HIV Patients Should Have Equal Access to Kidney Transplantation Essay Example for Free

HIV Patients Should Have Equal Access to Kidney Transplantation Essay HIV infection may be obtained by patients receiving renal replacement therapy (RRT) through blood transfusions, renal allograft, sexual contacts, or needle sharing of drug addicts. Viral infection or HIV-associated nephropathy can cause renal failure. In the early 1980’s, prognosis of patients with the acquired immunodeficiency syndrome (AIDS) was very low, and survival rate of HIV-infected individuals with ESRD was miserable. Accordingly, several people even doubted the worth of providing continuance dialysis to patients with AIDS. Due to progress in diagnostic techniques in serologic and viral markers of disease, and use of extremely efficient antiretroviral agents, the prognosis of HIV-positive individuals has radically improved. Today, skills and knowledge in hemodialysis are effective modes of therapy and many centers, though some are reluctant, are now starting to practice renal transplantation in HIV-infected patients. Human Immunodeficiency Virus HIV infects CD4+ T cells, making the immune system weak as these cells malfunctions. Abnormal activation ofCD8= T cells may contribute to the loss of both CD4+ AND CD8+ T cells through apoptosis, which may represent a major cause of infected and non-infected cell death in HIV infection. Many HIV-infected individuals proliferative responses to recall antigens, irradiated stimulator peripheral blood mononuclear cells from healthy, unrelated donors, or T cell mitogens (Roland Stock, 2003). HIV infection can worsen existing renal disease and can trigger pathologically distinct disease named HIV-associated nephropathy (HIVAN), a focal segmental glomerulosclerosis (FSGS) associated with severe cystic tubular lesions, leading to chronic renal failure. Renal syndromes include: fluid and electrolyte malfunction, proteinuria, nephrotic disease, progressive azotemia, inflamed kidneys, and fast succession to end stage renal disease (ESRD). HIV-infected patients who developed renal disease have short survival span. Transplantation process may increase the risk of HIV-infected patients in accelerating the depletion and dysfunction of their CD4+ T cells, which may further result in the development of more serious and complicated disease, such as AIDS, making HIV replication harder to control. On the other hand, immunosuppression might reverse the immuno-pathology associated with HIV disease (Roland Stock, 2003). End Stage Renal Disease  When the kidney totally lost its ability to filter waste from the circulatory system, renal failure finally meet the end stage renal disease or ESRD, the final stage of nephropathy or the premeditated degeneration of the kidneys. In 1998, over eighty-six thousand patients received therapy for treating ESRD in the United States. Autonomously, Medicare expenditures rose to 12. 9 billion dollars from 12 billion in 1998. The total cost of ESRD program through medicare was 17. 9 billion and is now projected to be 28. 3 billion dollars by 2010 (Winsett et al, 2002). The most common causes of ESRD include diabetic nephropathy, systemic arteral hypertension, glomerulonephrities, and polycystic kidney disease. In the case of ESRD, GFR declines to less than 10mL/min/m2, once it declines to that level, the normal hemeostatic function of the kidneys can not be sustained anymore. Whatever the cause, if untreated, ESRD may cause severe infection and even death to the patient. When the kidney function decline to less than twelve percent to fifteen percent, the patient survival will depend on the kidney transplantation and the therapies associated to it (Winsett et al, 2002). Chronic Dialysis versus Kidney Transplantation According to the New England Journal of Medicine (1999), transplantation is superior in saving life than long-term dialysis. The mortality rates were analyzed among over 200, 000 patients who underwent dialyses for ESRD and only twenty-three thousand received a kidney. Based on the research, patients who undergo transplantation live twice more than the projected years of life of patients who remained on the waitlist having dialysis. A successful transplantation improves the quality of life and lessens the mortality rate for many patients. Moreover, it consumes less time and energy. However, this procedure may cause bleeding, damage, and infection to other organs inside the body, even death can occur. That is why after transplantation, patients must undergo immunosuppression process for a lifetime period to monitor signs of rejection (Berns, 2007). Despite the greater risks, when it comes to quality and length of life, a transplanted kidney is more preferred. It’s man over machine. Statistics Over ten thousand kidney transplantations are being performed each year on patients with ESRD. Records show that patients who undergo kidney transplantation live longer than those who are just taking dialysis; but eight to nine patients on the waitlist die every day due to scarcity of organs to be used in the transplantation. Cadaveric kidney supply has an average of more than two years to come, and only 15-20 % of patients in the list were granted to receive them. The condition of renal failure and what causes them have direct effects on the transplantation rates of patients. Individuals with cystic kidney disease (25. 5%), obstructive nephropathy (24. 9%), and glomerulonephrities (23. 2%) have the utmost successful transplantation rate while patients having diabetes (13. 3%) and hypertension (8. 5%) have the lowest rates (Wallace, 1998). Why transplantation should be considered in HIV-infected patients? Organ malfunction has been the principal grounds of morbidity and mortality of HIV-infected patients, AIDS-related complication is only secondary. Before, immunosuppression was thought to be an unconditional contraindication in the circumstance of HIV infection, now, it is gradually more valued that immune activation is a major aspect of HIV pathogenesis. Consequently, immunosuppression has advantageous effects in people with HIV infection through temperance of immune activation or reduction of HIV reservoirs. Some specific immunosuppressant agents also have antiviral properties or interact synergistically with certain antiretroviral agents (Roland Stock, 2003). Reasons for reluctance of performing Kidney Transplantation for HIV-infected patients: In a survey conducted to 248 renal transplant centers in The U. S. in 1998, 148 requires HIV testing of prospective kidney recipients and that the vast majority denies patients with HIV to undergo transplantation. Most centers believe that transplantation is not suitable for HIV-infected patients (Spital A. , 1998). Before, chronic dialysis was the only option for treating ESRD of HIV-infected patients for fear of increased morbidity and mortality due to therapeutic immunosuppression. The allocation of cadaver kidneys to these patients was also considered improper due to expected inferior patient graft survival (Anil Kumar et al. , 2005). Also, according to the research led by Professor Andrew Grulich from the University of the New South Wales’ National Centre in HIV Epidemiology and Clinical Search (NCHECR), immune deficiency is responsible for the increased risk of contracting several types of cancer than the general population. HIV patients are eleven times more expected to develop Hodgkin’s lymphoma while there is almost four times the risk for those who had transplants (Staff Writers, 2007). Professor Grulich further proposed that people’s immune system must be maintained at a higher level through the use of anti-retroviral drugs. The main historical exclusion of HIV-infected patients with ESRD was rooted in the coherent basis that immunosuppression necessary for organ transplantation would aggravate an already immunocompromised state. Although there were numerous initial reports signifying worse outcomes after solid organ transplantation in HIV seropositive recipients, there have been reports as well suggesting there were no unpleasant effects of HIV infection on allograft survival (University of California, 2007). Indeed, there have been two reports of HIV-infected patients going through liver or renal transplantation who demonstrated normal graft function for at least eight years following the transplant. The HIV status of the two was unknown at the time of transplantation; therefore no endeavors were prepared to adjust immunosuppressive therapy. The distinction in these studies may recount to differences in the time of HIV acquisition, with those of longstanding HIV infection prior to transplantation having a faster end relative to those who acquired HIV infection at the time of transplantation. Regardless of standard cyclosporine-based immunosuppressive treatments, there was no proof of OI or progression to AIDS in the first eight years following transplantation (Roland Stock, 2003). There are multiple other reports of patients with HIV who had gone through transplantation and demonstrated long-term graft survival in the presence of immunosuppression with variable rates of developing AIDS or death. Six of eleven renal allografts were functioning at a mean follow-up of thirty-one months (Roland Stock, 2003). Effects of Immunosuppressant Agents In order to avoid rejection reaction of the body against transplanted organs, immunosuppressant drugs are being taken to block the immune system from attacking the transplanted organ and preserving its function. As side effect, these drugs can help in HIV progress to AIDS. However, recent studies show that these drugs can also contribute in the reduction of HIV. Inactive T lymphocytes serve as a vital reservoir for HIV regardless of HAART. Immunosuppression may affect the reservoir of HIV-infected cell that persist throughout HAART through reduction of cell-associated HIV by either direct inhibition of viral replication, potentiation of HAART effects, or exhaustion of infected cells and lessening in the accessibility of permissive target cells by preventing T-cell activation. Otherwise, improvement in viral reservoirs can be caused by reduced immune management of HIV-expressing cells (Roland Stock, 2003). Ethical and Medical Issues Organ shortage is one of the ethical issues in organ transplantation. One distributive fairness criteria is equal access which include length of time waiting (first come, first saved basis), and age (youngest to oldest). The supporters of this criteria has a strong belief that since kidney transplantation can save live, it is an important remedial practice and worth offering to anyone who needs it (Center for Bioethics, 2004). The second type is the maximum benefit, aiming to maximize the quantity of successful transplants. The maximum benefit criteria include medical need (the sickest people are being prioritized for a transplantable organ), and probable success of a transplant (giving organs to the person who will be most likely to live the longest). People who support the maximum benefit philosophy aspire to avoid the wasting of organs, which are quite scarce, so that the greatest benefit is derived from every available organ (Center for Bioethics, 2004). During the Pre-HAART era, HIV-infected patients have a very poor prognosis, many people believes that it would be a waste to use the limited supply of organ to those group of patients that is why many transplant centers are reluctant to practice the transplantation. However, now that the HAART has been launched and the mortality and morbidity rate has been decreasing, it would be unethical to withhold this option in the absence of evidence that it is either unsafe or ineffective. Advancement in HIV Therapy: HAART era Highly Active Antiretroviral Therapy (HAART) has been the primary improvement in the treatment of HIV-infected patients in the previous decade. Numerous studies and observations had proven that advantageous outcomes of HAART also include improvement of HIV-related renal complications. Virologic and histologic evidences imply that HIVAN perhaps the result of HIV-1 reproduction in the kidney. The potential relation of HIVAN with HIV-1 replication in the kidney is associated with epidemiologic and medical records showing that HAART may improve HIVAN. On the other hand, from nephrologist’s perspective, one effect of this achievement has been the emergence of new kidney diseases related to (1) enhanced management of the HIV infection and (2) the prospective nephroxicity of antiretroviral treatments. According to the studies of MD Roland and Stock, medical tests have confirmed apparent survival benefits linked with the use of protease inhibitor (PI)-containing or non-nucleoside reverse-transcriptate inhibitor (NNRTI)-containing regimens (HAART). Epidemiologic statistics show reduced mortality, hospitalization rates, and opportunistic infection (OI) incidence associated with HAART. There have been vivid decline in new AIDS-related OIs, the majority of which are now occurring in people with low CD4+ T cell counts and those who are not receiving medical care (University of California, 2007). Epidemiologic and modeling information sustain the clinical trial efficacy data, signifying that HAART has a considerable effect on medical result (Roland Stock, 2003). Survival Rate Using the United States Kidney Data System (USRDS) data, the Journal of the American Society of Nephrology analyzed and studied these inputs to find out whether recipient HIV serologic status remains the primary factor in graft and patient survival in modern clinical transplantation. Ninety-five percent of the HIV-infected patients survived after transplantation and only 4. 3% died. Although in the earlier USRDS studies of kidney recipients before the introduction of HAART, the results showed that HIV-infected recipients had a survival of eighty-three percent while the uninfected patients have eighty-eight percent survival rates. While endurance records of HIV-infected and HIV-uninfected patients is almost the same, selection bias may have occurred, prioritizing the healthier patients than HIV-infected individuals. Also, in the studies of MD Roland, data showed that graft survival and rejection rates of HIV-infected patients who had gone through transplantation were similar to those HIV-negative patients (Roland Stock, 2003). Studies and Observations Methods. This study aims to observe safety and success of kidney transplantation, and learn the effects of immunosuppressant treatments on HIV infection, with the approval of the Institutional evaluation board of two universities: the Drexel University College of Medicine and Hahnemann University Hospital. Forty-five recipients with HIV infection from February 2001 to January 2004 were observed. Patient inclusion criteria were maintenance of HAART, plasma HIV-1 RNA of 400 copies per milliliter, absolute CD4 counts of at least 200 cells per micro liter. Immunosuppressant treatment includes the use of basiliximab stimulation and maintenance with cyclosporine, sirolimus, and steroids while HAART was still being applied after the transplant. Biopsy detected acute rejection; methylprednisolone was used as a treatment. Every after twelve months, surveillance biopsies are being done and evaluations include testing for subclinical acute rejection, chronic allograft nephropathy, and HIVAN (Anil Kumar et al. 2005). Results. The results demonstrated that patients with HIV infection who maintained HAART are capable of increasing an immune reaction, as proven by twenty-five percent rejection rate, signifying allograft reactivity is preserved and that no immunosuppression will lead to allograft rejection. The data showed that the combination of HAART and low-dose immunosuppressant drugs is not associated with serious adverse effects (Anil Kumar et al, 2005). The records show one- and two-year patient survival rate of eighty-five percent and eighty-two percent respectively, in comparison to the reported fifty-eight percent and forty-one percent survival of patients on dialysis. The United States Renal Data System accounted a one-year death rate of 32. 7% in HIV patients uphold on dialysis. The graft survival in this series of HIV-infected recipients is comparable to the UNOS data on non-HIV recipients (Anil Kumar et al, 2005). The monitoring of combined immunosuppression and HAART due to major drug interactions needs thorough supervision and synchronized care of transplant professionals, pharmacists, and HIV specialists. The overall result of this study proves that kidney transplantation in selected HIV-positive patients who were maintained on effective HAART is safe and has higher one to two year patient survival compared to dialysis treatment of selected HIV patients. Actual graft survival in HIV recipients is equivalent to other high-risk groups. The patients observed didn’t developed AIDS or opportunistic infection caused by immunosuppressant agents. Therefore, positive HIV status should not be considered a contraindication for kidney transplantation in selected patients. Conclusion Ethical concerns and safety of transplantation and post-transplant immunosuppressant treatment in HIV-positive recipients advances radically in recent years. Due to improvements in morbidity and mortality, the safety of this complicated intervention was further evaluated. The preliminary outcomes are promising. Proper management and control of transplantation team will determine the success of the renal transplantation. Since many advancements and developments regarding the HIV therapy, kidney transplantation is now possible for HIV-infected patients as morbidity and mortality rate keeps on decreasing. Therefore, with all the results of the research studies and observations, there is sufficient evidence that can support the equal access of patients with HIV infection on kidney transplantation.

Ethical Issues in Secured Communications Essay -- Communication Ethics

Ethical Issues in Secured Communications 1. Introduction The outstanding growth of network technologies in the past decade have contributed to millions of new applications and industries. Literally millions of companies around the world were created to serve this huge growth. Even though many of those companies did not survive until the present time, most of the applications did survive and they are still widely used among consumers of all ages, cultures, and backgrounds. Most of the widely used applications are not secured. I will define what is meant by a secured communication later in the paper. However, this paper is more concerned in the way people use these applications in terms of identity. Many applications allow users to participate in specific discussion groups or web activities as anonymous. Anonymity might not be a problem in open chatting rooms for example, but what about banking applications or email or even instant messaging. Email and instant messaging software are free to use and provided by respective companies such as Microsoft and Yahoo. Those services do not require a real identity to be used and many people use these services as anonymous. The opposite of being anonymous is to be verified, and in order for someone to be verified on the internet, he/she has to be authenticated. Authentication ensures that the person using a specific application is whomever he/she claims to be. This paper will look in detail on how authentication can be achieved on the web and why it is necessary. Then I will focus on the notion of anonymity and identity. Then we will see who supports anonymity on the web and why. Then we will see who stands against it and why. A controversial example will be given and ... ... [2] 2000 B.C. Intell. Prop. & Tech. F. 041901 - Herman T. Tavani, â€Å"Privacy and the Internet† [3] 1999 B.C. Intell. Prop. & Tech. F. 060506 - Dr. Ronald J. Kizior, â€Å"Lurking on the Internet† [4] 1999 B.C. Intell. Prop. & Tech. F. 060507 - Adam White Scoville, â€Å"Text is Self: The Merger of Property and Identity† [5] W. Stallings, "Cryptography and Network Security: Principles and Practice", Prentice Hall, 2002, Ch. 14 [6] E. Shaefer, "MATH 178/196 class notes", Santa Clara University, Computer Science and Mathematics department [7] http://www.penet.fi/press-english.html [8] http://legacy.eos.ncsu.edu/eos/info/computer_ethics/privacy/anonymity/ [9] http://www.niksula.cs.hut.fi/~eklund/Opinnot/netsec.html [10] N. Ling," Data Compression 1 class notes", Santa Clara University, Computer Engineering Department [11] Anonymity on the web FAQ

Related Text Analysis

1 – Into the Wild shows a man who journey’s through the country in order to find peace and belonging. Christopher McCandless or ‘Alexander Supertramp’ was a man who wished not to conform to the way society was governed, he did no want to be sucked into the depths of technology which has consumed the minds of many people. He only wished to live simply as one would have one thousand years ago. Into the wild strongly relates to the concept of belonging in many ways. In May 1990 McCandless graduates from Emory University with high honors.Instead of doing joining the workforce and being ruled by a world filled with laws he chooses to leave the world he has always know and been affiliated to start a new adventure. He does not tell anybody of his departure, as he wants to take this journey alone. Chris finds happiness and belonging when he reaches the Alaskan wilderness, it consists of no civilization or even signs of civilization apart from the abandon bus that h e finds refuge in. The film shows that although McCandless is greeted by society with open arms, a life that would have been very tempting, he chooses not to conform to the way everyone else lives.Rubric: A sense of belonging can emerge from the connections made with people, places, groups, communities and the larger world. On McCandless’s journey he comes into to contact with many different types of people and communities, from hippies to his fellow worker at a fast food restaurant. He finds many different characters, who have all found their place to belong in society, they have merged to form groups, all with their own ethics and beliefs. Many of these places suit Chris’s lifestyle but he still chooses to venture alone, as he is still unable to find the place where he really feels at home.He meets new people all the time who give him valuable knowledge on life. One occasion in particular is when McCandless encounters Ron Franz, a retired man who served in the United States army. McCandless lives with Ron for a while and Ron teaches him the craft of leatherwork. The pair are different in many ways but somehow formed a very strong bond between each other to the point where Ron offers to adopt him as a grandchild. This shows that a strong sense of belonging emerged through the relationship formed by McCandless and Ron.Another idea about belonging is that even people that are strongly connected to each other often have very different perspectives on belonging. This is seen through McCandless and his father. McCandless doesn’t feel that he belongs when is father makes the decisions for him and tells him what to wear and drive, this creates fear of being judged, he also doesn’t like developing new relationships with people, he does however over come these when he lives out in the wild, meeting new people along the way. – Sean Penn uses many film techniques and language features to help create ideas about belonging. Penn makes it clear that McCandless does not feel that he belongs in the city when he first arrives. It is shown to be a congested, loud and unnatural place. In the first minute after he hops off the train he finds himself having to crawl on his hands and knees under train carriages and drainage pipes. He later decides to walk down the streets late at night, You are able to hear sirens blaring, the streets are also very dirty with rubbish everywhere.Penn used these scenes as a way of representing cities as being dirty and congested, with no room for freedom. This is compared to the Alaskan wilderness that McCandless finally discovers. These scenes are done with many extreme long shots of the nature that surrounds McCandless. One significant example of these is when he stands up on the abandon bus that he had just discovered and yell ‘is there anybody out here? † as loud as he can. This emphasizes the fact that he has found a place where he can live with peace and freedom, he had foun d a place to belong.Another technique used in this film is the narration of Chris’s sister. Through out the movie we are shown how Chris feels and how he changes, but with the narration from his sister it shows us how everyone else is feeling. It shows us what effects of Chris leaving has had on the family. The final technique, probably the most important one, is the use of flashbacks. Penn begins the film with McCandless finally reaching Alaska after his journey across the country comes to and end.The idea that somebodies perspective on belonging can be shaped through new relationships and events is shown though this technique. Every flashback shows McCandless either coming across new characters, new places or experiencing new things. These all shape McCandless’s perspective on belonging. An example of this is when McCandless is talking to Ron after they had just walked up the steep, rocky hill. Ron tell Chris that he will miss him when he has gone, but Chris just rep lies saying that â€Å"you are wrong if you think that the joy of life comes principally from the joy of human relationships. Ron then gives Chris very wise words stating, â€Å"When you forgive, you love. And when you love, God's light shines through you. † McCandless has many other encounters with people who also teach him valuable lessons in life, and by the end of the film, McCandless is left realising that ‘happiness is only real when shared’ rather than thinking that the only way to be happy was to be isolated and alienated from the materialistic society. 3 – Many new ideas about belonging have aroused from ‘Into the Wild’.It is often very hard to find a place to belong, as is the case with McCandless, he meets many different groups and communities but can never find a place where he feels he actually belongs. Belonging isn’t necessarily being apart of a community that shares similar beliefs and ethics, someone may actually find that they belong when they are by themselves or/and indulged in the serenity of nature. Society is built up of laws and rules, meaning the only way to belong are to conform and respect those rules even if you do not entirely think they are right.McCandless finally has enough of obeying the rules that are set out to keep everyone in line. Another key point that is brought through ‘Into the wild’ is that peoples perspective of belonging can change due to certain events, when McCandless first decides to leave his old life behind him he had no intentions of forming friendships with other people, all he wanted to do was get away from society. Over time he began to change his view on society and realized that being alone and isolated isn’t actually what he wanted.But that ‘happiness is only real when shared’, so this is basically saying that he finally understood that he didn’t want to be locked away from the world and that he was only really happy when he helped make his friends happy. 4 – ‘Into the Wild’ can relate to The Crucible through the ideas established about belonging. Chris McCandless can be looked at along side John Proctor in the way that they both choose not to conform to society and both their lives are cut shot due to this.McCandless does not wish to live as everyone else does, he does not want to be a clone to society, all he wants if freedom to do what he wants but his life comes to an early end due to this because he preferred to live in the Alaskan wild instead of living in a stable environment at the comfort of his own bed. Proctor was also a wise, ethical man yet he did not completely agree with the way things were being run in Salem. He could have very easily taken the easy way out and conform to the Ministry’s orders to save his life but he instead chooses to do what he knows is right.Another way that these two texts relate is through the idea that ones perspective one belongi ng can be created and/or changed due to certain events. Chris begins his journey believing the only way he can belong and be happy is to be secluded from the world around him, living disconnected from people in the wild life. But after his many encounter with people he slowly beginning to realise that he can only be happy when helping to create happiness for others. This is similar to Hale in ‘The Crucible’.The story begins with him who believes that the church is always ethical and correct. The church is like his home to him, it is where he belongs. As the story progresses he begins to realise that watch is happening is wrong and yet due to the power of the ministry he has no way to prevent the events that unfold. This drastically changes his perspective on the church and the faith he has believed in for so long, he realises that maybe after all, the church is not where he belongs. Nick Slaven

The Pay Day Loan Industry - 2041 Words

The pay day loan industry is one of the fastest growing businesses concepts that our country has ever seen. Supposedly it is set-up for emergency access to money when you needed the money like yesterday. This industry sprung up on the skirts of epidemic bankruptcies in the USA. Working class people had become accustomed to spending more than they had on the promise to pay the money back at a later date. Predictably such types of spending habits catch up with you and eventually people become so over extended with credit card payments, cars that they could not afford but wanted -- and got anyway plus any of a number of other buy now pay later types of purchases that record bankruptcies were the result of many families coming to reality with†¦show more content†¦While still other short term loan companies will only approve you for a loan if your employer verifies you are still employed, pay check in hand or not. Competition has gotten so fierce that merely presenting a bank s tatement showing proof that you have an open account is all Pay Day Loan companies are looking at. It doesn t matter if your balance is at a negative $500 or that you have had a hundred overdrafts within the last year you in most cases will still qualify for some type of loan. Credit checks normally are not done when you apply for a Pay Day Loan so your credit history isn t held against you. Some companies are members of a inner circle type of credit checking system that checks for bounced checks and how many other pay day loans a client has out. Too many of these types of issue can limit the amount of money you can borrow or disqualify you all together. That s really all the information most companies ask for and then are willing to loan a person as much as $1,500 on their promise to pay them back. With all of these financial negatives in the pay day loan industry one might wonder how companies could ever make a profit, the answer is in their finances fees. Because pay day loan companies understand that they are mostly dealing with people with bad credit problems to begin their rates are based on what sector of the financial world they are dealing with. Because they don tShow MoreRelated Cash Advance Loan Companies1103 Words   |  5 PagesHaving hundreds of online loan companies giving short term capital advances, finding a capital advance mortgage company is straightforward and straightforward after you are usually tight having online and computers. Ever since economic become softer down, your pay day loan trade may be raising at a immediate pace substantially in the united states. With plenty of and a great deal of Americans looking at short-run funds in order to tide about capital emergencies, your financial area provides identifiedRead MoreEssay On Cash Advance783 Words   |  4 PagesAdvance? Within the industry, a cash advance is essentially the same as a payday loan. The loan amounts are similar, typically less than $500 although some lenders offer larger loans. The loans are usually repaid in a lump sum; repayment may be scheduled 14 to 30 days after the loan is finalized. Cash advances are sometimes called paycheck advances, personal cash advances or payday cash advances. Whether the lender chooses to call the product a cash advance or a payday loan depends on the lendersRead MoreIndiana Building Supplies1123 Words   |  5 Pagesshows that both Clemens and Willis are right. All of the profitability ratios for IBS are higher than the industry average. Thus, IBS seems to have done well. And indeed, it was done well for its shareholders in 2005. Note, however, that the current and quick ratios have generally been trending downward and are significantly lower than the industry averages as well as the stipulations in the loan covenants. Thus, liquidity is poor. Moreover, inventory is turning over very slowly and the average collectionRead MoreChoosing The Right Financial Service Essay1566 Words   |  7 PagesCar Title Loans: Choosing the Right Financial Service By Anthony N Petitte | Submitted On November 19, 2013 Recommend Article Article Comments Print Article Share this article on Facebook Share this article on Twitter Share this article on Google+ Share this article on Linkedin Share this article on StumbleUpon Share this article on Delicious Share this article on Digg Share this article on Reddit Share this article on Pinterest How is this a good investment for both the borrower and theRead MoreCasa de Diseno Essay665 Words   |  3 Pageswith industry practices. The student then analyzes the impact of changing the firm’s credit terms to evaluate its management of accounts receivable before making a recommendation. a. Operating cycle (OC) ï€ ½Ã¯â‚¬  average age of inventory ï€ « average collection period ï€ ½ 110 days ï€ « 75 days ï€ ½ 185 days Cash conversion cycle (CCC) ï€ ½Ã¯â‚¬  OCï€  Ã¯â‚¬ ­Ã¯â‚¬  average payment period ï€ ½Ã¯â‚¬  185 daysï€  Ã¯â‚¬ ­Ã¯â‚¬  30 days ï€ ½Ã¯â‚¬  155 days Resources needed ï€ ½Ã¯â‚¬   ï€ ½Ã¯â‚¬   ï€ ½Ã¯â‚¬  $11,253,425 B. Industry OC ï€ ½Ã¯â‚¬  83 days ï€ « 75 days ï€ ½Ã¯â‚¬  158 days IndustryRead MorePredatory Lending Is Any Lending Practice That Imposes Unfair Or Abusive Loan Terms On A Borrower Essay1337 Words   |  6 Pagespractice that imposes unfair or abusive loan terms on a borrower† (Fay, n.d.). Predatory lenders can take the form of mortgage loans, payday loans, car loans, and any type of consumer debt. One example of predatory lending would be places that offer services such as payday loans. Pay day loans are short-term cash loans that the borrower has to pay back with their next paycheck. On average people borrow $350 for a two-week term. The borrower would have to pay a loan fee as well as an annual percentageRead MoreEssay On Cash Loans702 Words   |  3 Pagesreading this article, you should know enough about cash loans to make the right decision about them, and also be able to explain them to others Advances with payday loans help you get through to your next payday. These loans always come with strict fees attached. When you fall behind in your bills, you could ask for extensions and work closely with your utility service providers to pay your arrangers. Or you can go for a payday loan. A payday loans is designed for instant relief in emergency situationsRead MoreLawsons1672 Words   |  7 Pagesre-paying. This debt is ultimately affecting the company’s success, and may become a serious issue in the future if net earnings do not rise to an appropriate level. The increased profits will allow Mr. Mackay to focus on the repayments to ensure that loans are taken care of before the interest rates rise, or they become further in debt than they already are. This causes constraints on the company’s ability to invest in other attributes, and make appropriate purchases for the company, due to the decreaseRead MoreCase Study : Aspire Inc.1355 Words   |  6 Pagespeople gi ving them jobs trainings and placement, counseling additionally their families was given residential services. O’Brein, the vice president of business administration planned to acquire a new building to accommodate a portion of Aspire’s growing day programs. With that, it wanted collocate their administrative offices. But the company was facing some financial issues. As a nonprofit organization, Aspire could seek financing from a commercial bank, a tax-exempt bond issuer, or a community developmentRead MoreBodie Industrial Supply Essay1022 Words   |  5 Pagesonline, it’s doubtful to expect for Bodie Industries to continue to grow at this rate. Operational Analysis: Bodie’s has exclusive rights from manufacturers to offer their products to the customers. The company became highly asset intensive in 2006 at 1.9 compared to 2.6 in 2005; this can be attributed with the purchase of land, building and equipment instead of renting. The company has been managing their inventory fairly well. Inv Days had a 10 day increase from 2005 to 2006 but net income