Cuban Missile Crisis and Cold War Assignment Essay

During the 1960’s, one of the most thing that the American government and the American people had to face was the Cold War. People who grew up during the 1950’s, 60’s, and 70’s would have talked about the war like it was an everyday thing. But, as the years and decades have gone by people have might have a different option and some might not even know or remember what it was. Interviewing 3 people will show what the average citizen knows or remembers about the Cold War. During the interviews, I asked 3 questions that would help me find this answer. They included, what words or phrases come to mind when you think of the term Cold War? Did you ever study the Cold War in school? If so, what are some aspects of the Cold War that you remember? Who were the parties involved in the Cold War? Can you name any key events that we mainly associate with the Cold War? The first person that was interviewed said the first word that came to mind when asked about the Cold War was the Cuban missile crisis. This person did study the Cold War in school and remembered that the United States was trying to keep most of the things discrete when it came to the political side of the war. The parties involved according to this person were the United States and the Soviet Union. Some of the key events that were associated were of course the Cuban Missile Crisis, the dealership of arms at the time, and the nuclear weapons involved. This person remembered a key point in the Cold War but, did not remember in detail what was taught in school. The second person that was interviewed stated the key things that came to mind about the Cold War, was the Soviet Union. They also mentioned that the Soviet Union had fallen after the Cold War. This person has also studied the Cold War in school and remembered that it lasted a long time and was after WWII. This person said the parties that were involved were the Soviet Union and the United States. The key elements that most people would relate to the Cold War were the length of the war and that it cost the United States so much money. They stated that the war was over a 4 decade period and said it cost upward to 8 trillion dollars and countless numbers of lives lost. This person knew about the cold war but only remembers a little of what was taught from school. The final person that was interviewed, stated that the first thing that came to mind when asked about the Cold War was the war was based the state of military rivalry and political tensions. The war consisted of the United States government and the government of the Soviet Union. The United States lost many lives in the hundreds throughout the long drawn out war. The person stated that they did study the Cold War in school and can remember how controversial it was for the American people and also with the government. The individual stated that the two parties they can think have been the United States and the Soviet Union. Finally, a key element of the war that was known across the United States was that the war had the complications of nuclear weapons and the countries trying to become a leader in arms dealing. Basically, see who had the most weapons and the more military firepower and power overall. This person had more knowledge as far as the understanding and remembrance of the Cold War. After conducting the interviews about the Cold War, there are some similarities to what the people who were interviewed had said. The definition of the Cold War was similar to the one given at the beginning of the assignment. All of the definitions of what the cold war was about and what were the key elements have to do with the political issues and the issues of the American people. This shows that people were divided in deciding if the Cold War was the right way to go. There was a lot of tension and cautiousness about the topic of the Cold War.

Roles of Ngos to Development

EXAMINE THE CONTRIBUTIONS OF NGO’s TO DEVELOPMENT NGO is an acronym which stands for â€Å"non-governmental organization. The UN defines an NGO as a kind of private organization that is independent from government control and is non-profit, non-criminal and simply an opposition party. According to professor Peter Willets, from the university of London , argues the definition of NGO as an independent voluntary association of people acting together on a continuous basis for some common purpose other than achieving government office, making money or illegal activities.The most common classification of NGOs is by orientation and level of operation. Orientation refers to the type of activities it takes on, these may include human rights, environmental protection or development works. Level of operation refers to whether it is community based, citywide, national or international. The contributions to NGO’s are: Education, this plays a major role in development since without it development cannot take place. Education can be formal or non-formal.They provide teaching and learning materials for some schools in the deprived areas in Ghana, improved access to education for adults and child rights in quality education. An example is GIGDEV an NGO based in the north which aims at helping adolescent girls by training them in batik tie and dye, hairdressing and sewing to prevent them from going to the south to seek nonexistent jobs. 150 junior high schools in 13 selected districts from the Brong Ahafo, Central region, Eastern region and Greater Accra region to benefit from a project aimed at improving the quality of education in the country.Which is been implemented by Plan Ghana. Agriculture, this is done by providing equipment to the farmers in deprived areas to help them get better yields. Also they are taught new farming techniques that can improve the quality of yields, advised on crops to cultivate. They help farmers advocate policies that promote market access, control over productive resources by small scale farmers and sustainable agric in the face of climate change. Examples of such NGO’s are SNV and SARI. Also in the economic sector NGOs help alleviate poverty. Since 2009 Technoserve has supported 4209 women in the northern, Upper East and Upper west.They have been economically marginalized. 12 women groups were supported to secure Shea processing centres. This means that these people are assisted to start small scale businesses to earn capital which will in turn improve their standard of life. This helps the people immensely because they now gain capital to improve their standard of living. SNV is implementing four year project to assist smallholder farmers in three African countries, Ghana included to supply their national school feeding programme. it is been funded by the Bill and Melinda Gates foundation with a grant of 7. million dollars. Science and technology is also an area NGOs tackle by providing the right mat erials for science programmes which help upcoming students with keen interest in science to develop their potentials. Some of these NGO come out with research findings which help in development of some sectors. Some of the NGOs SARI, UNESCO. In the area of health care, this is done by providing health centers, providing potable water. Providing the deprived with nutritious food to eat. Some NGOs like USAID provide cooking oil and rice to some of the deprived areas.They also help them with the guinea worm eradication in the northern parts by giving them mouth filters which can be used to drink water from some water bodies. Some examples are water Aid, Oxfam and WHO Some NGO provide relief items in cases of conflicts and natural disasters like floods which is prominent during the rainy season in Ghana. This relief items like bags of rice, sugar, corn, mattresses, clothing, building materials are donated to the affected people in these areas. An example is ADRA. In addition, others pla y a role in the rights of people be it the mentally challenged or not.Basic needs Basic rights belief mental health is not a right or a privilege . They help people with mental illness and epilepsy. When they recover their health they learn new skills or go back to their work. Actionaid promote women’s rights, the organization worked on women’s participation in leadership and decision making, violence against women and girls. To conclude, the contributions of NGOs to development cannot be over emphasized since it deals with major aspects of development like education, agriculture, economic, healthcare, provision of relief items and human rights

Interpretative Essay-Use of Writing Templates

In the preface of â€Å"They Say/ I Say': The Moves That Matter in Academic Writing, the authors furnish certain types of writing templates geared toward cuing students to think cognitively as well as critically; ultimately producing a writing style that is unique and creative to the individual. Graff and Bernstein maintain that the templates they offer â€Å"help students make a host of sophisticated moves† in their rating â€Å"that they might not otherwise make†.In addition, not only can the templates spark subconscious thoughts and ideas in students, but they can help the more experienced scholars as well. Whereas others regard their own beliefs to be self- justifiable and need no elaboration, the authors offer that by supplying the student with specific templates for â€Å"entertaining a counterargument† can help stifle these pretentious beliefs. Thus, it could be said about their shared opinions that templates o more than systematize ideas and concepts, bu t bring forth said ideas into being.After rereading the introduction a few times, I agree. Those unfamiliar to entertaining such train of thought may be intrigued to know that by utilizing these templates, we can effectively portray our deepest intelligence by counterintuitive means. For example, looking at something from someone else's perspective (perhaps even an opposing party) can bring new ideas to the surface that would otherwise main unknown.Some might contest that the opposing perspective is irrelevant because the thoughts stem from their mind's eye which, in retrospect, might impact the overall argument or statement that they wanted to convey. Although I understand the objections from skeptics, I still maintain that having an open mind when it comes to writing is crucial in the evolution of our thought process as students and professionals.I can say that there might be limitations on how many ways we can approach an argument or topic before it becomes deceased. Although the se writing templates may seem like they only apply to a minute vernacular, it does in fact apply to a wide array of professional and personal social environments.

Market Strategy Essay Example | Topics and Well Written Essays - 500 words

Market Strategy - Essay Example Hence, while opting for a large scale expansion in China, the company was quiet confident that its traditional organizational structure comprising of well laid out stores backed by time tested retailing concepts and culture would work well in China (Pogoda, 1994). However, Wal-Mart soon realized that the Chinese customers required different sort of merchandize and goods. Therefore, to understand the local markets, the company decided to get actively involved with the local communities and started opting for local suppliers (Taylor, 2009). This strategy of retaining the traditional organizational structure, with localized procurement worked wonders for Wal-Mart in China. Just like Wal-Mart, when McDonalds decided to go global in the 90s, the company was confident that its well-calibrated organizational approach of offering franchises at the local level would work well in the foreign markets also. Luckily, for McDonalds, the things worked well as was expected and its brand of fast food soon became a rage in the New Markets in Asia, Latin America and Africa. However, this does not mean that McDonalds simply transplanted it US based organizational structure in the foreign markets. The company was well aware that food is always about flavors, which differ from place to place and people to people. Therefore, the company not only adapted its distribution strategies and packaging as per the local preferences, but also customized its products to suit the local tastes. For example, McDonalds offers Halal fast food in the Gulf and beer in Germany (McDonalds, 2005). From the very start, Skype succeeded in establishing itself as the most popular voice communication service around the world. The company conducted its business through it internet portal. However, it was not long that Skype realized that the emerging new trends and developments in the digital technology would make it literally obsolete, if it fails to customize and adapt to the novel digital

Legal Aspects of Health Administration Case Study

Legal Aspects of Health Administration - Case Study Example State and federal laws had been amended in order to protect young teenagers from any attempt to violate their chastity by older men. Thus, modern laws have encompassed statutory rape as involving the sexual assault on girls aged 13 to 18 depending on state laws. In California, the statute provides that "it is illegal for any person to have consensual sex with any person who is under the age of 18" (California Penal Code Sec. 261.5). Thus, it is clear that the new age of consent is now 18 years. This is based on the assumption that girls below the age of 18 are not mature enough and thus are legally incapable of consenting to sexual intercourse. However peer sex or what they term as Romeo and Juliet Law, wherein minor couples engage in coitus or the sex act, is treated differently or is an exemption to the rule. Here, the male is penalized for the 'crime' of misdemeanor if the age gap between him and the 'victim' is not more than 3 years. If the age difference is more than 3 years, th e male could be charged for misdemeanor or felony ( California Penal Code 261.5(b). But the harshest penalty is reserved for culprits aged more than 21 years old. Other than the charge of misdemeanor or felony, the adult culprit has to face fines and civil penalties, which increase with the age gap between the minor and the culprit. The civil penalty may ... But the harshest penalty is reserved for culprits aged more than 21 years old. Other than the charge of misdemeanor or felony, the adult culprit has to face fines and civil penalties, which increase with the age gap between the minor and the culprit. The civilHealth Admin 3 penalty may reach $25,000 (US Department of Justice 2003, p.3) if the "perpetrator is over 21 years old and the minor is under 16" (Cal. Penal Code 261.5 (e)). And in such case, the Statute of Limitations is 3 years, meaning, the filing of a case in court must be done within 3 years from the knowledge of the statutory rape. It is also worthwhile to mention that in California, mistake of fact is allowed as a legal defense by the perpetrator. He may allege that he did the crime believing that his 'victim' is beyond the age of consent. A. 15 Year Old Sandra Anderson's Case In the case of Mrs. Anderson's daughter, Sandra, there is definitely statutory rape because Sandra is merely 15 years of age and statutory rape laws in California had set the age of consent at 18 years.Whether Sandra acceded to the lustful desires of her stepfather is of no moment because in statutory rape, the gravamen of the offense is the carnal knowledge of a girl below the age of minority. Whether Sandra consented to the sexual act is not an issue because statutory rape does not consider that kind of consent as voluntary i.e presuming Sandra consented. It further presumes that the offended party does not and cannot have a will of her own. The fact that it was Sandra's stepfather who

Marketing strategy 4Ps of luxury brands and mass-market brands Essay

Marketing strategy 4Ps of luxury brands and mass-market brands - Essay Example Hence, we saw businesses catering to a specific group of people sharing similar characteristics than catering to the needs and wants for the general heterogeneous and diverse people. This way their strategies and focus would only be on a specific group, which would consequently lead to effective strategies and results. For instance, Burberry moved up-market and focused only on the first class society. Whereas, Abercrombie & Fitch targeted the middle class people and teenagers. Not only this, but we saw many businesses expanding their size of operations by going across the borders. An appropriate example of this would be Abercrombie & Fitch opening their first shop in Hong Kong in 2012, and extending their operations to the Asian market as well. Now, we are going to go to the next slide which will explicitly compare and contrast the marketing mix of the four companies named: Burberry, Coach, Next, and A&F. As you can see, the first row shows the price comparisons of these companies. The price strategy for Burberry and Coach is to provide the luxurious goods at high prices i.e. expensive and grandiose image. On the other hand, A&F and Nexts price strategy ranges from high to medium prices respectively. The second row deals with the product strategy for each business. We are going to discuss each one by one. First is Burberry. Burberrys product strategy is to provide high quality designer garments, and to diverse in its product portfolio which contains shoes, bags, and fragrances apart from the garments. It is most famous for its trench coats. Second is Coach. Coachs product strategy is similar to the Burberrys except for the fact that it focuses on leather goods such as handbags, wallets, briefcases and luggage. High quality and diversification is the product strategy. Next we have "Next". Its product strategy differs from the first two. It does not aim for high quality "pricy" luxurious goods. Instead,

International strategy Essay Example | Topics and Well Written Essays - 1500 words

International strategy - Essay Example Disadvantages of Scandinavian business culture From the case study, it is clear that IKEA has been following a Scandinavian business culture, even in most of its international assignments. Scandinavian business culture is dominated by a direct style and more open culture. Conversations are more liberal and personal, and they prefer not asking questions after meetings or presentations. It should be noted that this culture is opposite to America or Asia, where business meeting are more formal and structured (Warner and Joynt, 2002). A typical Scandinavian culture gives high importance to consensus in every decision they take. Hierarchical structure is more or less flat and decision making can be sometimes very lengthy, because agreement has to be taken from every member of the business. Ingvar Kamprad, the founder of IKEA followed a similar culture. His distinctive style and objective of making a difference in the lives of common people drove his expansions strategy. He followed a non- conformist philosophy and looked at all facets of his distribution strategy, in order to focus and innovate (Politis, 2000). During the initial days, the objective of the company was to keep the costs low, and most of the strategies were made keeping this objective in focus. Supplier relationships were made reciprocal so that the company is above to sell whatever they have produced. Managers were expected to keep caring and close relationships with their subordinates and co-workers. Interactions between the co-workers and managers were characterized by egalitarianism and informality. In the following sections, IKEA business cultural and strategies will be discussed which the company implemented in different international assignments. While the culture of IKEA was a strong factor in contributing for the success of the company in its homeland, the same culture caused many issues and roadblocks when the company went for expansion strategy (Hofstede, and Minkov, 2010). The business cult ure of the host countries was vastly different from the way IKEA was doing business and caused cultural as well as business conflict (Huettinger, 2008). In Germany managers do not call each other by their first names as it is perceived as disrespectful. Business culture in Germany is mostly authoritative where managers takes order from bosses and are not supposed to perform any activity taking their own initiatives. This is vastly opposite from IKEA’s normal way of doing business. Thus, when IKEA entered Germany, its collaborative and opted business culture did not go well with the strict authoritarian German business culture. IKEA’s preference for informal relations between managers and co-workers was misinterpreted as disrespecting the boss and undermining the traditional rule of respecting authority. Also, the business culture is more adaptable to detailed work structure and a lengthy procedure, which is opposite IKEA’s cultural of minimalist bureaucracy and making things less burdensome. Similarly, in case of France, the informal culture of IKEA was interpreted as a sign of indecision and weakness. Also, in IKEA, recognition of status was not considered important, which again was interpreted as a negative sign in Germany. Even though the company was able to reduce communication problems arising in most of its international counterparts,

Supply Chain Management Essay Example | Topics and Well Written Essays - 1750 words - 1

Supply Chain Management - Essay Example These end users regard companies who refuse to abide by the regulations as irresponsible and try to avoid them. This means that should all factors in the supply chain process be put in place but common actions on abiding by regulations that borders on the wellbeing of people and the environment be ignored, there is no way customers would accept or patronise products from such irresponsible companies (Bowman, 1997). This way, the core motifs of companies in going into production would totally be defeated. It is in light of this that corporate organisations and companies have always taken steps to be accepted in the face of customers and the general public as corporately responsible. To achieve such tags of corporate responsibility, companies take a number of corporate responses to address specific issues. In the following sections, three companies and how they have taken specific corporate responses to address certain issues that borders on the environment and the growing challenges o f global supply chain have been addressed. GlaxoSmithKline As a company, GlaxoSmithKline has taken a number of initiatives that are based on the principles and core values of supply chain management: particularly, supply chain business process integration to address a number of social and environmental issues (Lambert, 2008, p.15). Three of these and how the company facilitated change in the given directions have been discussed below. Environmental degradation As a pharmaceutical company, GlaxoSmithKline has been faced with several issues that concerns environmental degradation. Environmental degradation has been explained as an act that deliberately or unintentionally causes damage to the environment (Burgess, 1998). Such practices have bordered the company because it depends on some raw materials that are acquired directly from undertaking environmentally threatening acts like the cutting down of trees. In the course of manufacturing also, there is the release of large volumes of waste fumes into the environment. Through the supply chain management practice of manufacturing flow management, the company has been able to ensure that what could otherwise had been serious damage to the environment has been controlled. According to Goldsby (2003), manufacturing flow management â€Å"includes all activities necessary to move products through the plants and to obtain, implement, and manage manufacturing flexibility in the supply chain (p. 23)†. Specifically, the company has been engaged in the purchase of production plants that have been designed to internally recycle waste fumes for the generation of power. This way, waste fumes are not thrown into the open atmosphere. Rising energy and materials prices Recently global events including outbreak of wars and political uprising in major oil producing countries have led to rising price of crude on the world market. This has apparently led to increase in the cost of energy. Most commonly, increase in prices of e nergy leads to increase in prices of raw materials (Copacino, 1998, p.31). This is because of the high cost of transportation that increase in the prices of energy brings about. For GlaxoSmithKline as a company, steps have been taken with reference to the order demand

How Hollywood production has displayed women in the film Research Paper

How Hollywood production has displayed women in the film - Research Paper Example It means that women do not emphasiseas main character; however, women have played a great role in supporting the male persona.In the 1930s, the sound had been fed directly into the movie; the example film is Gold Diggers of 1933 by Busby Berkeley; female characters have acted a large arena of performance.Therefore, it will be investigated the representation of women in the 1930s and its importance. Women during the 1930’s were extremely elegant and classic in the way they portrayed their characters on the screen. Those were different times when women were treated with utter respect. In the movie Gold Digger, the women are showcased as equals to men. The role of women in those days was much more glorified and given preference than they are given in the current situation. The fashion style in the 1930’s was very classy and elegant. â€Å"In the 1930s the world was gripped by the Great Depression and very often, as depicted in Woody Allens Purple Rose of Cairo, the only source of escapism was going to the Movies. The stunning early 1930s fashion went hand in hand with the Glamour of Hollywood. Old reels like these look dated now, but they offered hope to millions of people.† America suffered from great depression during the 1930’s. It was going through a difficult phase and therefore it was important for the movie makers to think out of the box in order to minimize the effect of the great depression. The movies in the 1930’s took a different turn with the advent of comedies which focused on women specifically. Movies like Lady Eve, Nothing Sacred and His Girl Friday took the trend of women having the upper hand in the act to a new extent. These movies focused on how women characters were given screen space and shared equal rights with the male actors. The Women was released in 1939 and clearly signified the ever growing importance of women characters in Hollywood. It did not feature male protagonists and comprised of

Promoting access to medical technologies - from Chile's perspective Research Paper

Promoting access to medical technologies - from Chile's perspective mun position - Research Paper Example Chile believes that this is one of the issues that international peace is being put on stakes. In order to bring peace in the world, there needs to be uniformity and equality among countries. Therefore, Chile positions the aspect of promotion of access to medical technologies for developing countries (World Health Organization). In the present times, Chile is determined to undertake treaties and agreements that would allow developing countries to benefit from it. Among these agreements, Trans-Pacific Partnership (TTP) seems to work effectively for negotiation from 12 countries. Chile is among these 12 countries that are committed to develop medical research and technologies in developing countries so that the current research protocol in the developed countries can be shifted or shared with the developing countries. Similar to these treaties are the forum discussion being held with Chile with Asian developing countries where effective and life-saving medicine research is being sponsored so that chronic diseases can now be treated. It is an evident fact that medicine and technology cannot be applied until constant lab work is done within the developing countries. For this purpose, Chile has proposed the initiation of university programs that will be aided by the country along with the infrastructure. Chile c ompletely understand that at this point where international politics have become increasingly critical, exchange of technology can surely be a way to bring peace and harmony. It will spread equality among developing and developed countries so that conflicts can be finished (Li). It is thus recommended that developed countries of the world must come forward and promote medical technologies access by forming legal and policy options. There needs to be effective research done on the empirical data confirming the assisted usage of medical technologies in developing countries (Zuniga, Marks and Gostin). It is

Wedgwoods Supply Chain Management Essay Example | Topics and Well Written Essays - 2000 words

Wedgwoods Supply Chain Management - Essay Example Rudzki et.al) Planning: A strategy is to be developed for the cost-effective utilization of resources required to develop the product that meets the demands of customer. The planning of the supply chain thus should be such that it is efficient, less costly and the products that are delivered are of high quality and value to customers. Source: The important thing is finding suppliers, who can effectively deliver the services or goods to the customers. An improvement in the relationship should be developed with the suppliers for delivery, payment process and pricing. In short, improving the processes for the management of inventories received from the suppliers including receiving, verifying shipments, transferring to the manufacturing facilities and authorizing payments to the suppliers. Making: This is the step, manufacturing step, where intensive study is required to improve the quality levels, production out-put and workers productivity. For the effective delivery of the goods, there should be scheduling of activities such as testing, packaging and preparation for the delivery. Delivering: This is referred to as logistics, there should be an improvement in the coordination of the activities such as taking the receipt of orders from customers, developing a network of warehouses, picking the carriers so that customers receive the products and setting up an effective in-voice system for payments. Returning: The most important and the problematic part of the supply chain that needs improvement is creating a network for receiving defective and excessive products from the customers and checking the delivered products which have problems and supporting customers with problems. Operation management issues at Wedgwood: The company adopted the inflexible push model which is driven by the forecasts of the expected sales which were generated centrally, and the challenge for the company is now that the company is finding hard, to match the high quality of the product with equal levels of service to the customers. According to the operations director of the company, when benchmarking was done with the other companies, they found out that there is a need for improvement in the area of customer service and responsiveness. The overdue orders were high, despite there were high inventory levels. The main objectives of the company is thus to reduce inventory, cutting the supply cycle time. The company therefore has decided to overhaul the supply chain processes to achieve the goals. As identified by the experts of operations management of the company, in three areas of the supply chain. Dealing with customers and order fulfilling is the first one, the second area is operations in the manufacturing and supply, the third one is introducing new products To tackle the problems, the company formed different teams to tackle each area, the teams were instructed to look into the key processes which are existing and bench mark them against the other parties so that they can redesign. The teams were supported by the methodology and expertise from the consultancy wing of the Texas instruments. The main objectives of the company are reducing the inventory, cutting the supply cycle time and overall improvement of the customer services. (Buy IT, 2002). Key performance objectives at Wedgwood: Existing model has been changed to the pull model driven by the real demand from the customers, even this new

Kant Ethics Essay Example for Free

Kant Ethics Essay Introduction Immanuel Kant was a German philosopher born in 1724 and died in 1804. He is considered one of the most influential people on modern philosophy for his intensive research in the subject. This paper will discuss various articles written by Kant and analyze his thoughts on deeds that are right and deeds that are morally wrong. It will finally discuss importance of motives and duty of morality as illustrated by Kant’s work. Discussion Kant believed that there is no good that can emerge from the world apart from a good will (Kant, 1998). He said that without good will, qualities that are good and desirable become useless. This is because the person yielding these qualities may at times lack the fundamental will to implement and portray them. He called this lack of good will as bad character. He continued to say that when good will is not present, then Power, honor, health and the overall welfare, contentment and happiness will usually mess with the mind of the person and they will start pretending and believing lies created in their mind. Good will, according to Kant, can be facilitated by application of various qualities. However, these qualities may have no inherent absolute value, but constantly presume a good will, which succeeds the esteem that we simply have for them, not permitting us to consider them as extremely good. He attempted to identify the primary maxims of motives, which people are required to achieve. Kant did not base his opinions on claims about any subjective perception of the good, preferences, moral beliefs or regularly shared desires that people may have. Kant also recognized good will as the only absolute good; he refused to accept that the notion of good will could be established by referring to a tangible good. He believed that nothing could be a moral principle, if it was not initially a principle for everyone. According to Kant, morality starts with the denial of non-globalized principles. This idea was devised as a demand, which Kant termed as the Moral Law. He grouped the maxims in a manner that mediators could refer as â€Å"acting on the only adage that one can, and likewise will, just like an international law†. To clarify the point, Kant gave an example of an agent who gives false promises. He adds to this by saying that the agent’s action in this case does not fit to be termed as an international law. He explains that if the agent was hypothetical, then he would take part in the final outcome and this would make him stop his behavior of giving false promises (Kant, 2009). It is therefore clear that the principle of giving false promises cannot be categorized under universally shared principles. According to Kant, the principle of repudiating false promises is vital and the maxim of giving false morally forbidden. Kant is different from many utilitarian’s who regard false promises as wrong due to their adverse effects. He considers this principle as wrong since it cannot be used internationally. Kant identified two ethical modes of assessment, one of them being the fact that human beings have a high probability of evaluating the maxims adopted by agents. He asserted that if human beings had the capacity of evaluating such maxims, then principles with moral worth would come into being, since humans could decline immoral principles. He stated, â€Å"Those who accept principles that are not universal, have principles that are morally unworthy†. He considered those holding morally worth policies as working out of duty and said that human beings lack knowledge concerning the maxims of one another. Kant added to this by saying that people usually deduce the underlying principles or maxims of agents from the pattern of their actions, though no pattern identifies a unique principle. He gave the example of a genuinely honest shopkeeper by saying that his actions are not different from those of a shopkeeper who is reluctantly honest. Kant said that both shopkeepers deal justly out of an aspiration for a good reputation in business and would cheat if given the opportunity. Thus for common reasons, human beings usually do more than is of their concern with outer compliance to principles of duty, instead of paying attention to claims that an action was done out of such a principle. Kant discussed the relationship between principles of morality and people’s real inclinations and desires (Mac Intyre, 1981). He built the political insinuations of Categorical Imperative, which consists of constitution of the republic and value for freedom, particularly of speech and religion. He linked this with individual happiness which according to him can indirectly be viewed as an obligation. This is because one’s dissatisfaction with the wants of another might turn out to be a great lure to the wrongdoing of duty (O’Neill, 1991). He viewed this from another perspective and claimed that most men possess the strongest tendency to happiness. At this point, Kant gave the example of a gouty patient, who can make a choice of what he likes, and endure whatever suffering that comes with it. If he does this, he does not forego enjoying the present time to a probably wrong expectation of happiness believed to be experienced in good health (Kant, 1994). Kant states that, â€Å"an action from duty has its moral worth not in the aim that is supposed to be attained by it, but rather in the maxim in accordance with which it is resolved upon; thus that worth depends not on the actuality of the object of the action but merely on the principle of the volition† (ONeill, 1991). The moral worth of a deed does not lie in the result anticipated from it, nor in the action or maxim which needs to make use of its intention from the expected result. In relation to the discussed effects, the endorsement of other people’s happiness could be caused by other reasons (Beck, 1960). Conclusion Significance of motives and the role of duty in morality Motives can either be of good or bad intentions. They often influence one’s roles of duty. The morality of duty is relative to the law and is therefore compared to the morality of religion. It, therefore, does not criticize man for not making full use of his life or by not doing good. He states that, â€Å"There is nothing possible to think of anywhere in the world, or indeed anything at all outside it, that can be held to be good without limitation, excepting only a good will† (ONeill, 1991). Instead, it criticizes man for not respecting the fundamental principles and necessities required in life. A good example is the moral rule that man should not kill, since this does not have much to do with aspiration but the recognition that if one kills, he has not realized his duty of morality. I do not agree with Kant on the importance of motives and the role of duty in morality. This is because Kant only points out principles of ethics, but the same principles are so abstract that they can’t guide motives. Thus, his theory of the role of duty in morality is not motivating. He does not also give a full set of instructions to be followed. Kant lays emphasis on the appliance of maxims to cases that involve deliberation and judgment. He does insist that maxims must be abstract which can only guide individual decisions. The moral life is all about finding ways of good motives that meet all the obligations and breach no moral prohibitions. There is no procedure for identifying any motives. However, the role of duty in morality begins by ensuring that the precise acts that people bear in mind are not in line with deeds on principles of duty. References Beck, L. W. (1960). A Commentary on Kant’s Critique of Practical Reason. Chicago: University of Chicago Press. Kant, I. (1998). Groundwork of the Metaphysics of Morals. Cambridge: Cambridge University Press. Kant, I. (2009). Fundamental Principles of the Metaphysic of Morals. London: Thomas Kings mill Abbot. Kant, I. (1994). On a Supposed Right to Lie from Altruistic Motives. Oxford: Oxford University Press. ONeill, O. (1991). Kantian Ethics. In A Companion to Ethics. Blackwell: Oxford. MacIntyre, A. (1981). After Virtue. London: Duckworth.

Textual Comparison on Blog and Journal Summary

Textual Comparison on Blog and Journal Summary In the following I will be reporting on two texts containing a similar research different in terms of presentation: one is a blog and the other is a journal summary. Of importance however, is not their text presentation mode but on how their respective writers made their lexicogrammatical choices. I chose to work with the following features: noun group composition and lexical density. Lexical density I computed the lexical density of the texts by estimating how each writer used lexical as well as grammatical units in total. The entire blog text has a lexical density of 53.78% while the journal article summary has a lexical density of 55.61%. This is an indicator that the journal article has a huge quantity of information-carrying words. The blog text, on the other hand, has comparatively limited information-carrying words. Mostly, you will find incomplete clauses in the blog text like the writer was constructing his/ her own utterances. For example, how the blog post used The five largest statewide whooping cough epidemics identified as the journal writer used The 5 largest statewide epidemics had substantial proportions . Seemingly, the writer had little time to ponder and plan what they wanted to write. The journal writer had more time to plan as well as shape the units of meaning they wanted to use comparatively. The writer of the journal sufficiently selected the best lexical word befitting, reviewed the text and replaced words before he submitted the text compared to the blogger. The writer of the journal also seems to be well equipped when it comes to vocabulary as well as word finding. Comparatively, the blogger has more difficulties finding words and with their vocabulary. Additionally, the lexical density tells us that there is more information in the journal text compared to the blog text. True to this, the journal text has 355 words and the blog text has 308 words (excluding the last bit about requesting for a copy). Take Of the 970 measles cases with detailed vaccination data, 574 cases were unvaccinated despite being vaccine-eligible and 405 (70.6%) of these had nonmedical exemptions (e.g., exemptions for religious or philosophical reasons, as opposed to medical contraindications; 41.8% of total) from the journal article summary it has a lexical density of 48.84%. A similar edition of the blog is Of the 970 measles cases with accompanying vaccination data, 574 cases were unvaccinated despite being eligible to receive the immunization and 405 cases had nonmedical vaccine exemptions, such as religious or philosophical opposition to vaccines, which has 54.29%. Here, the writer of the blogger used more lexical words in the sentence compared to the writer of the journal to tell the same story. The blogger also used lesser words i.e. 35 while the writer of the journal text used 40 words. In the given text, the blogger came strong with his/ her words and overtook the writer of the journal when he sai d, despite being eligible to receive the immunization. The journal writer simply wrote, despite being vaccine-eligible. For the reader, it is easier to understand the blogger because it is not difficult for anyone who is not equipped with vocabularies to know what eligible by itself means. The blogger explicitly tells us how the subject(baby), and the object(vaccine) relate by telling us how the subject would have had an action performed on it. The other sentence does not clearly depict the object nor talk more on it nor the action. When the journal writer uses vaccine-eligible, the sentence comes out as vague. Taking this sentence apart from the text, the lexical words give us a general idea of what the whole text is about which is what the blogger did. The journal writer decided to take the other approach by using grammatical, non-lexical words more to assist us to make a whole from the pieces. Judging from this alone, the blogger intended to convey more information compared to the writer of the journal. See how in the journal text the writer says However, several pertussis outbreaks also occurred in highly vaccinated populations indicating waning immunity. The whole sentence has lexical words except for the word in. the lexical density is a clean 92.31%. For the same text in the blog, it amassed a 68.18% lexical density. The prepositions and determinants replaced lexical words. However, the study also noted that epidemics of whooping cough occurred in vaccinated populations too which highlights the issue of waning immunity. The blogger uses more words because they have incorporated grammatical non-lexical words but that does not increase the density of the sentence. I feel the blogger already told us what they study was about thus, saying which highlights the issue of waning immunity would have been replaced by, highlighting waning immunity. More lexical units, more density less tautology but still maintaining the meaning. When it gets to the general text, the journal writers text is more expository compared to the blog text. The reason their lexical densities are not that far apart is because they both used information-bearing as well as lexical words, only that one excelled at it more. Noun group composition. With the noun groups, I tackled the four common noun phrases: pronouns, nouns alone, nouns + determinants and nouns + modifiers+ determinants. When it comes to parts of speech, the journal has 37.08% usage of nouns, 5.48% of adjectives, 5.48% of verbs, 1.83% of adverbs, 15.67% of prepositions, 2.09% of pronouns, 4.18% of auxiliary verbs. The blog text has 27.32% usage of nouns, 7.92% of adjectives, 14.48% of verbs, 4.37% of adverbs, 17.49% of prepositions, 3.55% of pronouns and finally, a 5.19% of auxiliary verbs. There are two rules that simply govern how noun groups are used in English. One of them is that many noun phrases have at least two essentials. When a noun is not used in a generalizing manner, there is at least a determiner and a noun. A determiner could be a quantifier like many, a possessive like my, a numeral like thirty, a question word like whose and finally an article like the. The writer of the journal used longer and many noun phrases compared to the blogger. He was trying to be very accurate about the information being conveyed because it was complex. I made a count of 25 noun phrases with determiners in the blog text. Comparatively, I made 31 noun phrases with determiners in the journal text. When it comes to the noun phrases with determiners as well as modifiers, the journal text beat the blog text by far. An indicator of how complexly the writer of the journal viewed the information before he accurately relayed it. I feel the blogger was very sketchy when conveying the information. He did not want to delve deeper rather just give the reader an idea of the matter at hand. The writers have both tried to be very noun-centric. They have used many noun phrases as well as been very modest with their variety of verbs. An example is at some point; the two writers have used a noun phrase repeatedly without making use of the pronouns. They ended up repeating a specific term as it was the only way to refer to the concept in the text. An instance is in how they both have used the noun phrase The United States at least more than twice. The second rule that governs how noun groups are used in English claims other multiple noun phrases also use modifiers. Modifiers can be adjectives, subordinate nouns, adjectival clauses, relative phases or prepositional clauses. Using examples in the blog texts, a substantial number and the 5 largest statewide whooping cough cases. The determiners in the two examples are a and the. Substantial, largest, statewide as well as whooping are adjectives. In this case, largest statewide whooping is an adjectival clause. Lastly, the nouns are number, and cough cases. 5 counts as a number which is just part of the clause but is not necessarily important to the clause. An example from the journal text is this phenomenon improved understanding. This is the determinant here. Phenomenon improved is the adjectival clause and understanding is the noun in this case. Noun phrases are an essential fragment of every sentence. Noun phrases function first as the subject of clauses. For example, in the scientific literature, scientific acts as the subject.Secondly, they act as subject complements. Take that have occurred since measles was declared eliminated. Measles is the subject and eliminated is the subject complement. Thirdly, they function as the direct objects e.g. epidemic in the phrase The 5 largest statewide whooping cough epidemic. Conclusion. A journal text tends to try and be as formal as can be while the blog can be informal. They thus differ in their lexical densities because the writer relayed the information stressing the information differently. The building of noun phrases in the journal is also taken seriously because there are more complex clauses compared to the blogger. The blogger seemingly rushes through to make a submission while the journal writer has to think through and integrate so many aspects of grammar in his writing before submitting. APPENDIX. Blogs noun group composition. Noun alone pronoun Determiner + noun Determiner + modifier+ noun Refusal They The vaccine A substantial number Disease They The spread The scientific literature Jama whose This month The 5 largest statewide whooping cough epidemic U.S> Who The study The recent surge whooping cough cases Measles cases Themselves The disease An unfortunate comeback Patients They The U.S. The largest number Vaccine refusal The study Risk That diseased Cough A record low Immunity The immunization Researchers The study Reporters The researches Measles outbreaks The study authors Cough outbreaks The issue Incidence The vaccine Measles cases The study Percent A rise Children Some groups Parents The U.S. Vacation Percent Patients Measles cases Vaccination data Cases Opposition Vaccines Cough outbreaks Studies Vaccination data Percent Percent Patients Purpose Epidemics Coughs Populations Immunity People Measles Percent People Risk Factors Measles Cough People CDC Measles Disease Cases Cases Cough Cases Street Journals noun group composition Noun alone Pronoun Determiner + noun Determiner + modifier+ noun State vaccine mandates Their The United States This phenomenon improved understanding Vaccine delay refusal A review The published literature Diseases The United States that have occurred since measles was declared eliminated Measles We The association That assessed diseases risk Pertussis The epidemiology Which described measles reports Parents These diseases No history of measles vaccination Children The epidemiology The measles cases with detailed vaccination data Immunizations The association These had non-medical exemptions Exemptions The epidemiology Which included 10,609 individuals for whom vaccination status was reported. Association The united states The 5 largest statewide epidemics had substantial proportions Outbreaks The context A substantial portion Disease These outbreaks The phenomenon of vaccine refusal Attention The U.S measles cases An increased risk Exemption The era An increased risk Pertussis Some populations the lowest point in U.S pertussis incidence Pertussis Diseases U.S. outbreaks Search November Reports U.S measles outbreaks Measles January Studies Vaccine delay Exemption Measles studies Summaries Outbreak reports Age range Years Cases Month Half Cases Vaccine eligible Exemption Reasons Contradictions Percent Total Reports Pertussis outbreaks Age range Years Range Percent Percent Individuals Pertussis outbreaks Populations Immunity Reports Outbreaks Vaccination data Cases Percent Elimination Measles People Vaccines Individuals Pertussis resurgence Immunity Vaccine refusal Factors Blogs lexical density classification by sentence. No. of sentences Lexical density by every sentence. Lexical density 1 vaccine refusal is fueling the spread of potentially deadly diseases. 70% 2 Published this month in Jama the study found that a substantial number of U.S. measles cases that happened after 2000 when the disease was declared eliminated in the U.S. occurred among patients who were left purposefully unvaccinated i.e. vaccine refusal. 48.84% 3 They also found that vaccine refusal was associated with an increased risk for whooping cough though waning immunity seems to be contributing as well. 58.33% 4 To conduct the study researchers combed through the scientific literature for reports of measles outbreaks between 2000 and 2015 and for whooping cough outbreaks since 1977 when incidence of that disease reached a record low. 48.57% 5 They identified more than 1400 measles cases since 2000 of which more than 56 percent occurred in children whose parents refused vaccination. 47.83% 6 Among the five largest statewide whooping cough epidemics identified between 24 percent and 45 percent of patients were unvaccinated or undervaccinated. 57.14% 7 Of the 970 measles cases with accompanying vaccination data 574 cases were unvaccinated despite being eligible to receive the immunization and 405 cases had nonmedical vaccine exemptions such as religious or philosophical opposition to vaccines. 54.29% 8 in eight of 12 whooping cough outbreaks from nine studies that included vaccination data the researchers found that 59 percent to 93 percent of unvaccinated patients were left unvaccinated on purpose. 58.06% 9 however, the study also noted that epidemics of whooping cough occurred in vaccinated populations too which highlights the issue of waning immunity. 68.18% 10 the study authors concluded that refusing the vaccine against measles meant that people were putting not only themselves but also other people who had been vaccinated at risk. 57.14% 11 they also wrote that while the recent surge whooping cough cases may be down to other factors too the study clearly demonstrates that refusing to be vaccinated against measles has led to a rise in whooping cough among some groups of people. 53.66% 12 according to CDC though measles was declared eliminated in the u s in 2000 the contagious disease is making an unfortunate comeback spiking to 667 cases in 2014. 42.86% 13 as for highly contagious whooping cough the disease reached a recent high in 2012 with more than 48000 documented cases thats the largest number of reported cases since 1955. 51.72% Journals lexical density by sentence. No. of sentences. Lexical density by every sentence Lexical density. 1 association between vaccine refusal and vaccine preventable diseases in the united states a review of measles and pertussis. 58.82% 2 parents hesitant to vaccinate their children may delay routine immunizations or seek exemptions from state vaccine mandates. 70.59% 3 recent outbreaks of vaccine preventable diseases in the united states have drawn attention to this phenomenon. 60% 4 improved understanding of the association between vaccine refusal and the epidemiology of these diseases is needed. 50% 5 to review the published literature to evaluate the association between vaccine delay refusal or exemption and the epidemiology of measles and pertussis 2 vaccine preventable diseases with recent us outbreaks. 55.17% 6 search of PubMed through November 30 2015 for reports of us measles outbreaks that have occurred since measles was declared eliminated in the united states after January 1 2000 endemic and epidemic pertussis since the lowest point in us pertussis incidence after January 1 1977 and for studies that assessed disease risk in the context of vaccine delay or exemption. 48.33% 7 we identified 18 published measles studies 9 annual summaries and 9 outbreak reports which described 1416 measles cases individual age range 2 weeks84 years 178 cases younger than 12 months and more than half 56 8 had no history of measles vaccination. 57.14% 8 of the 970 measles cases with detailed vaccination data 574 cases were unvaccinated despite being vaccine eligible and 405 70 6 of these had nonmedical exemptions e g exemptions for religious or philosophical reasons as opposed to medical contraindications 41 8 of total. 48.84% 9 among 32 reports of pertussis outbreaks which included 10 609 individuals for whom vaccination status was reported age range 10 days87 years the 5 largest statewide epidemics had substantial proportions range 24 45 of unvaccinated or undervaccinated individuals. 55.26% 10 However, several pertussis outbreaks also occurred in highly vaccinated populations indicating waning immunity. 92.31% 11 Nine reports describing 12 outbreaks provided detailed vaccination data on unimmunized cases among 8 of these outbreaks from 59 through 93 of unvaccinated individuals were intentionally unvaccinated. 55.56% 12 A substantial proportion of the u s measles cases in the era after elimination were intentionally unvaccinated. 47.06% 13 the phenomenon of vaccine refusal was associated with an increased risk for measles among people who refuse vaccines and among fully vaccinated individuals. 57.69% 14 although pertussis resurgence has been attributed to waning immunity and other factors vaccine refusal was still associated with an increased risk for pertussis in some populations. 57.69% Work cited. Laufer, Batia, and Paul Nation. Vocabulary size and use: Lexical richness in L2 written production. Applied linguistics 16.3 (1995): 307-322. Johansson, Victoria. Lexical diversity and lexical density in speech and writing: a developmental perspective. Working Papers in Linguistics 53 (2009): 61-79. Abney, Steven Paul. The English noun phrase in its sentential aspect. Diss. Massachusetts Institute of Technology, 1987. Pg. 45

Non-pharmacological Nursing Interventions Literature Review

Non-pharmacological Nursing Interventions Literature Review 5 METHODOLOGY A literature review is defined as a critical analysis of a segment of a published body of knowledge through summary, classification, and comparison of prior research studies, reviews of literature, and theoretical articles. In addition to that a literature review will be used for conducting the research. According to Fink (2010), literature review is an evaluative report that is a systematic, explicit and reproducible method for identifying, evaluating and synthesizing the existing body of completed and recorded work produced by researchers and scholars. In this literature review the main focus was to search the existing literature on non-pharmacological nursing interventions in order to be able to describe and analyze the similarities, differences, consistencies and inconsistencies and issues within the research topic. 5.1 Inclusion and exclusion criteria Inclusion criteria are characteristics that proposed subjects must possess in order to be integrated in the future study. On the other hand, Exclusion criteria are characteristics that help the researcher to eliminate subject from being integrated in the study. A clear comprehension of the inclusion and exclusion criteria ensures that the research yields accurate and genuine results (Fink 2010). The inclusion and exclusion criteria of this literature review are described below in table 1. TABLE 1. Inclusion and Exclusion criteria Inclusion criteria Exclusion criteria The research focused on the non-pharmacological nursing interventions of geriatric depression The articles which are not related to the research questions. Articles were limited from 2005 to present Articles were not related to the studies and carried out before 2005. The articles were in full text, abstract and within the keywords The articles without full text, abstract and within the keywords Languages used were English and Finnish. The articles which were not in English and Finnish. Evidence based research were used. Articles that were not related to nursing and were not scientific. 4.3 Data collection The research articles for the literature review were limited to a time frame between 2006-2015. The information was gathered using different computerized databases such as Ebrary, CINAHL, Ovid, SAGE Premier and Science Direct, to find scientific journals. Moreover web based publications such as WHO, kaypahoito and Terveyden ja Hyvinvoinnin Laitos were also used. In addition to that numerous articles were gathered from well known scientific journals such as Journal of Advanced Nursing and Journal of Nursing Education. Keywords used in the search were focused on the research topic, they included Geriatric Depression, non-pharmacological interventions and Signs of geriatric depression. The key words and the time frame were combined in order to constrict the range of articles; the materials obtained for this study were in both English and Finnish. 4.4 Data analysis The collected data will be analyzed through content analysis of the collected articles, journals and electronic web pages. All the collected data related to the topic will be divided into different groups to make analysis easy. 5 ETHICS AND RELIABILITY High ethics will be maintained throughout the research process. I will also consider a good scientific conduct to ensure that the research is ethically acceptable. The authors in the references will be respected and thus referred accurately. The research project is about finding out the effectiveness of non- pharmacological treatment methods when dealing with geriatric depression. I plan to follow the set thesis guidelines of Centria University of Applied Sciences while carrying out my research. Reliability will be ensured by only referring to recent research materials available concerning geriatric depression. The articles and other materials will be obtained from reliable electronic sources and the school’s library databases to ensure that valid results are obtained that can be used in the future. 6 FINDINGS 6.1 Non-pharmacological nursing interventions Physical Exercise In a study by Park, Han and Kang (2014), it was found that regular exercise for older adults suffering from depression increased their social contact and improved their self efficacy. Physical activities also had inverse relationship with depression among the elderly. This meant that older adults engaging in physical exercises were found to have improved mental and physical health. (Lee, Brar, rush and Jolley 2014.)Regular physical exercises reduced depressive symptoms and anxiety associated with aging and other predisposing factors such as chronic ailments. In additional to that, older adults involved in physical activities ended up having some positive thoughts and opinions on their own aging process. (Park et al 2014.) As a result of physical exercise physical exhaustion was also highly reduced as a result of improved cardiovascular activity, immune system and the endocrine system. These also translated to reduction of depressive symptoms and an improvement in psychological well being. (Tsang, Fung, Chan, Lee, and Chan, 2006). In another study by Stanton and Reaburn (2014), it was confirmed that aerobic and non aerobic exercises including outdoor walking and stationary cycles demonstrated a reduction in depressive symptoms among the elderly. Exercises were conducted three times a week for a total duration of twelve weeks. (Stanton et al 2014.) Furthermore, regular physical activities among the elderly were found to improve their quality of sleep. Poor sleep quality and related sleep disturbances were attributed to in active lifestyles and repetitive daily routines, which further lead to cases of depression, anxiety, agitation, fatigue and daytime drowsiness. In a related article by Cheng, Huan, Li and Chang (2014), found that elderly people who engaged in physical activities such as the senior elastic band exercise reported improved sleep quality and significant decrease in depressive symptoms. In additional to that, Chen et al (2013) developed the wheelchair-bound senior elastic band (WSEB) exercise program, which granted the depressed older adults bound on wheel chairs an opportunity to exercise too. (Chen et al 2013.) Cognitive Exercise According to a study by Khatri, Blumenthal, Babyak and Krishman (2001), it was determined that physical exercise impacts positive effects on the cognitive functioning among elderly people suffering from depression. The study was carried out on two different groups of randomized participants: medication group and the aerobic exercise group. All the groups underwent the tests for duration of four months. In the medication group they received antidepressants while the exercise group underwent aerobic training. In addition to depression cognitive functions were also assessed, for example memory, executive functioning, concentration and psychomotor speed. Assessment tools used in the study included Beck Depression Inventory (BDI) and Wechsler Memory Scale (WMS). It was established that participants in the exercise group exhibited greater improvements in both memory and executive functioning than those in the medication group. Furthermore, the exercise group also showed better improvements in the Wechsler Memory Scale visual reproduction delayed recall scores. However there were no significant differences in the verbal memory and concentration. (Khatri et al 2001.) Vasques, Moraes, Silveira, Deslandes and Laks (2011), found that despite physical exercise having significant effects on depression it also exhibited positive effect on the brain function. During their study neuropsychological tests were performed in the forms of Mini Mental State Examination (MMSE), the Digit Span Test (DST)and the Stroop Color-Word Test (SCW) to assess the cognitive functions of their elderly participants suffering from major depressive disorder. After the participants walking on the treadmill for half an hour cognitive tests were performed before, during, after and 10-15 minutes after the training session. Similar cognitive tests were also performed on the control group but without exercise. There were no significant differences for both the control and the exercise group on the Digit Span Test. However in the Stroop Color-Word Test, the exercise group had improvements in their results when compared to the control group. The improvements were a clear indication that physical exercise had a positive effect on the cognitive functions of the depressed participants. (Vasques et al 2011.) According to Nicholas et al (2006), nurses used Problem solving therapy to help patients with depression to improve their cognitive functioning. Individuals were assigned certain tasks to handle in the form of games which varied from cheap to hard. This helped the individuals to think in a structured way which in turn improved their cognitive functioning. In additional to that it helped relieve depressive symptoms. (Nicholas et al 2006; Haggerty 2006.) Family Therapy In another study by Tanner, Martinez and Harris (2014), to examine the functional and social determinants of depression on community dwelling older adults it was concluded that support from family showed an improvement in general functions and a decrease in loneliness. In additional to that, family support satisfaction scale (FSSS) was used on the older adults to assess satisfaction with support received. The instrument consisted of 13 questions constructed to investigate the participant’s satisfaction with the family support they received from family members. The participants were expected to respond with either agreement or disagreement. It was found that those participants who had higher support scores had decreased levels of depression. Loneliness was also identified as one of the main causes of depression in addition to other predisposing factors. Older adults who were satisfied with the family support they received confirmed that it helped them cope with depression as well as chronic illnesses. (Tanner et al 2014). Nurses were found to play a crucial role in helping elderly people dealing with depression developed as a result of social isolation or bereavement. It was discovered that leaving these psychosocial factors not dealt with it made it difficult to make a lasting or complete recovery. (Hughes 2005). Nurses were found to play an important role in guiding, supporting and encouraging elderly people dealing with depression to keep contact with their family members. (Parello 2012.) According to a study by Merema (2014), it was found that older adults with good social network between them and their family members had higher levels of self esteem and self worth. In additional to that they were less likely to attempt suicide when compared to their counterparts with little or no social network at all. Music therapy According to a research carried out by Chan, Mok and Tse (2009), to determine the effects of music on depression levels in elderly people. The study was conducted on 47 elderly people (23 using music and 24 controls), majority of who were 75 and above. It was pointed out that music exerts psycho-physiological responses through influence on the limbic system. The limbic system is involved in our feelings of pleasure and emotions such as fear, anger as well as motivations. Therefore the limbic system is mostly affected by music rhythm as well as pitch and is also responsible for processing the music stimuli. It was found that music expends its effects through entertaining the body rhythms. In this context entertainment can be described as a tendency by two bodies locking together and vibrating in harmony. When an elderly person is going through a depressive phase they tend to experience mixed feelings of discomfort or agitation which in turn disrupts their body rhythms. The Body rhythm s is disrupted through change in breath, blood flow and heartbeat which further lead to changes in blood pressure levels and oxygen saturation. (Chan et al 2009). The music interventions used included four different types of music which included western classical, western jazz, Chinese classical and Asian classical. Each type of music was played for a duration of 30-min once per week for a duration of four weeks. The participants listened to the music without any interaction with the therapist. At the end of the study the depression levels of the experimental group had significantly decreased from form mild depression to normal levels. On the contrary there was no change in the depression levels for the control group within the four weeks. (Chan et al 2009). Furthermore, the physiological measures monitored including systolic and diastolic blood pressure, heart rate and respiratory rate of the elderly in the experimental group had reduced significantly in comparison to those of the control group. The findings demonstrated the benefits music has on older people suffering from geriatric depression. Music had a soothing physiological and Psychological effect on the elderly suffering from geriatric depression. This also support that music has the capability of to resonate with the listeners feelings. (Chan et al 2009). It was discovered that giving participants an opportunity to choose their music led to effective treatment. Chang, Wong and Thayala (2011), suggested that when the participants chose their own music it facilitated the entertainment process because the listener was in tune with their music of choice. The effects of music listening did not occur after one or a few sessions. In contrary to that, significant decrease in depression levels were reached after the participants had music listening sessions for a few weeks. In additional to that it was found that different kinds of music had similar effects on depressive symptoms among the elderly depending on the listener’s preference of music. (Chang et al. 2011). Music therapy was found to reduce irritability, agitation, and problem behaviors in people with geriatric depression. In additional to that it was also found that music therapy improves the sleep quality of people dealing with geriatric depression. (Rice et al 2010). Social activities While going through recent randomized trials it was found that social activities were effective interventions which improved depression outcomes among the elderly. (Merema 2014.) Social activities were provided in form of recreational group events such as day meetings, group outings and visits from family. These social activities generated social interaction and support among the elderly. (Hsu and Wright 2014). In additional to that it was found that through social activities the elderly were able to establish enduring relationships which in turn provided an effective method of reducing or limiting the severity of depression. It was also established that social activities improved the sleep quality and the cognitive functions of the elderly people. Social activities had a direct effect on the levels of loneliness faced by elderly people with depression. Furthermore it was discovered that depressed old adults felt much better when they were around other people. (Merema 2014.) Engagement in social activities was found to reduce cases of social isolation thus limiting worsening in the severity of depression. (Hsu et al 2014.) In a study by Hsu et al (2014), it was indicated that meaningful and enjoyable social activities lead to a decrease in depressive symptoms among institutionalized elderly living with depression. Social activities that were interesting to the elderly dealing with depression showed a decrease in depressive symptoms. It was found that a large number participated in social activities in the institution due to the positive emotions they experienced or out of personal interest. (Merema 2014.) The reduction in depressive symptoms was as a result of the psychosocial mechanism which includes a positive feedback where there is an improved mood due to pleasant events. Surprisingly it was found that institutionalized depressed elders participated more in social group activities. The institutional environment offered them an opportunity to participate in activities that led to more positive mental attitude and a decrease in depressive symptoms. (Hsu et al 2014.)

Measles :: essays research papers

Measles Measles is a highly contagious disease. It is caused by an RNA virus that changes constantly. Measles symptoms usually include a bad cough, sneezing, runny nose, red eyes, sensitivity to light, and a very high fever. Red patches with white grain like centers appear along the gum line in the mouth two to four days after the first symptoms show. These patches are called Koplik spots because Henry Koplick first noticed them in 1896. The Spots are important to diagnose measles. A characteristic red rash in measles is red spots starting at the hairline and going down to the face, body, and limbs. Measles usually ends with a complete recovery, but some rare complications can occur with the lungs and brain. Measles might also be linked with multiple sclerosis and diabetes. In 1978, the U.S. Public Health Service started vaccinating for measles. All school age children were vaccinated. Two years later the measles virus occurring went down 99 percent. Now days, measles is very rare and all children are vaccinated for it.Measles Measles is a highly contagious disease. It is caused by an RNA virus that changes constantly. Measles symptoms usually include a bad cough, sneezing, runny nose, red eyes, sensitivity to light, and a very high fever. Red patches with white grain like centers appear along the gum line in the mouth two to four days after the first symptoms show. These patches are called Koplik spots because Henry Koplick first noticed them in 1896. The Spots are important to diagnose measles. A characteristic red rash in measles is red spots starting at the hairline and going down to the face, body, and limbs.

Essay --

Sex in Advertising Advertisement is thought to be the foundation and economic lifeblood of the mass media, and the primary purpose of the mass media is to sell audiences to advertisers. The 130 billion advertising industry is a powerful educational force not only in the United States. For example, the average American is exposed to over 1500 ads a day and will spend 1 1/2 years of his or her life watching TV commercials. Ads sell a great deal more than products. They sell values, images and concepts of success and worth, love, sexuality, popularity and normalcy. Although ads sometimes seem to be trivial, their cumulative effect may be serious. Moreover advertisements are, in my view, a product of cultural evolution. If we take the product as the individual, the customer (and sales) as the resource, advertisement is supposed to enhance the fitness of the product. In the course of time advertisements thus will "evolve" towards an optimal exploitation of the adapted mind. One if the the mes that are prone to exploitation are human mate-selection criteria. Basically, two advertisement strategies could be used to exploit men's and women's cognitive adaptations to mate-selection and the prototypic "triggering-signals" associated with this complex. The first strategy is sensory exploitation of the opposite sex. This means that advertisement would pair products for one sex with the stimulus of the other sex, thus exploiting the possible excitation the stimulus would evoke which then would be paired with the product. The second strategy could be called comparison with a normative self. In this case, the product for one sex is paired with same sex-stimuli that would be a perfect stimulus for the other sex, and the product is what makes the d... ...women are used in advertisement in order to exploit male perception. Indoctrination through identification is the main strategy. Thus, the use of sex in advertising is a two-edged sword. Although it is extremely powerful and effective when aimed at one gender, it often does so at the social expense of the other. Since humans live in a social world, consideration must be given to the feelings of the people in that world. If advertising uses the sex appeal, it must be carefully aimed and tastefully done. There is no sense in appealing to one sex by offending the other. Bibliography Morgan, Joan. When Chicken heads Come Home to Roost: My Life as a Hip-hop Feminist. New York: Simon and Schuster, 1999. 74. Cahn, S (1994) Coming on Strong. Cambridge MA: Harvard University Press. Pornography and Sexual Aggression edited by Neil M. Malamuth and Edward Donnerstein, 1984

Critical Lenses Essay

L. a Date: 11/14/12 Critical Lenses Herodotus once said â€Å"men are at the mercy of events and cannot control them. † In saying this Herodotus meant that men cannot control any situation, but that it is fate that determines what is to occur. Prince Edward from The Prince and the Pauper by Mark Twain and Macbeth from Macbeth by William Shakespeare prove this statement to be both true and false. Macbeth in the play (structure) Macbeth by William Shakespeare proves the statement true.The story is about a man named Macbeth and him becoming king (plot). In the year 1040 in Scotland (setting) three witches prophesize to Macbeth that he will be King (foreshadowing). Macbeth is forced to kill the current king, King Duncan, in order to take the throne. After Macbeth kills King Duncan he feels very guilty. Macbeth ends up killing even more people to cover up his lie (characterization) As Macbeth’s life goes on as king, he begins hearing voices and having hallucinations of Banq uo’s ghost (imagery).These are just the consequences of his actions, and he had to live with them. Macbeth goes from gaining respect, appreciation and wealth to losing everything (characterization). Macbeth chooses to listen to the witches’ prophesy, rather than listening to Banquo telling him the prophecy may be evil; thus, Macbeth causes his own problems. In contrast Prince Edward from The Prince and The Pauper by Mark Twain was more at the mercy of his situation than was Macbeth. In this novel (structure), Prince Edward has been raised in luxury.Prince Edward birth was celebrated by the whole country and was wrapped in silks and satins (imagery). He is used to fine foods, magnificent clothing, and to being waited on by hundreds of servants, as well he is accustomed to being protected and to giving commands that others obey quickly. He is used to these things simply because they are part of the life of a prince. Having spent his entire life in the confines of the roy al palace, he has daydreamed about the freedom experienced by boys such as Tom Canty (the pauper).One afternoon Prince Edward and Tom Canty trade clothing and as a result, they trade lives as well. Prince Edward trades places with Tom Canty and ends up in Offal Court. Prince Edward gets to experience what Tom Canty’s everyday life was like: to be poor and be treated horribly by Tom’s father. Prince Edward is now learning how hard life is for his subjects and how unfair the laws are. Edward, as a child, is now at the mercy of adults outside the palace, both good and bad.After many adventures, matters are set right again, with the help of Miles Hendon to take him back to the palace, with one of the boys resuming his rightful, royal position and the other boy accepting a position that recognizes his innate intelligence and good heartedness (plot). Macbeth from Macbeth by William Shakespeare and Prince Edward from The Prince and The Pauper by Mark Twain prove Herodotusâ₠¬â„¢s saying â€Å"men are at the mercy of events and cannot control them† to be true as well as false.The statement means that men cannot control any situation but that it is fate that determines what is to occur. Both Prince Edward and Macbeth make poor decisions which get them into trouble . However, Macbeth, the adult, makes worse decisions that are wrong and evil and deserve punishment. Edward, the child, makes an innocent mistake and is punished anyway. Yet, fortunately, though the kindness of Miles Hendon, Edward is able to return home, having learned from his experiences, unlike Macbeth who loses everything and is killed.

Bristol Myers Squibb

Bristol Myers Squibb was formed in 1887 when McL ben Bristol and buns Ripley Myers bought the Clinton pharmaceutic c e precise last(predicate) tolder- come to the fore in Clinton impertinently York. In 1900 Bristol-Myers broke through into the ominous it has remained at that place ever since. In 1924, coarse profits topped $1 gazillion for the premier time in Bristol-Myers history. The friendships products were then sold in 26 countries. At this point, the sh ars held by john Myerss heirs became accessible for sale, triggering a series of moves that in 1929 turned Bristol-Myers into a in reality held go with, listed on the New York Stock Ex miscellanea.The postwar depression prompted Bristol-Myers to jettison its pharmaceutic bank decline and devote itself entirely to its specialties Sal Hepatica and Ipana, its devil big winners, and a dozen or so assorted toi allowries, antiseptics and cough syrups. By the end of the war, it was clear that penicillin and earl y(a) antibiotics represent an immense opportunity for Bristol-Myers. In 1921 the Squibb Comp all coined its slogan The bellless(prenominal) ingredient in e real product is the honor and impartiality of its agreer, which is nonetheless up a vogue the integrated slogan of Bristol Myers Squibb.In 1989 Bristol-Myers merged with Squibb, creating a global loss leader in the health c ar industry. The nuclear fusion reaction created what was then the dry lands stand by-largest pharmaceutical enterprisingness. BMS is now ranked 8 in the pharma domain. Current Drugs, Issues and Interests The Comp all operates in three instalments Pharmaceuticals, Nutritionals and Other Healthcargon. The Pharmaceuticals segment is arrange up of the global pharmaceutical and human race(prenominal) consumer medicaments business. The Nutritionals segment consists of Mead Johnson Nutritionals (Mead Johnson), primarily an infant statute and childrens nutritional business.The Other Healthc ar s egment consists of ConvaTec, Medical Imaging and Consumer Medicines (United asseverates and Canada) businesses. In 1991, the come with received U. S. Food and Drug giving medication (FDA) approval in the U. S. for Videx (didanosine) also cognize as ddI, move in it the second medicine available for make uping tender immunodeficiency virus infection (the oppositewise cosmos AZT). Other approvals that year include an antibiotic, Cefzil (cefprozil) two cardiovascular agents, Pravachol (pravastatin sodium) Tablets and Monopril (fosinopril sodium) Tablets and a central nervous system drug, Stadol NS ( hardlyorphanol tartrate) C-IV.In that comparable year, the companies signed a Cooperative interrogation and Development Agreement with the National genus Cancer Institute to investigate and develop a red-hot compound for treating certain types of fecal mattercer. This compound, TAXOL (paclitaxel) Injection, promptly was established as the alliances top investigate priori ty. Bristol-Myers Squibb invested hundreds of iodin jillion millions of dollars to supply TAXOL in sufficient quantities for clinical trials, to prepare information for regulatory submission and to develop pick sources of TAXOL (which originally was derived from the bark of an jeopardize tree, the Pacific Yew).TAXOL launched in 1993 and quickly became one of the realitys to the highest degree widely utilise privycer sermons. For a few bulky time BMS held the exclusive accountabilitys to harvest the bark of the endangered yew trees on US soil, the trees bark is utilize in making TAXOL. By the end of 1995, the high society had oer 60 product lines with $50 million or to a greater extent than than in one-year sales world(a). At the beginning of 1998, the FDA grant clearance to grocery Excedrin hemicrania for the succour of migraine themeache pain and associated symptoms. Excedrin Migraine became the world-class migraine headache medication available to consume rs with bulge place a prescription.In 1999, Bristol-Myers Squibb announced infrangible THE FUTURE, a $100 million commitment to advance human immunodeficiency virus/ patronize up research and community outreach programs in tail fin southern African countries southeastward Africa, Botswana, Namibia, Lesotho and Swaziland. And in cc0, Bristol-Myers Squibb, together with quadruple other pharmaceutical companies and international agencies, joined the UN aid Drug appendage Initiative. The ACCESS program aims to make antiretroviral medicines and therapies to treat opportunistic infections more widely available in African countries that withdraw true a coherent national AIDS system.As part of the program, the high society completeered to lower the bells of HIV/AIDS medicines in those countries by 90 percent. More recently, Bristol-Myers Squibb took its access efforts a tint further, offering HIV/AIDS drugs under cost in Africa and committing an additional $15 million for ex goding SECURE THE FUTURE to four Western African countries Burkina Faso, Cote dIvoire, Mali and Senegal. The company is also ensuring that its patents do non go along inexpensive HIV/AIDS therapy in Africa.The patent for Zerit, rights to which are possessed by Yale University and Bristol-Myers Squibb, is now available at no cost to treat AIDS in southern Africa. However, issues wish well losing patents like this and a few more in South Africa has caused many problems for drug companies and BMS is not tolerant to them. In September 2000, Bristol-Myers Squibb announced a un employmentd strategy that includes a alter focus on medicines and an aggressive outside(a) development program. As part of this sensitive strategy, the company announced its intention to rifle its Clairol and Zimmer businesses.The company announced in June 2001 that it had entered into a definitive agreement to cause the DuPont Pharmaceuticals Company for $7. 8 billion an skill intended to further str engthen Bristol-Myers Squibbs medicines business. With the DuPont acquisition, Bristol-Myers Squibb added Sustiva (efavirenz) Capsules to its HIV portfolio and also gained products such as Coumadin (warfarin sodium tablets, USP) Crystalline, the U. S. leading electropositive anti-coagulant and Cardiolite (Kit for the preparation of Technetium Tc99m Sestamibi for Injection), a medical examination imaging agent.In November 2002, the FDA authorize Abilify (aripiprazole) for the treatment of schizophrenia. In 2003, the company teamed up with cancer survivor and Tour de France champion Lance Arm squiffy to patronize the Bristol-Myers Squibb TOUR OF HOPE, an unprecedented week-long coast-to-coast make pass event. En route, the 26- genus Phallus team of cancer survivors, care bestowrs, physicians, nurses and researchers raise awareness of cancer research and the splendor of clinical trials in growing new treatments.Reyataz (atazanavir sulfate), the first protease inhibitor for the treatment of HIV/AIDS with at a time-a-day dosing, was introduced in the U. S. in July 2003 and approve for food marketing in Europe in March 2004. On March 29, 2005, the FDA approved Baraclude (entecavir). Baraclude, disc eitherwhereed by Bristol-Myers Squibb scientists, is indicated for the treatment of chronic hepatitis B infection. Bristol-Myers Squibb announced the FDA approval of Orencia (abatacept) for the treatment of rheumatoid arthritis on December 23, 2005. Orencia is the first in a new cause of medications for this disease.On February 28, 2006, Bristol-Myers Squibb and Somerset Pharmaceuticals announced FDA approval of EMSAM (selegiline trasdermal system), the first transdermal patch for the treatment of major(ip) depressive dis golf club. SPRYCEL (dasatinib), discovered by Bristol-Myers Squibb scientists, was approved by the FDA on June 28, 2006, for the treatment of chronic myeloid leukemia. Bristol-Myers Squibb and Gilead Sciences announced the FDA approval of ATRIPLA (efavirenz 600 mg/ emtricitabine 200 mg/ tenofovir disoproxil fumarate 300 mg) on July 12, 2006. ATRIPLA is the first-ever once-daily virtuoso tablet regimen for HIV.As a strategy they are focusing on ten diseases, these are affective (psychiatric) disorders, Alzheimers/dementia, atherosclerosis/thrombosis, diabetes, hepatitis, HIV/AIDS, obesity, oncology, rheumatoid arthritis and connect diseases, and large(p) organ transplant. Current Financials The occurrent monetary information of the company from MSN Central is as below. The grosss spend a penny not been growing in spite of all the successful products that slang been launched and that is an area for ex convince. The company removes to emend its revenues and admit a positive trend in profits too.The profits are al closemouthedly 16%, even so, that pay heeds pale when compared to GSK and Merck both in the 20- 22% range (Fortune vitamin D list). In particular at 15%, the company is ranked 10 out of 12 in the pharma sector and the revenues are 8 out of 12. That for a company that is going to be cxx days in 2007 is poor. As discussed in the current drugs, issues and interests section, the company is focusing on almost bring up diseases and getting some(prenominal)(prenominal) fantastic drugs in the market. However, all this is some ways not improving the revenue. In fact in the put out 5 years, revenue has grown at less than 2% year on year.On the current price ($24), the share gives a 6% take back on investment (EPS is $1. 43). Currently, they are benefiting from the do of letting go of their CEO shaft Dolan and the company is touted as a putsch target. Their major problem is the fai lure to impede Apotex from manufacturing clopidogrel bisulfate. Although BMS tried to stop Apotex by getting into a vie that would give Apotex $40 million for not manufacturing the drug, the US State Attorney Generals however didnt let the deal go through and or else the company got into a n investigation because of the whole fate that the deal created.From the BMS perspective, they were doing the right thing Plavix divisorrates revenues of $5. 9 cardinal. $3. 8 Billion are BMS and the rest is Sanofi-Aventis. $3. 8Billion is almost 20% of BMSs revenue and Plavix gives approximately 40% of the profits in their US business. in all this has a big impact on the dividend given by the company and most analysts give up suggested that the dividend payout ordain break to be cut by almost 30-40 cents it was $1. 12 the previous year.BMS has a good line up of drugs that are in the rail line and would be a good putsch for any pharma company that has strong cash flow merely flimsy pipeline. These are rumors hardly looking at the current scenario, it is a good possibility. The slow take in CEO James Cornelius headed Guidant and helped its sell-off. Vision, Mission and Goals The current vision mission and goals of BMS are referred as a make whoopie. The crispens are to distinguishable stakeholders and are as follows The BMS Pledge Our companys mission is to extend and enhance human life by providing the highest-quality pharmaceutical and related health care products.We pledge to our patients and customers, to our employees and partners, to our shareholders and neighbors, and to the world we serve to act on our imprint that the priceless ingredient of e precise product is the honor and integrity of its maker. To Customers We pledge truth in e trulything we make and market, providing the safest, most potent and highest-quality medicines and health care products. We promise to continually cleanse our products through establishment, diligent research and development, and an unyielding commitment to be the very trump. To ShareholdersWe pledge our dedication to responsibly maturation the shareholder economic value of your company base upon concernd issue, strong finances, productive collaborations and foot in research and development. To C ommunities We pledge scrupulous citizenship, a fate hand for worth season causes and constructive action that supports a spay and healthy environment. We pledge Bristol-Myers Squibb to the highest standard of moralistic and ethical behavior and to policies and practices that fully make up the responsibility, integrity and decency required of free enterprise if it is to merit and maintain the confidence of our society.The new era for BMS essential(prenominal)iness examine that the pledge to the shareholders is held more firmly than it has been in the kick the bucket few years. The company must improve revenues and margins. The stagnant revenues and profits are a cause for worry in the lengthy escape. All pharma companies are conflict over against smaller companies that want to make generics and Pfizer itself has been fleck for the patent of Lipitor, the worlds best selling drug with $12. 9 Billion in revenues. BMS postulate to understand that the scandals that use up been bump offting it in the last 5 years never happen again and the company needs to shed a high standard of presidency.Shareholder value erodes very quickly for many reasons, simply when off the last 3-5 years, in integratedd brass has been a major issue. Companies with tens of billions of dollars of revenue contribute disappeared and spudholders have suddenly sympathisen their investment disappear with them. BMS has stern bodily governance issues. The company was hit by financial scandals when it was caught displace inventories and show them as sales. They have a philander keyed overseer because of showing high revenues and now with the Plavix issue they are in an even bigger troop as far as somatic governance goes.Apart from that, according to IMS health, a pharmaceutical information and consulting company, sales of prescription medicines worldwide rose 7% to $602 billion,. The United States heretofore accounts for the lions share of that, with $252 bill ion in yearbook sales, barely sales in it and the other nine biggest markets grew by only 5. 7%. But emerging markets such as China, Russia, South Korea and Mexico outpaced those markets, growing a whop 81%. However, when we look at the overall picture 10 -20 years from now we see that the population of the developed world is going to fall and on that point testament be more and more pack who go away be retired.This also mean there go forth be more medicines required. I do not see myself dying at the age of 70 in the year 2040 medical technology impart be so modern in the bordering 30 years that it will probably keep me subsisting till I reach 80 or 90. This is great news for the pharma companies. However, the question beckons that the commonwealth who can leave expensive medicines for diseases that BMS is targeting are only in the developed countries where the growth has stagnated or is less than 10%. The growth is in the ontogenesis world, but the diseases that BM S is targeting are all that need lots of medicines and very expensive medicines.Taxol for example, is used for cancer patients. The medicine is now make by other companies too, and yet the prices for Taxol in the developing world are unfeignedly high and people find it hard to afford Taxol. In my opinion, BMS has to handle 2 issues First is incorporate presidential end point and the second is to crack the developing markets and increase market share in those countries, this will mechanically increase its stagnant revenues and breathe some life into its ailing business. The markets are stagnant in the developed world.New Vision tale I am making a few varys to the current pledges that BMS has to customers and shareholders. The changes reflect what the company needs to do in order to transform itself. To Customers We pledge excellence in boththing we make and market, providing the safest, most good, and cost effective and highest-quality medicines and health care products. We p romise to continually improve our products through innovation, diligent research and development, and an unyielding commitment to be the very best. To ShareholdersWe pledge our dedication to responsibly increase the shareholder value of your company ground upon continued growth, strong finances, productive collaborations and innovation in research and development. We pledge to be extremely careful in all governance issues and not succumb to the pressures of the market. We pledge to conduct our business with utmost fairness. rouge Change Issues Lack of Corporate brass instrument is something that no company will admit, but that is the major problem facing BMS right now. Having an overseer is a bad indicator. The key change issues that we will face while changing the attitude towards corporate governance are1. The first issue is to change the behavior of bosses who force employees to act in ways that will be against any corporate governance policy. 2. The second change will be to c reate an zephyr where an employee can raise an integrity or corporate governance concern. This is critical right now as it seems that over the last few years many things were not elevated. 3. The third change will be in terminals of managing the markets and expectations of all stakeholders, in the long run it is the expectations of the markets or other stakeholders that push the employees to cover up things or show a bright picture when there is none.It is beta to manage the expectations. The adjoining key change by and by corporate governance is to ensure that we can become the growing markets. To capture the new markets, we will have to make a couple of changes in the way we do business. These changes are likely to be as follows 1. Lower the cost of drugs most of the cash goes into research. The drugs that beguile markets cost hundreds of millions of dollars to make. So the cost of developing drugs has to be take down, once this cost is lowered, the cost of the drug pe r se can also be lowered accordingly.2. Come with products that cater to the growing segments there it is likely that the people in the developing countries will be using medicines that are generic. For a branded product to conquer that market, the companies have to give an added value to their product. This expertness mean, reworking some of the old compounds and coming up with extra strong versions or other versions that would contrastiveiate the medicines BMS could come up with a line of medication aimed at women with premenstrual syndrome or aimed at people over 70.This cogency be the normal medicines, but with a several(predicate) potency or properties so that they would be better fit to a disparate age gathering. 3. Newer gene types this cogency mean that there will be opportunities as people from different races major power have different problems or might need different treatments. It is viable that the genes or body types in different races might respond differe ntly to different molecules and thus would require modifications to the current molecules. Depending on the cost of doing this modification, BMS can decide to modify certain molecules to better suit different races.How will these areas be changed? What are the unsubtle sets of proposals for change? The Critical Change urgency is Corporate Governance. Corporate Governance is something that every company talks and boasts active but as we can see in case of BMS, this has failed grossly. The company actively needs to change the situation deep down its departments and especially in the higher ranks to improve the Corporate Governance scenario and educate people or so the problems that are caused because of bad governance.Before I worry into how to combat corporate governance, I would like to talk about why officials higher up in the ranks and even some in the lower ranks resort to privacy information that might be electronegative to the company. The first reason is to ensure that their descents are secure. If a somebody contains information it is because they notice that the particular piece of information will be damaging to their job, their department or their interest. This is the basic level and it is very individualistic. However, it is this alike thing that drives even the bigger corporate information scandals.The second reason for cover information or reputeing reproach figures is to ensure that the company meets its goals. To take an example from an IT company, it is one thing to not report a data theft because it might compromise the jobs of the IT security personnel, but rather another not to report the bugs that might exist in the new software that a company is making. Different projects have different timelines and it is critical for companies to meet those timelines as revenues and profits are base on the sales of that new product.If we take windows look for example, vista has been delayed numerous propagation and because of that ma ny partners of Microsoft are suffering, especially Intel. Microsoft has in public announced about the delays however a smaller company might choose to not mention a delay in their quarterly update. For the officials in the company it is something that protects the shareholders and other partners from the value perspective, but what they fail to see is the long term damage that their actions are causing.Concealing information straightaway will have its repercussions in the next two quarters and eventually if individual finds out the true picture, the stock market will kill the script and the paygrade will suffer enormously. However, a public announcement about the delay will cause temporary drop in the stock valuation (till the product is back on track or launched in the market) but on a ain level, it will affect the persons bonus (for sure) and the growth prospects of the higher ranks who were responsible for not delivering the results.The cost of revealing the truth means jobs and fast losses in the stock markets. many of the higher ranking officials have stock options and this makes it even more lucrative from a personal perspective to ensure that the company is shown in good light and seen as an entity that meets its goals and beats the market predictions. The corporate governance scenario gets worse because of the stock options but it can be much better if every one looked at the picture from a long term perspective. In the longstanding term, the company will deliver the products and make the profits.What every individual must see is that a company will live on beyond every employee and every leader. unmatched employee or a leader cannot make the company, there is constantly a team. However, a leader can easily choke the company and corporate governance is one way of doing it with much ease. Coming to ways on how BMS can change the corporate governance culture within the governing I would recommend the following 3 changes 1. Top down pressure t o conceal information 2. Protective climate for babble blowers 3. Managing the expectations of the stock market and other stakeholdersTop down pressure to conceal information drive the first one seems to be the toughest one, but this is where the room members have to set the rules and deal facts with an iron hand. All directors and Country Heads must be responsible towards Corporate Governance and the Finance people especially should run their reports through the placard. The board must appoint an independent third party evaluator and auditor to ensure that the reports cosmos presented are correct and any discrepancy must be dealt by terminating the country head and seizing all stock options that the person may have.Termination with seizure of stock options at all levels will mean that the lure of a high stock price will not be a motivating factor in cover information and we can expect people to take a long term view of the situation instead of a short term view based on when their stock options might be due. With a personal lure of money gone, the top trouble would be forced to look at share value in the longer term and whence wont be pushing their direct reports to fudge information.In addition to this, I recommend that one board member be assigned the task of world an auditor and also the point of intimacy for all kind of tip-offs or corporate governance spill the beans blowers. This will give the employees all over the company more faith in the system. The biggest problem for whistle blowers or people who have issues with corporate governance is that they revere for their jobs and they fear that if they tranquillize have their jobs, they will be tough will disgust in the fleck for going against what might be termed as normal practice in that division.The front line of a board member as a person who can look into corporate governance issues ensures that people can raise concerns in confidence without the fear or world outcastes at their j obs. This board member of course needs to have a team of people who will investigate the issues that are raised. At the substance management level or at the level where people head departments at country levels, the country head must tighten the leash and implement all corporate policies.The country heads must have audits from outside parties to ensure the authenticity of the financial statements and the systems within the company. At the lower management levels the managers should be responsible for their business. However the eventual(prenominal) responsibility would be with the middle management. The board member however, should be contactable by everyone within the organization. The organization change indispensable is to re-align the fee packages of the people who have stock options.This would implicate the compensation and benefits team to look at the packages again and set up a new corporate policy about rewarding and retaining employees. The major change is only for the upper management to ensure that they get int abuse their power to increase the value of their shares. The stock option change will also weed out the people who do not have a longing for working with BMS. It is very important for a company to ensure that their top management is a group of people who take the company close to their heart, and of course these people are there for the long term.Protective climate for whistle blowers The next issue we need to cover is about protecting the whistle blowers. The appointment of a board member to look after the corporate governance issues should quell any fears that a person might have about corporate governance. In addition to this, a very small metre that might go a long way is to bring up issues with a pseudo identity, where people can bring out in and give information without being obligated to divulge their identity even to the board member.The whistle blowers biggest fear is that their job and career gets jeopardized if it is found out that they were the ones who raised concerns that brought down the whole unit and the jobs of several people. People take it against them and they are outcaste. I also recommend that these people have help from outside sources such as counseling etc that may be needed as they grapple with the effects of being whistle blowers or as they continue to live without talking to anyone about being the whistle blowers.In addition to this, the company should in truth owe these people an incentive for doing the company a favor by helping it exposing thing internally and managing the fall out and taking corrective actions. Such revelations by outsiders can be far more damaging and bring the company into disrepute apart from all the lawsuits and the hassles of the law. The board is always responsible for ensuring that things are going on smoothly within the company and ultimate beneficiary of having an internal system that exposes the corporate governance problems within the company in reali ty helps the board save the company and their own reputations.