Assessing and Managing Supply Chain Risks

Assessing and Managing Supply Chain Risks 1. Introduction The current trend of outsourcing to low cost countries combined with supplier base reduction has provided significant cost reductions for businesses. However, globalization and implementation of more streamlined supply chains have increased risks for companies when acquiring goods and services needed for their operations. By the term risk is meant a chance of facing undesired consequences such as damage, loss, or injury. More scientifically, risk is defined as the combined probability for an undesired event and the potential damage the event might cause. This definition, or variations of this definition, has been applied by a number of researcher investigating risk (March and Shapira, 1987; Zsidisin, 2003; Spekman and Davis, 2004; Wagner and Bode, 2006; Ritchie and Brindley, 2007). The detrimental effects does not have to be existential to the companies, but typically they cause lost sales, decreased market share and large contractual penalties for the parties affected (Zsidisin, 200 3). A very well-know example of such a detrimental effect is the $400 mill loss suffered by the Swedish cell phone manufacturer Ericsson due to a lightning bolt which struck their sub-supplier of semi-conductors (Latour, 2001). Another example is the battle against the foot-and-mouth disease in the UK agricultural industry during the year 2001. This event temporarily paralyzed the agricultural industry, while the tourism industry suffered great losses. Even luxury car manufacturers such as Volvo and Jaguar were affected since deliveries of quality leather used in various parts in the car compartment were temporarily stopped (Norrman and Jansson, 2004). A general ban on sale and export of British pigs, sheep and cattle was introduced during the outbreak. The tourism industry also suffered as many tourists changed their vacation plans due to transport bans and detergent washing of cars, boots and clothing in affected regions. Similarly, the fruit company Dole lost over $100 million dollars when a hurricane caused massive damage to the area in Central America where their banana suppliers were located (Griffy-Brown, 2003). The outbreak of SARS in Southeast Asia affected various industries such as the electronics industry, retailing, tourism, and the airline industry with losses at the national level stipulated to $38 billion just for Hong Kong, Singapore, Taiwan, and Thailand (Overby et al., 2004). The economic impact of the hurricane Katrina is stipulated to $100-125 billion. More than half of that amount is due to the flooding of New Orleans which paralyzed industry and disrupted normal living conditions in the affected areas (Boettke et al., 2007). However, the most famous of such disruptive events is probably the 9/11 terrorist attack in 2001, which caused immediate financial losses and initiated a massive restructuring of the airline industry (Bhadra and Texter, 2004). The above mentioned examples illustrate that supply chains may not be well prepared for dealing with unanticipated events causing disruption in sub-systems of supply chain networks. The traditional cost-efficiency focus of supply chain systems have led companies to eliminate buffers in the form of inventories and multiple sourcing throughout the network. However, this has also led them to remove mechanisms in the supply chain which previously moderated the effects of undesired, disruptive events in the chain. An alternative approach is to introduce more agility in the supply chain. This approach has successfully been applied as a response to the fact that more and more market places in the twenty-first century require a proliferation of products and services, shorter product life cycles and increased demand for innovation (Narasimhan, Swink and Kim, 2006). In agile supply chains, stock out penalties occur immediately in the form of lost sales and the key performance measure is no lon ger productivity or cost, but customer satisfaction. Traditional stable partnerships are substituted with more fluid clusters where partners enter and leave the network at a more rapid pace. In general, there is also a focus on operator self-management to maximize the actors autonomy (Mason-Jones, Naylor and Towill, 1999). The actors higher level of autonomy in agile supply chains makes them better able to respond to changes in supplies upstream as they have no or few bindings keeping them from changing to alternative sources of supply. However, supply chain companies dealing with commodity goods rather than fashion goods can not necessarily be expected to have the same degree of freedom. Their day-to-day competition would require them to eliminate all forms of waste to remain competitive. Any cost driving measure to mediate or avoid risk such as excess production capacity, excess inventory, and increased supplier base would therefore have to be weighed against the expected costs of future unknown disruptive events. To do this, a proactive identification of potential supply and demand hazards is required at a strategic level. The point is to identify where unanticipated risk events have the biggest impact on the supply chain network, identify the type and number of risks, their associated costs, and as sess alternative counter-measures to improve the resilience of the supply chain. The intent of this conceptual paper is to establish a decision framework in order to aid the proactive identification and management of potential upstream and downstream supply and demand hazards. The framework is developed based on a broad variety of literature integrating multiple perspectives on risk from supply chain management, marketing, and organizations theory. The risk framework presented separates itself from previous efforts in its comprehensiveness, and it has been designed to match the supply chain management framework developed by the Global Supply Chain Forum (GSCF). Previous categorization attempts have usually only presented sub-sets of risk factors and have not paid much attention to how supply chain risks can be dealt with proactively. For instance, Zsidisin (2003) listed a number of useful supply risk characteristics and classified them into characteristics belonging to items, markets and suppliers based on the results of a case study. Item characteristics included impact on profitability and the newness of product application, while market characteristics involved global sourcing, capacity constraints, market price fluctuation, and number of qualified suppliers. Risks associated with suppliers were capacity constraints, inability to reduce costs, incompatible information systems, quality problems, cycle times, and volume and mix requirements changes. However, Zsidisins list of supply risk characteristics did not contain important risk elements such as behavioral appearance of supply chain actors and risks associated with skills and qualities of the individual supply chain organizations, nor did it pay much attention to mitigation of risk events. In addition, the network perspective of supply chain management was not evident in the sense that an event can appear several tiers away from the focal organization but still damage the organization via an unknown dependence. Spekman and Davis (2004) also discussed a typology for categorizing risks. They found that risk lies inherent in every supply chain flow of goods, information, and money and they mentioned many of the same risk characteristics as in Zsidisin (2003). In addition, criminal acts and breach of norms were included as risk elements in the supply chain. However, they did not focus much on actions to minimize or avoid the effects of undesired events. Dealing with risk was eventually reduced to the introduction of buffers or building trust. An exception is made for the management of security risks where they briefly mention the necessity of proactive planning to avoid such risks. Another example is Peck (2005) who reported from an empirical study where the sources and drivers of supply chain vulnerability were investigated. She used the knowledge achieved to develop a multi-level framework for risk analysis and did not put much emphasis on identifying individual risk characteristics and tactics to improve the supply chains resilience. However, the framework illustrated in an intuitive manner how unanticipated and undesirable events at other nodes in a network could influence and cause problems at different levels for a focal company via dependencies. Kleindorfer and Saad (2005) also attempted to provide a conceptual framework to assess risk and introduced three tasks as the foundation of risk management. These were Specifying sources of risk and vulnerabilities, Assessment, and Mitigation. The sources of risk and vulnerability were thereafter divided into operational contingencies, natural hazards, and terrorism and political instability. Kleindorfer and Saad (2005) did not elaborate in much detail on which risks to include in each of these categories, thus from a practical risk assessment point of view, the model becomes less interesting. In a similar vein, Ritchie and Brindley (2007) developed a framework to encapsulate the main strands of supply chain risk management. They distinguished between seven sources of risk, but were not specific about which risks to expect in each category and they were not very detailed in their description of risk avoidance or mediation tactics. In stead, they used their general model as a guide in an exploratory case study where the purpose was to focus on supply chain members degree of awareness of supply chain risks, and how supply chain members identified and responded to identified risks. Ring and Van De Ven (1992) developed a framework for structuring cooperative relationships between organizations based on varying degree of risk and reliance on trust. They based their paper on the assumption that the degree of risk inherent in any transaction depends in the direct proportion to decreases in time, information, and control. Examples provided were commercial risk (risk of not finding a price-performance niche in the market), technological risk (probability of bringing the technology to market), scientific risk (lack of knowledge), engineering uncertainty (will the technology work?), and corporate risk. By corporate risk they referred to the risk of wrong allocation of resources in the organization. However, these types of risk are strongly connected with internal managerial and organizational skills of the focal company, and thus cover only a small portion of the risk concept from a supply chain management perspective. Risks arising from process sharing and network inf licted risks were barely mentioned. In summary, a higher level of precision in supply chain risk assessment frameworks combined with normative guidelines for risk avoidance seems present in extant literature. This call has formally been put forth by Harland, Brenchley and Walker (2003) who provided an easy-to-follow procedure for risk assessment in supply chain networks. They concluded that more managerial guidance is required to support risk management and redesigning of supply strategies to incorporate risk strategies . An attempt to answer this call has been made in the following sections. Mapping of risks in the supply chain has been emphasized combined with a discussion of tactics for risk mitigation and risk avoidance. In essence, this covers steps two to four in the model by Harland, Brenchley and Walker (2003) (Figure 1). Guidance for mapping of the supply chain is the main goal for many of the supply chain management frameworks recently developed. Mapping of the supply chain has therefore only received limited attention in this paper, but references to some well-known supply chain frameworks are provided. Steps five and six have been left for the managers to decide as the strategy formation and implementation would be situation specific and dependent on the outcome of steps one to four. 2. Research method The framework is developed based on a literature review where multiple perspectives on risk from marketing theory, organizations theory, and supply chain management have been integrated into a composite supply chain risk framework. Relevant contributions were identified through library searches and key word searches in Proquest and ScienceDirect databases. Search words were used either alone or in combination to find contributions which could bring added insight about risk from different theoretical perspectives. Key word searches typically included words such as supply chain management, marketing, or organization theory, and words such as risk, framework, uncertainty, vulnerability, resilience, etc. A large number of research contributions were identified from this procedure and contributions were further selected based on a qualitative assessment of the title and abstract of each identified contribution. A guideline for the literature review was to find an answer to the question what do we know from theory which could be relevant for supply chain managers in their efforts to identify and reduce the level of risk in their supply chains? The emphasis on theory was decided since an exploratory empirical investigation would be descriptive of current practices which would not fit with the normative purpose of this investigation. Ex post empirical testing of the entire framework in a single study were also considered difficult to accomplish due to the amount of risk factors included. However, a varying degree of empirical validity is offered through the previous empirical testing performed by the researchers referenced. Some empirical guidance and initial face validity was also provided through discussions with the general director of a sub-supplier to the Norwegian oil and gas industry. 3. Supply chain management and risk The term supply chain management (SCM) has primarily been linked to the study of either internal supply chains integrating internal business functions, the management of two party relationships with tier one suppliers, the management of a chain of businesses or with the management of a network of interconnected businesses (Harland, 1996). Transaction cost analysis (TCA), organization theory (OT) and relational marketing (RM) literature have contributed substantially to the development of SCM research (Croom, Romano and Giannakis, 2000). However, a definition of SCM given by the members of the Global Supply Chain Forum states that Supply chain management is the integration of key business processes from end user through original suppliers that provides products, services, and information that add value for customers and other stakeholders. This distinguishes SCM from the previous mentioned theories since it is the network or chain perspective which is emphasized (Lambert, Cooper and P agh, 1998). 3.1. Mapping the supply chain In order to be able to assess risk in a focal companys supply chain, a thorough insight is required about how the supply chain is configured. A number of frameworks have been developed for the purpose of achieving such knowledge, but Lambert, GarcÃÆ'Â ­a-Dastugue and Croxton (2005) identified only five frameworks which recognized the need to implement business processes among supply chain actors. Such implementation is considered a key area where supply chain management can offer improvement to supply chain actors (Hammer, 2001). However, only two of the five frameworks provided sufficient details to be implemented in practice (Lambert, GarcÃÆ'Â ­a-Dastugue and Croxton, 2005). On the other hand, these two frameworks are both supported by major corporations which indicate a high level of face validity. The first framework is the SCOR model developed by the Supply-Chain Council (SCC, 2008). The SCOR model focuses on five different processes which should eventually be connected across firms in the supply chain. These are the plan, source, make, deliver, and return processes. The second framework was developed by the Global Supply Chain Forum in 1996 and was presented in the literature in 1997 and 1998 (Cooper, Lambert and Pagh, 1997; Lambert, Cooper and Pagh, 1998). Similar to the SCOR model, the GSCF model focuses on a set of distinct business processes to be shared among business organizations. However, a main difference between the two supply chain frameworks is their linkage to corporate strategy. While the SCOR framework emphasizes operations strategy, little reference is made to organizations corporate strategies. The GSCF framework, on the other hand, directly links with the corporate and functional strategies of the companies and thus offers a wider scope (Lambert, GarcÃÆ'Â ­a-Dastugue and Croxton, 2005). Since risk is inherent at every level of an organization, and should be considered also at the strategic level, the GSCF framework was chosen as a starting point for our development of a supply chain risk management framework. 3.2. Identify risk and its location In the GSCF framework, supply chain management consists of three inter-related elements: 1) the structure of the supply chain network, 2) the management components governing the shared supply chain processes, and 3) the different types of processes linked among supply chain actors. Who to link with, which processes to link, and what level of integration and management should be applied are considered key decisions for successful management of supply chains (Lambert, Cooper and Pagh, 1998). From a supply chain risk management perspective, these managerial questions make way for three propositions regarding risk and the focal company. The first proposition concerns the unpredictability of human nature when processes are shared with others. The second concerns the vulnerabilities created because of dependencies between multiple network actors, and the third refers to the skills and qualities of the different supply chain actors organization and management. Stated formally: P1: A focal companys exposure to supply chain risk depends on the level of human behavior unpredictability in the supply chain and the impact such unpredictability can have on the companys supply chain. P2: A focal companys exposure to risk depends on the number and strength of dependencies in its supply chain and the impact an external risk event may have on the company. P3: A focal companys exposure to risk depends on the supply chain actors skills and qualities to identify potential risks in advance and to solve risk situations once they occur. Although they address different aspects of risk to a focal company, the propositions are closely related. For instance, without the existence of network dependencies, behavioral unpredictability at another supply chain actor becomes irrelevant. Similarly, the focal company does not have to worry about the skills and qualities of other supply chain actors because there is always another alternative to select. Also, an increase in the supply chain actors skills and qualities will indirectly reduce the level of human unpredictability since it rules out some of the mistakes humans can make; however, it does not rule out the focal companys uncertainty about other supply chain actors intended strategic actions. The relationship between the propositions has been outlined as arrows in Figure 2. Each category between the arrows refers to a more precise definition of the risks mentioned in the propositions. The categories follow the naming convention in the GSCF framework, and together, they c onstitute a holistic representation of supply chain risks relevant for successful supply chain management. The formal definitions for the three types of supply chain risk in Figure 2 are provided below and explained in the subsequent sections: Supply chain processes risk refers to the perceived risk of other companies in the supply chain behaving intentionally or unintentionally in a manner which could be harmful to the company. Supply chain structure risk is closely linked with the total number and type of dependencies in the network. It is a measure for the level of significant detrimental effects an undesired and unanticipated event can have on a companys supply chain network. This event can occur externally or internally to a local market or industry and affect either a single node or a multitude of nodes simultaneously. Supply chain components risk refers to the technical, managerial and organizational abilities each supply chain actor has developed in order to embrace opportunities, detect and avoid potential supply chain disruptions, and to mediate the effects of a disruption once it has occurred. 3.3. Supply chain processes risk A focal companys exposure to supply chain risk will, according to proposition one, depend on the level of human behavior unpredictability and the impact such unpredictability can have on the companys supply chain. When companies begin to explore the competitive advantage of accessing and managing processes belonging to other companies in the chain, they therefore need to identify how the sharing of a process can change its vulnerability to unanticipated events and agree on strategic actions to reduce the processes vulnerability. The main factors to consider when processes are shared with other actors are shown in Figure 3 and explained below. In general, the sharing of processes across tiers in a network can be problematic since it simultaneously makes the focal company more vulnerable to risk. Under working market conditions, each actor is free to choose its trading partner for every transaction. A natural moderating effect on risk therefore exists since there is no dependency on other specific actors in the network. However, when companies begin to integrate processes, as prescribed by supply chain management literature, they distance themselves from the market by creating lock-in effects with selected partners due to the specificity of tangible and intangible assets deployed. From a transaction cost theory point-of-view (Williamson, 1975, 1985), specific investments in shared processes must be protected against the risk of possible opportunistic behavior from the other actor in each partnership. Opportunistic behavior refers to actors self-interest seeking with guile (Williamson, 1975) where guile means lying, stealing, cheating, and calculated efforts to mislead, distort, disguise, obfuscate, or otherwise confuse (Williamson, 1985). In practice, this type of supplier behavior would materialize in hazards like broken promises, production delays, increased costs, production shortcuts, and masking of inadequate or poor quality (Provan and Skinner, 1989; Wathne and Heide, 2000). Any uncertainty of whether the suppliers behave, or would attempt to behave, opportunistically therefore increases the impression of risk to the actor performing the risk assessment[1]. However, transaction cost theory has been criticized for its assumption of opportunistic decision makers. Critics argue that it is a too simplistic and pessimistic assumption about human behavior, and that opportunism represents the exception rather than the rule (Macneil, 1980; Granovetter, 1985; Chisholm, 1989). John (1984) also argued that undesired attitude such as hard bargaining, intense and frequent disagreements, and similar conflictual behaviors do not constitute opportunism unless an agreement has been reached of not to do so. In addition, even well-meant behavioral actions by one party may have negative effects for another party in the supply chain. The perception of risk linked with human behavior where processes are shared can therefore not be restricted to a matter of opportunism alone, but needs to include any kind of undesired human behavior whether it is opportunistic, undesirable or well-intended, but still potentially harmful. It has been suggested that behavioral uncertainty can be reduced with the introduction of formal and informal safeguards to the relationship. In a successful relationship, relational rules of conduct work to enhance the well-being of the relationship as a whole and take explicit account for the historical and social context within which an exchange takes place (Heide and John, 1992). Flexibility among the parties, solidarity, information exchange, and long-term orientation are norms typically associated with, and referred to, as relational safeguarding mechanisms in contemporary research (Ivens, 2002). The presence of these norms in a relationship has been found to improve the efficiency of relationships and to reduce parties behavioral uncertainty (Heide and John, 1992). Alternatively, ownership, or some form of contractual command-obedience authority structure can be used to protect against inherent behavioral uncertainty. Vertical integration has traditionally been prescribed by transaction cost literature as an answer to handle uncertainty in repeated transactions when there are specific investments involved (Williamson, 1975, 1985). However, Stinchcombe (1985) found that the safeguarding features of hierarchical relationships can be built into contracts as well. These features included authority systems, incentive systems, standard operating procedures, dispute resolution procedures, and non-market internal pricing. It should be noted that advanced pricing mechanisms used can include agreed risk sharing and paying an insurance premium to a third party to protect against the financial consequences of a business interruption (Li and Kouvelis, 1999; Doherty and Schlesinger, 2002). However, a prerequisite for risk transfer mitigation to work is the a bility to clearly define the type, cause and boundaries for when the agreed risk transfer applies. Also, well defined standard operating procedures are particularly important since they indirectly describe the non-conformance cases. Breaches in quality performance or EHS procedures, shipment inaccuracies, delivery times, etc. by the focal company or another party are indications of reduced control over the supply chain. Hence, an increased frequency of such incidents in other nodes in the network will lead to an impression of greater behavioral uncertainty and supply chain risk. The impression of risk when processes are shared would naturally depend on the degree of lock-in which exists between two parties. A second risk factor in supply chain processes risk therefore refers to the criticality of specific nodes in the network (Craighead et al., 2007). More precisely, critical nodes are actors in the supply chain responsible for delivery of critical components or important subsystems where the number of supplier choices is limited. However, a node can be critical even though there may be little dependence in day-to-day operations. The increased popularity of outsourcing to third parties necessarily increases other actors involvement in the companys material and information flow. But, since both information and materials represent a form of capital investment, this also means that other actors in some cases handle large parts of a companys tied-up capital either in the form of information or in the form of goods. This risk is called degree of capital seizure in the framework. For instance, it is generally not very difficult to switch from one supplier of IT-server capacity to another, but the dependence on the supplier of server capacity can prove severe if sloppy routines at the supplier destroy the electronic database stored. A similar logic applies for other actors with control over much of the companys information and material flow. Large distribution centers are one example. A typical risk event would be a fire causing damage to much of the companys goods stored; however, such an event would not be attributable to the processes shared and is therefore not a supply chain process risk. Instead, such a risk event has been characterized as external to the network and described under supply chain structure risk. However, another example would be the distribution centre not informing the focal company of a changed general staff leave. This would be a breach in the supplier relationship management process because it is a deviation from expected service leve ls in that particular period. 3.4. Supply chain structure risk The decision of who to link with in a network requires an explicit knowledge and understanding of the supply chain network configuration. According to proposition two, this includes a thorough comprehension of the risk inflicted upon the company because of dependencies established in relationship with other network actors. Therefore, the supply chain manager needs to assess how vulnerable the company is to unanticipated changes in the network and its exogenous environment. Dependencies are created with individual partners in the network and the level of dependency must therefore be assessed for each node. However, attributes of the network configuration itself may increase or reduce the impression of risk. A field risk category and a network complexity risk category have been created to reflect this duality. Field risk includes risk factors which are exogenous to the network, and not endogenously created as in supply chain process risk. Field risk is assessed for each node, but supply chain structure risk must also take the complexity of the network into consideration. For instance, geographically dense nodes within a network may represent a great risk to a company even though each actor itself may not be very important. This is similar to the Dole example mentioned in the introduction where a hurricane destroyed the banana harvest in the area where Dole had most of its suppliers (Griffy-Brown, 2003). Network complexity risk refers to decision makers perceiving large networks as more uncertain since the involvement of more actors and more people implicitly includes more things which can go wrong (Craighead et al., 2007). This perception naturally becomes even stronger when the number and strength of identified critical nodes under supply chain processes risk is high. However, if a focal company is engaged in several sub-networks of supply and demand, this would moderate the perception of risk similar to the basic idea of diversification in modern portfolio theory. The reason is that the company can rest on several independent business pillars and prosper with the remaining pillars while the problem in the failing supply chain is sorted out. Field risk factors such as currency fluctuations, political or legal changes, environmental, and social risks are external to the supply chain network, and refer to the country or region where suppliers, or clusters of suppliers, are located (JÃÆ'Â ¼tner, Peck and Christopher, 2002). Climate changes, in particular in combination with population growth, should receive attention since such changes may alter and threaten the living conditions in large regions of the world with serious effects on both the supply side and demand side to companies (Gilland, 2002; Yea, 2004; Leroy, 2006). An undesirable side-effect of global trade is that supply chains have become significantly more vulnerable to both organized and unorganized crime. Although cargo thefts have not yet caused major supply chain disruptions, the extent of such crime is steadily increasing and should receive attention from a proactive risk management perspective particularly if shipment of critical components is part of the day-to-day operations (Caton, 2006; Barnett, 2007). Another type of crime is abduction of key personnel for ransom money. Kidnappings are mentally challenging to the abducted and the organizations they work for, and can strain organizational resources for a substantial amount of time after a kidnapping incident. In addition, if a decision to pay ransom money is made, the amount required could be financially problematic to smaller companies. This type of crime has generally been associated with Latin America; however, experts have anticipated that such kidnappings will spread to other parts of the world (O Hare, 1994). Although no scientific follow-up study has been identified

Funding for Pakistan and Culture Essay -- Argumentative Persuasive Cul

Funding for Pakistan and Culture Emancipation from the bondage of soil is not freedom for the tree, Rabindranath Tagore, A Bengali poet from the early part of the Twentieth Century History The history of Pakistan as a country is a fairly short one. Pakistan was created and carved out of the country of India in 1947 when the 200-year-old Britain rule of India came to an end and a plan was made to return the continent back to local rule. There was a movement at the time led by the renowned poet Muhammad Iqbal and a prominent politician named Muhammad Ali Jinnah to create a country on the Indian Sub-continent that would be a nation for the Muslim people of the region. Pakistan was created out of the two predominantly Muslim regions in the north west and the east, creating East and West Pakistan. A war was fought in 1971 in which the eastern region split away from the western region, creating two separate nations, Bangladesh and Pakistan. As is often the case with citizens of a new country, there is a lot of national pride among Pakistanis. Most do not lose their language or deny what ethnicity they belong to as I have seen in some Mexican American groups. Some Pakistani people I have known who were born here and have never even been to Pakistan still have pride in customs, clothing, language and religion. Language Development The Indian Subcontinent is a region of provinces where the people of each province speak a local language and have customs different from all other provinces. When the British established rule over the entire continent, it became apparent that they could not unit the country unless there was a language everyone could speak in common. The story is that the British actually in... ...ural Literacy , Houghton Mifflin, 1993. Hirsch, E.D., Jr., Cultural Literacy, What Every American Needs to Know , Houghton Mifflin, 1987. â€Å"Immigrants and Their Educational Attainment: Some Facts and Findings,† Schwarz, Wendy, ERIC Digest ED#402398, Nov. 1996 â€Å"Language-Minority Student Achievement and Program Effectiveness†, Thomas, Dr. Wayne p. And Dr. Virginia Collier, NABE News Vol. 19, May 1, 1996 â€Å"Secondary Newcomer Programs: Helping Recent Immigrants Prepare for School Success†,Short, Deborah J., ERIC Database #ED419385, 1998. â€Å"Trends in K-12 Social Studies,† Risinger, C. Frederick, ERIC Digest #ED351278, Oct. 1992 â€Å"Two-Way Bilingual Education Programs in Practice: A National and Local Perspective†, ERIC Digest, ED379915, Dec. 1994 You have my permission to publish this paper on the Internet. Michele_Iqbal@fastinet.net

Commercialization of Organ Transplant

Ethics Committee Jacqueline Denies Curry Strayed University Business Ethics 309 Instructor Dry. Harvey Weiss Market Shortage of Organs The purpose for the centralization of organs for transplant is to make able to provide the availability of organs for patients/people who are in pain, and suffering, and destined to die from the terminal illness of organ failure. The number of patients in need of organs is growing, and the zero policy for organ donors does not show a sufficient response to the growing need of patients needing organs for the terminal illness of organ failure.Although the government does not condone the sale of human body organs there is evidence that financial incentives work, and would eliminate the organ market shortage. One financial incentive in suggestion, called the survivor benefits would help pay for the funeral costs, and give family donor recognition for being of service to fellow Americans (mm. ‘. Organ selling. Com. 2006). This may only appeal to fami lies that do not have a burial policy for their deceased, and it is why it is helpful in increasing the supply of cadavers organs while bearing financial assistance in funeral arrangements for their love ones.Against the Centralization of Organs The National Organ Transplant Act of 1984 is a ban on the purchase or sale of human organs because it would affect interstate commerce (organelle. Com, 2006). The Senate report simply stated, â€Å"It is the sense of the Committee that individuals, and organizations should not profit by the sale of human organs for transplantation† (organelle. Com, 2006).Criminal activity has entered the organ market in other countries where there has been reports of kidnapping, and murder of children, and adults to harvest their organs for sale, and in India organ trafficking y clinicians, managers, and clinician centers, middle men, and even state officials are under investigation for criminal acts. This raises a concern for the loss of lives of inn ocent people being victimized for monetary gain, and raises a question of doubt in the legitimacy of where, how, and from who was the organ obtained.My Position of Debate The advancement of medicine, and biotechnology achievements has made it possible to greater the procedure in the medical treatment from the terminal illness of organ failure. The loss of human dignity is the major concern when putting a price n human body parts, because of the threat of devaluing the life of a human being. My position on the debate of the centralization of organs for transplant is that organs should not be sold. Respectively, when we go to the hospital for broken bones, and infectious insect or animal bites are Just as fatal if medical treatment is not administered in a timely manner.Medical treatment is based on a need base, and organs for transplant should remain on a need bases. The best suggestions made in my opinion is by Lloyd Cohen, Ph. D. , J. D. Who states, â€Å"The best way to increase the supply of transplant organs is by establishing a future Market in cadavers organs†, by a contractual agreement, like the one we have here in Texas by signing the donor opt on the back of driver's license or by approval from the family of a donor (organelle. Co, 2006), and also the suggestion made by Thomas G. Peters, M. D. Or the donation of an organ a financial incentive for burial expense that is called survivor benefits would help to increase the organ supply, while giving some financial relief to those who could not afford to purchase a burial plan for their loved en. While researching material for this assignment it has also been reported that a donor has donated three cadavers organs. My Moral Judgment with a Moral Argument I think that good will is the moral principle of an individual who has made the decision to donate a vital organ, and that it is a very personal, and private one.Also it should be made known to the family so that there is no misunderstanding about the procedure to remove a vital organ (s) after departure. Religious folk might be offended by thinking that the body is desecrated, but if informed before death embers of the family may be more likely to honor a donor's agreement. The experience in knowing that a part of yourself has given some one the hope to survive a terminal illness to live life to the fullest of expectations is a rewarding acknowledgement of one's own pure self-interest, and is what makes it a Justified one.The Kantian Normative Theory The Kantian Normative Theory best supports my conclusion. According to Kant goodwill is the unique human capacity to act from principle. The willingness to save a life after the finality of your own is right by weighing the ratio of good that the action would produce. The only consequence of the donor is that there is no longer a use for the organ (s) donated. The reasoning in wanting to help cure the illness of organ failure for goodness sake from the sense of duty is a true m oral worth.Women unable to bear children because of organ failure who later had a successful organ transplant were able to experience the Joy of child birth. The concern of medication dosage is under observation for abnormality of child birth has thus far been premature birth. The reasoning for wanting to help cure a terminal illness for goodness sake from the sense of duty is a true moral thought. Conclusion In my conclusion I would like to mention a course study from last quarter, and it was World Religions.I learned that in every religion one seeks individual perfection during the course of their life time, and that most people reach that perfection before their finality in death. Eighty-three percent of individuals in the world has an affiliation with one or more sacred, and holy religions, and seventeen percent with no religion at all, and that most sacred scriptures are edited to teach the continuance of holy, and sacred ways as it pertains to the changing time or era. In thos e sacred religions the one common duty is to better humanity.

Elderly Dehydration Essay example - 1523 Words

Most people don’t think about dehydration; let alone elderly dehydration. It is a common problem, in the aging, and often recognition along with treatment may be delayed; contributing to a high mortality rate. (Lavizzo-Mourey, 1987) By recognizing a potential problem early, you may save an older adult from a debilitating complication. (Hamilton, 2001) The prevention of elderly dehydration will deter illness and increases life expectancy, along with decreasing unnecessary hospitalization and cost. There are several causes to elderly dehydration, which can be broken down into four groups: physiological factors, psychological factors, functional impairments, and mechanical impairments. (Hamilton, 2001) The physiological factors are: natural†¦show more content†¦(Hamilton, 2001) If, these signs and symptoms go undetected, for a long period of time, they will result in chronic dehydration and cause several other medical issues. (Vasey, 2002) One of the results of chronic dehydration is fatigue or energy loss which resembles depression. (Vasey, 2002) Constipation is another result chronic dehydration, by removing too much excess liquid from stool making it hard to expel. (Vasey, 2002) Chronic dehydration also contributes to digestive disorders such as: poor digestion, gas, bloating, pain, nausea, ingestion, and loss of appetite. (Vasey, 2002) The average body produces 7 liters of digestive juices daily; but a dehydrated individual will secrete less, thereby causing improper digestion. (Vasey, 2002) Chronic dehydration causes high blood pressure due to low blood volume and the vessels sharply contracting. (Vasey, 2002) It can also cause low blood pressure in individuals, with weak vasoconstriction, who again, have a low blood volume. (Vasey, 2002) Chronic dehyd ration is also the culprit of gastritis andShow MoreRelatedNo Other Beverage Compares to Water Essay1054 Words   |  5 Pagesis not enough water being consumed there is a chance of dehydration. Dehydration symptoms consist of pounding headaches, lethargy, confusion, weakness, dry chapped lips, and leather like dry skin. People with the highest risk are elderly and small children. As the body ages, normal processes are much slower. Mental awareness combined with use of diuretics, laxatives, and limited mobility increases their risk for severe dehydration. Most elderly people have less food intake which will increase theirRead MoreEssay on Human Nutrition 1 - Lesson 81536 Words   |  7 PagesGas/stove 4. Describe the symptoms of mild, severe and chronic dehydration, and how a lack of water might cause these symptoms to occur. Give your answer in 1-2 paragraphs Mild dehydration symptoms are: †¢ Increased or constant vomiting for more than a day †¢ Fever over 38.3 C, but less than 39.4C †¢ Diarrhoea for more than 2 days †¢ Weight loss †¢ Decreased urine production †¢ Weakness †¢ Dry mouth †¢ Thirst * Athletes, the elderly and people who don’t drink sufficient amounts of water (especiallyRead MoreFluid Electrolyte Imbalance: Case Study Essay4326 Words   |  18 Pagesfluid and electrolyte imbalance. Ongoing swallowing difficulties following an osophageal rupture ten years ago has compounded this imbalance, as inadequate fluid intake due to discomfort resulting in the refusal to eat or drink, has resulted in dehydration and malnutrition. Also, a lack of mobility, reduced energy levels, muscle atrophy and fatigue due to end stage motor neuron deterioration, has produced loss of appetite and a bed bound state that has exacerbated Mr. Richards feelings of agitationRead MoreA Pathological Phenomenon1734 Words   |  7 Pagesplace once you are infected with the virus. (Baylor, 2016) Many of these symptoms develop at about 12 or 48 hours after being exposed to the virus, the symptoms can be a lot worse for others than most. (Lysen et al., 2016) For example, infants and elderly people are most likely to be seriously affected than the average young healthy person. (Akyukekbong et al., 2011) Norovirus most of the times affects one single area of the body and that is the abdomen or the gastrointestinal tract, mostRead MoreThe Dietary Recommendations For Water1839 Words   |  8 PagesConstant, pointed out to have more research on importance of water for preventing diseases and promoting health according to human physiology. The US Dietary Recommendations for water is depended on median water admissions, which cannot quantify dehydration status of the people. NHANES (National Health and Nutrition Examination Survey) uses single collection of blood samples to investigate serum osmolality. Some evaluation measures used are hypertonicity, urine indices, recent urine osmolality, andRead MoreShould Children Take Care of Their Aging Parents1016 Words   |  4 PagesShould Children Take Care of Their Aging Parents Why some people send their aging parents to a nursing home? The answer is that some people do not want to take care of their elderly parents and some people think nursing home care gives the elderly a better care. Most people believe that taking care of aging parents is their children’s responsibility. In different countries of the world, people live according to their own cultural values. They have the right to express their own opinion .Some peopleRead MoreOlder Clients Essay8017 Words   |  33 Pagesrelationships. Those relationships can enhance both physical and mental health. For instance, a study of 695 older men and women - mean age 79 examined the relationship between social support and the health status of elderly people. They found that social support for the elderly tends to slow down further deterioration of their health, proving that a higher level of social support may result in better health outcomes. And in another 1996 study, found that thoughts of suicide in aging adults wereRead MoreElder Mistreatment : A Case Study1250 Words   |  5 PagesMistreatment – A Case Study on Mollie S. Introduction Elder abuse includes physical, emotional, and sexual abuse as well as neglect, exploitation and abandonment of our older generation (Falk, 2012). The people that cause these injuries include the elderly person’s own family and staff members of nursing homes, assisted living facilities, medical rehabilitation facilities and hospitals (NCOA, 2017). There is approximately 1 in 10 older adults that have experienced some type of elder abuse in the UnitedRead MoreElderly Nutrition1540 Words   |  7 PagesConversely, the chronically ill elderly adult who is regularly taking a wide variety of drugs is likely to have increased need for particular nutrients as compared to his or her peers who enjoy good health. An active older persons living in the community who is able to obtain and prepare adequate meals will also need reliable sources of nutrition information to support self care, programs and services to meet his or her nutritional needs. The institutionalized elderly person is likely to need nutrient-denseRead MoreElderly Nutrition1532 Words   |  7 PagesConversely, the chronically ill elderly adult who is regularly taking a wide variety of drugs is likely to have increased need for particular nutrients as compared to his or her peers who enjoy good health. An active older persons living in the community who is able to obtain and prepare adequate meals will also need reliable sources of nutrition information to support self care, programs and services to meet his or her nutritional needs. The institutionalized elderly person is likely to need nutrient-dense