Monday, January 27, 2020

Nosocomial Infections: Literature Review

Nosocomial Infections: Literature Review Nosocomial infections are infections that are a result of treatment in a hospital or a healthcare unit. These infections are identified at least forty-eight to seventy-two hours following admission, so infections incubating, but not clinically apparent, at admission are excluded. It may also be within 30 days after discharge. With recent changes in health care delivery, the concept of nosocomial infections has sometimes been expanded to include other health care associated infections (Weinstein, 1991). These infections are also called hospital-acquired infection. Studies in the passed have reported that during hospitalization, at lest five percent of patients become infected. Similarly, a study carried out by the Centers for Disease Control and Prevention in the United States estimates that roughly 1.7 million hospital-associated infections, from all types of bacteria combined, cause or contribute to 99,000 deaths each year. In Europe the deaths estimated are 25000 each year. However , the case is more seen in the category of Gram-negative infections, which accounts for an estimated two thirds of the total cases reported. Nosocomial infections are commonly transmitted as a result of negligence of hygiene by some hospital personnel. Medical officials move from one patient to another. Thus in a situation where they do not maintain high hygiene standards, the officials themselves serve as means for spreading dangerous pathogens. Moreover, bodys natural protective barriers of the patients are bypassed by some medical procedures such as surgeries and injections. Hence with such hygienic negligence in our hospitals and other healthcare units, nosocomial infections become the order of the day and my cause severe cases of pneumonia and infections of the urinary tract, bloodstream or other parts of the body. Causes of nosocomial infections Nosocomial infections are caused by various factors. Some of the common ones include improper hygiene. Patients can get infections of diseases such methicillin resistant staphylococcus aureus (MRSA), respiratory illnesses and pneumonia from hospital staff and their visitors (Webster, 1998). Also doctors and nurses who do not practice basic hygienic measures such as washing hands before attending to patients may spread MRSA among them. Other infections are due to injections. There are cases where some hospital staffs do not give injections properly. Infections like HIV and hepatitis B can be as a result of contaminated blood due to sharing syringes and needles between patients when injecting medication into their intravenous lines. Nosocomial infections may also be as a result of torn or improperly bandaged incisions during surgeries. These incisions get contaminated with bacteria from the skin or the surrounding environment. Similarly, bacteria can be introduced into the patients bod y by contaminated surgical equipment. Also breathing machines such as ventilators can spread infections like pneumonia among patients using them. Staffs that do not use the proper infection control measures tend to contaminate these machines with germs. There are also cases where people on breathing machines are unable to cough and expel germs from their lungs. This can be another cause. In addition, urinary track infections can be due to faulty removal of urine from patients who are not able to use the toilet. In most cases catheters are the common cause for such cases. These catheters cause these infections when they become contaminated with bacteria by medical staff during insertion or are not properly maintained while in use (Webster, 1998). Another cause of nosocomial infections is the organ transplant. Illnesses such hepatitis B, hepatitis C, HIV and syphilis can be spread through bone and tissue grafts that may result from blood transfusions, skin and organ transplants. Howev er such cases have become less common today due to factors such as improved technology. Many protective measures have been put in place to cut on these risks. Prevention of nosocomial infections Several measures can be put in place to prevent the spread of nosocomial infections. The most important measure to reduce the risk of transmitting skin microorganisms from one patient to another is hand washing. Medical staff washing hands as thoroughly and promptly as possible after attending to one patient where they may have come into contact with body fluids, excretions and blood, or equipment with these fluids, is a very important measure of nosocomial infection control. Even though it appears as a simple process, it is mostly overlooked or done incorrectly (Hiramatsu, Aritaka, Hanaki, Kawasaki, Hosoda Hori, 1997). As a result practitioners and visitors should be continuously reminded on the advantages of proper washing of hands. This can be achieved through use of signals on responsible hand washing. In addition to hand washing, gloves are very important since they prevent gross contamination of the hands when touching blood, body fluids, secretions, excretions, and mucous mem branes. They offer a protective barrier, in cases of exposure to blood borne pathogens. Similarly there is emphasis on surface sanitation. In health care environments, this is a critical component of breaking the cycle of infections. In cases concerning influenza, gastro enteritis and MRSA modern methods such as NAV-CO2 have been effective. Alcohol has been shown to be ineffective in endospore-forming bacteria such as Clostridium difficile and thus hydrogen peroxide is appropriate in this case. In addition, use of hydrogen peroxide vapor reduces infection rates and risks of acquisition. Some causes of infections are agent and host factors that are hard to control. In such cases isolation precautions can be designed to prevent transmission in common routes in health centers. For example a patient suffering from an air borne disease can be put in a separate room so as to control the spread of the disease. Another prevention measure is putting on protective clothing. An apron reduces t he risk of infection as it covers most parts of the body. However with all this said, strategically implementing QA/QC measures in health care sectors and evidence-based management are the most effective technique of controlling nosocomial infections. For example, in cases of diseases such as ventilator-associated pneumonia and hospital-acquired pneumonia, the management of the health center should pay more emphasis on the control and monitoring of the quality of the hospitals indoor air (Hiramatsu, Aritaka, Hanaki, Kawasaki, Hosoda, Hori, 1997). A Review of the Literature Robert A Weinstein (Cook County Hospital Rush Medical College, Chicago, Illinois, USA) In his research paper Robert Weinstein begins by a comparison of the cases of nosocomial infections now and in the past. Even though he agrees that there has been a reduction in number of cases, he goes a head to state that the numbers of death are still high. According to him, a study carried out in the United States estimated that in 1995, nosocomial infections cost $4.5 billion and contributed to more than 88,000 deaths (one death in every six minutes). I concur with these findings. Poor hygiene standards in most health centers have contributed to these high figures. There have been cases of medical practitioners who overlook basic hygienic measures such as a proper hand washing when attending to patients. There are cases where some medical services like injections are not administered in a proper manner. This is due to unqualified medical expertise especially in small health care centers. I think the researchs large numbers of deaths from nosocomial infections is due to such fact ors. I also agree with Weinstein that there is an approximately one third reduction in rate of infections in hospitals with the four basic infection control components (one infection control practitioner for every 250 beds, an effective hospital epidemiologist, ongoing control efforts and an active surveillance mechanism). As a result I think these infections can be controlled to a higher percentage if all hospitals and health centers could employ these basic components. Robert A Weinstein also states that there has been an increase in viral infections. Most nosocomial infections in Semmelweiss era were due to group A streptococci. In 1990 to 1996, 34% of nosocomial infections were due to the three most common gram-positive pathogens-S. aureus, enterococci and coagulase-negative staphylococci while the four most common gram-negative pathogens-Escherichia coli, P. aeruginosa, Enterobacter spp., and Klebsiella pneumoniae, accounted for 32%. With this trend I agree with Weinstein report. There has also been an increase in the blood transmitted infections hence increase in the cases of herpes viruses HIV-infections. On the other hand Weinsteins reveals that there is a higher rate of infection among the intensive care unit (ICU) patients. This is evident in our hospitals today. I think the increasingly aggressive medical and therapeutic interventions, including modern medical advancements like organ transplantations, implanted foreign bodies and xenotransplantations, have created a cohort of particularly vulnerable persons (Fridkin, Welbel Weinstein, 1997). In most cases, patients affected by nosocomial infections are those immunocompromised by underlying diseases, age or medical/surgical treatments. More cases of bloodstream infections coagulase-negative staphylococci occur in the ICU because it is in these areas that patients with invasive vascular catheters and monitoring devices could come into contact with these bloodstream infections. Due to these factors, I concur with Weinsteins research findings that infection rates in adult and pediatric ICUs are approximately three times higher than e lsewhere in hospitals. In conclusion, Robert A Weinsteins research paper portrays a comprehensive research. It addresses changes in the medical fraternity that have affected nosocomial infections in one way or another. It also shows the significant impact of advancement in technology in medical and health care in relation to nosocomial infections. Jessica Lietz Jessica Lietz presents her research on nosocomial infections putting more emphasis on the causes and prevention measures of the infections. She introduces her research stating that there are higher rates of infections in public hospitals as compared to private health centers. I concur with her findings on the basis of the difference in management in the two setups. Private centers tend to be managed in a better manner than public centers. This is because private hospitals are business oriented and the management is always doing all it can to better the institution so as to cope with the high market competition. As a result of this emphasis on good management, medical staff tends to adhere to rules and regulations. Hence the hygiene standards of these institutions are always high. Similarly there is close supervision of staff, another factor that advantages private hospitals over public ones. For the public medical institutions, the case is not the same. In most centers hygiene is not to standard. This may be due to several reasons. There is no close supervision of staff and same take this advantage of lack of a questioning authority to bypass basic hygiene measures. Similarly, public setups are prone to the effects of political differences between the staffs. Cases of corruption tend to take root in such centers and as a result, unqualified medical personnel find themselves in these institutions. In her take on the causes of nosocomial infections, she states lack of adequate public education on the infections as a key factor in their spread. I think the point holds water since there are same cases of transmission of these infections due to ignorance. For instance one may visit a patient suffering from an air borne disease and contact the disease without knowing. Similarly patients may share personal items such as towels, not knowing that they are subjecting themselves to harmful infections. I think enlightening the public in general on the dangers of these infections and the basic control measures like maintaining a high personal hygiene can go a greater mile in trying to control these infections. It is therefore important to create a society that empresses these basic measures. This can be achieved through airing nosocomial infection related articles in the media, organized open air lessons in villages and also be taught in learning institutions. Jessica Lietz on the other hand, argues out that just as hand washing is important as a measure of control; more emphasis should also be put on wearing of gloves. She states that gloves can also be used in the same context as hand washing as long as one glove is used on only one patient. I seem to disagree with this since there are challenges that come with it. Even though gloves offer a protective barrier, there are cases where these gloves tear. Moreover in instances where the gloves are not properly worn both the expertise and the patient may be a risk of infections. I strongly believe that a high standard of hygiene is the most appropriate way of fighting infections. As such, a basic, prompt and thorough hand wash is always the better option due its advantages. However, this does not rule out the use of gloves as they are equally important. In conclusion, this research article gives a general view of nosocomial infections. It does not reflect a deep research into the subject. Jessica gives more emphasis on general arguments. There are some issues concerning these infections that have not been covered or have been covered shallowly. Jessica does not explain in length how nosocomial infections have been affected by technology. Advancement in technology has revolutionalized the medical fraternity and has come with its own advantages and disadvantage. Therefore one can not make a general decision from this article as it is shallow and needs further research. National Center for Infectious Diseases This is an article on the research carried out on the nosocomial infections by the National Center for Infectious Diseases in the United States. It points out young children, the elderly and persons with compromised immune systems as people who are more prone to these infections. Long hospital stays, failure of healthcare workers to wash hands, use of indwelling catheters and overuse of antibiotics have also been highlighted to cause some cases of the infection (Fridkin, Welbel, Weinstein, 1997). Moreover the research acknowledges the effects of the diversification of technology on the spread and control of the infections highlighting organ transplant, catheters, xenotransplantations among others, as examples. Invasive procedures expose patient to the possibility of infection. The research highlights the percentages below. Causes of Urinary Tract Infections in Hospital Patients: Escherichia coli: 40% Proteus mirabilis: 11% Other Gram-negative bacteria: 25% Coagulase-negative staphylococci: 3% Other Gram-positive bacteria: 16% Candida albicans: 5% Causes of Urinary Tract Infections that are Community-acquired: Escherichia coli: 80% Coagulase-negative staphylococci: 7% Proteus mirabilis: 6% Other Gram-negative bacteria: 4% Other Gram-positive bacteria: 3% This is a comprehensive research that has covered nosocomial infections at length. It discusses key components of the infections giving considerations to both past and today world. Moreover, it compares the rate of the infections both in the urban and rural setting. Hence it is an article that tries to solve nosocomial infection dilemma. Toni Rizzo Toni Rizzo presents his research on the common types of infections in our hospital. He highlights respiratory procedures, intravenous (IV) procedures, surgery and wound and urinary bladder catheterization as the common types of infections. He states that most hospital-acquired UTIs happen after urinary catheterization. A healthy urinary bladder does not have bacteria or microorganisms (it is sterile). A catheter picks up bacteria that may be in or around the urethra and take them up into the bladder hence infecting it. This is a standard research as it touches on almost key issues in the subject matter. I agree with the findings. Fungus infections from Candida are prone to affect patients who are taking antibiotics or that have a poorly functioning immune system. Hence bacteria from the intestinal track are the most types of UTIs. Similarly respiratory procedures done in our hospitals today are the common causes of bacteria getting into the throat. Pneumonia thus becomes another common type of hospital-acquired infections. Once the throat is colonized, it is easy for a patient to inhale the microorganisms into the lungs. Moreover, patients who are unable to cough or gag very well are most likely to inhale colonized bacteria and microorganisms into their lungs. In general Toni Rizzo tries to address affects in medicine today. Infections due to modern advancements like organ transplant among others have been effectively discussed. Thus this is a comprehensive research. Emmanuelle Girou and Francois Stephan (Case-control Study of ICU Patients) This is an article on a study done in the ICU patients. Generally ICU patients are at a high risk of acquiring nosocomial infections and in same cases some die from these infections. There is a need for therapy whether infections in the ICU occur or not. The objectives of the study was to define the interrelationships between underlying disease, severity of illness, therapeutic activity and nosocomial infections in ICU patients, and their influence on these patients out come. The study was conducted in a 10-bed medical ICU. Initial severity of illness was matched, with daily monitoring of severity of illness and therapeutic activity scores, and with analysis of the contribution of nosocomial infections to patients outcomes. The study ran for one year and data carefully taken. Result Global incidence rate of 14.6 infections per 100 admissions was estimated as forty one out of the 281 studied patients developed at least one nosocomial infection. During their ICU stay, the 41 case-patients developed 98 nosocomial infections (2.4 episodes per patient): 15 pneumonias, 35 bacteremias, 33 urinary-tract infections, 12 central-venous-catheter-related infections, two sinusitides, and one surgical wound infection. Of the 35 episodes of bacteremia, only four were primary; the other 31 complicated the following nosocomial infections: 14 urinary tract infections, eight catheter-related infections, eight instances of pneumonia, and one surgical-site infected. The characteristics of patients in both groups were compared through use of the Mann-Whitney nonparametric test for continuous variables and the chi-square test for categorical variables. Wilcoxons test was used to compare two continuous variables within one group. To identify risk factors independently associated with no socomial infection, variables found to be significantly different between cases and controls in the univariate analysis were entered into a forward stepwise logistic-regression model (Statistica 4.5; Statsoft, Inc., Tulsa, OK). When patients developed multiple nosocomial infections during their hospitalization, only the first episode was used in the risk factor analysis. A value of p This is a very detailed and comprehensive case study. It clearly explains why the rate of infection is high in the ICU. This high rate is attributed to various factors. The immune system of most patients in the ICU is always low. Similarly these patients are subjected to taking more antibiotics. Long hospital stays is also another factor. Also it is in the ICU that most medical procedures like organ transplant, catheter, xenotransplantations among others, take place. The research also accounts for the effects of technology and other factors that affect these infections. It accounts for the findings given reasons based on concrete facts. As result, its a dependable research that can be used to study nosocomial infections especially in the ICU. In conclusion, all the articles above points out improved hygiene especially hand washing and immunization have resulted to the overall advances in control of infectious diseases. Negligence of hygiene is also portrayed as a major challenge to the efforts of control of nosocomial infections. I think for us to significantly control the infections, we must join forces and work together with medical personnel on implementation of existing infection control technologies. We should empress positive changes towards the control of nosocomial infection and observe high standards of hygiene so that we do not rely solely on technologic advances.

Sunday, January 19, 2020

Internet Business Essay -- Business Analysis E-commerce

Internet Business Executive Summary: Over the thousands of years that people have engaged in commerce with other, it has adopted the tools and technologies that became available. The combined influence of continuing sales growth and rising operating costs has caused the company to consider whether it could move the entire sales operation onto the Internet. In comprehending the potential impact of the Internet on the world economy, one should recognize that the technology has the ability to cut costs, increase competition and improve the functioning of price mechanisms in many markets. Electronic commerce is one of the way can complete all the said as above.  ¡Ã‚ §Electronic commerce mentions the use of electronic data transmission to implement or enhance business processes. ¡Ã‚ ¨ (Biggs,1998) Electronic Business connects small to medium-sized businesses to the Internet, electronic commerce, and global trade. No matter for any sized business, there also needs to provide all data files corrupt out of company. Advertising & Promotion  ¡Ã‚ §Promotion is a process whereby information about the organization ¡Ã‚ ¦s product or service is encoded into a promotional message for ... ...cashier or has any mistake during the transaction. Also, Logistics division has to handles customer service problems when the products are not delivered and it needs to keep track with. Even though the automatic tacking system is popular for electronic business, however sometimes provide a hotline for customers and have real person answer the question can let the customers feel much more comfortable then using a system. Reference Ray,M.L. ;,Advertising and communications management; Prentice Hall; Salle River, NJ; 1982 Radall,L; Average E-Commerce Web site costs US$1 Million;Computing Canada,2(24),1999 Harbrecht, Douglas;  ¡Ã‚ §Jeff Bezos: Amazon is something Genuinely new ¡Ã‚ ¨,2002 www.businessweek.com/bwdaily/dnflash/jan2002/nf20020128_01062.htm Biggs,M.; E Commerce Is Hot Today,but E Business is the gift that keeps on giving all year long; Info World, 1998 Internet Business Essay -- Business Analysis E-commerce Internet Business Executive Summary: Over the thousands of years that people have engaged in commerce with other, it has adopted the tools and technologies that became available. The combined influence of continuing sales growth and rising operating costs has caused the company to consider whether it could move the entire sales operation onto the Internet. In comprehending the potential impact of the Internet on the world economy, one should recognize that the technology has the ability to cut costs, increase competition and improve the functioning of price mechanisms in many markets. Electronic commerce is one of the way can complete all the said as above.  ¡Ã‚ §Electronic commerce mentions the use of electronic data transmission to implement or enhance business processes. ¡Ã‚ ¨ (Biggs,1998) Electronic Business connects small to medium-sized businesses to the Internet, electronic commerce, and global trade. No matter for any sized business, there also needs to provide all data files corrupt out of company. Advertising & Promotion  ¡Ã‚ §Promotion is a process whereby information about the organization ¡Ã‚ ¦s product or service is encoded into a promotional message for ... ...cashier or has any mistake during the transaction. Also, Logistics division has to handles customer service problems when the products are not delivered and it needs to keep track with. Even though the automatic tacking system is popular for electronic business, however sometimes provide a hotline for customers and have real person answer the question can let the customers feel much more comfortable then using a system. Reference Ray,M.L. ;,Advertising and communications management; Prentice Hall; Salle River, NJ; 1982 Radall,L; Average E-Commerce Web site costs US$1 Million;Computing Canada,2(24),1999 Harbrecht, Douglas;  ¡Ã‚ §Jeff Bezos: Amazon is something Genuinely new ¡Ã‚ ¨,2002 www.businessweek.com/bwdaily/dnflash/jan2002/nf20020128_01062.htm Biggs,M.; E Commerce Is Hot Today,but E Business is the gift that keeps on giving all year long; Info World, 1998

Saturday, January 11, 2020

Of Mice and Men Controlled Assessment Draft

Of Mice and Men is an American novel written by John Steinbeck about two itinerant workers who move from place to place. One itinerant worker named George is a small, smart, caring worker. While on the contrary the other itinerant worker name Lennie is a huge, clumsy, naive character. The story is set in a remote place a few miles south of Soledad. The south is usually the best place to live due to the climate of the area. Soledad is the Spanish word for loneliness and solitary.The two itinerant workers pursue their dream of getting their own farm. During their journey George and Lennie encounter many difficulties along the way. It was not uncommon for itinerant workers to suffer from loneliness, isolation and alienation. These three terms are the terms that will be explained in my essay. Dreams are another main factor in this book. George and Lennie have a dream that is the cornerstone of this book. Their dream is that they will â€Å"live of the fatta the lan’†. This quote is a reference to the American Dream.In this case, the fat is a good thing and fat has many properties and is usually the tastiest part of food, they also said that they will live of the fat. This means that the fat is in abundance. The American dream which says you get what you deserve if you work very hard. The American Dream is almost a capitalist dream. Loneliness is defined to be someone who is sad and/or be companionless. Characters such as George, Lennie, Candy and Curley’s wife all suffer from loneliness. George is lonely mainly because he is an itinerant worker which means he doesn’t stay anywhere for long.George even confesses his loneliness by saying â€Å"Guys like us, that work on ranches, are the loneliest guys in the world. † This is when George talks to Lennie beside the river. Lennie is another character that is caught in the trap of loneliness because of his disability and the fact that he always getting into trouble. Candy is lonely as h e only has his dog which eventually dies. Finally, Curley’s wife is lonely as her wife Curley does not give her the attention she wants. Isolation means to separate or to force apart. â€Å"†¦ he limb is worn smooth by men who have sat on it†. Already, in the first paragraph we can see the relationship between man and nature is not the best. Man seems to be destroying nature’s work. The characters that suffer from isolation are the likes of Crooks and Curley’s wife. Alienation is term that is described to a person who is being withdrawn from the world or withdraws them self from the outside world. People often feel alienated as they are being shown disaffection by others. The favourites of Crooks and Curley’s wife suffer from alienation.Crooks suffers from alienation as he is the only black person on the ranch, while Curley’s wife suffers from alienation as she is called names like â€Å"jailbait† (from George) as she is always l ooking for a man and is unfaithful to her husband – Curley. The very first bit of knowledge we know about George is explained in this quote â€Å"The first man was small and quick, dark of face, with restless eyes and sharp, strong features. The first person/people in something are always the more dominant person as explained in this quote. â€Å"†¦ restless eyes†¦ tells us that he is also a very alert man. Later in the book George also confesses his loneliness to the other ranchers. The other ranchers generally don’t like confessing their own loneliness to others. Quotes like . George is a very father like figure to Lennie, to comfort Lennie he usually says (in this case about Curley) â€Å"you keep away from Curley†. George promised Lennie’s Aunt Carla that he will look after Lennie like a father after she dies. â€Å"One side of the river the golden foothill slopes curve up to the strong †¦ Gablian Mountains. This quote explains the q ualities of the two itinerant workers. The quote is saying that George is strong mentally and physically. â€Å"God, you’re a lot of trouble †¦ I could get along so easy and so nice if I didn’t have you on my tail. † George often loses his temper with Lennie. He knows that he is mentally stronger than Lennie meaning that he can do whatever he wants by himself but Lennie always restrains him. Crooks is a character in the book that gets quite a lot of stick from the other ranch workers. The type of loneliness he suffers from alienation.The two main reasons Crooks is alienated is because he is black and he is also disabled. The other ranchers use derogative terms like â€Å"nigger† and â€Å"stable buck† as a reference to Crooks. In those times they thought that it was alright to call black people any name that they desire. The book describes Crooks’ appearance as â€Å"his body was bent to the left by his crooked spine†. Since the Abrahamic religions started, the side to your left was considered ‘dirty’ so, Steinbeck can use this for a reason for the other ranchers to hate Crooks as they will probably consider him ‘dirty’.As Crooks spends a lot of time by himself, he has the privilege of keeping more prized possessions than the other ranchers as explained in the quote â€Å"he had books, too; a tattered dictionary and a mauled copy of the California civil code for 1905†. You could say that Crooks was quite lucky as he had many possessions unlike all the ranchers as all they owned was a small apple box. Crooks is always the one being picked on; for example one Christmas when all the other ranchers where trying to pick a fight with Crooks. Candy is another character in the book that is disabled.He is also one of the loneliest characters in the book. All Candy has is an old dog. Candy’s dog is described Steinbeck uses quite a few techniques in the book. Some of the techniq ues include allegories and foreshadowing. The best example of an allegory in this book is when Lennie kills the innocent mouse, Candy’s dog is killed and then right at the end of the book Lennie is killed. This also foreshadowed what was going to happen to Lennie as he used to follow George around ‘like a dog’. When Candy had no use of his dog; he decided to dispose of him. This just like what George did to Lennie.

Friday, January 3, 2020

Theories And Rational Choice Theory - 1274 Words

Introduction This paper will cover two criminological theories and they will be applied to two types of criminality. The two theories chosen for the paper were developmental theory and rational choice theory. The two types of crimes that were chosen were organized crime, specifically focusing on gangs, and terrorism. Then the crimes will be compared and contrasted. Finally, the developmental theory will be applied to organized crime to explain why and how it happens. The rational choice theory will be applied to terrorism to explain what compels individuals to attempt this form of criminality. Organized Crime (Gangs) The definition of organized crime is â€Å"crime committed by groups engaged in planned and sustained criminal activities†Ã¢â‚¬ ¦show more content†¦Terrorism has been conducted throughout the world on numerous occasions. The groups that perform these actions come from multiple countries from all over the world. The United States even has some forms of terrorist groups and individuals. One of the biggest terrorist attacks was the destruction of the Twin Towers carried out by Al-Qaeda. Also recently there has been attacks in Paris and Great Britain, which were ISIS’s plan. The biggest terrorist organizations include the Taliban, Al-Qaeda and quite recently ISIS. The Taliban was founded in 1994, by Mullah Mohammed Omar, and they kill people in the name of jihad. Al-Qaeda was founded by Osama Bin Laden and also kill for jihad. Finally ISIS was founded recently hand continues to grow rapidly. They kill indiscriminately and how they see fit (Ppcorn, n.d.). Compare Organized Crime and Terrorism Organized crime and Terrorist groups are very similar in many ways. They both are structured with well thought out organization and are multi-leveled, just like a corporation would be. Both are involved with illegal business activities. 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