Criminology ( Understanding crime) Essay Example | Topics and Well Written Essays - 2000 words

Criminology ( Understanding crime) - Essay Example There are various resources of crimes that are used to do criminal activities within least time. This matter is in the observance of all citizens including investigation departments. So, people should be secure in this matter as they should adopt protection techniques to minimize the ratio of crime and victimization. In this paper, we are mentioning fear of crimes along with different approaches; these parameters should be realized to make social and professional life secure and safe. Realization of reasons of crimes is the cause of provision of justice to all humans without any intricacy. The use of practical sources in investigation strategy is exceedingly enjoyed on the grounds that this is an adept approach to figure out essential reasons of wrongdoings. Thus, a specialist ought to utilize most recent web and portable applications for increasing satisfactory data about truths and substances of that individual which is included in criminal exercises. This is demonstrated that current assets are making life simple and straightforward for all individuals. This effortlessness is connected with social and expert angles with no reservation and uncertainty. Along these lines, anybody can get data about any individual effortlessly in the present age. This is conceivable with the utilization of most recent innovative advancements that are open for all individuals. Likewise, agents can utilize these sources and they can make their investigation records fulfilled by req uirements for acquiring peace and mankind the general public. (Rolà ³n, 2014) This is additionally a favored path for those individuals who are entranced to accomplish their objectives with velocity and sensation in the social request. In the same way, practical sources are making investigation system simple in light of the fact that these arrangements are useful to track lawbreakers with sufficient spot and presence. Consequently, individuals like to utilize most

The economics of end stage renal disease Essay Example | Topics and Well Written Essays - 750 words

The economics of end stage renal disease - Essay Example For ESRD patients, all medical expenses both relating to their kidney disease or other conditions are the responsibility of Medicare (Hirth, 2007). ENDR patients pay for their treatment in four ways: 1) a monthly premium ($78.20 in 2005), 2) 20% for covered outpatient facilities (copayment) 3) a deductible for inpatient care and 4) outpatient prescription drugs. In many cases, patients have private insurance that cover the copayment and prescription drugs. In low-income groups, people may have their premium and deductible paid for by the government too. The amount actually paid by ERSD patients is very low (Hirth, 2007). The Medicare plan provides payments depending on the service provided. There is a single composite rate for dialysis for patients that comprise dialysis including labour, equipment and supplies (Hirth, 2007). Physicians, generally nephrologists, are paid a fixed monthly amount for out-patient services where as hospitals are paid a fixed amount too for in-patient care depending on the diagnosis of the patient (Hirth, 2007). The decision by the American government to cover ESDR was motivated by the political and economic prognosis at the time (case study). The funding for the Medicare program is from wage taxes, general tax revenues and beneficiary premiums (Hirth, 2007). 76% of dialysis centres are private run (Hirsh, 2007) and two chains are responsible for all private dialysis centres in the US (Hirth, 2007). An example being Fresenius National Medical Care (case study). A study in Canada looked at the economic burden of ESRD in 2000 and found that the direct, mortality and morbity costs to the government in one year was $1857 million (Zelmar, 2007). In the US, $27 billion was spent in 2003 (USRDS from Hirth, 2007) and costs are still increasing (case study). Outpatient clinics need a large investment to be profitable (case study).The Medicare Payment Advisory Commission has recommended

Managing hospitality resources Essay Example | Topics and Well Written Essays - 3000 words

Managing hospitality resources - Essay Example This paper takes a glance at the factors which influenced at the survival and economic prosperity of the hotel industry: the availability of leisure time for people and the possession of a high disposable income by them. This is so because; most people will go to the hotels after they have serviced the domestic needs and remain with extra disposable income, which they can use for leisure, recreation, and entertainment. Without ample leisure time however, it is difficult for them to attend to such activities. Since the industry mostly offers food service and accommodation, competition in this field is inevitable. With the advances in technology witnessed of late, the industry can take the advantage of these advances to obtain a competitive edge over its competitors. Technology can therefore be used in the industry to improve operational efficiencies, afford the hotel guests enhanced and quality services, and increase the income earned by the hotels. The pace and rate at which technolo gy is changing is too high, so that it leaves the whole industry confused in the right technology to adopt. Since a technology considered superior today might be found redundant after a few months or years, the industry has a difficult time deciding on which ones to incorporate into their systems. Thus, the choice of appropriate technology for the hotel industry is a paramount issue. Technology can support the management of the hotel industry through many ways. It can be used to enhance the guest experience, an aspect that will allow them visit the hotel again or recommend others to the same facility. This way, technology can be used to enhance customer services, through creating avenues that will enhance faster check- ins and check-outs, allow a timely response to any of the customer requests and enhance their stay environment through a range of entertainment and recreation activities (Bentley, 2005 p66). The other way in which technology can support the management of the hotel ind ustry is in improving the operational efficiencies. This can be achieved through applying technology to reduce the administrative requirements, lean the staff requirement in the facility to sizeable and manageable level, and enhance the cross-functional training. Technology can also be used to centralize most of the functions of the hotel, so that they are operated from a centralized locality, while at the same time enable the management of the hotel to distribute widely its services to the point of easy access by their clients. Since customer expectations as to the services they should receive from the hotel industry are increasing by the day, incorporation of appropriate technology can enhance the possibility of meeting their requirements. Presently, customers expect to be served within the least time possible when they enter into a hotel facility. In such a case, the incorporation of advanced technology that will be used to communicate the requirements of the customers from the r eception department to the kitchen and lodging department will go a long way to ensure that customers are not delayed (Lew, 2008 p412). Management can also use technology to enhance their cost control functions. Appropriate technology such as a system to procure, order, receive and store raw materials and other products required by the hotel facility can serve to reduce the cost incurrence by the hotel (Patrick, 2010 p35). For example, if a hotel lacks a good stock control system, it is likely to find itself lacking some materials while they are highly demanded. This would mean that the hotel would fail to meet their customer needs and consequently lose their loyalty and goodwill. If a hotel facility incorporates a good stock

Disaster Relief Assessment Essay Example | Topics and Well Written Essays - 250 words

Disaster Relief Assessment - Essay Example Natural disasters include earthquakes, floods, volcanic activities, tornadoes, cyclones, typhoons and severe storms. There should be the proper planning of the goals and the communication facility must be improved greatly. Proper task forces should always be ready who can tackle the situation in their own innovative way. Steps should be taken so that there can be proper thought about the situation by which it will be much easier to represent things that can be done. Theoretical approach can help to take a bigger step when the problem arises. The insurance and healthcare services should be improved so that the emergency situations can be responded effectively (Eisenman et. al. 2007). Disaster relief assessment also includes the development in the telecommunication facilities. The officials should be trained virtually so that they can be able to do things in a proper way and will have the ability to face all types of disasters. Educational programs can be undertaken so that the people can be alert about the various types of diseases and then they can take some minimum steps when they face such situations (Forgette, et. al., 2009).

De Havilland Vehicles Essay Example | Topics and Well Written Essays - 3000 words

De Havilland Vehicles - Essay Example The sales office has on-line access to the manufacturer's vehicle tracking system to establish the availability of cars by model, colour and extras. Cars can be ordered directly, but there is no internal system to store data on products or customers, only a card index system. DHV plc also uses paper-based systems to administrate its service and repair booking system, job cards, supplier data, orders, personnel and training. DHV plc has three distinct parts to its business. They act as a middleman for a car manufacturer selling their new vehicles. Last year (2004) 50% of their car sales were new split 40% to business and 10% to private users. The new car warranties and used vehicle guarantees tie customers in for subsequent servicing which builds long term relationships. The company seeks to retain these customers when the warranty or guarantee expires. The company also has a buoyant local repair trade. Whilst the directors of DHV plc have determined that e-Business and more integrated Information Systems is the appropriate way forward to achieve their new objectives it might help define the detail of the problem more accurately by researching not only what the competition are doing but also what e-Business innovations other distribution companies of high value items are usi... Cars can be ordered directly, but there is no internal system to store data on products or customers, only a card index system. DHV plc also uses paper-based systems to administrate its service and repair booking system, job cards, supplier data, orders, personnel and training. 2.2 Market Information DHV plc has three distinct parts to its business. They act as a middleman for a car manufacturer selling their new vehicles. Last year (2004) 50% of their car sales were new split 40% to business and 10% to private users. The other 50% of their car sales were used vehicles and they include guarantees with all second-hand cars sold. The new car warranties and used vehicle guarantees tie customers in for subsequent servicing which builds long term relationships. The company seeks to retain these customers when the warranty or guarantee expires. The company also has a buoyant local repair trade. 3. e-Business Problem Definition and Objectives Whilst the directors of DHV plc have determined that e-Business and more integrated Information Systems is the appropriate way forward to achieve their new objectives it might help define the detail of the problem more accurately by researching not only what the competition are doing but also what e-Business innovations other distribution companies of high value items are using. It might help reinforce the soundness of their strategy and point them in the right direction. 3.1 E-Business ideas for DHV plc According to Lou Gerstner, (CEO IBM 1993-2002): The internet is increasingly playing a more strategic role in business processes and failure to recognise this and take advantage of its potential could result in an organisation being left behind in todays over competitive environment.(Source, Internet & Business,

The Manipulation of Language used in Brave New World and Animal Farm Essay

The Manipulation of Language used in Brave New World and Animal Farm - Essay Example In doing so, there is chaos and disturbance which gives the reader an apocalyptic image of the world. For example, in Brave New World the society is made to conform to a certain culture and belief system. It is trained into believing that everyone is destined to be in the role that they have been placed into, by influence as the Director of Hatcheries in the novel puts it: "that is the secret of happiness and virtue - liking what you've got to do. All conditioning aims at that: making people like their inescapable social destiny.† (Huxley, Ch. 1. 1946). The Director of Hatcheries uses his language to keep all the lower classes content with what they had and to explain to them that that was the only way that they could lead a life. Mustapha Mond believes that the future idealistic world will consist of conditioned and processed humans who will submit to the social conventionality. Hence, he governs a very surreal image of humans who are driven away from books and obliged to chas e after science. Mond uses his knowledge of the Bible and language of Shakespeare to control a totalitarian state. He makes language a paradox for others, so much so that when John quotes the words from The Tempest, â€Å"brave new world†, there is more hostility involved in it than awe because Mustapha Mond creates the World State to look at things in such a manner. Likewise, the language of the pigs becomes ridiculously elitist, controlling, incoherent and a meandering discourse when they speak. This technique highlights the usurpation of power as one of the dominant themes of the novel. The language controls the reality. The linguistic skills of the pigs overpower the undersized language of the rest of the animals. The novel opens with the narrative that quickly ascertains the dominance of language through the speech of old Major who â€Å"was so highly regarded on the farm that everyone was quite ready to lose an hour’s sleep in order to hear what he had to sayâ⠂¬  (Orwell, Ch.1. 1954). This sets an authoritative and paternal language structure which is hammered into the other animals like a mandatory act or law even after his death: â€Å"Our lives are miserable, laborious and short. We are born, we are given just so much food as will keep the breath in our bodies, and those of us who are capable of it are forced to work to the  last atom of our strength; and the very instant that our usefulness has come to an end we are slaughtered with hideous cruelty. No animal in England knows the meaning of happiness or leisure after he is a year old. No animal in England is free. The life of an animal is misery and slavery: that is the plain truth. But is this simply part of the order of nature?† (Orwell, Ch.1. 1954) This is probably the most ironic speech in the novel. What Old Major believes he and his fellow animal kingdom has witnessed about humans, the animals have to undergo under the pigs’ rule after Old Major’s depart ure. When Orwell says â€Å"The great enemy of clear language is insincerity† (Orwell, PE, 1947, para 13) he means precisely under these circumstances. He emphasizes that dictatorship ruins the language of a particular region according to history. The pigs are insincere towards their fellow

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

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