions will include well planned and teamwork between buyers and suppliers, production and sales department and through sharing information that is common to all the stakeholders. In the present example, we will consider different business functions of the sandwich-making firm like purchase of raw materials, receipt of orders from retailers and wholesalers, activities of marketing department and inventory department and production and marketing department. Such integration needs the flow of information in a calibrated and continuous manner (Lambert and Cooper, 2000). Appropriate technologies and methods could help manufacturers create an optimum supply-chain system. These are possible by using demand, supply philosophies like push, and pull techniques. Defining push and pull philosophies are very important for a sandwich company that wants to sell many sandwiches per week. Customer or demand side push is actually an entrepreneurial response in hope of customer demand. On the contrary, demand or customer pull is a response that actually results from ensuing customer demand. However, it is very difficult to decide if a particular supply chain is in push or pull mode in a general mode. Here, the business may need to decide what constitutes the supply chain and how different stakeholders act in the supply chain. In the present example, there is already a readymade demand for 12,000 sandwiches per week and this is classic example of customer pull. In most of the supply chain scenarios, demand-push may meet demand-pull and this is the situation when the inventory starts accumulating. This is a typical push-pull interface or a supply chain decoupling point. For the sandwich making business mentioned in this example, the benefits of acting to a pull model is very compelling as the calculated levels of production is independent of forecasts for a future order. The general axiom that works very well here is very simple just produce what you pull from the customer exactly at the rate of their needs. A business that operates in a pull philosophy can perform better to accept changes that usually occur in tastes and preferences of customers. However, the sandwich business that operates in this mode may not use this model unless there is clear demand from the customer side. Many dial-up pizza shops prepare their products based on specific demand-pull to supply a particular number of pizzas. This example is non-analogous to the present sandwich making company. In a typical pizza supply unit, the delivery is held until there is a specific order for pizzas. To be able to respond to a situation, the unit will include bases and ingredients as built-in inventory well in advance. The final delivery will occur only when there is a specific order. It means that there is an evidence of both push- pull philosophies in that example. In the present example, there is already an element of customer-pull and it ensures a confirmed order for sandwiches. Demand-pull philosophy has the ability to reduce waste and inventory and it is more in the direction of satisfying needs of end customers. In the end, a sandwich business that operates on this principle should create a package of practices that include the best supply management principles. SCM Cycle View Model All manufacturing activities are divided into many sub-activities that eventually help the sandwich company to conduct the business operations in an optimal manner. Like any other business, even sandwich making business operates in a standard manner that actually mimics a standard production assembly format. In essence, a given production assembly consists of four important components Customer order cycle, Replenishment cycle, Manufacturing cycle and Procurement cycle. Customer order cycle: This is the mutually agreed cycle time of a given purchase order. It is also a gap between the purchase order creation date and agreed delivery date. In other words, one should expect the time and it may not be the actual date for delivery. The metrics used provides a guide to deliver the order. Replenishment cycle: This is the average time needed to fill a current purchase order. The time starts when a particular order is sent or receive dot entered. This process ends at the time of shipment or soon after the delivery to the customer. Business developers should consider both the actual delivery time and promised delivery time. Manufacturing cycle time: It is possible to quantify this time from the planned order until the report timing of final production process. One can compare the actual production quantity with the intended quantity. Purchase order cycle time: This metric measures the creation of PO to the delivery at a location like distribution center. Here, one may not have the requested delivery date beyond the agreed lead-time. Here is a standard Cycle view model for sandwich business: Note: One can think of supply chain as a chain of communications that occur between two consecutive stages of production. These cycles always share similar types of communications because the entire process will have a buyer and a supplier. As one go away from the customer, the scale of the transaction will diversify and become larger. Fig 1: Cycle View Sandwich Production Process (Supply Chain Management: cycle view figure adaptation after Supply Chain Management Strategy, Planning Operation; Third Edition; Smil Chopra, Peter Meindl) As mentioned before, a customer cycle involves an external demand. The balance side of the supply chain should react to the existing customer demand and later satisfy it without fail. However, the only hitch is that basic process of creating sandwiches from different raw materials (like vegetables, spices and meat) stage to the ready to eat one will always involve spending some time, money and energy. If the production process is not quick enough to cater to the demand of the consumer, the existing demand may vanish altogether. It means that the producer should make proper assessments of all future demands during the production process. In essence, speculations that the producer makes should be more so that they will take fewer numbers of decisions when there is an unforeseen or uncertain condition. All the reactive processes are the pull processes while the speculative processes are push types. Level 1 SCOR Model According to SCC (2000), Supply-Chain Operations Reference is a top-level business processes related to all phases of satisfying customer demand (SCC 2000). Four important business processes organize this model at its highest level. These processes are Plan, Source, Make and Deliver. For the present paper, we will discuss about the Level 1 aspect and this deals with the MAKE process. Fig 2: SCOR Level 1 Performance Metrics, Diagram (After SCC, 2000) In this process, a business entity uses actions that transform raw products or raw materials into a finished product to meet planned or actual demand or confirmed demand. In the illustration given above, PLAN is a process that accumulates demand and supply to set in motion a plan of action that meets sourcing, production, delivery, inventory and other similar needs. With this Level 1 model, a sandwich business creates a wholesome plan of sandwich manufacturing and delivering from consumer to retailer to production and marketing sectors. In addition, it also streamlines the plan with sales and marketing. At Level 1, the sandwich business considers a number of processes that convert raw materials into finished products to meet the demand placed by the consumer. Here, the sandwich business considers both push and pull philosophies to consider the business processes. A typical supply chain is truly dynamic and interactive. A sandwich business will run through many states procuring raw materials like meat, vegetables, spices, packaging materials and other items from a inventory supplier, actual manufacturing process, the process of distributing the products, dispatching them to retailers and eventually to customer and marketing and promotion departments that actually sell the sandwiches. A competitive business will streamline all these processes into one single entity that eventually enhances productivity and profitability. A supply chain also flows in two directions and it has an attached cost and capacity domain attached to it. An empowered and skilled business management team that can create a viable plan along with strong management and supply chain design fundamentals will succeed in the end.

Identity in Gertrude Steins The Making of Americans Essay -- Gertrude

Identity in Gertrude Stein's The Making of Americans Throughout her career, Gertrude Stein was fascinated by the possibility of revolution in the sense of "a complete or drastic change," especially in relation to her ideas of identity and agency. But critics disagree about her conclusions. For example, Bruce Goebel sees her early texts as "embrac[ing a] deterministic attitude about the formation of identity" (238) that conceives of identity as locked within historical and biological contexts. At the other extreme, many critics such as Caren Kaplan locate Stein's work within the context of expatriate modernism and so see it within the discourses which "celebrat[e] the rootless traveler" (7), cut loose from nation and history and thus free to create a self of her own choosing. I believe this contradiction arises because Stein's texts are themselves often contradictory, with one passage exploring the inescapable weight of history and heredity on her characters, while the next admires her characters' capacity to resist cultural prescriptio ns, to exercise agency, to transform themselves, to be "singular." Identity in many Stein texts, especially in The Making of Americans, is, then, a negotiation between cultural prescriptions, biological and historical determinants on the one hand and self-definition, change and agency on the other. In this sense, Stein's work anticipates Foucault's later theories of identity in which he explores possibilities for "freedom" or agency. In "The Ethic of Care for the Self as a Practice of Freedom" Foucault begins to define what he calls "the practices of the self": I am interested . . . in the way in which the subject constitutes himself in an active fashion, by the practices of the self, these ... ...ad to Die': The Problem of Mortality in Gertrude Stein's The Geographical History of America." Philological Quarterly 70.2 (1991): 237-252. Hovey, Jaime. "Sapphic Primitivism in Gertrude Stein's Q.E.D." Modern Fiction Studies 42.3 (1996): 547-568. Kaplan, Caren. Questions of Travel: Postmodern Discourses of Displacement. Durham: Duke UP, 1996. Spencer, Benjamin. "Gertrude Stein: Non-Expatriate." Literature and Ideas in America. Robert Falk, ed., Ohio UP, 1975. Stein, Gertrude. "The Gradual Making of The Making of Americans." Selected Writings of Gertrude Stein. New York: Vintage, 1990. -----. The Making of Americans: Being a History of a Family's Progress. Normal: Dalkey Archive Press, 1995. -----. Narration. Chicago: U of Chicago P, 1935. Wald, Patricia. Constituting Americans: Cultural Anxiety and Narrative Form. Durham: Duke UP, 1995.

Mapp V. Ohio

CRJU 310 Judge Oberholzer April 12, 2009 Mapp v. Ohio * Mapp v. Ohio * 367 U. S. 643 * (1961) * Character of Action Mrs. Mapp was found guilty and sentenced to prison 1-7 years. Mrs. Mapp and her attorney took the case to the Supreme Court in Ohio. * Facts: Three police officers went to Dollree Mapp’s house asking permission to enter into her house, because they believed that she was hiding a fugitive in her home. When she did not allow the police officers into her home, the police officers left and came back three hours later with a search warrant. When Ms. Mapp asked the police officer if she could see the warrant, he held up a piece of paper that was believed to be a fake warrant. The police officer handcuffed Ms. Mapp for â€Å"resisting arrest†. As the police officers looked around her house, they did not find any fugitive but they did find pornographic material in a suitcase that was by Mrs. Mapp’s bed. Mrs. Mapp told the police officers that the pornographic material was not hers but that it belonged to another individual that she had loaned the suitcase too. Mrs. Mapp was arrested, found guilty and sentenced for having pornographic material. * Issues: A. Was the issuance of the warrant by the police officer invalid in violation of the Fourth and Fourteenth Amendments? YES. B. In the absence of a warrant, may a search and seizure take place in a person’s home without their consent? NO. C. Is evidence obtained, without a warrant, from voluntary submission of a third party inadmissible in a court of law in violation of the Fourth and Fourteenth Amendments? NO. * Decision: The Court held that the exclusionary rule, which prevents unconstitutionally btained evidence from being introduced at trial, applies to states as well as to the federal government. * Majority Opinion: (by Justice Clark) Issue (A) — Yes. Reasons: i. The Fourteenth Amendment requires that a â€Å"neutral and detached magistrate† must issue a warrant. ii. Justice Clark declared, â€Å"The exclusionary rule should also apply to states, saying that states are not permitted to use evidence gained by illegal means to convict a person. With a 6-3 vote of approval, Mapp's case was overturned and the law was forever changed†. Issue (B) — No. Reasons: i. Justice Clark declared, â€Å"We hold that all evidence obtained by searches and seizures in violation of the Constitution [is] inadmissible in a state court†¦ Were it otherwise†¦ the assurance against unreasonable†¦ searches and seizures would be [meaningless]†. Mrs. Mapp at the time of her arrest was not issue a warrant just a piece of paper. The police officers still searched her house without her consent. 09. Concerning Opinion: by (Justice Black) Justice Black shares the doubt that â€Å"The Fourth Amendment alone can be used to prevent illegally obtained evidence from being used in state courts because it is not explicitly stated. Justice Black also believes the command that no unreasonable searches or seizures be allowed is too little to infer such a large decision. With these differences aside Justice Black feels that along with previous court decisions that the â€Å"Fourth Amendment's ban against unreasonable searches and seizures is considered together with the Fifth Amendment's ban against compelled self-incrimination, a constitutional basis emerges which not only justifies, but actually requires the exclusionary rule. Concurring/Dissenting Opinion: (by Justice Clark, whom the Chief Justice joins) These two justices, Clark and Brennan came to an agreement with Mrs. Mapp that her rights as a citizen of the United States were violated. Both Justices used the Fourth Amendment and that is evidence obtained in violation of the Fourth Amendment, which protects against â€Å"unreasonable searches and seizures†, may not be used in criminal prosecutions in state courts, as well as federal courts. Concurri ng/Dissenting Opinion: (by Chief Black) Justice Black found that the case was a combination of the Fourth and Fifth Amendment and not with the Fourteenth Amendment. Justice Black turned out to be the swing vote. Even though, he joined the Court’s opinion he did it for his own reasons. For the reason, Justice Black wrote a separate opinion that was not joined by any other justice. Concurring/Dissenting Opinion: (by Justice Stewart) Justice Stewart wrote the majority opinion in Elkins. Yet, he refused to join the Court’s opinion. He did vote with the majority to reverse Mrs. Mapp’s conviction. 10. Comment: Mapp v. Ohio is an important case that made history. For the reason it has to do the Fourth and Fourteenth Amendment. All evidence obtained by searches and seizures in violation of the Federal Constitution is inadmissible in a criminal trial in a state court. Wolf v. Colorado, 338 U. S. 25, overruled insofar as it holds to the contrary. Pp. 367 U. S. 643-660. (A) A warrant must be issued by a â€Å"neutral and detached magistrate† who is not involved in either the investigation or prosecution of the suspect upon whom such a warrant is issued (Harvard Law Review, Vol. 5(3), 1971, pp. 239-250). (B) At the trial, no search warrant was produced by the prosecution, nor was the failure to produce one explained or accounted for. At best, â€Å"There is, in the record, considerable doubt as to whether there ever was any warrant for the search of defendant's home. † 170 Ohio St. at 430, 166 N. E. 2d at 389. The Ohio Supreme Court believed a â€Å"reasonable argument† coul d be made that the conviction should be reversed â€Å"because the methods' employed to obtain the [evidence] . . . here such as to `offend â€Å"a sense of justice,†Ã¢â‚¬ËœÃ¢â‚¬  but the court found determinative the fact that the evidence had not been taken â€Å"from defendant's person by the use of brutal or offensive physical force against defendant. † 170 Ohio St. at 431, 166 N. E. 2d at 389-390. Mrs. Mapp took a stand against the police officers because she felt she was doing nothing wrong. The police officers assumed that Mrs. Mapp was involved in hiding a fugitive as well as in hiding some illegal betting equipment. When the police officers got to Mrs. Mapp’s house they asked to go in she said â€Å"no†. Three hours later the police officers came back with a piece of paper (not a search warrant) when Mrs. Mapp asked to see the warrant she had to struggle to get it. The judges overturned the conviction because the police officers had violated the fourth Amendment. 11. Principle of the Case: A warrant issued by any public official, other than â€Å"neutral and detached magistrate† is invalid in violation of the Fourth and Fourteenth Amendments. A person’s home cannot be searched without their consent or without a search warrant.

Japanese Culture and Literature Essay

The Japanese technology is leading the world these days. Especially with the mobile phone market is Japan far ahead of Europe and the United States. Although these progressions and innovations, two cliches still rule the thinking about the country. One is the fact that Japan is a small country, with no ethnic diversity, and has a high income per head. The other one is that Japan ‘imitates’; the idea that Japan does not make its own products, but tries to improve other products. Japan has of course its own creativity and its own cultural achievements, known throughout the world, such as the ‘tea ceremony’, ‘sumo wrestling’ and ‘sushi’. Japan’s economy, culture and civilization changed rapidly when the cultivation of rice was introduced, from China, in the fourth century BC. The nomadic life they used to live was changed for an agricultural one. They started to settle in villages and a new sense of economy and cooperation was established. This new sense of economic thinking also brought forth an ideal that still holds in the Japanese culture: the need of the group is more important than the need of the individual. The Japanese civilization developed very late in comparison with the civilizations found in Egypt, Greece, India or China. Japan, as consisting completely of small islands, stayed a long time being isolated from the rest of the world and therefore stayed a long time being a hunters-gatherers society. China had a great impact on the development of Japan. In the seventh and eighth century, China represented the most developed country in the world in those days. Before this Chinese influence that changed the political system in Japan, the political system consisted mainly of powerful warlords. These warlords and wealthy families established many different centers and Japan was not a unity. Finally one family succeeded in taking the power over the southern and central islands. This clan and its ‘emperor’ started the imperial line. After this establishment, many Chinese political models were introduced in Japan. Taxation systems, new law codes and the whole political administrative system were copied. This Chinese model did not seem to be the best for Japan. Land was divided among the population equally and the taxes were also equal for all the people. The emperor was the ruler and had absolute power and the administrators were chosen through examination and ability. In Japan, the emperors ruled with the family and kinship ties. There were no examinations or ability tests in the old Japan. The nobility did not want to leave their positions and government and laws started changing constantly. The introduction of Buddhism had a big impact on the Japanese society. The original Shinto religion was completed with Chinese and Korean Buddhism. Apparently, these two religions can co-exist well together. Buddhism can be seen as a ‘nature’ religion and because the people of Japan lived close to nature, this worked out fine. Shinto gave the people no hope beyond death, Buddhism did. Nature is not consistent, it is impermanent, and it keeps on changing and so does live. This concept of impermanence is not only seen in the culture and religion of Japan, but also in literature. Literary themes like suffering, life struggles, awareness of the transient nature of earthly things, is represented everywhere. Japanese Culture and Literature The Manyoshu The Manyoshu is the oldest collection of Japanese poetry. The title means â€Å"collection of ten thousand leaves†. The translation of the Japanese symbol ‘leave’ can also be translated as ‘age’ or ‘generation’. Therefore the collection is sometimes said to be the â€Å"collection for ten thousand ages†, which can be interpreted as a collection for the generations to come. At the time of the last dated poem, 759 AD, Japan had just changed into a society with a governing emperor, a new national identity and government and a new religious system. All these new influences came from neighboring country China, which had a big impact of the development of Japan economically, politically, religious and socially. Contacts with China also brought roads, irrigations works, harbors, new fabrics and pagodas to Japan. Japan was not just coping the Chinese ways, they made their own. This also meant the introduction of a new writing style, coming from the Chinese characters, but with a Japanese twist. It is amazing to see that the quality of the poems of the Manyoshu is very high. The experience and finesse of the writers is special for this collection and hard to find again in the poetry written in later ages. The passion, sincerity and innocence are attracting many people to reading the poems. There are basically two principal written forms used in the poems. The first one is the ‘choka’. This is a long poem with an indeterminate number of lines of alternating five and seven-syllable lines, ending with two seven-syllable phrases. It then has the pattern: 5-7-5, 7-5, 7-5, 7-5, †¦ , 7-7. The second poem form is the ‘tanka’, a short poem, written with a total of 31 syllables in the pattern 5-7-5, 7-7. The Manyoshu is often said to offer everything to the reader because there is so much variety to be found. For some it is also proof of the Japanese identity with its great creativity and complexity. References Keene, Donald. (Ed. ). (1994). Anthology of Japanese Literature: From the Earliest Era to the Mid-Nineteenth Century. New York: Grove Press.