The risk factors for breast cancer

The risk factors for breast cancer INTRODUCTION Breast cancer is the most common type of cancer among women in Malaysia with an overall age-standardized incidence (ASR) of 46.2 per 100,000 population [1]. The incidence of breast cancer differs among Malaysia states; it is the most common cancer among women in Penang, followed by Sabah [2]. However, there is no previous study on risk factors associated done in Penang before. Determining the risk factors of breast cancer helps to identify women who may benefit most from screening or other preventive measures, also offers hopeful promise of modifying those factors, thus preventing breast cancer occurrence. Many risk factors of breast cancer have been found and many of them have been recognized as established factors. Advancing age is one of the most important factors [3]. Reproductive factors like timing of menarche and menopause, parity play a major role in breast cancer incidence [4, 5] . Also, lifestyle factors like alcohol consumption [6-9], high fat diet [10-14] and smoking [15-17] have been identified by many studies as risk factors for breast cancer. This study aimed to determine the relationship between the socio-demographic factors, family history, reproductive factors, the life-style factors and external factors with the occurrence of the breast cancer among the study population. MATERIAL AND METHODS Study design A matched case-control study was conducted in Penang General Hospital, Penang Island, Malaysia between 20th November 2009 and 22th January 2010 using a standardized questionnaire that designed into two languages: English and Malay. Both cases and controls were matched by age group and ethnicity. Sample size was calculated according to that reported by CARIF-UM (Release New Malaysian Breast Cancer Genetic Study) which stated that 14% of breast cancer patients in Malaysia who have family history of breast cancer [18] and the relative risk for strong family history ranging from 2.5 to 4.5 [19] , the minimum sample size was 149 patients per group. Ethical Approval Our study was approved by Clinical Research Centre and Medical Research Ethic Committee of Ministry of Health Malaysia. Considering the ethical issues, written consent was signed by each case and verbal agreement for interview participation was obtained from all control subjects. All the personal information collected was considered confidential. Data Collection The cases were recruited from a convenience sample of prevalent breast cancer women who attended the oncology clinic, day-care chemotherapy center, oncology ward, and the surgical ward during the period of conducting this research. Women with confirmed diagnosis of breast cancer histologically regardless of the stage and met the following criteria; above 20 years old, non-pregnancy, without any gynecological problems (e.g., artificial menopause by hysterectomy), hormonal and psychological problems, were called for interview. Only one patient refused to participate. Our controls were non-breast cancer women who attended the outpatient clinics and outpatient pharmacy during the same period. Women who are non-pregnant, matched by age group and ethnicity to the cases recruited, without any malignancies, gynological, hormonal and endocrine, and psychological problems are eligible to be our controls. Statistical Analysis All data entry and analyses were conducted using SPSS version 15 Microsoft program. Descriptive statistics including mean and standard deviations (SD) for continuous variables, frequencies and percentages for categorical variables were used to describe the study population. Crude ORs with 95% CI were calculated using simple logistic regression models that examined the association between breast cancer status and risk factors. Significant independent variables with P values RESULTS In all, 300 women within two groups were interviewed; 150 women with breast cancer and 150 control women without breast cancer. The means  ± SD age of cases and controls were 52.81  ± 11.13 years (range 23-83 years) and 52.40  ± 11.52 years (range 22-78 years), respectively. Statistically, there is no significant difference between cases and controls in term of age (P value= 0.75) and race frequency (P value= 1.00). Among each cases and controls group, 34.7 % were Malay, 50.7 % were Chinese, 14.0 % were Indian and 0.7 % were other races. Socio-demographic Risk Factors The results of socio-demographic risk factors obtained from univariate logistic regression analysis summarized in Table 1 showed that lower educational level and occupation were significantly related to breast cancer risk (P Family History Family history of first degree relative with other types of cancer (nasopharyngeal, ovarian, Lung, bladder, stomach, or colon cancers) increased the risk significantly (P Reproductive Risk Factors According to the reproductive factors (Table 3), women with late ages at menopauses (= 55 years old) (OR=2.8, 95%CI: 1.18 6.67), or history of menstrual irregularity (OR= 3.2, 95%CI: 1.00 10.08) or who had never breastfed (OR= 1.74, 95%CI=: 1.09 2.76) were more likely to have breast cancer. The protective effect of breastfeeding found to be a duration dependent; women who had breastfed for only few months had a higher risk by 1.51 ( 95%CI: 0.83 2.77) compared to breastfed women for a total of more than 1 year, and the risk increased in non-breastfed women to 2.08 (95%CI= 1.22 3.57). Nevertheless, no statistically significant association were observed between breast cancer and the age at menarche, number of children (parity), age at first full term pregnancy, number of abortions and menopausal status. Life Style and External Risk Factors Breast cancer risk ratios were higher for women who had a history of benign breast disease (OR=2.8, 95%CI: 1.13 6.88) and who had never practiced low fat diet (white meat, white fish, skinless chicken and avoid deep fried food) (OR=1.81, 95%CI: 1.14 2.86). However, other lifestyle factors like; smoking, alcohol consumption, body mass index (BMI = 25 kg/m2) and external hormone use, like OCP and HRT were not significant statistically to be risks for breast cancer. Multivariate Results Among all factors included in the multivariable model (Table 5), occupation, breastfeeding and practicing low-fat diet play important protective roles against breast cancer; unemployed women (adjusted OR= 2.7, 95%CI: 1.59 4.61), never breastfed women (adjusted OR= 1.94, 95%CI: 1.15 3.27) and never practiced low-fat diet (adjusted OR = 1.97, 95%CI: 1.18 3.27) were found to be associated with breast cancer risk as statistically significant independent factors. Other factors contributing to breast cancer risk were: family history of distant relatives with breast cancer (adjusted OR= 3.70, 95%CI: 1.48 -9.20) and first degree relatives with other cancers (adjusted OR= 5.27, 95%CI: 1.38 20.1). Also, women with histories of benign breast disease (adjusted OR= 3.14, 95%CI: 1.17 8.40) and menstrual cycle irregularity (adjusted OR= 4.94, 95% CI: 1.42 17.26) were more likely to have breast cancer. OCP use was significantly related to breast cancer risks; however, this was not related to the duration. While using OCP for 5 years increased the risk by only 3 times (95% CI: 1.02 9.00). DISCUSSION In a pooled analysis of 150 breast cancer cases and 150 non-breast cancer controls, associations between breast cancer and various demographic, reproductive, and lifestyle factors were examined. Both cases and controls were chosen intentionally from the same hospital during the same study period. The risk of breast cancer has been reported to be associated with socio-demographic status [24-26]. Age is a very important risk factor; it was found that breast cancer incidence generally increases with age. The mean age at diagnosis for all breast cancer patients is 50.7  ± 11.0 years. The peak age reaches between 40 and 49 and thereafter the number of breast cancer patients decreases quite dramatically with only 4.0% above 70 years old (Figure 1). Also, only 2.0% of cases were diagnosed below the age of 30 which is consistent with Singletary findings [3]. According to the other socio-demographic factors studied, higher level of education has a protective effect (P Occupation status also plays an important role as a protection factor against breast cancer in both univariate and multivariate analysis (P Family history is an important factor in our population; an adjusted OR of 3.7 (95%CI = 1.48 9.2) was found for women with a distant relative with breast cancer, which is within the OR range reported by previous literature [19, 37] and higher than that reported by others [3, 38]. However, having first degree-relatives with breast cancer is not significantly related to the breast cancer risk (P > 0.05). This may be explained partially because of the high frequency of controls (7 of 150 controls vs. 16 of 150 cases) that had first-degree relatives with breast cancer. Such a high number of family histories in controls may result in an underestimation of increased risk due to the family history. Furthermore, history of first degree relatives with other cancer (gastric, pancreatic, colon, lung carcinoma.etc) is significantly more frequent in patients than in controls with the adjusted odd ratio of 5.27 (95% CI= 1.38 20.1). Recently, it has been discovered that clustering of first degree cases of breast, pancreas and stomach carcinomas in a family has been associated with mutations in the breast cancer susceptibility gene BRCA2 [39]. Breastfeeding is an important protective factor among our population; women who had never breastfed their baby have a 1.74 (95%CI: 1.09 2.76) higher risk of getting breast cancer and the adjusted odd ratio is 1.94 (ever versus never, 95%CI = 1.15 3.27) in the multivariate analysis. Our finding is in agreement with these studies [40-48], however, others failed to find any association [31, 36, 49-52]. Moreover, the duration of breastfeeding has also an important effect; found that the longer the lactation period, the least the risk of breast cancer. This inverse relationship between the duration of breastfeeding and the risk of breast cancer have been suggested by other studies [46, 53-60], however, other revealed that this is mainly confined to women diagnosed before the age of 40 with a weak trend for older patients [61]. History of irregular menstrual cycle (Polymenorrhea, Oligomenorrhea, or Amenorrhea) had an increased risk; the OR range (3.17- 4.94) and this supports the Turkish study [62] which found that menstrual irregularity increased the risk by 1.61 (95% CI 1.05-2.49). Others [55, 63, 64] did not find any significant relation between menstrual irregularity and breast cancer risk. However, it has been reported that menstrual irregularity decreased the risk [65] This study detected a significant association between oral contraceptive use and breast cancer, consistent with other local studies [27, 36, 66] and other international studies [46, 67]. Whereas we could not find any relationship between the duration of OCP used and the risk of breast cancer, so our study does not support the growing body of evidence that long-term use of oral contraceptives, especially during certain parts of reproductive life, is associated with a modest increase in breast cancer risk [46, 68]. However, most studies found no or weak association of OCP use with the risk of breast cancer [34, 69-71]. The association between OCP use and breast cancer is also related to the duration, dosage, type of OCP and the age of first use [72]. Previous history of benign breast disease is highly significant in the present study (P Practicing low-fat diet (take only white meat, white fish, and skinless chicken and avoid deep fried food) exhibited an inverse association with the risk of breast cancer, which is significant in both univariate and multivariate analysis (crude OR 1.81, 95%CI= 1.14 2.86) and (adjusted OR: 1.96, 95%CI=1.18 3.27) respectively for women who had never practicing low fat diet. Red and fried meat consumption and fatty foods were suggested as important risk factors for breast cancer [11, 73]. For each additional 100 g (3.5 oz) daily of meat consumption the risk of breast cancer increased risk by 56% in a French case-control study [13]. Another cohort study [74] reported a significant relative risk (RR) of 1.7 for women who reported eating the skin on poultry. Null high consumptions of fatty forms, namely fried fish and chicken with skin were associated with an increase of breast cancer risk [75]. Other case-control studies reported a protective effect of poultry and fish against the devel opment of breast cancer [76]. Also, there was no evidence for a positive association between total dietary fat intake and risk of breast cancer and no reduction in the risk even among women whose energy intake from fat was less than 20 percent of the total energy intake [77]. Some case-control studies and cohort studies have shown weak and inconsistent associations between high intake of dietary fat and poultry with the occurrence of breast cancer [14, 78]. Other well-established factors that have been studied; smoking cigarettes, alcohol intake, regular use of HRT, pre and post-menopausal body mass index (BMI), marital status and the level of monthly income , age at menarche, age at first full-term pregnancy, number of abortions, menopausal status and parity were found not to be significant in this study (P > 0.05). Strength and Limitation To our own knowledge, the present study is the first case-control study of breast cancer to investigate the risk factor in Penang Island, Malaysia. Both cases and control were matched by age group and ethnicity which add some strength to our study. This research studied almost all the socio-demographic, reproductive, lifestyle and external risk factors, so the confounding effects of all of these factors had been taken into consideration when getting our result by multivariate analysis. Furthermore, the questionnaire was designed into two languages (English and Malay), hence most of the three main ethnic groups in Penang (Chinese, Malay, and Indian) are fluent in either or both of them. As other case-control studies, our work has some limitations. The question regarding menstrual history (age at menarche, age at menopause) of the respondent are likely to be affected by recall bias. There was a chance of error in recall especially for age at menarche that had been many decades earlier and this may have affected the results. We tried to minimize this bias through assisting the memory of subjects. Some of the Chinese cases were excluded due to the language barrier (they cannot speak Malay or English), that may cause some selection bias. Finally, generalizability of our findings may be precluded by our population features; they have high mean ages, low educational level and belong to a mid socioeconomic class, also by the difference in the ethnicity distribution among different Malaysia states. CONCLUSION In summarily, family history with breast cancer or other cancer, history of benign breast disease, menstrual irregularity, and oral contraceptive used were found to be significantly associated with increased breast cancer risk, whereas breastfeeding, occupation and practicing low fat diet have protective effects against breast cancer. Late age at menopause and education level are significant risk factor only in the univaraite analysis. REFERENCES Lim, G. and Y. Halimah, Second report of the national cancer registry cancer incidence in Malaysia 2003. National Cancer Registry, Ministry of Health, Malaysia, 2004. Rosemawati, A. and A. Sallehudin, Cancer registration in Malaysia. 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Epidemiology, 1994: p. 391-397.

Some People Think Parents Should Read or Tell Stories to Children

Some people think parents should read or tell stories to children, while others think parents need not do that, as children can read books, watch TVs or movies by themselves. Discuss both views and give your opinion. Parenting is always a heated topic in our society. What is the best way for children to read and learn? Some people insist on the more traditional method by reading or telling stories to children rather than letting children learn by themselves through books, TV and internet . As far as I am concerned, two complementary methods are necessary to be applied to motivate children to read and learn.It is evident that reading or telling stories to their children is not only a way of learning but also a good approach to strenghten the tie between parents and children. It brings much more happiness to families and make family bond closer. Furthermore reading or telling stories to children is a a more entertaining method thought which children get more enjoyment and a metheod chi ldren perhaps prefer. Consequently children`s interest in reading and learning would easily be motivated. Many of us could remember the lovely moment when we were looking forward to listening for stories before we went to bed.However, independent learning is a vital capacity for â€Å"old† children and young adults. Therefore parents should encourage their children to read and learn by themselves, searching information through various sources such as books, internet as well as TV. For children would be growing up and be independent to face the complicated society one day. This ability would help them much no matter what they do in the future. To sum up, each method discussed above has its merit to be considered as a proper way which parents employ to foster their children a good reading and learning habit and ability.

Once more to the lake Essay

1. In the opening paragraphs, White’s attitude was of reminasance and awe. The nostalgia of his memory shared with us not once but twice. His urge to revisit the lake was strengthened with the readers urge to read just a bit more detail. White claws us into the memory with him, like we were there as a story teller, telling ourselves about what was happening, what it smelled and felt like. His attitude was of a warm â€Å"jollity† that invited us to join. 2. Examples of creative language: â€Å"and the gods grinning and licking their chops in the hills.† â€Å"she ran on moonlight sails.†Ã‚  Ã¢â‚¬Å"With a cake of soap.† â€Å"seen lily pads only from train windows† 3. â€Å"We went fishing the first morning. I felt the same damp moss covering the worms in the bait can, and saw the dragonfly alight on the tip of my rod as it hovered a few inches from the surface of the water.† The effect of the attention to detail in the first 6 paragraphs gives you the feeling that you are right there beside him. That you are reading his diary, or watching it in a movie. Everything is given to you and little is left to the imagination but to imagine with the details handed over. 4.†There were cottages sprinkled around the shores.†Ã‚  Ã¢â‚¬Å"This was the background, and the life along the shore was the design.† â€Å"The one-luggers throbbed and fluttered, and the twin cylinder ones purred and purred, and that was a quiet sound, too.† The figurative language gives such an awe-encrusted feel to the lake, and allows the reader to imagine what every sense feels, smells, or hears by the figurative language. 5. Sight: â€Å"It was a fairly large and undisturbed lake and there were places in it that, to a child at least, seemed infinitely remote and primeval.† The secluded lake and the rare outbursts of the scenery make it seem like the lake was of a magical essence, sureal in its sense of peace. Sound: â€Å"The one luluggers throbbed and fluttered, and the twin-cylinder ones purred and purred, and that was a quiet sound, too.† The sense of sound is described to the reader, and every reader can imagine it differently. It makes it more realatable to the reader since he uses examples every person can understand. Touch/Feel: â€Å"I watched him, his hard little body, skinny and bare, saw him  wince slightly as he pulled up around his vitals the small, soggy, icy garnment. As he buckled the swollen belt, suddenly my groin felt the chill of death.† It talks of the familiar feeling of icy doom when putting on still-wet swimming suits. Most of everyone knows of the feelin g, and it again adds to the personable feel of the story. Taste: â€Å"There was a choice of pie for dessert, and one was blueberry and one was apple†¦Ã¢â‚¬  We’re given the flavors of the pie, but in reality we most likely thought of the flavors ourselves, because of the common aspect of blueberry or apple pie. Smell: â€Å"the smell of the swamp drift in through the rusty screens.† It talks about the smell in a way that even the most negative connotation (like rust) can feel nostalgia and joy. 6. Paragraph 10 describes the peace and utter tranquility in the lake and surrounding atmosphere. It ebbs and flows along with the water as much as it does into our minds, the almost picture-esque paragraph with audio to go along with it. 7. The specifity of paragraph 11 is very meticulous. He gives us the vision, the sound on purpose. He is trying to appeal to ethos and pathos so as to give us the experience as well. He provides specific details so that the reader can feel apart of the memory. 8. The paragraph’s last sentence began with â€Å"And† to add as an almost after thought to the prior list of campers. It shows the seperation of the campers (everyone getting drenched in the rain while swimming) and the the â€Å"comedian† whom comes into the lake with an umbrella to save themselves from the rain. It’s a very silly thought, and to us as readers it can show the character of everyone there. 9. The final image of the essay given is the son putting on wet, cold swim trunks. And just as how the author imagined himself in his son, we can imagine ourselves as his son. Trying to bear the cold, clinging cloth as you re-dress. It brings back an almost child-like action, which was once done before. 10. The author uses the word â€Å"And† around 130-140 times throughout the essay. The word acts connective in nature, we’re going through the man’s memories so there are so many details to add and feelings to feel. It’s indecisive and exactly as you would expect a verbal recounting of a memory, a story of the past. It makes the essay feel that much more of a story from someone you know.

Building surveying Essays

Building surveying Essays Building surveying Essay Building surveying Essay A chartered building surveyor can work in the commercial, private, and public sectors. Some chartered building surveyors work for property owning clients and contractors. Building surveyors provide professional technical advice on land, property and construction for commercial companies and consultants, central and local government, and private individuals. Surveyors provide a wide range of services including the following: (Kibblewhite and Wilkinson) Managing design and construction Undertaking building surveys and measured surveys Analysing design and building defects Preparing strategies for asset management and property maintenance Preparing insurance valuations and claims Preparing strategic property advice covering land (including easements, licences and covenants etc), and landlord and tenant legislation Project management and development monitoring Miscellaneous services including accessibility and energy audits, specialist surveys (asbestos, damp etc), conservation advice and sustainability advice. In early days a tape, a level and a theodolite were the main instruments used in surveying. Tape was used for distance measurement. Level was used for measuring the height. Theodolite is used for horizontal and vertical angle measurement. In present days there are many advanced instruments are used in this field. A â€Å"total station† is modern equipment which is used in surveying. A theodolite, which contains an electronic distance measurement device, is called total station. It is an electronic device. A computer is used in total station. Some soft wares are also used in total station. There is no need of prism in a total station. It is fully robotic. It automatically records the data. There is no need of extra work. In present scenario a total station is used with some other surveying instruments. (National Cooperative Highway Research Program 40) Automatic Levels, Compasses Dumpy, Levels, Electronic Distance Meter, Horizon Automatic Levels, Horizon Electronic Distance Meter, Horizon Electronic Theodolite, Horizon Optical Theodolite, Laser Levels,Levelling Staves, and Optical Square are the some other surveying instruments. (Survey Instruments, 1997) Surveying is an exciting career. It is the mixer of outdoor and indoor work. Surveyors can run their own business or they can be employed by large companies. Job opportunities abound offering good pay and promotional opportunities. Demand of the Surveyors is very high in current position. For example there is very shortage of surveyors in Australia. In future this demand will increase. (Enemark) To become a professional surveyor you must complete a four year undergraduate degree in Surveying. Graduates can start on $50 60,000 p. a. depending on where they work and the type of work. A graduate can work with any private company or run his own business. Hence there are a lot of jobs in this field. (Enemark) VEscarmelle. â€Å"Building surveying. † July 2006. 30 Nov. 2008. www. savills. com/graduate/pdf/RICS_APC_Building_Surveying. pdf Adams, Richard. â€Å"The Role of Building Surveyors in a Free Market Environment. Sep. 1997. 30 Nov. 2008. www. tefma. com/infoservices/publications/newsletter_issues/news97_09. pdf. Kibblewhite, Thomas and Wilkinson, Sara J. â€Å"Building Surveying: A UK Phenomenon or a Profession with Genuine Global Appeal? † 22 May 2004. 30 Nov. 2008.

Consumer Behavior Example

Consumer Behavior Example Consumer Behavior – Coursework Example Consumer Behavior Consumer Behavior Complaints against Wal-Mart According to the complaints posted by consumers on the independent complaints website Consumer Affairs, it can be inferred that a number of consumers are not satisfied with the service of Wal-Mart. According to one of the complaints, the customer had to face disappointment because no one from the staff helped him out with his queries. According to another customer, the staff did not have knowledge regarding the products available at Wal-Mart therefore he could not find the product he was looking for. Therefore, the company should conduct trainings for its staff in order to enable the staff to satisfy the customers (ConsumerAffairs.com).Complaints against DisneyAccording the complaints posted on an independent website by consumers, it can be inferred that Disney does not treat its customers empathetically. There have been complaints against the Disney cruise by a number of customers. According to one of the customers, he booked a cruise and received a booklet only to find out the dates were incorrect. When he called to find out the problem, he was told that there could be no modifications and the charges to cancel the booking were unusually high. Therefore, Disney should revise its policies to make them consumer friendly (ConsumerAffairs.com).Complaints against SaturnSaturn is a popular car but there have also been complaints about it by a number of consumers on an independent complaints website. According to one of the consumers, the key got stuck in ignition and the consumer was unable to turn down the engine. According to the consumer, the same problem was faced by a number of other consumers as well. Another problem had to face a problem with starting the car in cold or damn mornings. Similarly, other problems faced by consumers were locking of the ignition switch, problem with door locks, and automatic acceleration. Therefore, the company should initiate quality control procedures in order to e nsure that the vehicles do not have any problem. The company should also conduct a survey in order to realize the main problems faced by the consumers (ConsumerAffairs.com).ReferencesConsumerAffairs.com. Wal-Mart. Retrieved March 24, 2011 from consumeraffairs.com/retail/walmart.htmConsumerAffairs.com. Disney Cruises. Retrieved March 24, 2011 from consumeraffairs.com/travel/disney_cruises.htmConsumerAffairs.com. Saturn. Retrieved March 24, 2011 from consumeraffairs.com/automotive/saturn.htm

English court hierarchy Essay Example | Topics and Well Written Essays - 1000 words

English court hierarchy - Essay Example There are two main questions that need to be asked and answered in this case; (i) whether Edward's acceptance of David's offer is binding on David, and (ii) whether David's revocation of his offer is effective against EdwardAn offer is made when a person makes a definite promise to do or to abstain from doing something and it becomes binding when it is accepted by whom it is addressed to An offer may be either verbal and written. In this case, David's action by writing to Edward on 1st December offering to sell him a range of office supplies would constitute a written offer.An acceptance is where the offeree indicates his assent to the offer by words or conduct. The general rule is that an acceptance must be communicated to the person making the offer1. If the person making the offer prescribes the specific manner in which the acceptance must be conveyed, then the acceptance must follow such prescribed manner2. David had not indicated in his offer of the manner that the acceptance is to be conveyed and as such Edward's action of writing to David on 14 December accepting his offer would tantamount to a valid acceptance.Communication of acceptance is binding on the offeror when the acceptor puts his acceptance in a course of transmission to the offeror in such a manner that is beyond the acceptor's control. When Edward puts his acceptance letter in the post at 3.00 p.m. on 14 December, this would tantamount to an act of communicating his acceptance to David of his offer. Once the acceptance letter is in the post, it is no longer within Edward's control and the Postal Rule would be applicable in this case i.e. where acceptance by post is an appropriate and reasonable means of communication between the parties, then acceptance is complete as soon as the letter of acceptance is posted, even if the letter is delayed, destroyed or lost in the post so that it never reaches the offeror3. The postal rule applies to communications of acceptance by cable, including telegra m, but not to instantaneous modes such as telephone, telex and fax. It is submitted that acceptance by Edward of David's offer is completed upon Edward putting the acceptance letter in the post. However, the facts of the case also state that David had in fact revoked his offer to Edward by sending him a telegram at 3.00 p.m. on 14 December. A revocation is one of the ways to terminate an offer and it is the withdrawal of an offer before acceptance. The offer may be revoked by the offeror at any time until it is accepted. However, the revocation of the offer must be communicated to the offeree. Unless and until the revocation is so communicated, it is ineffective4. When David sent a telegram to Edward at 3.00 p.m. on 14 December, this would tantamount to an action of communicating the revocation of his offer to Edward in a manner that is beyond David's control and in the case of telegram, as mentioned above, the Postal Rule would also be applicable. In this case, both communication of acceptance and communication of revocation were sent at the same time and on the same date. The issue would be which of these two would prevail. It is submitted that this would depend on which communication would come to the knowledge of the intended party first. If the acceptance so communicated by Edward comes to the knowledge of David before Edward knows that David has sent a revocation notice, Edward's acceptance would be binding on David. On the other hand, if the revocation notice so communicated by David reaches Edward before David knows about the acceptance, David's revocation notice of the offer would be effective against Edward. Part III - Tort Speedy-Fit's potential liability for the injuries suffered by Jennifer, Toby and Molly would depend on whether it can be established that Speedy-Fit owes a duty to take care5 and that the injuries suffered by the victims was caused by breach of Speedy-Fit of its duty. The burden of

A Global Perspective- Made in USA Essay Example | Topics and Well Written Essays - 1000 words

A Global Perspective- Made in USA - Essay Example On the contrary, manufacturing industry directly entails processes that ensures large-scale production of goods and services through innovation and production. A close relationship exists between manufacturing industry and globalization in relation to creation of market opportunities and innovation of new ideas (Alden, 2012). It is imperative to understand that globalization creates diversification of ideas that consequently results into generation of new techniques of production and service provision. The generated ideas directly improve manufacturing industry through increased productivity and creation of diversity in services and goods. Most importantly, globalization provides new market opportunities throughout the world for manufactured products. In addition, through globalization, manufacturing industries can establish new production plants in other regions around the globe with available inexpensive resources. It is indispensable that globalization has resulted into evolution in the manufacturing industry. Manufacturing industry plays a fundamental role in creation of employment opportunities for American citizens. It is imperative to note that as government employment opportunities decreases, manufacturing industry provides an option for the millions of Americans who need income. The manufacturing industry has acted as a fundamental contributor the growth of US economy through job creation in 1900s until globalization and outsourcing issues started. The era of outsourcing where US-based companies establishes manufacturing plants in developing countries due to cheap labor resulted into the decline in employment rates within the significant sector (Norris, 2012). However, following the current need for resourcing, established companies in USA have created more job opportunities within the manufacturing sector. It is