Domestic Partnership Essay

The advantages gained by providing benefits to domestic partners can outweigh the costs. This report will define domestic partnerships, outline the various benefits available for dependants, provide analysis related to the cost of providing benefits to dependants of domestic partnerships, discuss various benefit package options and related costs, and provide details related to the value the company stands to gain by offering such benefits. Domestic Partnership Domestic partnerships are generally thought of as a relationship between two members of the same sex. While same sex relationships garner most of the attention, domestic partnerships are not always between members of the same sex. California Family Code Section 297 defines domestic partners as â€Å"two adults who have chosen to share one another’s lives in an intimate and committed relationship of mutual caring. To establish a domestic partnership in California, a couple must file a Declaration of Domestic Partnership with the Secretary of the State, share a common residence, not be married or in a domestic partnership with someone else, not be related by blood, both are over the age of 18, both are the same sex, or opposite sex over the age of 62 and meet the eligibility criteria under the Social Security Act. Legal Issues Currently, 18 states offer domestic partner benefits for same-sex partners of state employees. Several state and local governments that offer health insurance and other benefits to employees’ unmarried domestic partners are currently facing lawsuits. Proponents of the Defense of Marriage Acts (DOMA) claim these constitutional amendments prohibit governments from offering such benefits to any dependent of a relationship that does not fit the state’s constitutional definition of marriage. Both gay-rights advocates and the American Civil Liberties Union dispute such amendments and are currently engaging DOMA proponents in courts across America in attempts to resolve their differences (Gentile, 2006). The costs associated with defending such legal matters can prove to be very cumbersome. Types of Employer Benefits When seeking employment, benefit packages play a major role in attracting and keeping employees. Employer benefits consist of more than the basic medical, dental, and vision plans. A variety of additional benefits being sought after by potential employees include, but are not limited to, retirement plans, life insurance and the family medical leave act. To qualify for domestic partner benefits, employees may be asked to sign a statement or submit an affidavit asserting they live with a domestic partner and are financially interdependent† (Greenwald, 2003). Health Insurance â€Å"For most nonelderly people in the United States, health insurance and access to health care derive from one’s own or a family member’s employment† (Ash and Badgett, 2006). In all fairness, these types of benefits should be offered to these types of families under the cu rrent guidelines of Domestic Partnership. Two levels of benefits are offered by employers, single coverage and family coverage. Single employees are at a disadvantage when it comes to compensation because some employers offer their employees a flexible benefit to assist with costs. These benefits will include all the same privileges that legally recognized families are currently receiving. The entitlement shall consist of doctor’s visits, prescription drug coverage, hospitalization, and eye exams (Briggs, 1994). Dental Benefits Dental care is an essential benefit which should be available to all family members. Preventive dental care could significantly reduce loss of productivity and catch problems before they become chronic or severe† (Gustin, 2003). Dental benefits are very affordable and valuable. One available option is for this company to offer dental as a voluntary option. This would enable the employees and their domestic partner to take advantage of the dental plan at a group rate, but the employee woul d be responsible for the cost (Gustin, 2003). Retirement/401K Retirement Plans and 401K’s are benefits that are only available to employees; however, choosing beneficiaries is a very important detail to these plans. Although domestic partners cannot be given all of the rights of spouses, plans can be structured to provide them with many of the benefits available for spouses† (Davis, 2007). In addition to being named as beneficiary, a hardship withdrawal can be taken based on the need of the domestic partner, and domestic partners will have the right to rollover death benefits (Davis, 2007). Life Insurance Employee life insurance is available at a more affordable rate through employer plans. Adding family members is an optional benefit. Under this plan, domestic partners and children would be entitled to life insurance coverage for just pennies a day. This would incur no expense for the employer and the employee would benefit from a group rate. Cost to Employees and Employers The cost of healthcare is on the rise and no end to this crisis is in sight. Most people believe all employers should offer health insurance to its employees; however, with the cost of healthcare so high companies who offer these benefits are trying to find ways to offset costs. If all employers did offer health, dental, and life insurance, who would cover the cost? A survey administered by the Commonwealth Fund titled The Public’s Views on Healthcare Reform in the 2008 Presidential Election asked that question to 3,500 randomly selected adults. 70% of people surveyed thought the cost should be shared equally between the employer, employees, and the government. 80% of the people surveyed also thought that if an employer did not offer health insurance they should contribute to the cost of coverage (Lubell, 2008). Tax Equity The Tax Equity for Domestic Partner and Health Plan Beneficiaries Act of 2007 was introduced March 29, 2007. The act states employers offering healthcare insurance have to provide healthcare coverage to domestic partners, same-sex or opposite sex. This law has been added to stop federal tax inequalities same-sex couples currently face when receiving healthcare benefits offered by their employers (Postal, 2007). The new law significantly affected employers in the Northeast and Western states because 42% of larger companies in the Northeast, and 38% of companies in the West have same-sex domestic partner healthcare coverage. Only 14% of large companies in the Midwest and 10% of companies in the south have this type of coverage (Cohen, 2004). Dual Coverage Because the cost of healthcare has increased 15% since 2003, some states in the U. S. have prohibited employees from claiming their spouses/domestic partners as dependents; thus, prohibiting dual coverage in the workforce. Banning dual coverage for these employees saves the state tax payers several million dollars per year while the employees and their families have suitable health insurance coverage. Employees rely on dual health insurance coverage to cover out of pocket costs resulting from procedures which are not fully covered by their primary carrier. Dual coverage insurance can save families hundreds, if not thousands of dollars per year, but can potentially cost the employer hundreds or thousands more (Employer-Sponsored, 2004). Annual Cost According to a research study performed by The Henry J. Kaiser Family Foundation and Health Research and Education Trust in 2006, private employers nationwide spend an average of $4,242 for single coverage and $11,480 for family coverage on employer sponsored health insurance coverage annually (Employer Health, 2006). Whether the employee is a single hetero-sexual or homo-sexual the rate for single coverage remains the same. The same for family coverage, the married hetero-sexual couple and the same-sex or opposite-sex domestic partners family coverage cost also remains the same. Employees are paying an average of $1,860 for single coverage and $4,848 for family coverage annually. These costs are causing employers to raise workers’ insurance premiums or reduce coverage. Some companies perform internal audits to eliminate ineligible dependents, older children, and ex-spouses/ex-domestic partners. If an employer finds dependents on an employees’ insurance that should not have been covered, the employee is required to pay back medical bills and insurance premiums through payroll deductions (Employer-Sponsored, 2004). Using information from these internal audits employers may notice a slight domestic partner enrollment increase: 0. 1%-0. 3% for gay and lesbian partners and 1. 3%-1. 8% for heterosexual partners. The increase in enrollment does not significantly affect the annual cost to the employer for employer-sponsored benefits provided to domestic partners and their families (Ash and Badgett, 2006). Benefits to the Company Healthcare continues to be a concern to both employees and employers. Employers are developing and offering programs and incentives to attract various types of workers, including those in domestic partner relationships, to attract more qualified candidates. Making benefits available to an employee’s domestic partner, a company is likely to hire and retain an employee whose work output is optimal. Employees in a domestic partner relationship appreciate their employer considering their particular need which results in a higher production rate. Davis 2007). Increased Productivity An employee who is healthy and has a healthy family is less likely to call in sick and take unnecessary time off to care for his or her family. In a study conducted by Ipsos-Reid (2004), two main contributors to employee absenteeism are depression and stress. Health benefits made available to an employee and his or her domestic partner can help reduce these factors. Mark Cauthen, benefit manager for the city of Colorado Springs, believes if one’s dependents feel better, the employee is more productive and focused at work (Wojcik, 2007). Preventative Measures Many companies have recognized the importance of helping employees manage their work and personal lives. Some of the more common preventive measure benefits currently being offered to employees, their domestic partners, and other immediate family members residing in the home are: wellness, flu shots, and fitness programs. Offering these various programs help the employee feel the employer cares for the health of his or her family resulting in increased productivity (Meghji 2007). Lower attrition rates An employer must also be concerned with the effect of employee retention. Currently 50% of Fortune 500 companies are providing benefits to employees involved in same sex domestic partnerships and heterosexual partnerships. Conclusion Offering benefits to domestic partners makes good business sense. While providing benefits to domestic partners may slightly increase employer cost, the benefits will prove profitable. As the research has indicated, enrollment will increase slightly which will not pose a financial hardship to any corporation.

Creon and Koro in the play Antigone by Sophocles Essay

Throughout history, the tragic hero has virtually not changed at all. The play, Antigone, written by the Greek playwright Sophocles and the book Whale Rider, written by Witi Ihimaera, has extremely comparable characters. Regardless of being written thousands of years apart, both story lines are very similar in relation to the tragic heroes. Antigone is the story of a woman who is trying to bury her brother’s body, despite the king, Creon’s, ruling against. The play tells of Antigone and Creon’s struggle against each other leading to Antigone’s eventual death. Whale Rider portrays the story of a young Maori girl who is trying to become the leader of her tribe. The young girl, Paikea (Pai), is persistently blocked by Koro. Creon and Koro, the two tragic heroes are comparable in their lack of equality towards women, their similar tragic flaw of too much hubris and their elitist views directed toward people around them. Creon and Koro both share a lack of resp ect towards woman. Creon continually exhibits his contempt towards women in Antigone. When Creon is talking to his son, Haimon, regarding Antigone’s death, he condemns him by saying that, â€Å"Your pleasure with her would soon grow cold, Haimon, and then you’d have a hellcat in bed and elsewhere† (716). Creon believes that because Antigone is a woman, she can be easily replaced. Creon makes it known that he does not think Antigone is important at all and neglects to acknowledge that Haimon might have any affection or love for Antigone, which is why he thinks that he can always replace her. Koro too has the identical sexist reaction towards women such as Pai right from when she was born. Koro refuses to even hold Pai because she is a girl, and because she is a girl she cannot become a leader. Throughout the film, Koro has hatred that is clearly directed towards Pai. Koro thinks that because Pai is a girl, she is not strong enough to be a leader, or to do anything practical. When Koro tests the male students at his school and none of the boys succe ed in finding the whale tooth and Pai does, Koro chooses to overlook the fact that the gods choose Pai as the next Maori leader. Koro clearly has a harsh sexist attitude that remains until Pai almost drowns, when she is actually trying to save the whales to show Koro she is the leader and is strong. Although Koro and Creon exhibit these anti-female outlooks from the start their stories, the conclusions of each are different. While Creon’s sexist attitude remains until the end of the story, Koro changes in the end of Whale Rider. Koro identifies where he was wrong  and corrects himself, while Creon thinks of himself as higher than women until the end of the story and does not change his sexist attitude. Creon and Koro both have hubris and have way too much pride for their own good. In Antigone, Creon is going to be Antigone’s father in law because of Antigone and Haimon’s love for each other, but regardless of their family relation, Creon shows no compassion or sympathy. When Creon realizes that the person who buried Polyneices is Antigone, he condemns her to death. Creon commands Antigone’s death despite the fact that he does not want to because of their close relationship, all because of his pride. If Creon were to release Antigone it would make hi m look weak and Creon could not have that reputation. This displays how Creon would rather his title be strong than the existence of a family member. When the Choragos attempts to tell Creon to free Antigone, he admits that it is difficult to overcome his pride. Creon tells him that â€Å"it is hard to give in! But it is worse to risk everything for stubborn pride† (731). Creon thinks what he has been doing throughout the story is right and he does not see his mistakes, which lead to his decline at the end of the story. Koro is closely related to Creon in the sense that he is also incapable of conquering his own arrogance. Throughout the movie, Whale Rider, Pai persistently strives to show her grandfather her strength and even goes as far as trying to join the school Koro establishes because she wants to learn the proper way to be the leader of the Maori culture. Koro continuously neglects Pai and denotes her every move because he believes that only a male can be the leader, he cannot put his pride aside to let a new leader emerge. Koro teaches the boys at his school to use a taiaha which is generally something only boys do, however Pai secretly follows Koro’s lessons and learns from her taiaha winning champion uncle how to use the taiaha and ends up beating Hemi, one of Koro’s male students. Koro is furious when he finds out, which only leads to a worse relationship between Koro and Pai, which is not the result Pai was looking for. This shows how his hubris is interfering with an obvious calling for a new leader. When Koro believes that he has failed at finding a new leader, he refuses to let Pai be the leader because he has pushed her away so much. When the whales beach themselves, Pai rides the whales back into the water and saves them. By doing this, Koro realizes and is now aware that Pai, who was the one person he did not allow to try and achieve his  power, was the one person destined to be the leader. His pride keeps him from selecting the leader the Maori culture needs, but Koro learns his mistakes at the end of the story, whereas Creon does not get a second chance to redeem himself. Creon and Koro have very comparable views on higher powers and neither of the men listens to higher powers nearly as much as they should. Creon disregards the gods’ intimations throughout the play up until his own life is at risk. When Antigone takes matters into her own hands and buries Polyneices, Creon’s opinion is that the gods agree with him about not burying Polyneices and whoever disobeys him should be punished. When the Choragos questions him if the gods may be responsible for the burial of Polyneices, he responds, â€Å"’The gods!’ Intolerable!† (703). Creon is enraged that someone has the nerve to inquire that the gods may be against him. Creon intentions are not to please the gods, but have people believe that the gods are on his side, therefore allowing Creon control over his people. Koro is very similar to Creon as he does not ask for help from his ancestors until he is in trouble. Koro’s search throughout the movie is to find a new leader for the Maori culture, however he only uses the ancestors for help when the whales beach themselves and does not ask the gods earlier on because he wants to be the one to handpick his own leader. Koro only eventually called out for the gods after he has been unsuccessful at finding a new leader. Ironically, at Koro’s school, he preaches to the boys to put their trust in their ancestors; however he does not trust in the gods as much as he stresses to the boys because he does not ask for the gods power when he fails at finding a new leader and predictably spends days mourning in his own wrong doings. Both Creon and Koro lack much faith in their higher powers and are hypocritical in the way that they preach to others to believe in their higher powers, but do not do so themselves. Both Creon and Koro exemplify sexist attitudes throughout the Greek tragedy and film, along with their lack of humbleness and their personality that reflects on them thinking they have a higher rank than everyone. The tragic heroes in â€Å"Antigone† and Whale Rider, Creon and Koro, are very similar. Their closeness shows that the tragic hero has not changed in the past three thousand years. The stories both have women trying to persevere in a world where they have less rights, and strong leaders trying to suppress them.

According to case study...calculate data then analysis it about Essay

According to case study...calculate data then analysis it about Foreign exchange market - Essay Example My paper discusses some political risks, the implications, methods of valuation of stock, and risks associated with buying a business. Peterson Valve Company is interested in Milagrol LTDA because he thought of diversifying its operations globally and to gain access to processes that would be costly to develop. Milagrol LTDA needed the capital to support research and development to expand the business and they believed in venturing into a merger to be able to manage the research to expand the business. Milagrol was an already established company and had its share value in the market so Peterson did not have to start from scratch to develop the company. In buying a business an investor has to ensure that they have access to all important information about the company being bought, this way they can assess the potential risks associated with buying it and the real value of the business (Juha, 2008). Accessing all information of the company involves checking all the dimensions of the business such as financial performance, legal and tax compliance, contracts, property and rights and all assets and liabilities within a specified period of time (Miller, 1992). Some of the risks involved include changes in the branding of the company. These information will be crucial in making the buying decision and also help the values in reaching to a final method of stock valuation. The customers of Milagrol LTDA may have problems with a change in the management. Smart accountants can hide items such as debts of the company from the balance sheet and some of the expenses from the income statement hence acquiring a business with accumulated debts. C onsider the possibility of transferring losses from the old company to the newly acquired business, the practice of moving the business assets allows the newly acquired management to differentiate assets that they can develop from long term and short term losses.

Critically examine the differences between two theories of leadership Essay

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ECONOMIC OF GROWTH AND DEVELOPMENT Essay Example | Topics and Well Written Essays - 1500 words

ECONOMIC OF GROWTH AND DEVELOPMENT - Essay Example TABLE OF CONTENTS Introduction 4 Limits To Growth 4 Mathematical Analysis 5 Role And Impact Of Technical Advancements 7 The Quality Of Life 7 Challenges 7 Transition To A Sustainable Economy 8 Conclusion 8 References 10 1. Introduction Barack Obama (27 March 2008) said, â€Å"I think all of us here today would acknowledge that we’ve lost that sense of shared prosperity†. With the escalating gap between the economy of nations and amongst the individuals of same nation, prosperity is declining. The definition of prosperity needs to be revisited considering the world’s limitation of resources. According to Jackson (2009), global economy is constrained by finite ecological limits. The flourishing of human society in context of ecological limits is not only an alternate vision but also a necessity. This is a finite world with limited resources. To add to this, the population is expected to rise to 9 billion [1] and even more within a span of just three decades. Having a vision of prosperity for such a scenario is the need of the hour. Jackson (2009) has scrutinized the assumption that whether growth is essential for prosperity or not. Herman Daly (2008) and others have continuously tried to put forward the notion of steady-state economy. Jackson’s Prosperity Without Growth (2009) has been a vital attempt on the same notion and following it there are considerable â€Å"De-growth† European movements (Latouche, 2007) and surfacing of organisations like CASSE (2010). These actions and notions are all in favour of removing the growth element from the current implications of the economy. The arguments against this idea constitutes primarily of the reforms of the consumer-capitalist society. However as per Trainer (2010), the consumer capitalist society cannot be fixed or reformed. Rather, it needs to be scrapped and then remade along different lines. 2. Limits to Growth There are some huge issues down the line and these include the compl ete consumption of the environment, resource depletion, war, conflicts and lessening of social bonding. The key cause behind this would be overconsumption. Fotopoulos (2007) comments on the â€Å"de-growth initiative† and states that people are currently trying to live at standards of affluence which are too high for all to share. This is leading to an unstable society and considering the environmental factors, the adversity of results can be well analysed. Considering the following two examples, it is clear that the there needs to be a limit set to the growth factor or else, there would be no prosperity at all. Example 1: As per World Wildlife Fund (2009), it takes around 8 hectares of potent land to supply water, food and settlement area for one individual in Australia. After three decades, considering the number of 9 billion, 72 billion hectares of potent land would be required. This is approximately 10 times of the land which would be available at that time. Example 2: Th e Green House issue is well addressed by Hansen (2008) and Meinschausen et al (2009). In order to discontinue carbon content present in the atmosphere, the CO2 eliminations would be required to be completely eliminated by possibly 2030. Such examples clearly explain that the rich people’s living standards would no longer be sustainable in the coming future. People are living in way which makes it completely impossible to share resources by all. 3. Mathematical

Street Gang Research Proposal Example | Topics and Well Written Essays - 500 words

Street Gang - Research Proposal Example Experts have indicated that gangs have been using a strategy of moving from the larger U.S. cities to more rural and smaller urban areas (Thompkins 59,60). By understanding the motivation that originated the migration to New York City, these smaller communities can find the commonalties and recognize the phenomena in their cities. Laws and policies can be forged that will impede the spread of gang activity into these areas that are currently ill equipped to deal with this issue. The rising numbers of young people who report membership in a gang or who are impacted by the presence of a gang makes this issue both timely and of vital importance. By studying gang activity in the past, it will help to more fully predict their future movements and actions. This paper is not meant to be a history of gang violence or a specific chronology of the events that have impacted the Bloods. It is also not meant to be a platform for the political or social judgment of the gang's activities. It will investigate key events which have resulted in the spread of gang violence The paper will use existing research as well as anecdotal evidence to form its conclusions. Much has been written about the increase of gang violence and various law enforcement agencies, both local and national, have extensive information available.

Data Mining and Big Data Assignment Example | Topics and Well Written Essays - 500 words

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Ethic Dilemma Essay Example | Topics and Well Written Essays - 250 words

Ethic Dilemma - Essay Example In addition, the workers develop a sense in understanding that they are the key component for success both at the individual and at the organizational level. On the other hand, the system aids in the determination of human behavior in the workplace (Selgelid, 2009). It determines the real personalities of the workers in relation to how their work is efficient. To explain further, the system aids in understanding human psychology of the workers through monitoring how they manage their free time at work. The design of the system is important because it highlights both the positive and the negative aspects of the employees. The supervision is key to the establishment of an ethical environment. This is because the organization could formulate ethical policies through the positive and negative feedback from the employees. The dual use research aids in the identification of specific issues about the employees. This is because there is an analysis of the issues identified and ethical solutions are provided by the organization, to attempt the resolution of ethical

Strategic Management Accounting Term Paper Example | Topics and Well Written Essays - 3000 words

Strategic Management Accounting - Term Paper Example It does not really help the managers to assess what is best for the company (Bonaccorsi and Daraio, 2009). For example, the financial management of the company is able to indicate if it is appropriate to take more debt by considering the present liquid status of the company. The decision may not have any link with the short term or long term strategic objective of the company. Thus, financial management is not able to see beyond the limitations of the financial data. Strategic management on the other hand is equipped to see beyond and the cover the limitations of the basic financial management. The conclusion derived from the basic financial management techniques can be further modified if the same decision is taken in the light of the strategic objectives of the company. For example, the financial management indicates that the recourse to further debt financing is going to increase the debt burden f the company (Chrol, 2011). If the company considers going for a strategic alliance w ith another company then the financial condition of the company can improve. The revenue generation capacity will improve from the synergy gained from such strategic alliance. Strategic financial management considers these kinds of variables and factors to obtain the most optimal decision. Thus, though normal financial management analysis may conclude that the company should not use debt for financing the capital needs, though strategic management may recommend the use debt financing. The research paper discusses some of the uses of strategic management accounting like use of Return on Investment (ROI) and Economic Value Added (EVA), for long term decision purposes and different types of transfer pricing techniques. Part A Critical evaluation of the statement â€Å"Both Return on Investment (ROI) and Economic Value Added (EVA), when used as performance measures in an organisation, encourage managers to be short-term in their focus and decision making† The managers have a tend ency of using both ROI and EVA for performance evaluation for short term purposes. Although when it comes to using the two techniques for long term decision purposes the managers face difficulties in doing the same. The two types of techniques are different from each other in various respects and thus both of them need to be discussed separately to indicate the way they can be used for long term decision purposes. ROI is actually a combination of two different accounting heads, one is the asset turnover and the other one is the return on sales (Clark and Mathur, 2011). Return on the sales is indicative of the fact of (that) how efficient are managers in generating revenue for every dollar and the ability of the managers to control the expenses and the increase in revenue generating capacity. While asset turnover indicates the ability of the company to generate profit for every dollar invested. In between the two accounting heads asset turnover and return on sales, the focus will be on asset turnover. If the managers are able to modify the asset turnover value then ROI can be used for long term decision purposes. In order to control the asset turnover value the managers need to re-evaluate the policies regarding the capitalization and depreciation. Both aspects like investments and income are affected by the choice of the asset life and the type of depreciation method

Small and medium sized enterprises (SMEs) in emerging markets Essay

Small and medium sized enterprises (SMEs) in emerging markets - Essay Example In addition to the challenges and support systems for SMEs in emerging markets, technology is another focus of attention and how it can be used to enhance the growth of SMEs in emerging markets. This is because the global market today is mainly influenced by constant changes in technology. Further, the development SMEs within developing markets also require R&D as a way of enhancing innovation to ensure that products from emerging markets compete at the same level with products from industrialized nations. This paper also discusses how the information from the literature can be used in future to improve the prospect of entrepreneurs and that of SMEs within emerging markets. SMEs today contribute towards new investments across the globe and thus, the need for various stakeholders to shift their focus in this emerging sector. SMEs normally lack the resources at the disposal of large firms to invest in difficult markets. However, numerous opportunities exist for SMEs in terms of investing in developing markets. For example, South Sudan, a new entrant in the global market presents abundant opportunities for SMEs. In industrialized nations, SMEs have a significant impact on the economy; however, this is not the same in the emerging and underdeveloped countries. This is because SMEs are faced with a number of constraints that include poor infrastructure, collateral requirements that are sometimes considered unrealistic and high administrative costs. In addition, financial constraint is seen as a major hindrance for the development of SMEs in emerging economies1. On another note, where the SME sector is weak, this also impact negatively on job opportunities, innovation and a country’s GDP. In this sense, establishing support structures for SMEs result in various benefits for the emerging markets. This is because supporting SMEs growth

China and Europe during the Middle Ages Essay Example for Free

China and Europe during the Middle Ages Essay Globalisation is not new, though. For thousands of years, people and, later, corporations have been buying from and selling to each other in lands at great distances, such as through the famed Silk Road across Central Asia that connected China and Europe during the Middle Ages. Likewise, for centuries, People and corporations have invested in enterprises in other countries. In fact, many of the features of the current wave of globalisation are similar to those prevailing before the outbreak of the First World War in 1914. But policy and technological developments of the past few decades have spurred increases in cross-border trade, investment, and migration so large that many observers believe the world has entered a qualitatively new phase in its economic development. Since 1950, for example, the volume of world trade has increased by twenty times, and from just 1997 to 1999 flows of foreign investment nearly doubled, from $468 billion to $827 billion. Distinguishing this current wave of globalisation from earlier ones, author Thomas Friedman has said that today globalisation is further, faster, cheaper, and deeper. The current wave of globalisation has been driven by policies that have opened economies domestically and internationally. In the years since the Second World War, and especially during the past two decades, many governments have adopted free-market economic systems, vastly increasing their own productive potential and creating myriad new opportunities for international trade and investment. Governments have also negotiated dramatic reductions in barriers to commerce and have established international agreements to promote trade in goods, services, and investment. Taking advantage of new opportunities in foreign markets, corporations have built foreign factories and established production and marketing arrangements with foreign partners. A defining feature of globalisation, therefore, is an international industrial and financial business structure. Technology has been the other principal driver of globalisation. Advances in information technology, in particular, have dramatically transformed economic life. Information technologies have given all sorts of individual economic actors consumers, investors, businesses valuable new tools for identifying and pursuing economic opportunities, including faster and more informed analysis of economic trends around the world, easy transfers of assets, and collaboration with far-flung partners. Globalisation is deeply controversial, however. Proponents of globalisation argue that it allows poor countries and their citizens to develop economically and raise their standards of living; while opponents of globalisation claim that the creation of an unfettered international free market has benefited multinational corporations in the Western world at the expense of local enterprises, local cultures, and common people. Resistance to globalisation has therefore taken shape both at a popular and at a governmental level as people and governments try to manage the flow of capital, labour, goods, and ideas that constitute the current wave of globalisation. COCULSION: In sum, most distinctive conception sees globalisation as a fundamental transformation of human geography on the eve of the twenty-first century; world affairs have acquired a rapidly growing global dimension alongside the territorial framework of old. Of course and this point cannot be stressed too much it is not that territorial space has become wholly irrelevant in contemporary history. We live in a globalising rather than a completely globalised condition. Global spaces of the kind formed through telecommunications, transworld finance, and the like interrelate with territorial spaces, where locality, distance and borders still matter very much. Thus, for example, people have not while acquiring a global imagination discarded their affinities for particular territorial places. Similarly, global marketers have found on countless occasions that they need to tailor their products and promotions to local sensibilities. Globalisation is a process of interaction and integration among the people, companies, and the governments of different nations, a process driven by international trade and investment and aided by information technology. This process has effects on the environment, on culture, on political systems, on economic development and prosperity, and on human physical well being in societies around the world. BIBLIOGRAPHY: www.globalisationguide.org

Supply Chain for Audi Essay Example for Free

Supply Chain for Audi Essay Supply Chain Research Submitted by Ahmed El-Barky Outlines (Topic 1) 12345Activities. Market and competitors. Supply chain design. SWOT analysis. References. 1- Activities for Audi. Audi is one of the best cars in the world. In the beginning I will talk about Audi’s activities. First of all we all know the Audi is a German manufacturer of Cars. Producing a lot of types of cars starting from Supermini to SUV cars in different prices with different categories. Audi is a brand from the group of Volkswagen. The company itself located in Ingolstadt, Germany The Company name comes from the founder name Who August Horch, His sir name means (Listen) in Germany and when you translate it into Latin it becomes Audi. 2- Audi Competitors. One of the biggest competitor towards Audi is BMW and of course the competition between Audi A4 and BMW 3 series. And BMW X Series and Audi Q7. Other competitor is Mercedes and they are competing with Audi A2 and Mercedes A class. 3- Supply Chain Design. Customer 4- SWOT Analysis. -Strengths Audis Brand. Audi is one of the most valuable cars in cars industry. The positioning of this car is really high for the customer they position it as high prestige according to the design and the style. -Strong cash flow Company operations during the period 2003-2006. The company increased its cash flow by 16% . according to that the cash equivalent increases from 1,207. 5million Euro to 4,884million. This is strength because with strong cash that will help the company to achieve its plans. Weaknesses Focusing only on Germany 70. 5% of the revenue for this company came from Germany Market. That will affect the company revenue because if the economy in Germany is not growing or sales in Germany is not going well. Or the competition in this area becomes higher. Small amount of production Audi has a small amount of production according to its Competitors for Example BMW produced 1. 1 million units and Mercedes 1. 2 million unit and for Audi in the same year it was 0. 9 Million unit that will affect the revenue of the company. ecause in the same year the revenues for BMW was 48,999 million Euro and for Audi it was 31,142 million Euro in the same year. Opportunities Sales in china China is the third world’s largest car market after US and Japan. China expectations are that it will be the world largest in 2015. Audi is the chines market since 1988 and it represents 10% from t he whole market. Audi became back in the chines market in 2006 by Audi A6 modified engine. Russian market. Russia is one of the fast growing car markets in the world. The annual growth was 30% in 2006 compared to 2005. Accourding to those changing Audi is preparing itself to compete in this market throw a large net of dealers and satellite service workshops in Russia. Middle East Market The Arab Gulf Area is one of the most important areas for luxury cars. Many of automotive industries start to establish their own factories there. The luxury car Is expected to grow 20% for the next 3 years. Towards that the company started to invest a lot for the luxury cars there like Audi Q7. Threats Material prices Cost of the raw material such as aluminum and other for this industry is rising. That will affect the company because the prices will be higher and that will increase the competition for the Japanese companies. Economy in Eurozone 90% from the revenue for Audi comes from Eurozone market and the euro economy is declining so it’s too hard to get the target revenue in this market only.

Lifestyle Changes For Diabetes Health And Social Care Essay

Lifestyle Changes For Diabetes Health And Social Care Essay Diabetes mellitus is a heterogeneous group of disorders, all characterized by increased plasma glucose. In the majority of patients with diabetes, the etiology of the disease is not understood. Expert panels have recommended one set of criteria for diagnosis and another set for classification . The criteria serve two purposes. One is to secure optimal treatment of the patient. The other is to support research aimed at understanding the aetiology and pathogenesis of diabetes syndromes Diabetes mellitus type 2 or type 2 diabetes (formerly called non-insulin-dependent diabetes mellitus (NIDDM), or adult-onset diabetes) is a disorder characterized by high blood glucose in the context of insulin resistance and relative insulin deficiency.(Robbins et al ,2004) More than 220 million people worldwide have diabetes. In 2005, an estimated 1.1 million people died from diabetes.Almost 80% of diabetes deaths occur in low- and middle-income countries. Almost half of diabetes deaths occur in people under the age of 70 years; 55% of diabetes deaths are in women. WHO projects that diabetes death will double between 2005 and 2030.Healthy diet, regular physical activity, maintaining a normal body weight and avoiding tobacco use can prevent or delay the onset of diabetes.(WHO,2009) Many types of diabetes are recognized (Tierney.L.M et al,2002) the principal three are: Type  1: Failure to produce insulin by body mechanism resulting in diabetes. It is estimated that 5-10% of Americans who are diagnosed with diabetes have type  1 diabetes. Currently patients with type  1 diabetes take insulin injections. Type  2: Results from insulin resistance, a condition in which cells fail to use insulin properly, may be combined with absolute insulin deficiency. Majority of patients world over who are diagnosed with diabetes have type  2 diabetes. Gestational diabetes: Pregnant women who previously never had diabetes before but who have sudden increase in blood sugar (glucose) levels during pregnancy mainly due to change in their diet are said to have gestational diabetes. Gestational diabetes affects about 4% of all pregnant women. It may precede development of type  2 (or rarely type 1) Diabetes mellitus . Type 1 Diabetes Diabetes is a long-term (chronic) condition caused by the increase in level of glucose (sugar) in the blood. It is also known as diabetes mellitus. In the UK, diabetes is seen in around 2.3 million people, and its estimated that there are more than half a million more people who have the condition but are not aware of it. Normally a hormone called insulin regulates the blood sugar level, which is produced by the pancreas (a gland behind the stomach). When food is digested and enters the bloodstream, insulin moves any glucose out of the blood and into cells, where it is broken down to produce energy. However, in those with diabetes, the body has higher level of glucose as it is stored and is unable to break down glucose into energy because there is either not enough insulin to breakdown glucose and store it as energy or because the insulin produced is not enough or does not work as required. Gestational diabetes is caused by excess weight, obesity and Insulin Resistance are a condition that develops in the third trimester of pregnancy and affects 4-5 % of all pregnant women in the U.S. That is around 135,000 cases each year. With Gestational Diabetes, the insulin production by pancreas is normal but it doesnt lower the mothers blood sugar levels. The symptoms are only detectable by laboratory testing. Pregnant women can test their blood glucose level by urine dip stick test with each pre-natal visit. This test may show glucose in the urine, which is sign and will require health care provider to carry out further examinations for the presence of Gestational Diabetes, also known as Gestational Diabetes Mellitus http://weight.insulitelabs.com/Gestational-Diabetes.php There are two types of diabetes type 1 and type 2. Type 1 diabetes occurs when the body produces no insulin. It is often referred to as insulin-dependent diabetes. It is also sometimes known as juvenile diabetes, or early-onset diabetes, because it usually develops before the age of 40, often in the teenage years. Type 1 diabetes is far less common than type 2 diabetes, which occurs when there is too little insulin produced by the body to work, or when the cells in the body do not react properly to insulin. People with type 1 diabetes make up only 5-15% of all people with diabetes. type 1 diabetes, will need insulin injections for life as well as blood glucose levels stay balanced by eating a healthy diet and carrying out regular blood tests http://www.nhs.uk/conditions/diabetes/Pages/Introduction.aspx The  main symptoms of diabetes  are: feeling very thirsty(polyphagia) producing excessive amounts of urine(polyurea) tiredness and lethargy weight loss muscle wasting (loss of muscle bulk). Symptoms of type 1 diabetes can develop quickly, over weeks or even days. Other symptoms  are:   itchiness around the vagina or penis or getting thrush regularly, blurred vision (caused by the lens of your eye becoming very dry),   muscle cramps, constipation skin infections. Hypoglycaemia (low blood glucose) If a patient has diabetes, their blood glucose levels can become very low. This is known as hypoglycaemia (or a hypo), and happens because insulin produced by the body is more and has reduced the level of in the bloodstream. In most cases, hypoglycaemia occurs if there is overdose of insulin, although it can also happen if you skip a meal, exercise very vigorously or drink alcohol on an empty stomach. Symptoms of a hypo include: feeling shaky and irritable, sweating tingling lips feeling weak hunger nausea A hypoglycaemia can be brought under control simply by eating or drinking something with sugar in it . If a hypoglycaemia is not brought under control it can lead to confusion, slurred speech and unconsciousness. If this occurs there will be a need to have an emergency injection of a hormone called glucagon. This hormone will raise the level of glucose in your blood as it suppress the effect of insulin. Hyperglycaemia (high blood glucose) As diabetes occurs as a result of your body being unable to produce any, or enough, insulin to regulate your blood glucose level, your blood glucose levels may become very high. This happens because there is no insulin to breakdown glucose from the bloodstream and into the cells to produce energy. Blood glucose levels become too high, it lead to   hyperglycaemia. The symptoms are similar to the main symptoms of diabetes, but they may come on suddenly and severely. They include: extreme thirst a dry mouth blurred vision drowsiness a frequent need to pass urine. If left untreated, hyperglycaemia can lead to complications such as diabetic ketoacidosis, which can eventually cause unconsciousness and even death. Diabetic ketoacidosis occurs when your body begins to break down fats for energy instead of glucose, leading to a build-up of acids in your blood urgent medical attention if diabetes develop in the body and this are the general signs and symptoms seen in case of diabetes a loss of appetite, nausea or vomiting (feeling or being sick), a high temperature, stomach pain or severe abdominal pain a fruity smell on your breath, which may smell like pear drops or nail varnish. http://www.nhs.uk/Conditions/Diabetes/Pages/Symptoms.aspx The McKeown thesis and its Impact: The McKeown thesis attempted to reason the phenomenal growth in population of the from late 18th century to the present day .McKeowns thesis can be summarized as a steep growth in population was primarily due to decline in mortality form infectious diseases and the change in economic conditions due to industrial revolution ,which lead to improvement in rising of living standards and brought a gradual change in nutritional status that improved the human bodys resistance towards various diseases. The development in medical fields achieved by modern science did not make a significant contribution towards the population growth and was largely due to economic forces and changes in living and social conditions. This lead to McKeown reclassifying various fatal diseases recorded by General record office (GRO).McKeown classification was generally of three types (1)Infectious diseases spread through air -Respiratory tuberculosis, Pneumonia, Bronchitis (2) Infectious diseases spread through water or food Cholera, Diarrhoea, Typhoid (3) All other diseases contagious and degenerative When a population develops it is important that the individuals are in a position to fight diseases and problems that can arise from them, this depends on the resources that they have. These resources could be knowledge, social setup, power, money. Those people who have access to resources have advantage and can gain health benefits from the public health system from those who are not in position to direct access to public health system. Resources are important in two different ways first , they can develop the individuals behaviour towards health by helping them access and make choices and whether they could afford them all helping towards health enhancing behaviours and Second, resources are shaped across a broad range of contexts such as communities, neighbourhoods, social network , occupation and the risk as well as protecting factors .Housing for poor people would always be associated with pollution, noise, indifferent social conditions . Access to broad range of problems lie wi th socio economic condition of the individual like knowledge of best doctors and ideal treatment of medical problems and the freedom in making choices .The reason for social condition always being important is resources shape the access to health relevant circumstances . The social condition has been responsible for determining the quality of life and plays an important role as health determinant. (Link.B.G and Phelan.J.C 2003) Mckeown was the former chairman of World health organizations advisory group on health research strategy concludes that the average life expectancy had improved by 23 years in first half of century and medical therapy was responsible for only for few years of it. Meckeown believed that most this decrease was due to identification of bacilli which causes respiratory tuberculosis was not done till year 1882 and effective pharmacotherapy was not available till year 1947. Between 1700 and 1915, the mortality rate in England declined from 27.9 deaths per thousand living to 14.4 and average life expectancy at birth Increased from 37.1 (in 1701) to 53.5 (in 1910-12). These figures reflect a major Improvement in the life-chances of the British population over the course of the Period, and therefore it is hardly surprising that the McKeown thesis, which attempts to account for the decline of mortality and the modern rise of population, has played a big role in economic, social and medical history as well as history of epidemiology and population studies In the years following the publication of McKeown thesis it is argued that its unlikely the dietary standards would have improved during the second half of 18th century as the value of wages was falling as there were apparent contradictions between real wages and mortality. (Wrigley and Schofield, 1981). McKeown argued that there was no means to fight air borne diseases in 18th century and the reduction in deaths was more likely due to improved human body resistance towards these diseases. Illich was not content in criticizing modern medicines for to improve life expectancy , he proposed that medical interventions were in fact responsible for increasing the mortality rate by using ineffective and hazardous medical therapies which at times not tested or researched properly .Illich stated that chronic usages of drugs lead to numerous side-effects , infections acquired from hospitals , poorly performed surgeries as well as false positives and false negative tests from medical tests. McKeown was aware that higher rate in fertility was responsible for increase in population rather than reduced mortality rate but dismissed it on grounds that higher birth rate means higher infant mortality as well due to the high risk parity of mothers so would not account for such a high rate of population growth. McKeown pointed out that mortality rates for most of the infectious diseases reduced considerably before any effective medical measure was in place. McKeown concluded that public health measure such as sewage disposal system, public waste disposal, and supply of clean and potable water and pasteurization of milk was important only from year1870, so the reason behind the decline mortality rate before this was according to McKeown due to improvement in living standards .Improvement in nutrition due to increase in agriculture productivity was also responsible for the increase in resistance to airborne infectious diseases such as Tuberculosis.(Grundy,2005). Prestons article c oncluded that the increase in life expectancy all over the world between 1930s and 160s could not be totally attributed to increase in living standards and suggested that advances in medical care and public health did make significant contribution towards decline in mortality. Prestons did make an effort to prove McKeown thesis wrong but had little influence on conventional belief and the theory of improved standard of living became conventional wisdom for that present time. (Mackenbach J P,2006) It has recently been shown that McKeowns interpretations of his very own epidemiological data is flawed in many respects, firstly smallpox and diphtheria are two diseases that have been eradicated totally all over the world by vaccinations which is a preventive health measure .Positively the only three diseases to be eradicated before great world war was- cholera , typhoid and smallpox all these are attributed to public health measures and not nutrition .When all this data is analysed it goes to show that public health measures taken played the most decisive role in reduction of mortality . Furthermore since McKeowns work was published two significant forms of new evidence has appeared which slams the nutrition/living standard theory by McKeown. The first half of the century, the period which is under review suggests that as when the wages across sectors started improving, the reduction in mortality rate showed a slight decline from previous years and if wage increase meant better nu trition these was not seen in children .The growing cities and towns where the wage improvement were seen showed a trend of areas which had highest mortality rate and children were poorly developed (R.Woods and J.Woodward.1984).Although the points raised here are relevant they skew the main issue here which is that growth in income is not necessarily same all over the world and can vary considerably from developed countries to developing and underdeveloped countries .There are no patterns in cross-sectional associations between the income of a nation and progress in developing health standards as well as life expectancy of their population. Prestons analysis underestimated the effects of economic development and its relation with reduction in mortality rate, that the relationship between the economic development and the developments in medical field are crude conceptualization between the two. McKeowns study can be explained by relevance of the question that underlines them. This concerns the importance of medical interventions, social, economic, political measures which affects the health status and health inequalities. Study suggest that measures need to be taken to improve health inequality and medical interventions and social changes has to be taken as complimenting rather than opposing each other . Interventions Type 1 diabetes is approached by primary, secondary, and tertiary intervention Primary intervention includes treatment of all individuals with diabetes. The possibility of using autoantigens new medium to combat diabetes as a vaccination is currently being explored not only in animal experiments but also in human tests. The selection of children on the basis of HLA type is being used to treat newborns with either oral or nasal insulin. Animal experiments have shown that treatment of spontaneously diabetic nonobese diabetic mice with GAD as a peptide, protein, or expressed in potatoes reduced diabetes. Vaccinations studies done both children and adults remain a future possibility to test determine whether type 1 diabetes can be prevented. (Lernmark.A.1999) Secondary intervention involves screening for genetic, autoantibody, and other possible markers at birth, in school children, or in adults . Individuals classified with type 2 diabetes but positive for islet autoantibodies (representing slow-onset type 1 diabetes, latent autoimmune diabetes in the adult, or type 1.5 diabetes) are also being tested to determine whether they are suitable for immune intervention to preserve their ß-cell function. Recent studies in Japan suggested that early insulin treatment preserves ß-cell function. Several intervention trials are pending, including the use of subcutaneous or oral insulin in the Diabetes Prevention Trial for Type 1 Diabetes, milk formula or nasal insulin in Finland, aerosol insulin in Melbourne, or nicotinamide in the European Nicotinamide Diabetes Intervention Trial. In the next few years studies would find out the extent of such intervention trials preserve ß-cell function in subjects at risk for type 1 diabetes.(Lernmark.A .1999) Tertiary intervention involves the treatment of patients diagnosed with type 1 diabetes very recently. Previous studies have demonstrated that treatment plans with satisfactory results are not present such as immunosuppression with cyclosporin and other agents has not been able to stop the pathogenetic process in new-onset patients. A future innovative treatment is planned so that it represents an antigen-specific immune intervention. Animal experiments have demonstrated that in case of early diagnosis or in patients with early onset the timely administration of antigen or insulin, at the time of clinical onset may slow the disease process.(Lernmark.A.1999) Being active is referred to as physical activity (exercise) and is defined as the act of expending energy. It is generally categorized into two different types aerobic (requiring oxygen to maintain muscular effort) or anaerobic (not requiring oxygen to maintain muscular effort). The term exercise is used as a general label for being active and physical activity as well as exercise. Major challenges to decision making about exercise include how to develop and implement an efficient and effective exercise regimen, how to modify it to an individual patients motivation level knowing his mindset and barriers so that exercise will be initiated and maintained, and how to select, measure, and achieve specific, desired outcomes. Given these decision-making challenges Exercise interventions aimed at achieving these outcomes usually vary by type, intensity, duration and frequency. As with any type of self-care behaviors, barriers to exercise vary and are individual to particular patients depend ing on their health status as well as mindset. Among potential considerations for barriers has to be devised for individual patients type of exercise and duration, intensity, and frequency may need to be tailored to severity of progression of diabetes since complications such as neuropathy and retinopathy may affect the exercise capabilities of a diabetes patient. In addition, patients may consider availability of time, among many other factors such as age, job profile, social status and other medical complications, as posing a substantial barrier to integrating regular exercise or physical activity into normal daily lifestyle. Each of these poses challenges to the initiation and maintenance which is the more difficult part of exercise for patients and therefore to the measurement, monitoring, and management of exercise intervention outcomes for providers. Exercise is one of the most important features to both type 1 and type 2 diabetes patients. For type 2 diabetes patients, engagi ng in regular exercise may improve glycemic control and reduce the risk of vascular complications, increase insulin sensitivity, reduce stress and stave off depression and contribute to control of lipids and blood pressure, thereby reducing the risk of cardiovascular disease, the leading cause of death in diabetes patients. Type  2 diabetes is determined primarily by lifestyle related factors and hereditary factors. Lifestyle A number of lifestyle factors are known to be important to the development of type  2 diabtetes. In one study, those who had high levels of physical activity, a healthy diet, did not smoke, and consumed alcohol in moderation had an 82% lower rate of diabetes. When a normal weight was included the rate was 89% lower. In this study a healthy diet was defined as one high in fiber, with a high polyunsaturated to saturated fat ratio, and a lower mean glycemic index. (Mozaffarian.D.et al 2009) Obesity has been found to contribute to approximately 55% type  2 diabetes, and decreasing consumption of saturated fats and trans fatty acids while replacing them with unsaturated fats may decrease the risk.(Saad.F.2009) increased rate of childhood obesity in between the 1960s and 2000s is beleived to have lead to the increase in type  2 diabetes in children and adolescents. (Rosenbloom.A. et al.2003) Environmental toxins may contribute to recent increases in the rate of type  2 diabetes. A positive correlation has been found between the concentration in the urine of bisphenol A, a constituent of some plastics, and the incidence of type  2 diabetes. (Lang.A.2008) Medical conditions Subclinical Cushings syndrome (cortisol excess) may be associated with DM type 28The percentage of subclinical Cushings syndrome in the diabetic population is about 9%.Diabetic patients with a pituitary microadenoma can improve insulin sensitivity by removal of these microadenomas. (Taniguchi T.2008) Hypogonadism is often associated with cortisol excess, and testosterone deficiency is also associated with diabetes mellitus type 2, even if the exact mechanism by which testosterone improve insulin resistance is still not known. (Farrell JB,2008) Genetics Both type  1 and type  2 diabetes are partly inherited. Type  1 diabetes may be triggered by certain infections, with some evidence pointing at Coxsackie B4 virus. There is a genetic element in individual susceptibility to some of these triggers which has been traced to particular HLA genotypes (i.e., the genetic self identifiers relied upon by the immune system). However, even in those who have inherited the susceptibility, type  1 diabetes mellitus seems to require an environmental trigger. There is a stronger inheritance pattern for type  2 diabetes. Those with first-degree relatives with type  2 have a much higher risk of developing type  2, increasing with the number of those relatives. Gene expression promoted by a diet of fat and glucose as well as high levels of inflammation related cytokines found in the obese results in cells that produce fewer and smaller mitochondria than is normal, and are thus prone to insulin resistance. COMPLICATIONS of Diabetes Early complications- Diabetic ketoacidosis is a medical emergency, because it can cause coma and death. Hospitalization, usually in an intensive care unit, is necessary. Large amounts of fluids are given intravenously along with electrolytes, such as sodium, potassium, chloride, and phosphate, to replace those fluids and electrolytes lost through excessive urination. Insulin is generally given intravenously so that it works quickly and the dose can be adjusted frequently. Blood levels of sugar, ketones, and electrolytes are measured every few hours. Doctors also measure the bloods acid level. Sometimes, additional treatments are needed to correct a high acid level. However, controlling the levels of sugar in the blood and replacing electrolytes usually allow the body to restore the normal acid-base balance.( Robbins and Cotran,2007) Late Complication of Diabetes Mellitus: Macro-vascular complications as: Atherosclerosis with MI, CVA, peripheral vascular disease Micro-vascular complications as: Diabetic Retinopathy Diabetic retinopathy refers to progressive pathologic alterations in the retinal microvasculature. In type 2 diabetes, though the incidence of blindness is lower, higher disease prevalence results in an even larger number of patients affected with severe visual loss. Diabetic Neuropathy Diabetic neuropathy (DN) is a common and troublesome complication of diabetes mellitus, leading to great morbidity and mortality and resulting in a huge economic burden for care of the patient with diabetes mellitus. It is the most common form of neuropathy in the developed countries of the world, accounts for more hospitalizations than all the other diabetic complications combined, and is responsible for 50% to 75% of nontraumatic amputations and patients have serious co-morbid conditions, especially heart, eye, and peripheral vascular diseases. Diabetic neuropathy is a heterogeneous disorder that encompasses a wide range of abnormalities affecting proximal and distal peripheral sensory and motor nerves as well as the autonomic nervous system. The major morbidity associated with somatic neuropathy is foot ulceration, the precursor of gangrene and limb loss. (Robbins and Cotran,2007) Research on diabetes The features of Type 1 diabetes in humans as well as mice in labororatory environment is significantly dependent on an relation between the environmental factors and genetic feature of humans as well as the study animal. Studies by Giulietti.A.et al(2004) al point towards vitamin D as being one of the environmental factors that can modulate the incidence of diabetes. This study further shows that in mice that developing Type 1 diabetes are generally at higher risk due to its genetics as well as vitamin D deficiency which leads to features seen in early part of life leading to a more aggressive form of the disease causing earlier onset, and a higher final incidence of the disease. This model of subtle vitamin D deficiency in early life, with only a marginal vitamin D deficiency in blood, but no effect on calcium concentration in serum or bone calcium content. This is most probably the reflection of the vitamin D status in many infants and small children as this model has temporary and limited vitamin D deficiency, even in areas with high exposure to sunlight, since infants always are shielded from UV B exposure or direct exposure of sunlight. The application of vitamin D supplement is advised in many countries it is far from strictly controlled and many times, these supplements are omitted or administered irregularly or not paid enough importance to keep tab on their supply and demand. The higher incidence of Type 1 diabetes in the past two decades may be seen due the nutritional rickets which has never been completely eradicated in many countries and may be reappearing in may industrialize countries (Giulietti.A.et al, 2004). It was found that the risks for diabetes in African-Americans, Hispanics, and Native Americans are approximately 2, 2.5, and 5 times greater, respectively, than in Caucasians being the least. Various national and ethnic populations within the U.S. to the total U.S. population were analyzed to find possible risk factors for the development of type 2 diabetes this was done by number of cross-sectional studies and prospective studies . Studies of the prevalence of type 2 diabetes in Mexican Americans and non-Hispanic whites in San Antonio showed that there is an inverse relationship between prevalence of diabetes generally and their current socioeconomic status. The cultural effects lead to an increased incidence of obesity in these populations which may also be related to their diet and physical activities, which may lead to insulin resistance. Genetic factors may also be a contributing factor. (Haffener.S.M 1998) There are no high quality data on the research about the long lasting effectiveness of the dietary treatment of type 2 diabetes, however the data available indicate that the adoption of exercise which is a change in lifestyle appears to improve glycated haemoglobin at six and twelve months in people with type 2 diabetes. There is an urgent need for more well-designed studies which will analyse the wide range of interventions, at various points during follow-up (Moore.H. et al 2004) Weight loss improves glycemic control with magnitude of improvement related to both magnitude of weight and characteristics of patient , the amount of weight loss required to reduce blood glucose is large, even modest weight loss produces glycemic control .The most important issue is how to improve weight loss especially long term weight loss, in type 2 diabetic patient .Dietary modification is most important direction in weight loss program (Hertzel.C.et al) Implications for developing world Type I diabetes is the only major organ-specific autoimmune disorder not to show a strong female bias. The overall sex ratio is roughly equal in children diagnosed under the age of 15 but while populations with the highest incidence all show male excess, the lowest risk populations studied, mostly of non-European origin, characteristically show a female bias. In contrast, male excess is a consistent finding in populations of European origin aged 15-40 years, with an approximate 3:2 male:female ratio. This ratio has remained constant in young adults over two or three generations in some populations. Further, fathers with Type I diabetes are more likely than affected mothers to transmit the condition to their offspring. Women of childbearing age are therefore less likely to develop Type I diabetes, and should this occur are less likely to transmit it to their offspring. Type II diabetes showed a pronounced female excess in the first half of the last century but is now equally prevale nt among men and women in most populations, with some evidence of male preponderance in early middle age. Men seem more susceptible than women to the consequences of indolence and obesity, possibly due to differences in insulin sensitivity and regional fat deposition. Women are, however, more likely to transmit Type II diabetes to their offspring. Understanding these experiments of nature might suggest ways of influencing the early course of both forms of the disease.(Gale.E.A.M. et al 2001) It is recognized that there will be substantially increased costs of widely applying the recommendations of study in the U.S on the Diabetes control and complications trial (DCCT). There will also need to be additional efforts to ensure professional education, so that health practitioners are implement this recommendations through the trial are able to effectively and safely implement the therapy employed in the DCCT. It is hoped that the benefits of trial are long term healthier; more productive lives with fewer complications will offset the costs of tight control. The cost-benefit ratio for intensive therapy in diabetes in this trial is in a range similar to other accepted treatments in the U.S that are

Drinking Alcohol Essay example -- Papers

Drinking Alcohol Alcohol can and does kill millions of people. It can effect your brain and make you shake, lose all your senses, and kill off your brain cells. It also can cause your liver to deteriorate and not function properly. Liver transplants are hard to come by and do not happen often, if your liver goes out you do not have many chances of living much longer. You could also choke on your puke and die. Drinking too much alcohol can kill you, but millions of people consume mass amounts daily. College students drink and party a great amount. The average student drinks at least three nights a week and that is the weekend. Most sororities and fraternities encourage drinking. The fraternities make their pledges drink and the kids love it. It makes them loosen up and have a good time meeting new people. Drinking is also a good way for students who do not know anybody to meet new people and feel more comfortable when they go into an unfamiliar place with a lot of strangers around. When someone is drunk they feel more comfortable and able to talk to random people they do not know and have a good time. Once someone becomes familiar with certain people or just being drunk around strangers, it becomes a habit and that is when school work starts to not be important anymore. Students who drink start to stop attending classes because they are hung-over, tired because they did not go to bed, or just do not feel like going because they would like to start drinking again. The! re are those who can drink every night of the week and still go to class, do their homework, and keep their grades up. Those who can do that are very rare and end up eventually stop being able to do it anymore and fail out of school. It is not very hard for... ...time where there was a lot going on and had many opportunities to drink. I am going to settle down for a while and become a book worm. I have on midterm this week on two next tuesday so it is time to focus on my work. Alcohol is something that many people consume. Some can handle it, and others do not know how to control it and it controls them. I know that I drink, but I know that it will not become a habit and I have it under control. I feel bad for people who are alcoholics and can not control their drinking. The worst is an alcoholic who does not think they have a problem. I just wish those who did drink could sit down have a couple and be happy. A lot of people get drunk and violent. I have friends who have broken many things and hurt a lot of people just because they were drunk and everyone let it go because of it. Alcohol can be fun when it is used wisely.

Cancer: The Costs, Causes, And Cures Essay -- essays research papers

Cancer: The Costs, Causes, and Cures Cancer is a major killer of people all around the globe. We do not have a definite cure, but the amount of research done on this one disease costs on the average of $1.2 billion dollars annually, and $20 billion annually in care of cancer patients. What is Cancer? Cancer is a broad ranging term that is used by many people, including medical professionals such as doctors. Cancer, in its most fatal and aggressive form, is of a larger class of diseases known as neoplasms. There are two forms of a neoplasm: benign or malignant. A benign neoplasm is encapsulated, or surrounded, so that it's growth is restricted, whereas a malignant neoplasm is not closed in. Malignant tumors grow much more quickly than benign forms and spread into the surrounding normal tissue, and virtually destroy it, (Grolier Electronic Encyclopedia, Cancer). The question is, what exactly is cancer? Cancer, is the break down and mutation of the cells of the body, when the DNA (Deoxyribonucleic Acid) sequences in those molecules are disrupted and errors form in the structures, (Grolier, Genetic Code). This mutation spreads through surrounding tissue until it disrupts major systems in the body (such as respiratory, digestive and waste management) cause that system to fail. What causes Cancer to become active? Since it is believed that almost all people have some type of cancer in their body, (although benign), any person that comes in contact with a carcinogen, (any cancer-causing agent), will cause these benign cells to become malignant. It is when the cells become malignant, that cancer actually occurs. Cancer, in this context, can be caused by many different agents; chemical, biological or physical. Chemical Agents Chemicals that can cause a benign cell to become active include things such as complex hydrocarbons, aromatic amines, certain metals, drugs, hormones, and naturally occurring chemicals in plants and molds. Hydrocarbons and nitrosamines can be found in cigarette smoke and may contribute to the condition called "lung cancer". Other chemicals that seem to cause incidents of "bladder cancer", such as 2-naphthylamine, were used in the dye industry for dyeing cloth, but when a number of cases of cancer turned up, its use was discontinued. Vinyl Chloride, a chemical gas, has also appeared, seeming to cause "liver can... ...ct the end of most major diseases early in the next century. Once we are able to read and modify the data and instructions found in our own DNA, we can directly access the way we as living beings will grow and evolve. However, we will have another problem, and that is of population. If there are no diseases to disrupt the growth of our population on this planet, we will soon overcrowd, and we may not yet have the technology to leave this world. However, I think we will still be better off without cancer. References Tetzeli, R. (1990). Can Power Lines Give You Cancer? FORTLINE Magazine, 49, 80- 85 Pitot, H.C. M.D. et al. (1992) Cancer. Grolier Electronic Encyclopedia,1992 ed. Search phrases: CANCER, GENETIC CODE, DNA, RNA Clarke, D. & Dartford, M. ( 1992). Cancer Treatment. How It Works: The New Illustrated Science and Invention Encyclopedia, 414-418 Abeloff, M.D. et al (1991) Cancer. Encyclopedia Britannica: Macropedia, 534-542 Drill, V.A. et al (1991) Drugs and Drug Action - Chemotherapy. Encyclopedia Britannica: Macropedia, 553-560 American Cancer Society et al (1992) Cancer. Compton's Multimedia Encyclopedia,1992 ed. Search phrases: CANCER, CHEMOTHERAPY, GENETICS

The Breakfast Club Essays -- Art

The Breakfast Club Almost 150 years ago, Oliver Wendell Holmes, Sr., expressed the following sage but sad observation in his book "The Professor at the Breakfast Table": Society is always trying in some way or other to grind us down to a single flat surface. Unfortunately, this is still true today. Last week I saw the movie "The Breakfast Club" written and directed by John Hughes which expressed a similar theme. Fortunately, youth of every age "are quite aware of what they are going through" and have the ability to break the fast imposed on them by the socialization process which begins in the home and is reinforced at school, not only by students and parents but teachers like Mr. Vernon as well. In "The Breakfast Club" five disparate personalities, each secure in his identity and yet filled with insecurities, spend a lazy Saturday confined to Detention at Shermer High School in Shermer, Illinois, for various and sundry school violations. Yet each character has a troubled life as foreshadowed by his very presence in Detention. Families mold, intentionally or not, their children into little reflections of themselves. School, thru peer pressure, thru the various academic and social clubs, and thru the imaginary audience, serves to enhance the socialization process begun at home. Students are labeled and are not allowed to change "their worlds". Students hang out only with people who look, dress, and live like themselves.There are nerds, freaks, cholos, etc. There's the Math Club, Prep Club, Latin Club, Physics Club for students who belong. Mr. Vernon, the teacher in charge of the students, unwittingly assigns an essay with the subject "who am I". Unwittingly because as Carl, the custodian and the "eyes and ears of the institution", reveals that the students haven't changed but that he, the teacher, has changed. Perhaps Mr. Vernon should answer the question himself. The movie then proceeds to answer the question through the actions and dialogue of the protagonists. My favorite character (and yours too) is John Bender, the criminal, as portrayed by Judd Nelson, the leader of the notorious Hollywood Brat Pack. John is the main character in the movie and functions as the catalyst or the instigator. One by one, he shocks and exposes each student's insecurities. John is living proof of the creed, "If a child lives with hostility, He learns to ... ...e plate that reads EMC 2 for energy equals mass times the speed of light squared. And when he gets an F in Shop, his self-image can't accept it. He takes a gun to school intending to shoot himself but gets caught. In the most important environment of a student's life, even one F is not allowed. The school reinforces what the parents expect. Even his little sister echos the mother's sentiments when she admonishes him to find a way to study in Detention. It is from the Brain's point of view that we realize that "you (Mr. Vernon/the school) see us as you want to see us". "We were brainwashed," he writes in the collective essay. In the end the students, by revealing their fears and expressing their emotions, overcame the limits set by family and school, the ones that "spit on them" . They realized that they are "immunized" to authority and that they can change their worlds, that they have multi-faceted personalities. And so do Holmes, Hughes, and Bowie. Even a "criminal" can win the heart of a "princess". John Bender was a better teacher than the system for he taught the Princess, the Jock, the Basketcase, and the Brain who they really were, and most importantly, who they were not.

Functional Requirements

1.Functional Requirements Functional requirements define the fundamental actions that system must perform.The functional requirements for the system are divided into three main categories, Reservation/Booking, Food, and Management. For further details, refer to the use cases. EXAMPLE 1.1. Reservation/Booking 1.1. The system shall record reservations. 1.2. The system shall record the customer's first name. 1.3. The system shall record the customer's last name. 1.4. The system shall record the number of occupants. 1.5. The system shall record the room number. 1.6. The system shall display the default room rate. 1.6.1. The system shall allow the default room rate to be changed. 1.6.2. The system shall require a comment to be entered, describing the reason for changing the default room rate. 1.7. The system shall record the customer's phone number. 1.8. The system shall display whether or not the room is guaranteed. 1.9. The system shall generate a unique confirmation number for each reservation. 1.10. The system shall automatically cancel non-guaranteed reservations if the customer has not provided their credit card number by 6:00 pm on the check-in date. EXAMPLE 22.Food 2.1. The system shall track all meals purchased in the hotel (restaurant and room service). 2.2. The system shall record payment and payment type for meals. 2.3. The system shall bill the current room if payment is not made at time of service.The system shall accept reservations for the restaurant and room service. EXAMPLE 33. Management 3.1. The system shall display the hotel occupancy for a specified period of time (days; including past, present, and future dates). 3.2. The system shall display projected occupancy for a period of time (days). 3.3. The system shall display room revenue for a specified period of time (days). 3.4. The system shall display food revenue for a specified period of time (days). 3.5. The system shall display an exception report, showing where default room and food prices have been overridden. 3.6. The system shall allow for the addition of information, regarding rooms, rates, menu items, prices, and user profiles. 3.7. The system shall allow for the deletion of information, regarding rooms, rates, menu items, prices, and user profiles. 3.8. The system shall allow for the modification of information, regarding rooms, rates, menu items, prices, and user profiles. 3.9. The system shall allow managers to assign user passwords. 2 Nonfunctional Requirements Functional requirements define the needs in terms of performance, logical database requirements, design constraints, standards compliance, reliability, availability, security, maintainability, and portability. EXAMPLE 1Performance Requirements Performance requirements define acceptable response times for system functionality.The load time for user interface screens shall take no longer than two seconds.The log in information shall be verified within five seconds.Queries shall return results within five seconds.Example Logical Database Requirements The logical database requirements include the retention of the following data elements. This list is not a complete list and is designed as a starting point for developmentBooking/Reservation SystemCustomer first nameCustomer last nameCustomer addressCustomer phone numberNumber of occupantsAssigned roomDefault room rateRate descriptionGuaranteed room (yes/no)Credit card numberConfirmation numberAutomatic cancellation dateExpected check-in dateExpected check-in timeActual check-in dateActual check-in timeExpected check-out dateExpected check-out timeActual check-out dateActual check-out timeCustomer feedbackPayment received (yes/no)Payment typeTotal BillFood ServicesMealMeal typeMeal itemMeal orderMeal payment (Bill to room/Credit/Check/Cash)EXAMPLE 3Design Constraints The Hotel Management System shall be a stand-alone system running in a Windows environment. The system shall be developed using Java and an Access or Oracle database3. Illustrate a timeframe needed to complete each task based on the requirements from question 2.(5 Marks)Answer Estimating time framesTo manage your time well, you should know not only what tasks you need to accomplish, but also when those tasks must be completed and how long they'll take. Making accurate estimates about how long a task will take is one of the keys to effective time management. Many management problems are the result of unrealistic estimates of how long it will take to complete specific tasks.If you estimate time frames accurately, you'll be able to schedule work efficiently and meet deadlines:†¢ schedule work efficiently – Accurate estimates about how long tasks will take to complete make scheduling a lot easier. They ensure that you won't have to keep changing your schedule. If you have a task that you accurately estimate will take six hours, for example, you can allot that time in your schedule and be reasonably confident you won't have to change the schedule. But what if you didn't accurately estimate the time for that task and allotted it only three hours? It would throw your schedule off, and you'd need to rework it.†¢ meet deadlines – If you're accurate in estimating the time it will take to complete tasks, you'll be better able to meet your deadlines. If you're estimates aren't accurate, you may need to ask to change deadlines or disappoint others who are relying on you to complete certain tasks. With accurate time estimates, you'll also be more confident about setting deadlines because you know that the time you assign for completing each of your tasks is realistic.Time estimate equationIt's important to estimate the time frames for your tasks accurately so that you can schedule all your work effectively and meet deadlines. To go about doing this, you first need to know the requirements of each task and your experience with activities – both when they run smoothly and when they don't – to produce three time estimates:†¢ The likely time is the time that the task normally takes you to complete. It helps to consider the time it takes to complete the task without interruption. You should also think about a time frame you would be comfortable with based on your workload, the task, and any external factors that may delay or speed up the completion of the task.†¢ The shortest time is the least amount of time that you have taken to complete the task in the past. It may also refer to the shortest time in which you think you can complete the task if there are no interruptions or distractions.†¢ You can estimate the longest time by considering what may go wrong when performing the task and then adding this extra time to the task's likely duration. This estimate should be based on your experience of this type of activity in the past, as well as on any foreseeable difficulties.You use the three time estimates to calculate the shortest possible time to complete a task based on an average of the likely, shortest, and longest times. Because in most cases a task will take the likely time to complete, this time is given more weight. You need to multiply it by 4, add the shortest time, and then add the longest time. You divide the total by 6 to get the shortest possible time.One important thing to remember is that you must use the same measurements for each type of time. For example, if your likely time is a number of days, the shortest and longest times must also be in days. If your estimates are in different measurements, start by changing them so they are all the same. The time frames equation often produces a shortest possible time that is longer than the shortest time you put into the equation. This is because the equation helps ensure that you're realistic about how long things will take.To manage your time effectively, you have to estimate the time it will take to complete each of your tasks. Doing this ensures you can schedule your work appropriately and meet all your deadlines. To estimate the time frames for your tasks, you can use a simple time frames equation, which uses estimates for the likely, shortest, and longest times to calculate the realistic, shortest possible time that it will take to complete a task.https://library.skillport.com/courseware/Content/cca/pd_11_a02_bs_enus/output/html/sb/sbpd_11_a02_bs_enus002005.html4. Identify and explain five (5) threats to your business that you need to consider for the success of this system.Answer: After assessing the strengths and weaknesses of your business for your business plan, look for external forces, like opportunities and threats, that may have an effect on its destiny. These changes includeThe appearance of new or stronger competitorsThe emergence of unique technologiesShifts in the size or demographic composition of your market areaChanges in the economy that affect customer buying habitsChanges in customer preferences that affect buying habitsChanges that alter the way customers access your businessChanges in politics, policies, and regulationsFads and fashion crazesList the threats and opportunities facing your business, and follow these guidelines:When listing opportunities, consider emerging technologies, availability of new materials, new customer categories, changing customer tastes, market growth, new uses for old products (think about how mobile phones and even eyeglasses now double as cameras and computers), new distribution or location opportunities, positive changes in your competitive environment, and other forces that can affect your success.When listing threats, consider the impact of shrinking markets, altered consumer tastes and pu rchase tendencies, raw material shortages, economic downturns, new regulations, changes that affect access to your business, and competitive threats, including new competing businesses and competitive mergers and alliances. Also think about the impact of expiring patents, labor issues, global issues, and new products that may make your offering outdated or unnecessary.If you're having a tough time getting specific, look back at the strengths and weaknesses, but this time, use it to list strengths and weaknesses of a competitor. You won't know as much about your competitor's capabilities as you know about your own, but you probably know enough to flag areas of strength and weakness. Your competitor's strengths are potential threats to your business, and its weaknesses present potential opportunities.http://www.dummies.com/business/start-a-business/business-plans/how-to-identify-opportunities-and-threats-in-business-planning/5. Write down three (3) elements of risk and two (2) example each that relate to the project.(9 Marks)Answer. All risk management standards agree that the goal of risk management is to enhance the chances of success of the relevant endeavor. However, each of them provides a different definition of risk: ISO31000:2009 calls it â€Å"effect of uncertainty on objectives,† the PMI â€Å"PMBOK Guide† has â€Å"an uncertain event or condition that, if it occurs, has a positive or negative effect on the project's objectives,† and the preferred Risk Doctor definition is â€Å"uncertainty that matters.†Each description is true, but only partly so. This matters because, until we know what we are dealing with, we cannot manage it in the best way possible:If we use the ISO definition, then our first thought will be to focus on the effect;If we follow PMI, then we will start from the potential occurrence;With the Risk Doctor definition, we start from uncertainty.Each of these — the effect, the event and the uncertainty — is a component of risk, but on its own is not a risk.Even taken in pairs they do not provide the full picture:an effect plus an event is an issue;an event plus an uncertainty is a prediction;†¢ an uncertainty plus and effect is a concern.It is only when you put all three together that you can see what a risk is made of, and use this information to decide on what, if anything, to do about it. Of course, this then requires a longer definition, but the goal enhancing the chances of success is worth the effort.But what is â€Å"success†? It is more than simply â€Å"meeting objectives;† it must also include the condition of â€Å"complying with project constraints† in order for the final result to remain within scope. Given this clarification, a more complete definition is: â€Å"Risk consists of three parts: an uncertain situation, the likelihood of occurrence of the situation, and the effect (positive or negative)that the occurrence would have on project success.†The three-part definition helps with three important stages of the risk management process: In 1.risk identification, it supports the structured description of a risk (â€Å"risk metalanguage†) in the form: â€Å"Because of , may occur, leading to In 2.risk evaluation, knowledge of potential causes allows you to evaluate the likelihood; identification of effects provides a basis for quantifying the impact.In 3 risk response planning, the different parts of the definition suggest different response approaches:for threat avoidance, understanding the situation may allow you to stop it happening or protect against its results;understanding the situation can also be used to help us exploit opportunities;in risk transfer or sharing, we seek a partner better equipped to address the effect;for threat reduction or opportunity enhancement, we focus on the effect and/or the likelihood;in risk acceptance, any contingency plan has to address the effect.Including these three components when you describe risks (the uncertainty, the event and the effect) will help everyone involved in risk management to take account of these three important aspects of risk, and act on them to enhance the chances of success.EXAMPLETwo examples of Managing risk in hote