Clinical Effect of LANAP in Treatment of Periodontal Pockets

Clinical Effect of LANAP in Treatment of Periodontal Pockets Aim: The aim of the present study is to evaluate the clinical effects of LANAP as an adjunctive to non-surgical periodontal therapy in the treatment of moderate periodontal pockets. Materials and methods: A total of 38 patients (22 males, 16 females; mean age 36 ±10.1 years) diagnosed with generalized chronic periodontitis were included in this randomized, single –blind clinical study. All the sites were divided into 2 groups: test group (n = 469), treated with laser along with SRP and control group (n=481), treated with SRP alone. Data collected at baseline and after 6 weeks and 24 weeks included sulcus bleeding index (SBI), plaque index (PI), probing depth (PD) and clinical attachment level (CAL). Changes in PD and CAL were analyzed separately for moderate (4-6mm) and deep (≠¥7 mm) pockets. Results: The results obtained in both the groups showed that API and BOP after 6 weeks and 24 weeks was superior to the baseline (PË‚0.0001). At 24 weeks pot-operatively, a significant (PË‚0.0001) improvement was seen in moderate and deep PD and CAL in both the groups. In between the groups, after 24 weeks, test group showed significant gain in CAL in moderate pockets (PË‚0.0001) and decreased PD in deep periodontal pockets. (PË‚0.0017) Conclusion: The present study indicates that, LANAP using Nd:YAG laser (1064nm) with SRP as an effective non surgical periodontal therapy in the treatment of moderate periodontal pockets. Key words: chronic periodontitis, clinical attachment level, Lasers, non-surgical periodontal therapy, pocket depth. Introduction The primary goal of periodontal therapy is to control periodontal infection by the removal of supragingival and subgingival biofilms and smear layer, which contains bacteria, bacterial endotoxins and contaminated root cementum.1-2 Removal of these pathologic substances ensures biologic compatibility between the diseased periodontal radicular surface and new connective tissue attachment (CTA).3 Traditional approaches like non – surgical and surgical periodontal methods using both hand instruments and ultrasonic scalers have been carried out for several years with great success. Laser therapy has been proposed as an alternative or adjunctive treatment to conventional periodontal therapy.4 Maiman in 1960 developed the first laser prototype and later by Goldman et al (1964), Stern RH and Sognnaes RF ( 1972) reported the effect of laser on dental tissue and on enamel and dentin.5 Myers and Myers (1989) suggested that the Nd:YAG laser could be used for oral soft tissue surgery. Various types of LASERS like CO2, diode lasers (gallium-aluminum-arsenide and indium- gallium-arsenide), neodymium:yttrium-aluminum-garnet (Nd:YAG), and erbium: Yttrium – aluminum-garnet (Er: YAG) with varying wavelengths (635 to10,600 nm) have different levels of tissue penetration depending on reflection, scatter, and absorption.6 Low level laser therapy (LLLT) using diode laser can facili tate collagen synthesis, angiogenesis, and growth factor release, which eventually accelerate wound healing.7 Laser-assisted new attachment procedure (LANAP) was introduced by Dr. Robert H. Gregg and Delwin McCarthy in 1989. Initial reports suggest that LANAP is associated with cementum mediated new connective tissue attachment (CTA) and apparent periodontal regeneration of diseased root surfaces in humans.8 When laser irradiation is delivered cautiously, the regenerative potential of laser is high, and, undoubtedly, new fibroblastic activity in the connective tissue promotes new connective tissue attachment.9 The indications for LANAP are the same as for standard periodontal therapy that includes periodontal pocket depth (PD) ≠¥ 4mm, radiographic evidence of bone loss, and positive laboratory test for presence of putative periodontal pathogens. The results of recent research suggest that a Free- Running, Pulsed Nd:YAG laser (PerioLase ® MVP-7 laser, Millennium Dental Technologies) provides a viable alternative to traditional periodontal surgery. Properly applied PerioLase MVP-7 laser has been shown to produce less bleeding, swelling, discomfort and periodontal regeneration.10 The use of lasers in periodontics is rapidly increasing. Despite enormous clinical research and a plethora of scientific literature, controversy exists to date among clinicians regarding the application of lasers in the treatment of periodontal disease. There is limited evidence on the clinical efficacy of LANAP over conventional surgical or non surgical periodontal and periimplant therapies. Consequently, the aim of the present study is to evaluate the clinical effects of LANAP therapy using 1064-nm of Nd: YAG laser with SRP versus the effect of SRP alone in the treatment of moderate to deep periodontal pockets. Material and methods: A total of 38 patients (22 male and 16 females) with mean age of 36 ±10.1 and diagnosed with generalized chronic periodontitis attending to the department of periodontics, sibar institute of dental sciences, Guntur, India, were included in the study. A randomized split mouth method was carried out in all the patients with two quadrants as test group (TG) treated with LANAP along with SRP and other two quadrants as control group (CG) treated with SRP alone. Teeth with PD and CAL ≠¥4mm on at least one from the six surfaces were included into the study. Patients were selected according to the following inclusion criteria; History of no periodontal treatment in the last 12months, no use of antibiotics within the previous 6 months, no systemic disease that influence the periodontal therapy, no smoking or alcohol and no pregnancy and lactation. Exclusion criteria are teeth with grade III mobility (11) and patients using removable or fixed partial dentures. The study protocol has bee n approved by institutional ethical committee and informed written consent from all the recruited subjects was taken before start of the study. Before the start of the treatment, the data of all enrolled patients including periodontal parameters like plaque index (PI),(12) bleeding on probing, (BOP) (13) pocket depth (PD) and clinical attachment level (CAL) were recorded at baseline, 6 weeks and 24 weeks post-operatively. Full mouth CAL and PD was measured at all the six surfaces of each tooth using UNC-15 periodontal probe. At each interval all the clinical parameters were recorded and maintained by single examiner (TP), who was unaware of the study design. All the patients received complete supragingival scaling with an ultrasonic device in two appointments at one week interval by the examiner (TP). Oral hygiene instructions were given at every appointment and followed by use of 0.2% chlorhexidine mouthwash as directed twice daily for two weeks. Patients were recalled after three weeks and randomization was carried out using slip method with each quadrant is coded with a number, subsequently resulting in two quadrants as test group and other two quadrants as control group. To overcome the selection bias, randomization was performed by independent instructor, who did not participate in the study. LANAP protocol was followed along with SRP for the test quadrants, whereas SRP alone was done for the remaining two quadrants. Under local anesthesia, first application of laser is performed using Nd:YAG laser (1064nm) at power setting of 3.0 watt, 150-us pulse duration, and 20Hz (14) into the gingival sulcus by placing the fiber optic delivery system (0.2-0.3mm) parallel to the long axis of the tooth and moved laterally and apically 1 mm less to the clinical measurement value obtained for the pocket depth. All the six surfaces of each tooth were treated with laser. The objective of placing the laser into the sulcus is to remove the diseased epithelium towards the soft tissue wall of the periodontal pocket and also to create a trough with significant hemostasis. Full mouth SRP was performed for each patient in both groups using area specific gracey curettes until the roots were smooth and no visual or tactile evidence of calculus or altered cementum. After thorough SRP, laser fiber-o ptic delivery system is passed through the pocket for the second time at power setting of 4.0 watts, 635-us pulse duration, and 20Hz to achieve a stable fibrin clot and pocket seal.(14) The control teeth received all of the aforementioned treatment except for the laser therapy and suturing was not done. Full mouth SRP in both the groups and laser application in TG was carried out by the single clinician (KK). All the patients were given post operative instructions and medication including 0.2% chlorhexidine mouthwash twice daily with supragingival brushing for two weeks. Antibiotics (amoxicillin 500mg, every 8 hours) and analgesics (ibuprofen 400mg, every 8 hours) were advised for 5 days. Patients were recalled at 1week, 6 week, and 24 week for postoperative follow-up, where the clinical measurements were recorded at 6 weeks and 24 weeks respectively and oral hygiene is reinforced in all the visits. All the subjects completed the study protocol and were followed up to the end of the study. A total of 481 sites in control group and 469 sites in test group were examined. Statistical analysis: Data was expressed as mean values of API, BOP, PD and CAL (4-6mm and >7mm) were evaluated using a software. Comparisons were made within the group and between the groups at 6 weeks and 24 weeks using wilcoxon matched paired t- test and Mann-Whitney U tests. Results None of the 38 patients participated in the trial had reported pain or any discomfort. Healing after 24 weeks was satisfactory and uneventful as observed by the investigator and reported by the patients respectively. However, six patients in test group compared to 4 patients in control group experienced dentinal hypersensitivity during first 4 weeks post-operatively, which has subsided. The BOP and API results (mean  ±SD) for LG and CG at baseline, 6 weeks and 24 weeks were presented in table 1. Significant reduction was observed in the mean BOP and API scores from baseline to 6 weeks and 24 weeks post intervention (pË‚0.001). The finding held strength in both the groups. However, neither of the groups had shown significant differences in the mean BOP and API scores between 6 weeks and 24 weeks post intervention. Similar findings were observed on comparison of mean pocket depths with significant differences observed from baseline to 6 weeks (PË‚0.0001) and 24 we eks (PË‚0.0001) as well in both the test and the control groups. However no significant differences were found between the test and control groups both at baseline and post intervention, suggesting accurate randomization and near equivalent impact of both the interventions respectively. (Table 2) The mean CAL score for teeth with CAL≠¥4mm was higher in the TG at baseline and this difference was marginally significant (p=0.0493). However, the differences lost significance after the intervention both at 6 weeks and 24 weeks. A statistically significant gain (PË‚0.0001) of CAL (4-6mm) is noticed in both the groups when compared from baseline to 6 weeks and 24 weeks. Inter group comparison of CAL (4-6 mm) at 6 weeks showed that a significant gain is achieved in TG at baseline to 6 weeks (PË‚0.0244), baseline to 24 weeks (PË‚0.0005) and 6 weeks to 24 weeks (PË‚0.0016) (Table 3). The mean pocket depth of sites with PD ≠¥7 mm in test group was 8.38  ± 1.18 and in CG it is 8.49  ± 1.05. The difference in the mean values between the groups at baseline was not significant (PË‚0.6791). Both the groups showed overall improvement in 6 weeks and 24 weeks postoperatively, which was statistically significant (PË‚0.0001). However, 24 weeks post intervention comparison revealed significant gain in the TG compared to the CG (p At baseline, there was no significant difference between the mean CAL scores of the two groups for teeth with CAL≠¥7mm. A significant gain in attachment was observed in both the groups from baseline to 6 weeks and 24 weeks (PË‚0.0001). Unlike mean pocket depth for sites with PD≠¥7mm, mean CAL scores for teeth with CAL≠¥7mm were not significantly different between the two groups at 24 weeks post intervention. Table 5 Discussion: Various treatment approaches have been carried out in the treatment of periodontal pockets and laser assisted periodontal therapy is most widely used nowadays. Laser mediated periodontal therapy has shown significant benefits from subgingival soft tissue curettage as well as in subgingival bacterial loads.(15) According to previous studies, adjunctive use of the diode laser along with conventional SRP has shown to have an additive effect in reducing subgingival bacteria in periodontal pockets measuring ≠¥4mm.(16) A study by Talat Qadri et al observed a significant reduction in inflammatory markers (IL-1ÃŽ ² and MMP-8) levels in GCF, sites treated with SRP and Nd:YAG laser than SRP alone. (17) Another study by Aykol G et al observed decreased GCF levels of Matrixmetalloproteinase-1, tissue inhibitor matrix metalloproteinase-1, transforming growth factor-b1, and basic-fibroblast growth factor suggesting LLLT as an adjunctive therapy to non-surgical periodontal treatment and improves periodontal healing. (7) According to Slot DE et al 2010, stated that there was no significant difference in all clinical parameters between the sites treated with SRP and Nd:YAG laser than SRP alone, (18) these results are in support to his earlier systematic review.(19) In the present study, Nd:YAG laser with wave length of 1060-nm has been used to evaluate clinical benefit of LANAP as an adjunct to conventional periodontal therapy for achieving new attachment. The present results indicate that non surgical periodontal therapy using hand instruments or in combination with LANAP procedure shown significant improvements in clinical parameters (BOP, PD, and CAL) for both moderate and deep pockets at 6 weeks and 24 weeks after treatment. Similar results were presented in earlier case reports and case series, showing significant improvement in gingival inflammation during observation period from baseline to 6 weeks and 24 weeks. . Histologic evaluation of LANAP in humans for the treatment of periodontal pockets has shown new connective tissue attachment and periodontal regeneration. (14) Nevins ML et al evaluated periodontal regeneration performing LANAP procedure in humans and stated that there was a significant degree of periodontal regeneration with new cementum, periodontal ligament and alveolar bone (10). In a prospective study done by Nevins ML et al, evaluated the efficacy of LANAP therapy in eight patients for a period of 9 months and concluded that majority of treated sites showed improvement in all clinical parameters.(20) The results obtained in this study using LANAP therapy have showed a significant improvement in BOP, PI, PD and CAL, similar to the previous studies. (8,10,14,19-20) Sites with PD of 4-6mm has shown significant reduction in both the groups at 24 weeks post operatively, indicating that both the therapies were effective in treating moderate periodontal pockets. However at 24 weeks post-operatively, a significant gain in CAL at 4-6mm in the sites treated with LANAP was observed, suggesting a new cementum and new connective tissue formation (new attachment). This data supports to the earlier study by Yukna RA et al (2007) and Nevins MI (2012), where histological examination of all six LANAP treated teeth showed formation of new CTA. PD with ≠¥7mm sites in both the groups were treated non- surgically with LANAP therapy as an adjunctive in test group. All the patients included in this study had average PD of 4-6mm with few sites ≠¥7mm. Non-surgical periodontal treatment was carried out for all the sites including sites with ≠¥7mm, as they were located in isolated areas. Systematic reviews have proven that in terms of PD reduction and CAL gain in open flap debridement procedures were effective in sites with PD >6mm. (21) In the present study, test group showed significant reduction in PD in sites with ≠¥7mm when compared with control group, but no significant gain in CAL is achieved at 24 week post-operatively. These results were similar to the previous study by Nevins ML et al 2014, where initial sites of ≠¥7mm had at least 2mm of PD reduction in 91% of sites and CAL gain of 2mm in 77% of sites. Greater retraction of periodontal tissues in deep periodontal pockets (≠¥7mm) in test group led to significant reduction in PD with no significant gain in CAL. LANAP appears to be safe procedure that resulted in new CTA formation with no significant side effects beyond dentinal hypersensitivity or gingival recession and no damage to the root surfaces.(22) Even though LANAP therapy has been introduced 15 years ago, very few case reports and case series has been reported till now with substantial clinical and histological evidence. However controversy remains regarding the efficacy of LASERS, mainly LANAP therapy in treating the periodontal disease and periodontal regeneration. This is the first randomized controlled clinical study done to evaluate LANAP as adjunctive to SRP in the treatment of periodontal disease for a period of 24 weeks. LANAP therapy should be further evaluated with long term clinical trials with larger sample size to compare the clinical results with conventional therapy. . Conclusion: Within the limits of the present study, the results indicate that LANAP therapy as an adjunct to non surgical periodontal therapy using Nd:YAG Laser offered superior results when compared with SRP alone. Present study focussed mainly in the treatment of moderate periodontal pockets and achieved significant results in all the clinical parameters observed. Deeper pockets also showed promising results with LANAP therapy, suggesting that further studies are necessary to adequately test the potential benefits following the LANAP protocol in the treatment of periodontal diseases.

Federalist #10 :: essays research papers

Madison begins perhaps the most famous of the Federalist papers by stating that one of the strongest arguments in favor of the Constitution is the fact that it establishes a government capable of controlling the violence and damage caused by factions. Madison defines that factions are groups of people who gather together to protect and promote their special economic interests and political opinions. Although these factions are at odds with each other, they frequently work against the public interests, and infringe upon the rights of others. Both supporters and opponents of the plan are concerned with the political instability produced by rival factions. The state governments have not succeeded in solving this problem; in fact the situation is so problematic that people are disillusioned with all politicians and blame government for their problems. Consequently, a form of popular government that can deal successfully with this problem has a great deal to recommend it. Given the nature of man, factions are inevitable. As long as men hold different opinions, have different amounts of wealth, and own different amount of property, they will continue to fraternize with people who are most similar to them. Both serious and trivial reasons account for the formation of factions but the most important source of faction is the unequal distribution of property. Men of greater ability and talent tend to possess more property than those of lesser ability, and since the first object of government is to protect and encourage ability, it follows that the rights of property owners must be protected. Property is divided unequally, and, in addition, there are many different kinds of property; men have different interests depending upon the kind of property they own. For example, the interests of landowners differ from those who own businesses. Government must not only protect the conflicting interests of property owners, it must, at the same time, successfully regul ate the conflicts that result from those who own, and those who do not own, property. To Madison, there are only two ways to control a faction: one, to remove its causes and the second to control its effects. The first is impossible. There are only two ways to remove the causes of a faction: destroy liberty or give every citizen the same opinions, passions, and interests. Destroying liberty is a "cure worse then the disease itself," and the second is impracticable. The causes of factions are thus part of the nature of man and we must deal with their effects and accept their existence.

Hydric Soils as a Part of Water Treatment in Wetland Systems Essay

Hydric Soils as a Part of Water Treatment in Wetland Systems Most basically, a hydric soil is defined as "A soil that is saturated, flooded, or ponded long enough during the growing season to develop anaerobic conditions in the upper part (Kent, 1994, p. 26)." Included by this definition in the United States Department of Agriculture/Soil Conservation Service's list Hydric Soils of the United States are all of the poorly drained and very poorly drained soils and most of the somewhat poorly drained soil series. Hydric soils are further categorized into two major groups: mineral soils and organic soils. Histosols (organic soils) typically contain at least 46 cm of organic matter in the upper part of the soil profile. They are grouped by the degree to which plant material and fibers are decomposed. Most decayed are the saprists (muck), followed by hemists (mucky-peats and peaty mucks), and fibrists (peats), the least decomposed. (Folists, the fourth group of organic soils, are not regarded as hydric soils because the organic part is not inundation or saturation derived.) Mineral soils ordinarily have less organic matter in the upper part of the soil profile than histosols. To be considered hydric soil, a mineral soil must meet specific drainage and water table criteria that indicate at least 15 consecutive days of saturation or 7 days of inundation during the growing season. Hydric mineral soils include soils in the Aquic subgroups, Aquic suborders, Albolls suborder, Salorthids great groups and Pell great groups of vertisols (Kent, 1994). In the field, hydric soils are distinguished by indicators displayed within the root zone. These include histosols, histic epipedons, high organic matter content in the surface hori... ...aton, C. K. Smoley, 216 p. Kadlec, Robert H., and Robert L. Knight, 1996, Treatment Wetlands: Boca Raton, Lewis Publishers, 893 p. Kent, Donald M., editor, 1994, Applied Wetlands Science and Technology: Boca Raton, Lewis Publishers, 436 p. Landers, Judith C., and Barbara A. Knuth, 1991, Use of Wetlands for Water Quality Improvement under the USEPA Region V Clean Lakes Program: Environmental Management, Vol. 15, No. 2, pp. 151-162. Mitsch, William J., and Gosselink, James G., 1993, Wetlands, Second Edition: New York, Van Nostrand Reinhold, 722 p. Simmons, Robert C., Arthur J. Gold, and Peter M. Groffman, 1992, Nitrate Dynamics in Riparian Forests: Groundwater Studies: Journal of Environmental Quality, Vol. 21, pp. 659-665. Singer, Michael J., and Donald N. Munns, 1996, Soils: An Introduction, Third Edition: Upper Saddle River, Prentice Hall, 480 p.

Essay --

The Estate Tax, known as the ‘death tax’ as well as the ‘anti-birth tax’, has been one of the most controversial parts of the United States tax code since its introduction in 1916 (Cagetti & De Nardi, 85). The estate tax is a tax imposed upon assets transferred at the time of the estate holder’s death. Those opposed have named it the â€Å"death tax† as they claim it hurts business activity as well as job creation. However, according to those in favor, the estate tax is an effective way to tax the richest few, and redistribute their wealth, thereby narrowing the gap of inequality. For those in favor, an abolition of the estate tax would impose a â€Å"birth tax† of sorts onto the majority of Americans who have not inherited a large sum of money (Cagetti & De Nardi, 87). The controversial estate tax in the United States is often questioned by many and has been challenged time and time again. However, more emphasis has typically been put o n particular aspects of the tax code where points of dispute are found. In order to fully understand the positions taken by those in favor of the estate tax, and those opposed, it is important to analyze the generality of the tax, as well as the details within it that have been contended over time. Some of the main aspects of the estate tax are taxability, deductions, and exemptions. These aspects are of importance in the context of the ongoing debate, as they most directly educate the tax to those transferring their estate at the time of death. Taxable ‘estate’ assets include those passed along through a will, for example (transfer of property), or the payments or insurances disbursed to beneficiaries of the deceased (IRS, Estate Tax). The IRS considers the transferred assets that are federally taxable t... ... decedent chose to do with their assets. Finally, the very existence of the estate tax puts a significant strain on the overall economy placing undue burdens not only on the rich or on family business, but also those who would be positively affected by the undistorted efforts of those individuals subjected to the tax (Hasset). The federal estate tax, coupled with the local state estate tax have very discouraging and negative effects on not only those taxed, by those that are not (Ebeling). Estate taxation is a highly controversial issue in the United states tax code, and has been appropriately debated from before and since its introduction in 1916. Wether its existence be referred to as the â€Å"death tax†, or its absence as the â€Å"birth tax†, those for and those against have long argued its fundamental validity and appropriateness, its effectiveness, and its contents.

Advantages And Disadvantages Of An Armed Public

It is believed that the safest nations have very strict gun control laws. This strong gun control laws enhances a lower crime rate but that is not always the case. Virginia’s homicide rate is low among other states like the state of Maryland, where unless one is a police or federal officer it is illegal to carry a handgun. (Joyner, 2004).Many will argue that carrying firearms does not make America more dangerous but instead much safer. With a positive thought, if everyone were armed, crime would drop to an all time low. It's just a matter of weather you are educated in this matter or just shooting from the hip. (Kopel, 1995).The result of this is that a law-abiding citizen can get licenses to carry concealed firearms. With the gun crazies and their paranoia such as crazy shooting similar to the massacre at Virginia Tech, and the violence nannies and their hysteria such as drug related shootings, the issue of legalizing or not remains an ever more complicated mess.This paper ad dresses this issue by relating the advantages and disadvantages of an armed public.Pros Of An Armed Public Most legislatures have failed to reach a compromise on some significant issues like concealed carry gun laws and the issue continue bewildering. According to Al Marzouqi on The Badger Herald (2007), he believes that the ban on concealed carry does not automatically translate to relatively low crime rate, which is an important aspect of the discussion.The absence of crime is not a proof that a policy is working. Laws to restrain criminals’ form acquiring weapons do not stop them especially when they are bound on breaking the law. All a ban on concealed carry does is to create a false sense of security that is all too often shattered by a tragedy and prevents law abiding citizens from defending themselves in such situations.Secondly In a small town, backup is sometimes an absent luxury; good citizens with personal firearms can save the situation. Thirdly many lives might b e saved, just by the presence of a gun without necessarily meaning presence of the police.The law does not state that police should always be of aid if called or requested for any help. Police are not required to help and they cannot be sued if they DON'T help.California's Government Code, Sections 821, 845, and 846 states, in part: â€Å"Neither a public entity or a public employee [may be sued] for failure to provide adequate police protection or service, failure to prevent the commission of crimes and failure to apprehend criminals.†Lastly the number of unregistered guns is actually unknown, but it is probably in the multi-millions like the registered ones.These guns would be most difficult to locate, though readily available to the criminals. Handguns are made everywhere too because they are legal in some states and therefore a booming business, so to be successful in eliminating guns in the US, one must shut down the entire world's ammunition industries and their sales c hannels, which is basically impossible.Therefore the issue of not legalizing does not decrease the number of illegal arms, the criminals would still be armed and lack of the legal guns in a system lives the ordinary citizen disarmed.It is logical that a bully with a gun would not attack someone they knew were armed. Guns reduce the number of attempted crimes because criminals are uncertain which potential victims can defend themselves. States with the largest increases in gun ownership also have the largest drops in violent crimes according to Lott on More guns, less crime in 2000.Criminals are deterred by higher penalties. Just as higher arrest and conviction rates deter crime, so does the risk that someone committing a crime will confront on someone able to defend him or herself.The horrific shooting in Arkansas occurred in one of the few places where having guns was already illegal. These laws risk creating situations in which the good guys cannot defend themselves from the bad o nes. (Lott, 2000)Cons Of An Armed Public A gun owner is more likely to accidentally shoot an innocent person than shoot the burglar because they are highly annoyed at the time of the conflict. Secondly allowing people to carry concealed weapons brings about the likelihood of them falling into the wrong hands. Laws concealed carry state that a person applying for a permit must satisfy an existing criterion.The proposed criteria include age restrictions, background checks, legal citizenship, gun safety classes and mental stability. It is believed that with such procedures, the risks of guns falling into the wrong hands would diminish but this is simply not the case. There are several fundamental flaws with these limitations, including the fault on the licensing body.Thirdly laws to legalize owning of firearms would mean that if individuals meet all criteria for the permit, then the state cannot under any circumstances, withhold it from them unless there exist other laws giving a super vising body the right to withhold a permit from a qualified person.Lastly, release of arms to the public means that they will be highly accessible to unauthorized persons such as children in a family setting who can be able to access majority of the family recourses in exception of the firearms. According to HRW in 2006, between 1985 and 1994, murders committed by children with guns more than tripled in America.Crime rates in England and Australia England has strict gun control but their firearms related crime statistic has been steadily increasing. Originally homicides did not increase with the invention of firearms, but instead seems to have fallen sharply as guns became more efficient and widely owned in England. (Kates, 2002).There are enough historical facts that refute claims that guns cause homicide. Violent crime did not increase with increased gun ownership nor did it decline with decreased gun ownership. Firearms closely correlate with car ownership than firearms ownership in England and Swaziland. Like demographics, Geographic’s of gun ownership relate inversely to crime.Conclusion Concealed carry permits should be issued to those who qualify and be revoked when misused. This would also mean that people are not guaranteed permits and if permitted the state should have a right to withhold on matters of security concerns. Responsibilities do go with rights, and many people often conveniently forget that little tradeoff.Gun violence still remains unsolved because it’s unpredictable and uncontrollable.In line with Kate on the issue of if guns cause crime, the best currently available evidence indicates that general gun availability has no measurable net positive effect on crime rates. Guns availability has many effects on violence increases or decreases with the effects largely canceling each other.References: Al Marzouqi, A. (2007, October 30). The Badger Herald. Retrieved 20th July 2008 from: http://badgerherald.com/oped/2007/10/30/happi ness_is_a_warm_.phpHuman Rights Watch (HRW). (2006). Juvenile Crime Rates: Retrieved 20th July 2008 from: http://hrw.org/reports/2005/us0205/4.htmJoyner, J. (2004, July 15). Virginia Gun Laws: Outside the Beltway (OTB). Retrieved 20th July 2008 from: http://www.outsidethebeltway.com/archives/2004/07/virginia_gun_laws/Kates, D. (2002, July 22). Do Guns Cause Crime: History News Network. Retrieved 20th July 2008 from: http://hnn.us/articles/871.htmlKopel, D. (1995). International Perspective on Gun Control: New York Law School Journal. Retrieved 20th July 2008 from: http://www.davekopel.com/2a/LawRev/lrnylstk.htmLott, J. (2000). More Guns, Less Crime: Understanding Crime and Gun control: university of Chicago.

Football betting

Football betting has been legalized recently. Although someone says legalizing football betting will benefit Hong Kong, there have been both arguments for and against this practice so I am going to discuss it. Addiction to football gambling can cause a lot of problems. One of the examples is financial difficulties. Gambling needs money. If a person gambles in a long-term, he may lose a lot of money. Not every time you can win some money from it, you couldn't earn a lot. It would spend your time and money. It may destroy your financial plan for retirement. There would be problems on work or even unemployment. You use all the time for gambling, you don't have energy and can't concentrate on your work. You work badly and your boss will punish you. Therefore, you may think you have to carry more and more pressure. It makes you more emotional, worsen work will be more. At last, you may get fired from your boss. Gambling will destroy your family relationship. They will leave you because you ignore them. There is an advertisement is talking about a father has gambling addiction on football. He puts all the money on gambling. He never knows what has happened in his family, even though his child leaves home secretly. At last, he thinks gambling is more important than family relationship, he and his wife divorces. Football betting could cause emotion problems. Gambling addiction is a mental-health problem that is understood to be one of many kinds of impulse-control problems a person may suffer from. The person has broken the law in order to obtain gambling money or recover gambling losses. This may include acts of theft, embezzlement, fraud, or forgery. He would try to hide the extent of his or her gambling by lying to family, friends, or therapists. Despite the disadvantages mentioned above, some people think legalization of football betting has benefits to Hong Kong. Football gambling is supported because Hong Kong government can earn tax from the gambling. Government thinks that earning money from the public and use the money back to the public for the treatment and promotion is the best way. There may be illegal organizations would be caught by police. They don't need to hide secretly to do the gambling. People can publicly gamble for football and people who gambled can entertain themselves happier. Government established a charitable fund to finance gambling-related problems for the implementation of preventive and remedial measures, and selected Caritas and Tung Wah Group of Hospitals to run two counseling and treatment centers for providing services to problem and pathological gamblers. When gambling is legalized, there will be a rise for employment rate. This is because there will be more demand of staff need to help gambler when gambling is legalized. If gambling is prohibited in law, resulting staff being fired. After weighting both advantages and drawbacks of football betting, I think legalization of football betting may become a disaster in our society.

Abortion: Controversial Issues in Society Today Essay

One of the major controversial issues confronting the society today is abortion. I chose abortion as the topic of discussion since it contradicts my values and beliefs. Abortion is the extraction of the human fetus from the mother’s womb with an intention to end the life of that fetus prior to its natural birth. Most religious people believe that abortion should be completely banned. They agree with the idea that it is simply a type of murder and murdering a person is a crime and abortion is just a different type of killing. Some other, generally non-religious people believe that abortion should be not be banned and it should be a personal choice whether a women gets an abortion or not. There could be some cases where the women has no choice but to have an abortion and considering these circumstances some part of the population believe that abortion should never be banned. The controversy surrounding abortion is whether it should be legalized or not? In my opinion, bearing in mind the different views on abortion I cannot agree with a particular one.I chose this issue for discussion to bring to light many of the hidden facts and arguments, of which people are unaware and not very sensitive today. Abortion is a controversial issue lacking of humanity and moral value because of the various motives behind it. Article 1 â€Å"The more you relax, the less pressure and pain you will feel,† she says. Dr. Oyer dilates Anna’s cervix and turns on the vacuum aspiration machine. She inserts a tube through Anna’s cervix, and a gentle whirring sound fills the room. She barely has to raise her voice to explain, â€Å"The cramping you feel is totally normal.† Anna lets out a few gasps before Dr. Oyer clicks off the machine, signaling the end of the five-minute procedure. By: Liz Welch for Glamour magazine. P.O.V-In this article the author tries to convey abortion as a simple convenient procedure ignoring the stigma attached to it. The stating of the process as a five minute procedure clearly shows the way society has altered the sensitivity of abortion. Article 2 The GOP:Party of Quacks. â€Å"Out of the various layers of falsehoods contained in Todd Akin’s now-notorious claim that â€Å"legitimate rape† cannot end in pregnancy, one that caused many eyebrows to raise the highest was his contention that â€Å"doctors† had told him that the female body has a way to prevent pregnancy from rape through a vague mechanism he described as â€Å"shut that whole thing down.† Surely no actual doctor would say such a thing, many of us thought. But we underestimated the right’s devotion to creating their own set of â€Å"facts,† backed up by their own â€Å"experts.† Just as conservatives have been able to pay handsomely for people with impressive-sounding credentials to spread lies about everything from global warming to weapons of mass destruction in Iraq, so have they been able to build up their own little empire of medical doctors who will say any fool thing about women’s bodies and pass it off as science. If anything, the anti-choice movement was instrumental in shaping the conservative approach to science. Anti-choicers were among the first to realize that if the experts and the evidence counter your beliefs, you can simply make up your own claims and put them in the mouths of well-credentialed people. It’s just as good as the truth! Better, even, because it can be endlessly manipulated to meet new ideological goals.† By Amanda Marcotte. P.O.V: Amanda Marcotte is a Brooklyn based freelance journalist, grounded on the above article her main focus is on showing resentment towards the conservative party rather than the actual question of abortion. ARTICLE 3 MOSCOW ; â€Å"Every year, millions of Russian women undergo an abortion. Russia’s government is making free abortions available to women who fall into several newly defined categories, through their twenty second week of pregnancy. Critics of the free abortions blame Russia’s declining birth rate on cheap abortions. In the past six months, twice as many deaths as births have been recorded in Moscow. Of course it’s sad, said Vaganov. The whole story is sad, the number of abortions still being performed is sad, mortality figures are sad†¦. The thing is that you can just see more of what used to be hidden from the public eye he said. We are just trying not to hide the new realities of life, and we are not neglecting the old ones.; P.O.V; The journalist is trying to show that the united states is not the only one facing challenges in abortion and is possibly biased towards the united states. Source:Cable News Network, Inc.2011 Article 4. A pregnant leukemia patient who became a flashpoint in the abortion debate in the Dominican Republic died Friday morning, a hospital official told CNN. The 16-year-old, who had been undergoing chemotherapy, died from complications of the disease, said Dr. Antonio Cabrera, the legal representative for the hospital. Her case stirred debate in her country, as her life was potentially at risk because of anti-abortion laws in the Dominican Republic. Doctors were hesitant to give her chemotherapy because such treatment could terminate the pregnancy — a violation of the Dominican Constitution, which bans abortion. Some 20 days after she was admitted to the hospital, she finally began receiving treatment. The case sparked renewed debate over abortion in the Dominican Republic, with some lawmakers calling on officials to reconsider the abortion ban. From Rafael Romo, Senior Latin American Affairs Editor,CNN According to Article 37 of the Dominican Constitution, â€Å"the right to life is inviolable from the moment of conception and until death.† Dominican courts have interpreted this as a strict mandate against abortion. Article 37, passed in 2009, also abolished the death penalty. P.O.V: The author wants to identify the situations where abortions can be deemed necessary. He tries to convince the readers to see the two sides of abortion. He seems to support the notion of legalizing abortion in the Dominican republic. ARTICLE 5: â€Å"Legalized abortion is a national holocaust; an affront to our national character; a contradiction of established principles subscribed to from the beginning of Western Civilization; an insult to the principles of our Declaration of Independence; a bane of our national spirit; and a stench in the nostrils of Almighty God. That we have allowed it to continue for 37 years now stands as an indictment against this generation of Americans and bodes ominously for the well-being of our posterity.† By Pastor Chuck Baldwin P.O.V-The author is clearly against abortion .As a pastor he takes a religious stand on as he considers it to be unholy. Based on his article he tries to urge the readers to be against any form of abortion. CONCLUSION As said by former Surgeon General and a pediatrician Dr. C. Everett Koop, the most common reason for abortion is convenience. Only three to five percent of all abortions performed are for reasons of rape, incest, the possibility of a deformed child, or severe threat to the life of the mother. According to researchers at the Alan Guttmacher Institute, of those obtaining abortions in 1980, 30 percent were under age 20 and 79 percent were unmarried, which shows that abortions in the United States are most often sought as a â€Å"solution† to the problem of pregnancy outside of marriage. The major reason behind most of the abortions is mere inconvenience or unwantedness of the baby seems mean, insensitive and unreasonable .However the question of whether abortion is right or wrong will remain a controversial issue for everybody has their own point of view on the subject. The ultimate right of choice should lie with the woman who is undergoing the abortion. This remains one of the foremost arguments and is often stated by supporters to be as important as the basic right of survival.