The Protection Of Civil Rights - 1589 Words

Introduction Canada is known to be one of the leading countries in the world devoted to the protection of civil rights. In the legal context, this feat was achieved through the drafting and the creation of the Charter of Rights and Freedoms in 1982. The charter was establish to enforce the rule of law and to serve as a mechanism which limits the overarching authority of the states. While the general public enjoys the benefits of numerous rights available to them through the charter, it is the most vulnerable populations within a state which are at risk of being treated unconstitutionally. One of the at-risk populations being examined in this paper is sex workers; specifically prostitutes. There are multiple populations involved in the†¦show more content†¦As the paper progresses it will become evident that the laws dealing with prostitution aims to criminalize various acts of prostitution. Furthermore, this essay provides academic support which demonstrates that prostitution laws compromise the safety and rights of individuals involved in the sex trade professions. Throughout the essay the precedent setting case of Bedford v. Canada is utilized to demonstrate the unconstitutionality of Canada’s prostitution laws. Finally, the essay concludes by drawing comparisons between jurisdictions to understand the outcomes of legalization and decriminalization of prostitution. After careful analysis of the evidence and support in lieu of prostitution law, it will become evident that criminalization of prostitution as a profession violates human rights of the prostitutes and more importantly puts their safety at risk. The paper is strictly referring to the prosti tution laws in the Canadian context. Prostitution in Canada Before proceeding further it is important to get obtain a general understanding of prostitution in Canada. Canada as a nation has had a dubious history with the practice of prostitution. Since 1972, it has been legal to ‘be’ a prostitute but engaging in other prostitution related activities is virtually impossible. Since the late 20th and early 21st Century, while other nation states have progressed towards decriminalizing the

IT Service Management

Question: Discuss about the IT Service Management. Answer: Purpose of Vision Helpdesk The major purpose of vision helpdesk is to deal with the database of each client in a separate manner, being available in multiple time zones, countries as well as languages. This ITSM tool is also purposed for providing multi-channel customer support. Its major purpose lies in the fact that it can covert as well as track all incoming requests either from social media chat, telephone, email or the web overall (Visionhelpdesk 2017). The most important purpose of this product is to provide the utility of a batch of helpful modules such as catalog of products, catalog of services, contract management, supply management, finance management and CMDB. ITIL service lifecycle phase, process or function Figure 1: Screenshot of Vision Helpdesk operation Figure 2: Screenshot of Vision Helpdesk operation Figure 3: Screenshot of Vision Helpdesk operation With the help of the above shown screenshots, a related ITIL service lifecycle phase, function or process can be evaluated. From the attached screenshots, it can be understood that Vision Helpdesk is enriched by an ITSM or ITIL ready product for managing asset, incorporating disposal, maintenance and procurement (Cots and Casadess 2015). It is well elaborated and incorporates a batch of modules or ITIL life cycle phases such as catalog of products, catalog of services, contract management, supply management, finance management as well as CMDB. Figure 4: ITSM lifecycle (Source: Radnor et al. 2015) Core features of the tool Vision Helpdesk is a reliable solution for tracking issues, which can easily identify and recognize tasks and queries with the minimal effort of human beings involved. The major benefit of implementing this software on board is that it can improve the customer experience by providing accurate and quick answers even for the ongoing processes (Trusson, Doherty and Hislop 2014). As an outcome, the expenses can be decreased while the reputation would be increased. On the other hand, another benefit of this ITSM software tool is to track the lifecycle of the tickets as well as improve the task prioritization. Moreover, this tool is also capable enough of empowering the employees as well as boosting their productivity (Visionhelpdesk 2017). Therefore, it would automatically enhance the organizational productivity. Vision Helpdesk also provides an organized workflow through the escalation rules or SLA, notification system as well as macros. Apart from that, this ITSM tool also has the suppo rt for the multiple products as well as brands. Gartners Magic Quadrant for ITSM tools As per the Gartners Magic Quadrant, the Gartner rates generally generate upon two criteria such as capability to execute and completeness of vision. Therefore, the Vision Helpdesk can be assessed based on two major quadrants such as leaders as well as visionaries. This software lies in the vendor quadrant as it has the highest composite scores for the vision completeness as well as execution capability. On the other hand, this software also has the sales and marketing abilities, credibility as well as market share as it lies in the leader quadrant required for driving the new technology acceptance (Visionhelpdesk 2017). Apart from that, Vision Helpdesk also lies in the visionary quadrant as this tool is a complete innovative package of innovative ITSM services. This tool is capable of addressing financially as well as operationally essential end-user issues in a wider range. Thus, this product lies in this quadrant. References Cots, S. and Casadess, M., 2015. Exploring the service management standard ISO 20000.Total Quality Management Business Excellence,26(5-6), pp.515-533. Radnor, Z.J., Bateman, N., Esain, A., Kumar, M., Williams, S.J. and Upton, D.M. eds., 2015.Public Service Operations Management: A Research Handbook. Routledge. Trusson, C.R., Doherty, N.F. and Hislop, D., 2014. Knowledge sharing using IT service management tools: conflicting discourses and incompatible practices.Information Systems Journal,24(4), pp.347-371. Visionhelpdesk.com. (2017).Vision Helpdesk - Customer Service Help Desk Software. [online] Available at: https://www.visionhelpdesk.com/ [Accessed 14 Mar. 2017].

No Matter What the Beginning Is, the End Will Be the Same

Life is not very different from a Hollywood film; in fact, it is even more unpredictable, changeable, and confusing. This is one of the main questions of our existence and this is the main point of â€Å"Happy Endings† by Margaret Atwood.Advertising We will write a custom essay sample on No Matter What the Beginning Is, the End Will Be the Same specifically for you for only $16.05 $11/page Learn More There are so many true stories told about people that can serve scenarios for Oscar-winning movies. However, the major theme of all films, as well as the main concern of our life is the relationships between men and women. Love, romance, family, devotion, betrayal, role of woman in the society, unrequited love and pure love, and all that drama is what everything else revolves around. The only difference is that films almost always have happy endings and life always ends up in one thing for all people – the death. Atwood provides several example s of how the individual’s life can develop, and thus, the author suggests an idea that we should not think about what the result of our relationships will be , as life is very unpredictable, in addition, we must feel every moment of life, and live only in present. A majority of the fictional narratives focus on the relationships between man and women; in fact, this is the most popular theme that provides ideas for discussions. Margaret Atwood â€Å"acknowledged as a foremost author† (Van Spanckeren and Castro 9) succeeded in this â€Å"task† and wrote a several different, but typical stories that revolve around this theme. It consists of six parts that deal with different types of relations and various aspects of romance and love that people encounter in their everyday life. There are four main characters which are the subject matter in hands of the author, John and Mary, and Madge and Fred. In fact, it is not actually a story, but a guide on how to create one. It is â€Å"a permutational fiction in the if†¦ then mode† (Wilson 22). James P. Werlock comments on the form and style of the story: â€Å"Happy Endings† is a story about writing a story, with thoughtful advice to both readers and would-be writers (22). It provides several scenarios of the common life stories which can have different endings, however, the author provides that the outcomes will probably be the same. The six possible endings to the story of John and Mary are written as a skeleton outline† (Werlock 302). The author introduces the story to the reader with a description of an ideal life story to which everybody aspires, but the successive several stories are not so happy, though the author offers the readers a choice, â€Å"If you want a happy ending, try A† (Atwood 724). It means that men and women are free to decide what life they want to have and what the â€Å"ending† of their relationships will be.Advertising Looking for essay on american literature? Let's see if we can help you! Get your first paper with 15% OFF Learn More In fact, the ideas of fiction stories are taken from â€Å"life scenarios† which are so common. No matter, whether you are a man or woman, you want your life to have a â€Å"perfect Hollywood ending† (happy marriage, beautiful house, and wonderful children. But the reality is skeptical and ironical. Thus, the story B provided by Margaret Atwood is more look like a true one. It is a typical description of relations between man and women which can be observed in a real life. This is a typical â€Å"meat† for feminists and it is a story that â€Å"an attack against societal conventions, particularly those surrounding the roles of women† (Korb 157). She loves him and he uses her, finally she dies because of the unrequited love. Where is a promised happy end? Well, a man marries a woman, isn’t it a good ending? But the discussion of relation s of sexes is not finished yet. Let us focus on the relationships of an older man and a young woman. It is one more true life story when young girls gave love affairs with older men. Why? Who knows! May be it is love, or money, or solitude, but the outcomes almost always the same†¦ all continues in A. Another scenario is a story of devotion of women to men. She nurses him until his last breath and then devotes her life to volunteering. It is another perspective on the relationships between man and women, which also can find analogue in an everyday life. The characters are undeveloped and the stories are presented like facts, but everyone will find something familiar in every one. Continuing the theme of the relations of sexes, we can assume that there is one more issue that the author explores in the work. She definitely addresses the question of what is the role of woman in the contemporary society. Indeed, as it has already been mentioned, the author describes different life situations and different social roles women perform. But what is in the focus? What women should do in this life? If to refer to the endings that Atwood provides, we can conclude that woman should get marry. However, what is more important is what life she has before getting married. Thus, achieving her final goal (marriage) woman can be independent and live the life she wants having relations with other men, or building her career. As opposed to this, she can also be devoted to one man during all her life and â€Å"devotes herself to charity work until the end of A. If you like, it can be â€Å"Madge,† â€Å"cancer,† â€Å"guilty and confused,† and â€Å"bird watching.†Ã¢â‚¬  (Atwood 726). Thus, woman can be the leader and can be a slave of her emotions and her man, the can be a perfect businesswoman or a great housewife, she also can be â€Å"slaver† and own men hears, or she can be a prey of the man’s charm. It is her responsibility to decide, but the end will be the same†¦ Another theme in the story is a theme of a pure love. The author begins her story with the description of a pure love that lasts forever and makes two people happy. But what do we see in the stories that follow? As it often happens, pure love is rare and the one who shares it does not have a respond from his/her beloved.Advertising We will write a custom essay sample on No Matter What the Beginning Is, the End Will Be the Same specifically for you for only $16.05 $11/page Learn More Mary loved Fred and ended her life in suicide, in the next story, John kills Mary and James and himself as well, and Madge is unhappy in E after Fred dies. So, do you still want to feel a pure love? Of course, it is not necessary that everything will end up it death, eventually, there are â€Å"happy endings† in life and the author gives us a hope for better outcomes. Interpersonal relationships are very tangled and they are the hardest to maintain in life. What is more important is the end of these relationships. The author points that â€Å"the only authentic ending is the one presented here: John and Mary die. John and Mary die. John and Mary die† (Atwood 726). Indeed, every person’s life will end up in death. Thus, is there some reason to struggle or change something? â€Å"The point is that both of these characters will eventually die, what matters is how and why certain things happen in their lives. That is the real story.† (Woodcock n. p.). Moreover, is there any â€Å"happy ending† at all? In the stories, the author provides the readers with the possibility to choose the ending for each story, thus, life provides people with the choice to arrange his/her life in any possible way, because, â€Å"so much for endings. Beginnings are always more fun† (Atwood 726). Thus, the short story â€Å"Happy Endings† by Margaret Atwood is a collection of several life stories which people can encounter in their everyday life. The author explores the topics of the role of the woman in society, theme of pure love and relations of sexes. But the main intention of the author is to persuade people live their lives to the fullest. Often, people do not take risks to make a desirable step to maintain relationships, such as ask someone to the date, or reject attractions. We often regret about things we did not do. The author provides that there are possibilities of risk and it is better to regret about things you did, than about things you did not do. No matter what you did in your life, you will meet the eternity. However, one should not think about it, but experience every moment of life, because middles are more interesting then endings. Works Cited Atwood, Margaret. â€Å"Happy Endings.† Literature: Reading Fiction, Poetry and Drama. Ed. Robert DiYanna. 6th ed. New York: McGraw Hill, 2008. 724-26.Advertising Looking for essay on american literature? Let's see if we can help you! Get your first paper with 15% OFF Learn More Korb, Rena. â€Å"Critical Essay on ‘Happy Endings’.†Ã‚  Short Stories for Students. Ed. Jennifer Smith. Vol. 13. Detroit: Gale Group, 2001. Literature Resources from Gale. Web. Van Spanckeren, Kathryn, and Jan Garden Castro. Margaret Atwood: Vision and Forms. SIU Press, 1988. Werlock, James P. The Facts on File Companion to the American Short Story. Vol 2. New York: Inc. Infobase Publishing, 2010. Wilson, Sharon Rose. Margaret Atwood’s Textual Assassinations: Recent Poetry and Fiction. Vol. 1. Ohio State University Press, 2003. Woodcock, Leah. â€Å"On Margaret Atwood’s â€Å"Happy Endings†Ã¢â‚¬ . Web. This essay on No Matter What the Beginning Is, the End Will Be the Same was written and submitted by user Emiliano Bryant to help you with your own studies. You are free to use it for research and reference purposes in order to write your own paper; however, you must cite it accordingly. You can donate your paper here.

buy custom Development Through Interaction essay

buy custom Development Through Interaction essay INTRODUCTION The role parents and adults play in a childs development is very essential if they were to grow up into normal adults. This is because children over the age of 2 and under the age of 6, as young as they may appear, learn fast through doing and copy pasting behaviors therefore they need proper environments and proper corrective measures whenever they go wrong. Proper day cares and play mates also define what they grow up into. For instance a boy that grows up in a family environment where the father is abusive, chances are high he may grow up to become an irresponsible adult living an extreme life of either being abusive or lacking self esteem and motivation. ESSAY A low self esteem is the first step into many of the problems found in our societies; rapists and drug addicts are only but a few of such resultants while a high self esteem means to be accepted and valued in a way that this growing future generation feels wanted and appreciated in their surroundings . Consider a family that values education in that every family member is expected to be a top performer. In such a setting, children who do excel in their tests are likely fit in well thus high self esteem. On other hand, children who appear helpless in their academics and are subjected criticism from their teachers and parents suffer from low self esteem. From a smile at a time and constant attention grows a child that feels loved and appreciated (NAESP 1991). This in turn helps them as they reach a school going age and learn to interact with their surrounding helping them ealuate and choose good playmates and adults they can look up to. Praising a child for hard work either at school or at home helps develop their talent, but over praising them makes it habitual and can be disastrous when at a given point in time they encounter failure at first glance this way, they are bound to get hurt. Finding therefore better ways of praising children not only builds their self confidence but also builds that character in a way that grows a balanced character that believes in hard work as a key to success. As much as children are not to be over praised for finishing their homework in time they also should not be praise whenever they do something wrong (Collins 1984). Learning to give constructive criticism to good performance in a way helps better growth, a proper example for is would be a mother who by reminding me of how hard I had studied whenever I brought home from school good results made me study even harder to make her happy. Every child is born in their own unique way. However the caregiver and a culture to which a child is attached to strongly affect their emotional control in a way that teaches us to understand how to take care of them and teach them whenever a bad habit if acquired. Where we live, how we interact with each other when we are near them and also who we name as their care givers whether a professional nanny, the male or the female parent, the grandparents, the elder siblings or it could be the neighborhood teenager who comes in as a baby sitter are just some of the care givers. A culture will include the parentage to which a baby is born for instance Black American family wwill have a way of life thats different from a traditional Asian family. A child with proper care in early life tends have proper social relations as they grow up and this may result in stable emotions.(Collins 1984) On the other hand, a child that grew up lacking proper care would end up emotionally under developed. Lastly, physical punishment is the intentional act of instilling physical pain by rod or by bare hand to punish errant children in order to prevent them from redoing their mistakes again. A saying goes spare the rod spoil the child supports physical punishment as an educative form of punishment as it instills instant discipline to the errant. Quick and less costly, this form of punishment saves time allowing both parties to get back to their tasks. A school example is where a teacher punishes a student that fails to do their homework an thereafter the two can do their remaining class hours without having to waste time. The cons against such type of punishment will include: lowering the self esteem of both parties which might have bad impacts; it being a method that has short term results renders it ineffective. Alternatively, we might use other methods that will prove why the action was wrong to the errant child in a way that they would not want to repeat the same mistakes; physical punishment may also train our children to be violent in a way that they turn into rebels(Vockell 1991), bully their peers and carry such an out dated form of punishment into their adulthood; and this form of punishment is outlawed in many states around the world as its a from of child abuse that might get the punisher into trouble. Buy custom Development Through Interaction essay

Magical Healthy Goodies Case Study Example | Topics and Well Written Essays - 1250 words

Magical Healthy Goodies - Case Study Example This means, Magical Healthy Goodies wants to have a global outreach. The business of low calorie intake baked cookies, cakes, and pastries should attain international standards. Employees hired: Ms Alyaa Mohamed has been hired as personal assistant. Further, three chefs and three delivery boys are to be hired. The delivery boys would handle the local orders. A manager is to be hired to arrange for international delivery and shipping. An accountant is also to be hired. Ms Fatmah appoints herself as the CEO of the company. Business activities and products offered: Business activities include manufacture, customization, delivery, and shipping of the products. Products include low calorie intake baked cookies, cakes, and pastries. 1. The owner: â€Å"Effective executives do not make great many decisions. They concentrate on what is important. They try to make the few important decisions on the highest level of conceptual understanding.† (Drucker et al, 2001). Ms Fatmah has to function herself at the level of management accountancy. She must personally see the journal, ledger, and trial balance entries. Since this is the age of globalization and the company can aspire to develop international outreach with the laps of time, all financial records should be maintained in terms of US dollars. 2. The lender: Money should be borrowed from a bank that has international operations. The owner should check the previous annual reports of the bank. The stock value of the bank is also an important consideration. The lender, i.e., the bank must check Ms Fatmah’s ability to furnish collateral security. A reliable guarantor should be there. The capital reserves of the new company and the amount of cash in hand are important considerations of for the bank. 3. Competitors: In a competitive market, publicizing the financial records is generally avoidable. Ms Fatmah must keep an eye on her competitors, especially those who have launched public issue. Their

Voting Rights and the United States Supreme Court Essay

Voting Rights and the United States Supreme Court - Essay Example When the United States Constitution was ratified in 1788, suffrage was not discussed in the text, except by reference to the age of qualification to hold certain office, and by mention of the census, for which Native Americans were excluded and African Americans were to be counted as three-fifths of a white man for the purpose of this head count. The management of elections was a right given over exclusively to the States (The Constitution, Art. 1, Sec. 4). It was left to the Bill of Rights, Article 9, Section 2, to specify that voting was only for white males over twenty-one years of age. The Constitution’s lack of specifics left the States to establish their own brand of voting rights, or non-rights in most cases. Religion was a common restriction on suffrage, including holding Office of any kind. Delaware’s Constitution denied Jews, Quakers and Catholics the right to vote or hold office by providing an oath to be taken before voting. Said oath required one to profess a Christian belief in specific way (Delaware Constitution). There were no cases addressing this issue brought before Chief Justice John Jay during the first term at the Supreme Court and the religious prohibitions stayed in place until 1810 with no help from the Court (U.S. Voting Rights). In fact, it wasn’t until 1810 that the Supreme Court found any State law unconstitutional (Fletcher). The U.S. Constitution, Article 3, states, â€Å"(t)he judicial power of the United States shall be vested in one Supreme Court and in such inferior courts that the Congress may from time to time ordain and establish.† Couple this with the fact that the Court consists of nine judges, not elected but appointed by the President of the United States for a lifetime term, and there is created a body that may pick and choose which cases to hear and through which they impact the lives of everyone living under its jurisdiction. The Court is loathe to decide a case on constitutional grounds w hen there are other issues that will decide the case, a well established principle according to the Court in Escambia. Thus there may have been many voter rights cases we have never heard about simply because the Supreme Court would not rule on a State’s right to set out its own voting guidelines and disenfranchise certain types of citizens. There is a dearth of cases dealing with voting rights issues for the first fifty years of the court’s existence. It wasn’t until Williams v. Mississipi, decided in 1898, that the Supreme Court specifically address a constitutional challenge to a State’s voting restrictions and the court found no discrimination in a poll tax nor a literacy test. It took an Act of Congress to fill in some of the gaps. Legislative response was to pass the Fifteenth Amendment to the Constitution and provide that the right to vote could not be denied a citizen based on â€Å"race, color or previous condition of servitude.† It was pr oposed in 1868 and ratified in 1870 as a direct response to Reconstruction Era politics that pitted some (mainly Southern) States against the Federal Government. Congress spoke and the right to vote in elections was open to all adult males aged twenty-one and over. However, the States were finding ways around the literal interpretation of the Fifteenth Ame

Lumbar Metastatic Disease Diagnosis

Lumbar Metastatic Disease Diagnosis Arlena Davis What additional historical information do you want to collect from the patient? Healthcare professionals are supposed to gather historical information from the patient when diagnosing lumbar pain. Gathering historical information ensures proper diagnosis of lumbar pain and treatment. The following historical information would be obtained from the patient. The doctor will determine whether the patient has had any spinal problems since birth. Also, the doctor will determine whether the patient has had lumbar pain before and any treatment. In addition, the physician will determine whether the lumbar pain was sudden or gradual. This is by asking the patient to describe how the pain began. Further, the patient will be required to state what increases or decreases the pain including rest or activity. Additionally, understanding the family history is vital in diagnosing lumbar pain. The health professional should determine if there is family history of lumbar pain. The doctor determines whether the patient is suffering from any disease that might cause the lumbar pain. Injuries and accidents can cause lumbar pain and the health professional should determine if the patient had an accident or injury. Wong,  D.A., Transfeldt, E., Macnab, I. (2007).  Macnab’s backache. Philadephia: Lippincott Williams and Wilkins What additional physical examination should you complete immediately and why? Physical examination is vital when diagnosing lumbar pain. Additional physical examinations are required to determine whether the patient has lumbar pain or not. The patient will do several movements while sitting, lying down and standing. This will make it easy to assess muscular and sensory problems causing the pain. Palpation is critical in identifying the affected area. Palpation helps the doctor feel tenderness and alignment of joints. This helps identify the inflamed lumbar area. Also, examining the leg pulse as pain increases the pulse. General examination of legs and trunk is done to identify the causes of the lumbar pain. Straight leg testing and nerve tests are done to determine whether the patient symptoms are due to pressure on the nerves or nerve compression. Tollison, C.D., Satterthwaite, J.R., Tollison, J.W. (2002).  Practical pain management. Philadephia: Lippincott Williams and Wilkins What differentials should you consider? A differential diagnosis is important when diagnosing lumbar pain as different diseases cause pain. Various diseases affecting the bladder, colon, abdomen aorta and kidney can cause pain. Therefore, different tests should be performed to rule out the diseases. Abdominal and pelvic ultrasounds are critical in ruling out the diseases. Clinical and neurological observations should be done to eliminate the diseases. CT, MRI, blood tests, urine tests, and complete blood tests are needed to differentiate different diagnoses. Beirman, R., Bull, P., Eaton, S.(2011). Cases in differential diagnosis for the physical and manipulative therapies. Australia: Elsiever Australia The clinical scenario suggests what diagnosis? The diagnosis shows that the patient has lumbar metastatic disease. The in house lumbar x-ray showed that lumbar vertebrae had lesions which are a sign for metastatic disease. The metastatic disease causes pain in the lumbar area. Metastatic disease occurs when cancer cells break away from a cancerous tumor and travel though the blood and lymph vessels to other regions including the lumbar vertebrae. The cancer cells settle in the lumbar vertebrae and start to grow and produce new tumors. The metastatic disease compresses or damages nerves and causes pain. Rabbani, S.A., Singh, G. (2007).  Bone metastasis: Experimental and clinical therapeutics. New York City: Springer Why does he have an elevated calcium and alkaline phosphatase? The patient has high levels of alkaline phosphate and calcium. He has alkaline phosphates of 850 and calcium of 11. The high levels of calcium and alkaline phosphates are due to the metastatic disease. Cancer cells affect the bones including lumbar vertebrae and damage them. Calcium is released into the blood as the cancer cells damage the bones. The level of calcium in the blood increases as more bones are damaged. The high levels of calcium in the blood lead to loss of appetite. The levels of alkaline phosphates increase as the damaged bones dissolve. Therefore, the high levels of alkali phosphates and calcium show that the lumbar vertebrae are damaged and have dissolved. The elevated levels of alkali phosphates can also be due to liver damage as the patient has hepatomegaly. Lipton, A et al. (2011). The Science and Practice of Bone Health in Oncology: Managing Bone Loss and Metastasis in Patients With Solid Tumors. J Natl Compr Canc Netw, s1-s30 Why does he have hepatomegaly and elevated ALT/AST? The patient has hepatomegaly which is the swelling of the liver. Cancer metastases cause the liver to swell. The patient has a swollen liver because of the metastatic disease. Cancer cells have spread to the liver and caused inflammation or swelling of the liver. Liver function tests are used to determine liver functioning or the condition of a patient’s liver. The tests include AST and ALT. The AST and ALT tests were done to determine whether the patient had liver damage. AST and ALT levels are raised if the patient has liver damage. The patient’s AST and ALT levels are 600 and 700 respectively. The AST and ATL levels can increase suddenly showing a sudden liver injury or gradually depicting continuing liver damage. Thus, the patient AST and ALT levels are high because he has liver injury caused by the metastatic disease. Wallach, J.B.(2007).  Interpretation of diagnostic tests. Philadephia: Lippincott Williams and Wilkins What additional screening blood test can help you confirm your diagnosis? Why is it used? There are different blood tests that can be used to confirm metastatic disease diagnosis. Blood chemistries can be done. A blood test is done to determine the amount of calcium in the blood. Calcium dissolves in the blood after bones are damages and this increases calcium levels. The patient is said to have metastatic disease if he has abnormal levels of calcium(high levels).A blood test is done to determine the level of alkaline phosphates in the blood as high levels show metastatic disease. A complete blood count can also be done as patients with metastatic bone diseases have no enough red blood cells. Schwab, M. (2008).  Encyclopedia of cancer. New York City: Springer References Beirman, R., Bull, P., Eaton, S. (2011). Cases in differential diagnosis for the physical and manipulative therapies. Australia: Elsiever Australia Lipton, A et al. (2011). The Science and Practice of Bone Health in Oncology: Managing Bone Loss and Metastasis in Patients With Solid Tumors. J Natl Compr Canc Netw, s1-s30 Rabbani, S.A., Singh, G. (2007).  Bone metastasis: Experimental and clinical therapeutics. New York City: Springer Schwab, M. (2008).  Encyclopedia of cancer. New York City: Springer Tollison, C.D., Satterthwaite, J.R., Tollison, J.W. (2002).  Practical pain management. Philadephia: Lippincott Williams and Wilkins Wallach, J.B. (2007).  Interpretation of diagnostic tests. Philadephia: Lippincott Williams and Wilkins Wong, D.A., Transfeldt, E., Macnab, I. (2007).  Macnab’s backache. Philadephia: Lippincott Williams and Wilkins