Infant mortality Essay

Infant mortality simply refers to the number of death amongst the young ones per 1000 births. In this historical study, infant mortality rate between a range of time starting from 1750 to 1917 is studied. Its rate varies from one century to another with the 18th century recording the highest number of deaths among the young. Progressing towards the 20th century, there has been a drastic decline in the death rate of infants. Some medical professionals believe that this is because of the social health reform and medical improvement during the 19th and 20 centuries. On the other hand, some scholars, like Thomas McKeown, strongly suggest that this is mainly attributed to the improved nutrition and sanitation of the infant’s environment (McKeown, 121). Thomas McKeown is the scholar who spearheaded the well known McKeown Thesis. There has been an ongoing debate between the two ideas about which played the main significant role in checking the rampant death of the infants for several decades featured in countless student reading, so who actually saw the truth between the 19 and the 20th centuries? Infant mortality reduced over the centuries starting in the late 19th and early 20th century in the United States. The highest rate of death among the infants was observed in the first half of the 18th century (McKeown, 65) , this high rate of infant mortality was viewed as caused by societal break-down and poor policies rather that specific pathological organism. This was considered as a reflection of a poor frame work in the society. Between 1750 and 1800, the infant mortality rate was at the peak with many of the infants succumbing to their diseases. At the time, the technical aspects in undertaking comprehensive investigation to establish the actual cause of the diseases and finally finding the cure had not been successful. Many infants therefore died in large numbers. The community attributed all this to the broad and unfortunate societal problems. Many major countries had areas with indecent housing, flooded basements, contaminated water supplies and poverty, resulting in diseases such as typhoid, scarlet fever, tuberculosis and typhus to thrive (McVeigh). This in the end challenged them to actually think of ways to handle these problems. What they have come to conclude was that prenatal and postnatal diseases were ultimately influenced by external factors such as food deficiency, alcohol and tobacco use (Mudd, 117). While diseases and disabilities that are determined during conception or after birth are invariably different, both their origins can still be potentially controlled. In the second half of the 19th century and the first decade of the 20th century, the government of the United States came up with efforts to curb this menace. They recommended the removal of infants in the cities; this was considered a major success since most mothers who were residing in the city end up having their young ones dying at a tender age. Some prenatal diseases, for example was due to exposure to harmful toxins in the environment, thereby affecting the child’s development in the mother’s womb (Mudd, 117-118). This was viewed that the city exposed the young to unhealthy environment hence exposing them to diseases. The congestion in the city was also found to facilitate the spread of contagious diseases among the young. Various forms of pollutants were rampant in the city and therefore the infant could easily contract infections. Many women at the turn of the 18th century were working in gas lit factories and sweatshops, which may affect their pregnancy (McVeigh). The mothers were advised to settle in their rural homes where these hazards were considered to have minimal consequences on the infants. It was fortunate that legislations were finally passed during 1848 to promote genuine concern for public health (McKeown, 66). Similarly, international city in Great Britain during the era, as well as an important location throughout Europe and the rest of the world in terms of international trade and human transit. Because of so many international produce, goods and people arriving in London daily, it became clear to medical professionals that foreign bodies can often be the bearers of disease; from London, such illnesses were doomed to spread throughout the rest of the country. In helping London’s citizens stay healthy, infant mortality rates were automatically dropped simultaneously. By exploring London’s newspaper archives, as well as other contemporary newspaper articles and even the correspondence of health care workers during the era, the information concerning infant mortality rates can be gathered and compared. In contrast, some scholars, such as Thomas McKeown, strongly suggest that this is mainly attributed to the improved nutrition and sanitation (Colgrove). The milk supply was improved among the young one, because the milk handling and supply of edible products was improved by the government. This government strategy has been significant in preserving the life of infants at the time. Child hygiene was another factor considered in checking the high rate of infant mortality. A child hygiene program was established by the government to ensure the infants were provided with the highest quality of hygiene . With the advancement on the technological innovations, infant mortality reduced in significant proportions over the centuries. The discovery of the various medical equipments and apparatus including the microscope and the stethoscope in the late 19th century boosted the medical field’s capabilities to handle these challenges (McVeigh). Simultaneous to this, great strides in the improvement of education of interns started happening in Europe. The scientist who specialized in medical microbiology studied deeper and discovered very many minute microbes which were found to cause high rate of infant mortality. These microbes were found to thrive on unhygienic conditions therefore causing high rate of infant mortality. They were found to be rampant especially in poorly handled milk and other foodstuff. With these discoveries of stethoscope and the microscope in the 20th century, many diseases were kept under control. This was because scientists had become knowledgeable about health matters. Before this tremendous discovery, many minute microorganisms causing several diseases amongst the young ones were at large and scientists were puzzled with unchecked high rate of infant mortality. The electron microscope with high magnification enabled these scientists to recognize the various disease causing organisms including viruses and bacteria. They managed to know the specific diseases that these microorganisms caused and the appropriate control measures needed to keep them at bay. They came up with antibiotics to cure infection in the infants. Antibiotics such as penicillin were also discovered in the early 20th century. At this time, due to these discoveries and appropriate measures taken by the government, the infant mortality drastically reduced. Medical attention to the infants was considered a priority and hence reducing the rate of infant’s death. Another important factor in curbing infant mortality is the development of obstetrics and the rise of gynecology in that time (McVeigh). It encompassed all aspects of pregnancy, and allowed sanitary and safe conditions for the mother and child. Arguably, poor sanitary conditions during childbirth are also one of the main causes of infant mortality in earlier centuries. McKeown’s views on public health sparked controversy during the 1970’s and 1980’s with its focus on allocation of medical resources. While the foundation of his empirical views might be considered flawed today, it spearheaded studies of where should public health practitioners should focus their efforts and the most important determinants of a society’s mortality (Colgrove). The thesis he authored was about the explanation of the dramatic population growth from around 1770 to the present (Szreter). It stated that it was because of the domino effect of improved economic conditions: better standards of living and enhanced nutritional status that strengthened infant resistance to most diseases. His works have been about the synthesis of these advanced ideas and later on his works began getting much attention because of its profound content (Szreter). It was curious to note that it attracted more audiences during its later years, even though it didn’t substantially contain any new information. It was probably the stronger awareness in public health that caused this. However, McKeown will always be considered a figure of importance because of his role in shaping contemporary systems to prevent infant mortality. Other factors that can be attributed to a precipitous decline in infant mortality rate starting from the late 19th and early 20th century include the improvement in economic growth, improvement in nutrition, new sanitary measures by the government and advances in knowledge about infant care in the united states of America (Colgrove). Though little is known about how each of this factors contributed in the reduction in the infant mortality rate, a systematic review of the data from the specific period stressed that providing clean milk in market was the main contributor to this decline in the infant mortality . However, the writer of this journal was biased in the sense that handling milk supply and milk hygiene was not the only cause of infant mortality. It‘s important to note that the both technological advancement and improved nutrition played a very crucial role in checking the infant mortality rate starting from the late 18th to early 20th century. The perception that the high rate of infant mortality was due to societal problems and poor policies could not help in reversing the trend in the first half of the 18th century. Technological advancement saw the discovery of the various medical apparatus and equipments in the 20th century which helped in the reduction of high infant mortality rate. The scientists discovered the actual causes of these deaths being pathological organism which could be controlled. The economic growth and education enabled this scientist to conduct further research and hence control measures were devised which came up with cure for various diseases affecting the infants.

Drug Utilization Study Of Antidepressants Health And Social Care Essay

There is a demand for prospective drug use surveies to adequately measure patient attention and installation indexs. Ordering wonts among head-shrinkers can be improved by making consciousness about taking drugs from the Essential Medicines List. Inclusion of a drug in the infirmary formulary requires consideration of both prescribers ‘ pick of a drug and its presence in the Essential Medicines List. Prescriber instruction can besides concentrate on decrease in prescription of attendant ataractic soporifics. Prescribers should besides be encouraged to look into for patients ‘ conformity with the prescribed medicines and to enter them in the instance sheets. Such steps will advance the rational usage of medical specialties and finally, the quality of health care. The World Health Organisation ( WHO ) defines Drug use as the selling, distribution, prescription and usage of drugs in a society, with particular accent on the ensuing medical, societal and economic consequences.1 Often, drugs are non used maintaining in head their safety and efficacy.2 Rational drug prescribing is the usage of the least figure of drugs to obtain the best possible consequence in the shortest period and at a sensible cost.3 Irrational prescribing and disparity between prescription and ingestion of medical specialties may countervail the benefits demonstrated by randomized controlled tests on drug efficacy.4-7 Furthermore, optimistic outlooks of a drug, based on consequences of clinical tests may non happen when used outdoors controlled settings.8 The recent proliferation of new drugs, increasing acknowledgment of delayed inauspicious effects and concentrate on pharmacoeconomic considerations has stimulated involvement in ordering forms of physicians.5 Antidepressant prescribing forms have changed globally over the last few old ages, with conventional drugs like tricyclics and MAO inhibitors being bit by bit replaced by selective 5-hydroxytryptamines reuptake inhibitors ( SSRIS ) and fresh antidepressants. Prevalence of antidepressant use in the community is lifting in Western populations, with Iceland, Australia and Sweden holding the highest consumption.9 Therefore, our purpose was to analyze the drug use of antidepressant drugs in the psychiatric unit of a third attention infirmary in Pondicherry. Our aims were: To detect the prescribing form of antidepressants among head-shrinkers in our infirmary To measure the reason of the prescriptions To measure the prevalence of antidepressant use in the community MATERIALS AND METHODS Type of survey: Retrospective and experimental. Time period of survey: 1st January 2006 to 31st December 2006 Topographic point of survey: Psychiatric unit of a third attention infirmary in Pondicherry.Inclusion standards:1. All patients who attended the Psychiatry outpatient ( OP ) clinic of the infirmary from 1st January 2006 to 31st December 2006. 2. All patients diagnosed with depressive or adjustment upset ( diagnosed as per International Classification of Diseases – ICD 10 standards ) 10 or any status where antidepressants are indicated.Exclusion standards:Patients who did non have antidepressant drugs. Patients go oning merely those antidepressant drugs prescribed outside the infirmary. Data aggregation: Case records of Psychiatry outpatient clinic were taken from the medical records subdivision of the infirmary. Datas were entered in a pre-designed proforma ( Fig1 ) . From the multiple prescriptions in the instance record with follow-up visits, we took all prescriptions incorporating at least one antidepressant as one prescription. Therefore, if the initial prescription was continued, it was regarded as the same prescription for the given continuance. Any dose alteration in that prescription was noted for ciphering drug ingestion. Addition of another antidepressant to or alteration of antidepressant from the bing regimen was regarded as a separate prescription. In both instances, the figure of drugs in the prescription included the added or changed antidepressant ( s ) , along with attendant medicines from the earlier prescription. However, prescriptions incorporating drugs for co-morbid conditions ( non-psychiatric ) which were non prescribed in the section of Psychiatry were excluded. Sampling frame: All patients run intoing eligibility standards as given above. Datas analysis: Datas were subjected to analysis for: Demographic inside informations ( Age and gender ) Psychiatric diagnosing Antidepressant drugs prescribed 4. Completeness of prescription, rightness of drug, dosage, frequence and continuance. 5. Rationality of prescription harmonizing to WHO ordering indexs. 6. Defined daily dose ( DDD ) of the antidepressants per 1000 dwellers per twenty-four hours ( DID ) 7. Prescribed day-to-day dosage ( PDD ) of the antidepressants 8. PDD to DDD ratio of the antidepressants Anatomical Therapeutic Chemical ( ATC ) categorization and Defined Daily Dose ( DDD ) per 1000 dwellers per twenty-four hours ( DID ) computations were used for gauging antidepressant usage in the community. Following the methodological analysis outlined by WHO,11 we calculated DID as follows: DID =Amount of antidepressant prescribed in 1 twelvemonth ( milligram ) Ten 1000 dwellers DDD ( milligram ) X 365 yearss X Population of Pondicherry and Cuddalore All patients belonged to either Pondicherry or Cuddalore territory of Tamil Nadu. So, for computation of DID, we used the population of Pondicherry every bit good as Cuddalore territory as per available statistics. Entire figure of DIDs is calculated by adding up the DIDs for single antidepressants. PDD was calculated as follows: For each prescription, there were multiple doses of the antidepressants, due to dose titrations and we took the norm of the day-to-day doses for the antidepressant as the PDD. This procedure was repeated for all the indicants of each antidepressant and the concluding value was the norm of the PDDs therefore obtained. PDD to DDD ratio was so calculated. Statistical analysis: Descriptive statistical tools were used. Ethical clearance: As it was a non-interventional survey, the institutional research commission granted waiver on the confidence that capable confidentiality would be maintained. We took the undermentioned stairss in this respect: Designation of patients by the infirmary figure merely and non by name. Case records to be accessed by research workers in the Medical records subdivision merely. Patient inside informations non to be divulged to any party other than co-authors. Proformas to be destroyed after decision of survey. Consequence Demographic inside informations: Out of 222 patients having psychoactive medical specialties during the survey period, 169 ( 76.58 % ) received one or more antidepressants. Among these 169 patients, 82 ( 48.52 % ) were males and 87 ( 51.48 % ) were females. Age distribution of patients having antidepressants is shown in Fig 2. Psychiatric diagnosings: Distribution of primary psychiatric diagnosings of patients having antidepressants is shown in Table 1. Antidepressant drugs prescribed: Entire figure of prescriptions given was 192 and a sum of 446 drugs were prescribed. Of them, 192 were antidepressant medicines of 8 types, as per ATC category. Table 2 and Fig 3 show different antidepressants prescribed. Number of antidepressant prescriptions along with their indicants is shown in Table 3. Substitutions and Adjunctive antidepressants: Change of antidepressant was required on 18 occasions. Duloxetine was substituted on 10 occasions, escitalopram on 4, mirtazapine on 3 and imipramine on 1 juncture. Addition of a 2nd antidepressant was seen on 3 occasions because of hapless response with a individual drug. Of them, duloxetine was the first antidepressant on 2 occasions and mirtazapine on 1. Attendant medicines prescribed in the section of Psychiatry: Table 4 shows attendant medicines prescribed in the section of Psychiatry. Completeness of prescription, rightness of drug, dosage, frequence and continuance: Besides patient inside informations and outpatient designation figure, prescriptions contained the patient ‘s primary diagnosing, drug ( s ) prescribed, dose signifier, dosage, frequence of disposal and continuance of intervention along with the day of the months of followup. There was no incorrect dosage, frequence and continuance of intervention ; in some instances, inappropriate drug was prescribed for a incorrect diagnosing which was corrected when primary diagnosing was revised on follow up. Table 5 shows the figure of drugs per prescription among the 192 prescriptions. More than 5 drugs were non prescribed to any patient. Rationality of prescription harmonizing to WHO ordering indexs: As per WHO Prescribing indexs, we observed: Average figure of drugs per prescription: 2.32 ( 446/192 ) Percentage of antidepressant drugs prescribed by generic name: 88.54 % ( 170/192 X 100 ) Percentage of Fixed dose combinations ( FDCs ) of antidepressants: Nothing Percentage of brushs for ordering injections of antidepressants: Nothing Percentage of antidepressant drugs prescribed from Essential Medicines List ( 16th EML of WHO ) : 1.56 % ( 3/192 X 100 ) Percentage of drugs prescribed from the National List of Essential Medicines ( NLEM, endorsed 2002 ) was 2.60 % ( 5/192 X 100 ) . Percentage of drugs prescribed from the infirmary pharmacopeia was 96.35 % ( 185/192 X 100 ) . Defined daily dose ( DDD ) of the antidepressants per 1000 dwellers per twenty-four hours ( DID ) : ATC cryptography, DDD and computation of DID are summarized in Table 6. Entire figure of DIDs of antidepressants was 0.02. Prescribed day-to-day dosage ( PDD ) of the antidepressants and PDD to DDD ratio of the antidepressants: PDD and PDD to DDD ratios are besides summarized in Table 6. Discussion Demographic inside informations: Antidepressants were prescribed more in females ( 51.48 % ) than in males ( 48.52 % ) . This is consistent with findings in other studies.12,13 This female preponderance might reflect the higher prevalence rate of psychiatric morbidity in adult females, peculiarly, depressive and anxiousness upsets and may besides be due to gender functions played by adult females in society, with more voicing of psychological jobs and seeking of professional help.13 The age distribution shows the bulk of patients, having antidepressants belonging to 21-30 old ages age group ( 36.69 % ) . In fact, 66.27 % were aged between 21 and 40 old ages. This is in contrast to the consequences of a survey of antidepressant usage in East Asia, wherein the average age of patients having antidepressant prescriptions was more than 40 years.14 In another survey in Europe, where antidepressants were the 2nd most normally prescribed psychotropic drugs, bulk of the users were between 35 and 49 old ages, with a average age greater than 40 years.13 Psychiatric diagnosings: Depressive upset was the most common psychiatric diagnosing among the population ( n=222 ) , with a prevalence of 47.75 % . It was besides the most common indicant for utilizing antidepressants ( 62.72 % ) , followed by Mixed Anxiety and Depressive upset and Schizophrenia with station schizophrenic depression among the top three diagnosings. Antidepressant drugs prescribed: Antidepressants were the most common psychotropic drugs prescribed ( 76.58 % ) . Choice of antidepressant was based on ICD diagnosing, badness of disease/disorder, co-morbidity, drug efficaciousness and considerations for patients ‘ tolerability. Most common antidepressant prescribed was the Selective Noradrenaline re-uptake inhibitor ( SNRI ) duloxetine ( 50 % ) . The newer antidepressants – duloxetine, escitalopram, Zoloft and mirtazapine accounted for the majority of prescriptions. ( 96.36 % ) , which follows the planetary tendency towards antidepressant prescribing.14-18 In many surveies, Selective 5-hydroxytryptamine re-uptake inhibitors ( SSRIs ) accounted for the majority of the prescribed antidepressants, with high ordering rates.14-17 In our survey, SSRIs – escitalopram, Zoloft and Prozac were prescribed on 57 out of 192 occasions ( 29.69 % ) . Among the SSRIs, escitalopram was the preferable drug. Again, this is in contra st to findings in the East Asian survey on antidepressant usage, wherein Prozac and Zoloft were prescribed more often than escitalopram and its usage was lower than Desyrel, mirtazapine, impramine hydrochloride and amitryptiline. However, ordering rates of tricyclic antidepressants impramine hydrochloride and amitryptiline were lower than the prevalent norms.14 Doses of antidepressants were prescribed harmonizing to badness of disease/disorder, get downing with low doses and titrated upward or downward harmonizing to clinical response and patients were kept on regular followup. Duloxetine was the most common antidepressant prescribed in Depressive upset ( 56.56 % ) , Mixed Anxiety and Depressive Disorder ( 41.38 % ) and in BPAD ( 62.50 % ) . Most common antidepressant prescribed in Schizophrenia with post-schizophrenic depression was escitalopram ( 44.44 % ) , and in OCD, Zoloft ( 80 % ) . Substitutions and Adjunctive antidepressants: Prescription of a individual antidepressant was common and occurred in 98.44 % of instances. Reasons for altering an antidepressant were hapless curative response or unbearable inauspicious effects. Duloxetine was the most normally substituted antidepressant. It was besides the most common antidepressant to which adjunctive antidepressant drug was prescribed. Attendant medicines prescribed in the section of Psychiatry: Ataractic soporifics were the most common group of drugs prescribed ( 65.10 % ) concomitantly with antidepressants, followed by major tranquilizers, temper stabilizers, trihexiphenidyl, acamprosate, propranolol and vitamin B1. Except for Vitamin B1, which was prescribed in Alcohol Dependence, and propranolol, which was prescribed for intervention of shudders, all others were psychoactive medicines. Trihexiphenidyl was prescribed to counter the extrapyramidal inauspicious effects of attendant major tranquilizers. Completeness of prescription, rightness of drug, dosage, frequence and continuance: Rational prescribing was followed as per the rules of prescription order writing.19 Sing the definitions of polypharmacy which are most normally cited, there was no polypharmacy because there was no prescribing of antidepressant medicine which did non fit diagnosing and there was no prescription with more than 5 drugs.20 68.23 % of the prescriptions ( 131 out of 192 ) had 2 drugs or less, which is recommended. However, there were instances where wrong diagnosing led to ordering of inappropriate drug ab initio ; it was rectified when primary diagnosing was revised on follow up. Clinicians ‘ pick of drug was non based chiefly on affordability for the patient, so the cheapest drug was non ever prescribed. Rationality of prescription harmonizing to WHO ordering indexs: The mean figure of drugs per prescription was more than 2, which is high. But, we had excluded all prescriptions where antidepressants were non prescribed. So, prescriptions where merely guidance was provided were non considered, in which instance the figure of prescriptions with less than 2 drugs would hold risen, thereby conveying down the mean figure of drugs per brush. Ordering by generic names was high ( 88.54 % ) and close to 100 % . There were no fixed dosage combinations ( FDCs ) or injectible readyings prescribed, which indicate rational prescribing patterns. The per centum of drugs prescribed from the 16th WHO Essential Medicines List and the National Essential Medicines List ( endorsed 2002 ) was low. However, per centum of drugs prescribed from the infirmary pharmacopeia was really high ( 96.35 % ) . This indicates the demand to convey about a balance between clinicians ‘ petitions for maintaining a dru g in the infirmary pharmacopeia and the recommendations of WHO and National Essential Medicines Lists. ATC Classification, Defined daily dose ( DDD ) and DDD of the antidepressants per 1000 dwellers per twenty-four hours ( DID ) : The anatomical curative chemical ( ATC ) categorization system divides drugs into different groups harmonizing to the organ or system on which they act and their chemical, pharmacological and curative properties.21,22 Each drug is assigned a peculiar combination of letters and Numberss. The defined day-to-day dosage ( DDD ) is the false mean care dose per twenty-four hours for a drug used for its chief indicant in adults.21 DDD was developed to get the better of expostulations against traditional units of measuring of drug ingestion and to guarantee comparison between drug use surveies carried out at different locations and different clip periods. Entire DID of the antidepressants show low ingestion, in crisp contrast to the tendency of Western European states and the USA, particularly during the last decennary, with high rates of antidepressant prescribing and consumption.9,22,23 DID for duloxetine can be interpreted as 0.0025 out of 1000 patients or 0.025 % would hold used a dosage of 60mg. Similarly, DIDs of escitalopram, mirtazapine, Zoloft, impramine hydrochloride, Desyrel, amitryptiline and Prozac can be interpreted as ingestion of their several DDDs by a population of 0.019 % , 0.004 % , 1.007 % , 0.003 % , 0.019 % , 0.12 % and 0.00007 % . Prescribed day-to-day dosage ( PDD ) of the antidepressants: The prescribed day-to-day dosage ( PDD ) is defined as the norm dosage prescribed harmonizing to a representative sample of prescriptions. It is of import to associate the PDD to the diagnosing on which the dose is based. The PDD will give the mean day-to-day sum of a drug that is really prescribed. PDD is particularly of import for drugs where the recommended dose differs from one indicant to another ( e.g. psychotropic drugs ) . When there is a significant disagreement between the PDD and the DDD, it is of import to take this into consideration when evaluating and construing drug use figures, peculiarly in footings of morbidity.24 PDD to DDD ratio of the antidepressants: Ratio of PDD to DDD is frequently used as an indicant of the adequateness of dosing. A ratio less than 1 as seen in instance of duloxetine and mirtazapine indicates under-dosing. A ratio greater than 1 was seen for Zoloft and amitryptiline. All other antidepressants showed a PDD to DDD ratio equal to 1, reflecting the adequateness of dosing in these cases.25 Restrictions of the survey: Our consequences should, nevertheless, be seen in the visible radiation of the little sample size, compared to the surveies with which they have been compared. Restrictions of the survey were the deficiency of patient attention indexs and some of the installation indexs like handiness of drugs and impact of cost on drug intervention, which increase the public-service corporation of the survey, but which can be derived prospectively merely. As with any drug use survey, existent usage or conformity with prescribed antidepressant was non possible to supervise, more so with a retrospective survey of instance records, where notes on conformity are missing. Furthermore, we could non quantify informations on comparative clinical effectivity of the antidepressants. Strengths of the survey: Strengths of the survey are the usage of a structured proforma for informations aggregation with inside informations of drug prescriptions on follow up visits, and a comprehensive application of drug use tools like ATC/DDD categorization and computation of DID and PDD/DDD ratios to measure prevalence of antidepressant usage in the community of the survey population. Documentation of longitudinal follow-up informations gives a better thought of drug ingestion than transverse sectional informations. Data on drug permutations and augmentations every bit good as attendant psychotropic medicines are besides provided. Decision: Our survey shows that depressive upset was the most common psychiatric diagnosing in the population and antidepressants were the most normally prescribed psychotropic medical specialties. There was a higher prevalence of antidepressant prescribing for adult females. Majority of antidepressants were prescribed to immature and older grownups between 21and 40 old ages. The SNRI Duloxetine, the SSRIs escitalopram and Zoloft and the untypical antidepressant mirtazapine were the most normally prescribed antidepressants, with or without other attendant psychotropic medical specialties. Most patients were treated by a individual antidepressant. However, hapless response and/or tolerability considerations made the prescribers change the antidepressant or add a 2nd antidepressant. Antidepressants were prescribed for many indicants other than depressive upset and head-shrinkers ‘ pick of drug was influenced by diagnosing, badness of disease/disorder, co-morbidity, drug efficacio usness, and considerations for patients ‘ tolerability, but non chiefly on the cost of medicine. Prescriptions were complete and polypharmacy was non seen. Favorable and unfavorable results were seen for 3 and 2 WHO ordering indexs severally. Consumption of antidepressants in the community was low. Adequate dosing was seen for all antidepressants, except for duloxetine and mirtazapine, for which under-dosing was prevailing. Recommendations: There is a demand for prospective drug use surveies to get the better of some of the restrictions of our survey. Ordering wonts among head-shrinkers can be improved farther by making consciousness about taking drugs from the Essential Medicines List and cut down prescription of ataractic soporifics. Such steps can diminish the figure of drugs per prescription and besides the cost of therapy. Prescribers should besides be encouraged to look into for patients ‘ conformity with the prescribed medicines and to enter them in the instance sheets. Such steps will advance the rational usage of medical specialties and finally, the quality of health care.

UK House Prices Essay Example | Topics and Well Written Essays - 2000 words

UK House Prices - Essay Example Any government has the power to regulate the economy of a country and not only does it regulate the economy, it has a vital role to ensure that the economic condition remains stable. It is the responsibility of the government to ensure that all the aspects of economy maintain a stable level so that the country can grow and expand. Government regulates many things in an economy including inflation, exports and imports, prices of many vital commodities, and also property prices to a large extent. Government of England has entrusted the job of determining the monetary policy, in the hands of Bank of England. Bank of England looks into many other big issues. One of the most important issues is that of ensuring monetary stability in the economy, which can be achieved through a combination of stable prices of goods and services across the economy coupled with a low inflation level and level of confidence of the investors in the currency of the country. The Bank comes out with the monetary policy in order to ensure a certain key objectives like, delivering price stability with a low inflation level coupled with an objective to support the Government's economic objectives of growth and employment. Price stability is taken care of, by the Government's usual inflation target of 2%. There is a need to contemplate the crucial and critical role played by price stability in achieving the aforesaid economic stability, and in providing just the right conditions for a sustainable and longe r living growth in output and employment. (How Monetary Policy Works) Inflation is a very sensitive concern that is one of the major economic factors and is generally impacted by the prices of different articles prevailing in an economy. For example, any increases in oil prices is expected to feed through into inflation over the next few years, and the gap between the value of imports and exports is growing to record levels, prompting expectations of a decline in the value of sterling, which is a welcome sign for the exporters but will hit the importers, as they will have to shell out more money for importing their raw materials leading to a further increase in inflation. Any decision is taken after considering the condition of the whole economy and all sections of the society at large and there are several other methods to tackle the prices of properties, but it will always be better to increase the rates at a slower but steady pace, rather than giving a monetary shock. Rising Inflation, if not tackled properly and at the right time may create a cycl e, wherein the inflation keeps rising due to no change in interest rates. Factors Influencing Property Prices in UK Assessing the price of a property is not an easy job, there are three main methods besides the economic factors that determine value, namely "Comparable Sales Method", "Income Approach" and the "Cost Approach" (Property Valuation for Home Buyers), but these methods are just a tool for a prospective seller to determine the price of the house they are going to sell and this price definitely influences the price at, which the transaction actually takes place. Let us now analyze how the concept of value plays a role in determining the prices and what

Disney Romance Fantasy Essay Example | Topics and Well Written Essays - 3000 words

Disney Romance Fantasy - Essay Example The story unfolds to introduce an antagonistic force and a protagonist that conflict each other where violence can be the ultimate solution to solve the problem. However, diplomatic and peaceful negotiations employment as a means of solving the problem is usually another characteristic. The stories of Beauty and the beast and the Beast and Wall-E culminates within the aspects of Fantasy fiction whereby they teach certain moral values, discuss certain problems facing society thereby demonstrating the aspect of the struggle to achieve something greater as is the case with romantic fantasy films. In Beauty and the Beast, the Beast is on a quest to find true love that will break his curse after a fairy hexed him. He takes a great care of his roses that are a way of wooing his lover to be as is the case with Romantic films fantasy films. This is a story of unconditional love and offers great teachings to children and the society, about seeing people for who they are as people and not what they look like. It is especially great for child development as it gives them a standard of living in life. Aspects of magic are also common features in romantic films and Beauty and the Beast does not disappoint in delivering this as the enchanted mirror and the ring that allows automatic transport to the castle is magical aspects of the movie. These occurrences are what bring in the aspect of fantasy as in real life they do not exist. The aspect of romance is used to give them a friendly outlook and an entertaining theme.... In WALL-E, the story also employs fantasy and romance whereby, the story is of a robot who meets another robot of very different personality and task, but they fall in love just the same. The problem that is facing society in this film is that of environmental degradation and therefore the society seeks to find a better habitat for the human race. The presence of protagonists and antagonists is evident in this film as Autopilot plays the role of the antagonists who is trying to prevent the return of the human race to earth. The magical or science fiction aspects of this movie are the teleporting hyper-jump feature of the space ship, Axiom. In both films, a story of love exists, a problem in society is addressed, and the aspect of happy ever after is executed. Question 2 There exists linearity in the narrative between Beauty and the Beast and Wall-E. The aspect of love at first is very evident in both story lines. In most films, characters fall in love within minutes, often without ev en conversing (Tanner, Haddock, Schindler Zimmerman, and Lund, 2003). In both films, the love happens between two people of different personalities and physical outlook, but they fall in love just the same. In WALL-E, when Eve gets deployed from outer space to look for signs of life, Wall-E admires her, becomes drawn to her despite her harsh treatment at first and eventually woos her to love him the same way. In Beauty and the Beast, despite lack of knowledge of Belle’s behavior and character, the Beast accepts her into his home, feeds Belle, dresses her with the most expensive gifts and out-rightly falls in love with her. Belle however, appreciates the Beasts actions, cares for him and sees Beast as a friend; however, the plot gets twisted when she fails to

Technical factors affecting e-banking development in Iran Dissertation

Technical factors affecting e-banking development in Iran - Dissertation Example Research questions The purpose of this study is to get greater understanding of e-Banking phenomenon and find out its implementation obstacles in Iran. In the conduct of the collection of data; both primary and secondary data, it is important that the researcher has a guide on the kind of data to collect and which ones to ignore. In doing this, the following research questions have been set to guide the researcher on the exact data to go after. Therefore, the researcher tries to reach this goal by answering the following questions. 1 What have been the hindrances to the advancement of e-banking in Iran? Problem Overview In recent years acceptance of e-Banking has been rapid. In many west countries like Finland over 50% of bank customers use e-Banking services. On the other hand some evidence shows half of new customers that have used e-Banking for the first time, do not continue using this channel as an active customer.(reference needed) the development of new technologies in communi cations and information practices and the emergence of new services and increasing expectations and needs for banking services market caused our public and private banks to compete for providing new e-banking services. E-banking in recent decade has been carried out with various implementations in our country by a variety of public and private banks. Now each bank more or less seeks for efficient use of this new technology. However, it seems the use of e-banking is still not institutionalized in the culture of our people, and customers still do not use this technology with trust for large financial transactions. The Central Bank of Iran (CBI) observes that not many companies and organisations are taking advantage of... The paper tells that in recent years acceptance of e-Banking has been rapid. In many west countries like Finland over 50% of bank customers use e-Banking services. On the other hand some evidence shows half of new customers that have used e-Banking for the first time, do not continue using this channel as an active customer. the development of new technologies in communications and information practices and the emergence of new services and increasing expectations and needs for banking services market caused our public and private banks to compete for providing new e-banking services. E-banking in recent decade has been carried out with various implementations in our country by a variety of public and private banks. Now each bank more or less seeks for efficient use of this new technology. However, it seems the use of e-banking is still not institutionalized in the culture of our people, and customers still do not use this technology with trust for large financial transactions. The C entral Bank of Iran observes that not many companies and organisations are taking advantage of e-business as penetration rate in e-business is still very low. Iranian banks have made huge investments into e-business but this has not succeeded in changing the trend. According to BBC news 60 †¬percent of Iranians go to banks only to receive or pay cash to the banking network. Iranian banks talk about the spread of e-banking while Iranians spend a lot of time to pay the bills for water, electricity, gas, phone, or transferring money to other accounts and sometimes they stay in line for hours to receive or pay cash.

Assessment does not stand outside teaching and learning but stands in Essay

Assessment does not stand outside teaching and learning but stands in dynamic - Essay Example Informal or regular assessment is usually followed in classrooms because teaching often consists of frequent switches in who speaks and who listens, and teachers make many of their decisions within one second. In such a rapidly changing environment, where teachers have to think on their feet and are denied the luxury of hours of reflection over each of their pedagogic choices, assessment has to be carried out on the move. That is why so much informal assessment is often barely perceptible as the flow of the lesson continues, since it is neatly interlaced with normal-looking instruction and activities. Indeed, many teachers would not even regard the common question, ‘Is anybody not sure what you’re supposed to do?’ as assessment, but it is, informing the teacher of which pupils might need individual help before starting on the task in hand. Bennett has explored a large number of theories relating to pupil learning, teaching and assessment, and believes these theories has a lot more to do mainly on psychology rather than teaching and learning, Bennett offers an explanation of the ambivalence sensed by teachers in their quest to identify these theories which effectively inform their practice. He advances the notion that theories take limited account of the complexities of classroom life. The potential value of such theories seems, therefore, to be marginalized by teachers. In citing Doyle's work, Bennett indicates that classroom environments are complex places in which teachers and pupils adapt to each other and where the created environment impacts on them both. The classroom environment is built by the way of communication between teachers and pupils. Doyle's model of classroom learning processes proceeds on the assumption that 'learning is a covert, intellectual activity which proceeds in the socially complex, potentially rich environment'. If this perspective relates to teachers' experiences in carrying out their role then there are clear restrictions to the applications of many theories of learning to teaching contexts. (Dunn, 2002) Identifying the prominence of complexity by no means excuses careful exploration of the issues. It is recognised that one of the aims of schooling is to promote pupil learning yet it is not all agreed about what should be prioritised to comprise such learning. Further more, there remains considerable disagreement as to how learning occurs. It might be said that since the adoption of the National Curriculum we are nearer to agreeing what should be learnt. However, the ways in which learning occurs seems to be rather side-tracked from what are identified as more pressing mechanisms for teaching curriculum content with the main aim of measuring and raising standards.

Symbolism in The Bean Trees and Medicine River by Barbara Kingsolver Essay

Symbolism in The Bean Trees and Medicine River by Barbara Kingsolver - Essay Example She has shown innate qualities of a writer by relating to people, their plight and the situations that they get into because of the dominant society. Not only this, Barbara King also has a feel and the place for non-living objects that she so beautifully exploits to express her abstract ideas. Another novel that could be spoken about here in Medicine River by Thomas King, who too used symbols, such as people, nature, and other objects in a similar way too represent his ideas and understanding of life in general. An essay so deemed to be worthy enough for comparing the two of the most followed literature works will demonstrate how both Barbara Kingsolver and Thomas King used people, objects, and nature to bring out different meanings and ideas in their literary work. Barbara Kingsolver wrote ‘The Bean Trees’ focusing on the life of people living I low profiled cities like that of Kentucky and her prime character was the young woman named Taylor Greer. Tired of Male domina nce, she decided to head to the west in search of an ideal place that could get her away from chauvinistic nature of the society. In her journey to find solace, she met across people from several ethnicities and she also acquired a little native Indian child. The novel so intrinsically identifies and makes you feel for the original and tough experiences of the core character, Taylor Greer; her experiences through different symbols of friendship, belonging, support, and life get you to relate to some or the other incidences of life. Medicine River written by Thomas King revolves around Will, who is a Photographer by profession. Even though he thinks that he has come back to his home town of Medicine River for the rituals of her mother’s demise, he not only gets caught up in helping the community and the natives, but also manages to fall in love with a girl at the same time. Thomas King has used different symbols to demonstrate the same meanings of friendship, belongingness, su pport, and life through out the story. Both the novels center on the core theme of humanity, whether from the perspective of friends or from some one who is just a well-wisher. However, the symbolism all the more has been so dramatized that it looks nothing far from real with characters ending up meeting just when they were being expected by the readers. Lou Ann of ‘The Bean Trees’ and Harlen of ‘Medicine River’ form an intrinsic part of the novel as both have been presented as the best friends and companions of Taylor Greer and Will respectively. The characters have been so enlivened in the story that the reader can’t stop thinking about his own life experiences and remembering incidences of meeting people who played similar roles in their life to such characters. They add twists and a touch of practicality to the novel’s idea by giving it a touch of real life experiences. "Harlen Bigbear was one of the most charitable people I had ever known . No matter whom it was, Harlen would always go looking for the good in a person. And even if he couldn't find it, he assumed that it was there, buried somewhere." Harlen’s character is so presented in Medicine River that she always prefers to gossip about things that happen around in the society, especially in her community and advise Will about the good and the bad. Will enjoys her company and association even though she is mostly annoyed while talking and discussing. She often did things that even though might be not in so favor of Will’s opinion; he could sense an attachment that makes him feel good about the occasion. On the other hand, Lou Ann in ‘The Bean Trees’

Compare one of the two indian captivity narratives, of either mary Essay

Compare one of the two indian captivity narratives, of either mary rowlandson or mary jemison with the film the searchers - Essay Example The story begins when the Jemison was kidnapped from outside her home in Pennsylvania. She did not speak for several days, and the first time she uttered a word, she said â€Å"I want to die† (Jemison 13). After arriving at Fort Duquesne, she again spoke only to tell her captors her name (Jemison 21). However, in the course of her silence, Jemison slowly began to accept the Seneca culture. She began speaking in Seneca language and comforted two sisters who lost their brother in a combat against the English (Jemison 25-6). The two small events started her immersion in the tribe’s culture, and it was even furthered by her marriage to a Delaware member, Sheninjee. She built a family with her spouse, and even before her son Thomas was born, she is almost completely immersed in the Indian-American culture (Jemison 31). She felt contented with her life there, and even when she was widowed, she pursued a second marriage within the tribe, even proclaiming to an escaped slave th at she is â€Å"one of the Indians and she is a Seneca† (Jemison 44).

Advanced financial Accounting Assignment Example | Topics and Well Written Essays - 1750 words

Advanced financial Accounting - Assignment Example Auckland Int’l Airport handles almost 70% of the international traffic or 13 million passengers annually for New Zealand. (Auckland International Airport, 2013). For this financial analysis, Annual Financial Filings for last three years (FY2012, 2011 and 2010) have been used. These are available on company website http://www.aucklandairport.co.nz. Summarized 3 year financial reports are provided in Appendix 1. Deloitte is the independent auditor for Auckland International Airport. Deloitte in the Audit report mentions that they conduct these audits based on International Standards on Auditing and International Standards on Auditing (New Zealand) and that it is the responsibility of the Company (Auckland International Airport) to prepare and consolidate these reports. In the Annual report of 2012 (Auckland International Airport Ltd., 2012), The Company prepares its financial statements in accordance with NZ GAAP standards. However, the auditors certify that these reports comply with NZ IFRS and other applicable Financial Report Standards, such as IFRS, appropriate for profit-oriented entities. The Company treats cash as Current Assets in accordance with generally accepted good accounting practices. Discussion on this item is relevant to Balance Sheet and Cash Flow statement. The company explains the definition of cash in Note 2h (Auckland International Airport Ltd., 2012, p. 49) as follows: â€Å"Cash in the balance sheet comprises cash on hand, on-call deposits held with banks and short-term highly liquid investments. For the purposes of the cash flow statement, cash consists of cash as defined above, net of outstanding bank overdrafts.† According to Note 2j (2012, p. 49), an estimate of impairment for uncollectible amounts is made where there is objective evidence that collection of the full amount is no longer probable. Bad debts are written off when

Should New Orleans be deploying a WiFi hookup citywide, or should this Essay

Should New Orleans be deploying a WiFi hookup citywide, or should this be left to the private sector - Essay Example In the aftermath of the disastrous Hurricane Katrina, the infrastructure of New Orleans was completely wiped out. This meant that traditional wireline phone service and cellular networks stopped functioning. The only communication network that was still intact was the wireless mesh network mounted on electric poles that was used to support the city's crime surveillance cameras prior to the storm. (Greene, 2006). Once power was restored to the storm ravaged city, one of the first steps undertaken by the Chief Intelligence Officer of New Orleans (CIO), Greg Meffert, was to expand the Tropos-based mesh network, link it to the Internet and open access to citizens to make IP calls through VoIP, (Voice over Internet Protocol) software from companies like Skype and Vonage (Greene, 2006). And thus the idea of a WiFi network for the city took shape, and on November 29, 2005 (just 3 months after the disaster) City Mayor C. Ray Nagin announced the deployment of the country's first free municipa lly owned wireless internet system in the downtown area. (Krim, 2005). The public Wi-Fi service, was set up with $1.2 million worth of equipment donated by Tropos and Intel (Hamblen, 2006). The case of New Orleans brings to light the increasing trend of municipalities across America and the world to launch their own free or low cost wireless internet service over entire city areas. As in the case with New Orleans, the arguments for deploying a municipally owned wireless internet are 1) To reduce the digital divide; a term which refers to those (individuals and businesses) who are disadvantaged by the inability to access high-speed internet because of their failure to pay for high speed DSL/broadband or their geographic location (rural America, where low population density ) which makes it infeasible to lay down the infrastructure needed for traditional wireline internet services. 2) Low cost of deployment: A WiFi network makes use of existing infrastructure like electricity poles, lamp posts, municipal buildings etc. to transmit signals over a sufficiently large area. The proposed cost of the WiFi network for 1.5 m people of Philadelphia was projected at $10.5 million; conversely it cost $ 8.5 million to build the traditional broadband cable and internet network, in Lebanon (Ohio), which is a small town of only 17,000 people. Thus the cost per person would be much lower as compared to a wired network and the time taken for deployment is also comparatively faster (New Millennium Research, 2005). 3) Municipally owned wireless network will bring forth efficiency and increased productivity in the working of the city councils and law enforcement agencies. This was seen in the efficient working of the building inspectors in New Orleans who were able swiftly process paperwork for reconstruction permits without wasting time in travel from city office to site. WiFi networks can also in the future

Junior Officers Essay Example for Free

Junior Officers Essay This result appeared to be the same with the statistical results for the data set of all samples combined. The deviation was the item Human Resource Focus, Item 5, which appeared to be not correlated with Leadership, Item 1. There could be logical reasons why such a result, but we cannot at this stage, extrapolate without first conducting the same test for the Leaders Group. A. 3. The Pearson Correlation Matrix for the Leaders Group For the Leaders Group, Leadership, Item 1, is not correlated at all, ALL from Strategic Planning, Item 2 to Business Results, Item 7 as shown by Table 3. Table 3. Excerpt from the Correlation Matrix for the Leaders Group Leadership, Item 1 Strategic Planning, Item 2 0. 371 0. 413 Customer And Market Focus, Item 3 0. 164 0. 726 Measurement, Analysis, and Knowledge Management, Item 4 0. 753 0. 051 Human Resource Focus, Item 5 0. 715 0. 071 Process Management, Item 6 0. 247 0. 594 Business Results, Item 7 0. 524 0. 227 Cell Contents: Pearson correlation p-Value The results were revealing on two counts. First, it told us that the correlation trend shown by the Combined Data Samples of the Others Group and the Leaders Group was mainly due to the effect of the Others Group given its bigger sample size, 37 respondents compared to the Leaders Group, 7 respondents. This is manifest in that the correlation test for the Others Group showed correlation between Leadership, Item 1, and other items except in Customer and Market Focus, Item 3, which was possibly influenced by the results of the Leaders Group which showed no correlation between Leadership, Item 1, and the other items. Second, the results pointed to the contrast between the two groups being compared. There was a significant difference in perception between the Others Group and the Leaders Group. It should be noted that the Leaders Group, comprising, take note, the Senior Leaders, or specifically, the Senior Officers in the surveyed organization occupied the higher hierarchy and when we mentioned the Others Group, we are referring to leaders still, but leaders occupying the lower hierarchy, the Others Group comprising, take note, the Junior Leaders, or specifically the Junior Officers. It may argued that based on their respective position in the surveyed organization, ESGR there may be strong factors which create opposing views or that their perceptions could be affected by the imperatives, necessities, and the like and the nature of their respective positions being held in the organization. Whereas, for the Others Group, wherein Leadership, Item 1, was correlated with all the other items: Strategic Planning, Item 2; Measurement, Analysis, and Knowledge Management, Item 4; Human Resource Focus, Item 5; Process Management, Item 6; and Business Results, Item 7; however, in the Leaders Group, its Leadership, Item 1, had NO significant correlation established with ALL the other items from Item 2 to Item 7. It could mean that the Others Group, mainly Junior Officers were more concerned with function which required them to be aware of all the aspects and details of the organization. It could be contended that Junior Officers were the implementers of the details of projects and operations hence, with Strategic Planning, Item 2 of the Baldrige Criteria, the Junior Officers were more concerned with examining how organizations develop objectives and action plans and how flexible the organization should be in case of situational changes in circumstance. Junior Officers are expected to be familiar with stock knowledge on the planning step and deployment to achieve objectives at the various stages of implementation. Chances are, they are the ones evaluating data from various reports and they are the ones making the progress reports and updates for the higher echelon officers. In other words it is possible that Junior Officers differed with the Senior Leaders in terms of data/details exposure, requiring the Junior Officers to pay more particular attention to the different aspects of the organization at the field or at the ground level. Other items such as Measurement, Analysis and Knowledge Management, Item 4, could be interpreted as part of the functions of Junior Leadership and Junior Officers were more conscious of the procedures involved in handling voluminous data and information which needed sorting and which may require immediate and appropriate response. In Question 26, under the sub-category, Information and Knowledge Management, for example, in dealing with hardware and software reliability, we can expect that senior leadership not to be doing the actual testing of new software or hardware for that matter. It would thus be more the function of Junior Officers to test such new innovations. Due to the difference in focus and priorities between the Others Group and the Leaders Group as suggested by their diverging trend in the correlation test outcome, further tests had to be conducted to enable deeper probe into why such results occurred. How come?

The United Nations Global Compact platform Essay Example for Free

The United Nations Global Compact platform Essay The United Nations Global Compact platform has ten principles of which three are environmental principles. This submission describes lessons learnt from businesses practices by Honda Motors, Hitachi, and Mitsubishi companies that can be used to achieve compliance of two of the environmental principles. The two principles are (a) promoting greater environmental responsibility, which the eighth principle and (b) development and diffusion of environmentally friendly technologies, which is the ninth principle (UN Global Compact and Duke University, 2010; 11). Promoting Greater Environmental Responsibility This principle intends to help companies to adhere to a more environmental consciousness. Despite Honda not being a member of the of the United Nations Global Compact initiative, it has established different platforms within the company to ensure that it is promoting greater environmental responsibility. It does this through its Honda’s Global Compact Platform and Earth Dreams Technology (Honda, 2014a). The company has established environmental e-learning campaigns aimed at educating the public about different ways of preserving the environment. Likewise, Hitachi has established environmental management strategies and initiatives that are aimed at improving its environmental impact. In addition, the company is involved in ecosystem preservation initiatives aimed at educating the public about the different ways of preserving the environment. It also encourages customers to buy products that are manufactured using eco-friendly procedures. An analysis of Mitsubishi Company reveals that the company promotes greater environmental responsibility by investing in eco-friendly designs and processes. In addition, just like Honda and Hitachi, it offers information about preservation of the environment to the public (Mitsubishi 2014). Development and Diffusion of Environmentally Friendly Technologies Honda Motors Ltd is at the forefront in developing new technologies that seek to ensure environmental preservation. It has development motor vehicle engines that consume less fuel through its hybrid technology. Further, the company has produced such cars as Honda Jazz which is efficient and environmental friendly. The company has also produced hybrid engines that use electricity as well as gasoline hence reducing gasoline consumption (Honda, 2014a). Hitachi is also developing efficient engines and cars. However in addition to such efforts, the company as a UN Global Compact member ensures that environmentally friendly policies are kept within the company. It has numerous products that are environmentally friendly and it ensures that where it cannot reduce environmental pollution, it does so through other corporate social responsibility events such as planting trees and providing clean water to society. Mitsubishi ensures the development and diffusion of environmentally friendly technologies through the manufacture of such products that preserve the environment. Further, it is involved in construction of more efficient aero engines as a way of reducing pollution to the environment caused by aeroplanes. Positive Lessons Learnt From Businesses Practices Honda uses the Global Compact Platform despite its non-member status in the UN Global Compact initiatives. This shows that any company, regardless, of its membership in the UN Global Compact can participate and ensure the adoption of Global Compact principles. Honda’s success in motor vehicle industry shows that it is possible for a company to be profitable through the use of environmentally friendly strategies in manufacturing and distribution of products. In addition, Honda markets its Honda Jazz series as the best environmentally friendly SUV cars in the market. Mitsubishi and Hitachi also use the UN Global Compact strategies to ensure that all its products and company processes adhere to the principles. Unlike Honda, these companies do not use platforms such as â€Å"Global Compact Platform† used by Honda. Negative Lessons Learnt From Businesses Practices Mitsubishi and Hitachi as members of United Nations Global Compact ensure that they embed, balance, diffuse, and translate the two environmental stewardship principles in their company. The companies have ensured that they provide communication of their procedures and new technologies to the public and Global compact platform as a commitment to the two principles. Unlike Honda, these two companies are accountable to an outside entity. Another lesson from Mitsubishi and Hitachi is that they have worked and invested in developing decision-making strategies that enforce the two principles. Through their development of energy efficient products and services and the commitment to events and CSR programs that are aimed at educating the public about eco-friendly practices, the two companies are able to enhance environmental responsibility and development and diffusion of environmentally friendly technologies. Further, Mitsubishi can track their success through the laid out procedure in the environmental stewardship strategy developed by UN Global Compact and Duke University (2010). The strategy ensures that there is accountability and it is result oriented unlike Honda which is not accountable to the UN Global Compact. Business Practice Recommendations Since companies joining the UNGC platform wish to benefit from their association and compliance with the principles, it is important that such benefits are protected. In order to encourage compliance, it must be made difficult and expensive to get accreditations of eco-friendliness from other institutions. As such, the UNGC should liaise with other institutions to ensure compliance of the two principles. The companies seeking such recognition must show investments and commitment to environmental friendly procedure and processes. This will prevent companies from seeking recognitions from institutions with lesser strict requirements hence allowing companies that have genuinely investment and committed to environment to be recognized and benefit from such recognition. The following can be done to ensure that business practices conform to the two principles Principle 8: Promoting Greater Environmental Responsibility To enhance compliance with the eighth UN Global Compact principle, it is important for the companies to ensure that they have decision-making strategies that ensure compliance. This helps in assessing the level of compliance within a company. By having membership in the UN Global Compact, companies can remain committed to the principle unlike those that try to enhance compliance without being members of the Global Compact. This ensures accountability as well as encouraging self-assessment. Principle 9: Development and Diffusion of Environmentally Friendly Technologies Companies that comply with the ninth principle should ensure that throughout their supply chain, manufacturing and distribution processes, environmentally friendly technologies are used. This can be ensured by following the environmental stewardship strategies proposed by UN Global Compact and Duke University (2010). Secondly, compliance can be enhanced through benefits such as publicity for technology that is eco-friendly. The UN Global Compact should establish and award that recognizes efforts done by companies. Challenges and Implications to Shareholders The UN Global Compact fraternity will be required to limit the use of phrases such as Global Compact, which may be a difficult process. Further, the UN Global Compact will be required to partner with numerous institutions that give accreditations. The companies involved will also be affected. For instances, companies will now be required to show their commitment to UNGC before getting accreditation from other institutions. Thirdly, customers and the public may find it hard to get information about eco-friendly companies and technologies if UN Global Compact does not provide information of legitimate technologies. References UN Global Compact and Duke University, (2010). Environmental Stewardship Strategy: Overview and Resource for Corporate Leaders. Retrieved from https://www.unglobalcompact.org/docs/issues_doc/Environment/Environmental_Stewardship_Strategy.pdfHonda, (2014a). News Releases 2014: Paris Motor Show 2014. Retrieved from http://world.honda.com/news/2014/4141002Paris-Motor-Show/Honda, (2014b). Key Indicators of Honda’s Environmental Performance. Retrieved from http://world.honda.com/environment/report/act_val/indicator/Hitachi, (2014a). Sustainability report 2014: Environmental Report. Retrieved from http://www.hitachi.com/environment/activities/index.html Hitachi, (2014b). Hitachi Recognized as World Leader for Corporate Action on Climate Change. Retrieved from http://www.hitachi.com/environment/newsr/2014/1028.htmlMitsubishi (2014). Progress Towards Sustainable Society. Retrieved from http://www.mhi-global.com/company/csr/policy/releaseandrecognition/sustainable-society.html Source document

Difference between Transactional and Transformational Leader

Difference between Transactional and Transformational Leader Compare and contrast between Transactional Leadership and Transformational Leadership. What are the significant differences between the two leadership models? Give relevant examples. 1.0 What is Leadership? Leadership  has been described as the process of social influence in which one person can enlist or procure the aid and support of others in the accomplishment of a common task. It is the way of organizing a group of people for the purpose of achieving a common goal. A leader is the person to who is capable of guiding, inspiring and associating others with the dream goal. In addition, there are various types of leadership models which include transactional leadership, transformational leadership, and charismatic leadership and so on. In this contest, transactional leadership and transformational leadership will be compared and contrasted. 2.0 Description Transactional Leadership Transactional leadership  is a term used to classify a formally known group  leadership  theories that inquire the interactions between leaders and followers. A transactional leader focuses more on a series of transactions. This person is interested in looking out for oneself, having exchange benefits with their subordinates and clarifies a sense of duty with rewards and punishments to reach goals. The transactional leadership style developed by Bass is based on the hypothesis that followers are motivated through a system of rewards and punishment.   The transactional leaders view of the leader / follower relationship is one of quid pro quo or this for that.   If the follower does something good, then they will be rewarded.   If the follower does something wrong, then they will be punished. Transformational Leadership Transformational  leadership  is defined as a leadership approach that causes change in individuals and social systems. In its ideal form, it creates valuable and positive change in the followers with the end goal of developing followers into leaders. Enacted in its authentic form, transformational leadership enhances the motivation, morale and performance of his followers through a variety of mechanisms. These include connecting the followers sense of identity and self to the mission and the collective identity of the organization; being a role model for followers that inspires them; challenging followers to take greater ownership for their work, and understanding the strengths and weaknesses of followers, so the leader can align followers with tasks that optimize their performance. The theory behind  transformational leaders, on the other hand is based, on the hypothesis that leaders can exploit a need of the follower.   These particular needs are not based on quid pro quo transactions, but higher order needs.   These needs are those of the total person, and are closely aligned with the internal  motivational factors  of the follower. So at one end of the spectrum we have transactional leaders that are making many deals with those being led.   On the other end of the spectrum, we have transformational leaders, which are looking to satisfy a greater need of an individual. 3.0 Mission Transactional Leader: approaches followers with an eye to exchanging one thing for another Burns pursues a cost benefit, economic exchange to met subordinates current material and psychic needs in return for contracted services rendered by the subordinate . Bass Here, transformational leaders make exchange of work with their followers for benefit or rewards. Followers are motivated with the rewards being given. Transformational Leader: recognizes and exploits an existing need or demand of a potential follower (and) looks for potential motives in followers, seeks to satisfy higher needs, and engages the full person of the follower Burns The leader who recognizes the transactional needs in potential followers but tends to go further, seeking to arouse and satisfy higher needs, to engage the full person of the follower to a higher level of need according to Maslows hierarchy of needs Bass Here, transformational leaders tend to focus on the move to change the followers and the organization. In addition, as explained by Bass, the transactional leaders focus on the organizational work within the organizational culture as the way it exists; on the other hand, the transformational leaders try to bring changes to the organizational culture. 4.0 Personal characteristics Transactional Directive Dominating Action-Oriented Transformational Self Confident Assertive Seizes Opportunities Tolerates Risk Uses Systems Thinking 5.0 Characteristics of Transactional leaders 1.  Contingent rewards:   Transactional leaders link the goal to rewards, clarify expectations, provide necessary resources, set mutually agreed upon goals, and provide various kinds of rewards for successful performance. They set SMART (specific, measurable, attainable, realistic, and timely) goals for their subordinates. These leaders work on some aspects which include; Exchange of rewards for effort contracted. Rewards for achieving goals promised. Accomplishments recognized. Clear goals and recognition once they are reached is held to result in individuals and groups achieving expected levels of performance. 2.  Ãƒâ€šÃ‚  Management by exception (active): Transactional leaders actively monitor the work of their subordinates, watch for deviations from rules and standards and taking corrective action to prevent mistakes. These personalities also include; Standards specified by leader. Deviations are searched from the rules and standards. Corrective action taken quickly if necessary. May involve follower punishment. 3.  Ãƒâ€šÃ‚  Management by exception (passive): Transactional leaders intervene only when standards are not met or when the performance is not as per the expectations. They may even use punishment as a response to unacceptable performance. These leaders have some uniqueness which include; Leader awaits emergence of problems before acting. Intervenes only if standards are not met. 4.  Ãƒâ€šÃ‚  Passive-avoidant/Laissez-faire: The leader provides an environment where the subordinates get many opportunities to make decisions. The leader himself abdicates responsibilities and avoids making decisions and therefore the group often lacks direction. This can also be explained as; Agreements are not specified; there are no expectations set; and goals and standards are avoided. 6. 0 Characteristics of Transformational Leadership 1. Charisma or idealized influence The degree to which the leader behaves in admirable ways that cause followers to identify with the leader. Charismatic leaders display convictions, take stands and appeal to followers on an emotional level. This is about the leader having a clear set of values and demonstrating them in every action, providing a role model for their followers. 2. Inspirational  motivation The degree to which the leader articulates a vision that is appealing and inspiring to followers. Leaders with inspirational motivation challenge followers with high standards, communicate optimism about future goals, and provide meaning for the task at hand. Followers need to have a strong sense of purpose if they are to be motivated to act. Purpose and meaning provide the energy that drives a group forward. It is also important that this visionary aspect of leadership be supported by  skills that allow the leader to articulate his or her vision with precision and power in a compelling and persuasive way. 3. Intellectual stimulation The degree to which the leader challenges assumptions, takes risks and solicits followers ideas. Leaders with this trait stimulate and encourage  creativity  in their followers. 4. Individualized consideration or individualized attention The degree to which the leader attends to each followers needs, acts as a mentor or coach to the follower and listens to the followers concerns and needs. This also encompasses the need to respect and celebrate the individual contribution that each follower can make to the team (it is the diversity of the team that gives it its true strength). Transformational Leaders Motivating for performance beyond expectations. Inspiring for missions beyond self interest. Instilling confidence to achieve performance.Transformational leadership goes beyond transactional leadership. Transactional Leaders Motivating for performance at expected levels. Initiating structure to clarify the task and roles. Stressing the link between reward and goal achievement. Uses agreed upon performance to motivate. Performance beyond expectations 7.0 Assumptions Transformational leaders People get inspired by a person then they will follow that person. Great things can be achieved by person with vision and passion. Things are gotten done by the way they are injected with enthusiasm and energy. Transactional Leaders Followers/Employees are motivated by reward and punishment. Orders are given by the superiors, and the subordinates have to obey the orders. These subordinates are not self-motivated rather they need to be intimately monitored and controlled in order to get the work done from them. 8.0 Differences Transitional leaders Transactional leaders are aware of the link between the effort and reward Transactional leadership is responsive and its basic orientation is dealing with present issues Transactional leaders rely on standard forms of inducement, reward, punishment and sanction to control followers Transactional leaders motivate followers by setting goals and promising rewards for desired performance Transactional leadership depends on the leaders power to reinforce subordinates for their successful completion of the bargain. Transformational leaders Transformational leaders arouse emotions in their followers which motivates them to act beyond the framework of what may be described as exchange relations Transformational leadership is proactive and forms new expectations in followers Transformational leaders are distinguished by their capacity to inspire and provide individualized consideration, intellectual stimulation and idealized influence to their followers Transformational leaders create learning opportunities for their followers and stimulate followers to solve problems Transformational leaders possess good visioning, rhetorical and management skills, to develop strong emotional bonds with followers Transformational leaders motivate followers to work for goals that go beyond self-interest. In addition, the below table will give a detailed contrast of the differences between Transactional leadership and transformational leadership. Transactional Leadership Leadership of the status quo. Effective in stable organizations and contexts. More likely to be observed in a well-ordered society. Focuses on social and economic exchanges between leaders and followers, using contingent rewards and administrative actions to reinforce positive and reform negative behaviors. Leader-follower relationship sees each exchange needs and services to satisfy their independent objectives. Follower response based on compliance. Supervision likely to be important. Leadership act takes place but leaders and followers not bound together in mutual pursuit of higher purpose. Founded on peoples need to make a living by completing tasks. Focuses on situational authority, politics and perks. Involves values, but typically those required for successful exchange relationships (for example, reciprocity, and integrity).   Emphasis on day-to-day affairs, business needs short-term goals and quantitative information. Leader-follower relationship may be established quickly. A relatively impersonal relationship maintained only as long as benefits outweigh costs.   Tends to be transitory. Once a transaction is completed, relationship may need to be redefined. Emphasizes tactical issues. Typically involves working within current systems.   Supports structures and systems that emphasize outcomes. Follower counseling focuses on evaluation. Atomistic worldview and moral altruistic motives based on teleological perspective (that is to say, based on consequences). Motivates followers by appealing to their own self-interest (for example, pay, and promotion).   Based on directive power acts. Transformational Leadership Leadership of change (within leaders, followers and organizations). Important in times of distress and rapid and destabilizing change. Focuses on organizational objectives and organizational change by disseminating new values and seeking alternatives to existing arrangements. Leader-follower relationship sees purposes of both become fused, leading to unity and shared purpose. Attempts to raise follower needs (following Maslows hierarchy) to higher levels (for example, self-esteem) and to develop followers into leaders. Based on interaction and influence. Follower response based on commitment. Supervision may be minimal. Leaders and followers raise one another to higher levels of motivation and morality. Founded on peoples need for meaning. Focuses on personal power, values, morals and ethics. May be demonstrated by anyone in an organization in any type of position. Transcends daily affairs, concentrating on long-term issues. May take time for leader-follower bonds to develop. A personal relationship that may persist when costs outweigh benefits. Tends to be enduring. Emphasizes missions and strategies for achieving them. May involve redesigning of jobs to make them more meaningful and challenging. Emphasizes realization of human potential. Aligns structures and systems to overarching values and goals. Follower counseling focuses on personal development. Organic worldview and moral altruistic motives based on deontological perspective (that is to say, based on promises). In addition to the above table, their differences can also be categorized as the following; Basis Servant or steward Leadership Transformational leaders have idealized vision. They are likable and honorable hero that worth imitating and identifying. They lead to promote change in the environment. On the other hand, Transactional leaders have the basis of exchange process. They work on mutual need satisfying, giving rewards for job performance. They lead to promote stability in the workplace. Leadership development Transformational leaders tend to have more power. They empower and energize their followers excel. They re-engineer their followers. On the other hand, Transactional leaders design structures, control and reward system in their workplace to improve effectiveness and efficiency. Lead by example Transformational leaders are charismatic. They handle and meet individuals needs. As well, they upgrade the level of the needs. On the other hand, Transactional leaders possess different types of leadership style, using the right style at the necessary time. Proactive change agent Transformational leaders make an effort to inspire their followers to help them change and transcend their selves for greater purposes. On the other hand, Transactional leaders reward their followers in terms of their performance. They are reactive to change at instances. Vision creator propagandist Transformational leaders make effort to create a vision of desired future state. They communicate pain of change that worth the effort. On the other hand, Transactional leaders focus on company goals and objectives. They make sure the needed goals are achieved. 9.0 Examples Transactional Leadership In this kind of leadership, a clear chain of command is established. The leader motivates his subordinates by presenting them rewards and punishments. All requirements for a subordinate are clearly stated with corresponding rewards. If they fail to satisfy those requirements, they will receive a corresponding punishment. A couple of famous examples of transactional leaders are Joseph McCarthy and Charles de Gaulle. Transformational Leadership Transformational leaders  lead by motivating by their followers. Leaders appeal to their followers ideals and morals to motivate them in accomplishing their tasks. Basically, these kinds of leaders empower their followers using their own beliefs and personal strengths. Simply put, they inspire their followers. Famous transformational leaders include Martin Luther King Jr. and Walt Disney. 10.0 Conclusion Finally, the transactional style of leadership is viewed as insufficient, but not bad, in developing the maximum leadership potential. It forms as the basis for more mature interactions but care should be taken by leaders not to practice it exclusively, otherwise it will lead to the creation of an environment permeated by position, power, perks, and politics. On the other hand, transformational Leadership by definition, seek to transform. When the organization does not need transforming and people are happy as they are, then such a leader will be frustrated. Like wartime leaders, however, given the right situation they come into their own and can be personally responsible for saving entire companies.

Female Characters in The Ivory Swing and The Tiger in theTiger Pit Essa

Female Characters in The Ivory Swing and The Tiger in theTiger Pit      Ã‚  Ã‚  Ã‚   With " beautifully executed images", Janette Turner Hospital creates four vivid female character in her two novels.   The four characters are Juliet and Yashoda in The Ivory Swing and Elizabeth and Emily in The Tiger in theTiger Pit .   Each of the above is invested by Turner Hospital with a deep consciousness.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   In the view of Janette Turner Hospital, women are immensely uncertain.   They are never sure of what they want. However, when it comes to dealing with external conflicts, they are very strong-willed.   On the other hand, she also indicates that maternal love is strong.   Women have passionate beliefs in the importance   of the family.   As the stories follow, these feminine personalities are gradually proved.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Before leaving for India, Juliet had a hard time deciding whether to stay with her professor husband, David, or move to Montreal to stay with her former lover Jeremy. Uncertain as usual, all Juliet wants is to " maintain the balancing act."  Ã‚   She could never summon up the courage to face new circumstances.   Her mind is never firm enough to challenge the present state.   So she makes her choice in the order of morality.   She stays with her husband and leaves for India with him.   It is more likely that the fate designated Juliet's future.   She is married to Dave on her own accord. Therefore, she does what a good wife is supposed to do.      Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   1. Reviewed in : Booklist v.79 p.994 Apr 1, 1983   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   2. " The Ivory Swing " p.18      Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   In Kerala, where David is on sabbatical to study primitive Indian culture, the couple encounter... ...hat the situations are, women would suffer to protect their children.   Maternal love is always shown in the first place.   On top of the above, Tuner Hospital also implies that women have passionate belief in family.   Both of the two books The Ivory Swing and The Tiger in the Tiger Pit are written sensitively.   Yet the latter is not as successful as the former one.   " 50th wedding anniversaries and family reunions of any kind ought to be left to the manufacturers of greeting cards."      Ã‚  Ã‚  Ã‚  Ã‚   12. " Life with Father " by Judith Fitzgerald   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Reviewed in : Books in Canada v.12 p.33 Nov 1983    BIBLIOGRAPHY : HOSPITAL, JANETTE TURNER,THE TIGER IN THE TIGER PIT.   TORONTO, McCLELLAND & STEWART LTD. : 1987. HOSPITAL, JANETTE TURNER,THE IVORY SWING.   TORONTO, McCLELLAND & STEWART LTD. : 1982.   

Ethanol Fuel :: Energy Vehicle Automobile E85

Missing Figures Ethanol Abstract: As of now we drive cars almost everywhere from home to the local store or different states. According to www.wikipedia.com there is â€Å"an estimated 243,023,485 registered passenger vehicles in the United States according to a 2004 DOT study!† 1That is a lot of cars. In a year the US alone consumes around 146 billion gallons of gasoline that is a huge amount. 2 According to figure 1 about 86% of all world energy comes from oil, gasoline, and coal; this leaves a tiny 14% to be divided among the other natural resources we could harness. Of that 14% of natural resources 9% are where ethanol falls and of that 9% only 12% is from biofuel. This means almost less than 0.3% of all our natural resources come from ethanol. Ethanol is already used in car gasoline as mixture, which most cars use and it is about 10% ethanol giving the name E10.3 This is helping us conserver our oil, gas, and coal resources so if we can further study in that field we will have a better future. 3 Introduction: One of the most common sources ethanol is made from is corn. Some other sources come from â€Å"sugar cane, bagasse, miscanthus, sugar beet, sorghum, grain sorghum, switchgrass, barley, hemp, kenaf, potatoes, sweet potatoes, cassava, sunflower, fruit, molasses, corn, stover, grain, wheat, straw, cotton†3 (http://en.wikipedia.org/wiki/Ethanol_fuel) Ethanol is noticed in chemistry by an oxygen and a hydrogen bonded to almost anything (example show in figure 3). Ethanol is colorless and flammable as well as being the alcohol in alcoholic drinks.4 Ethanol can be produced as a petrochemical, a chemical product from raw materials of petroleum, by hydrating ethylene, double bonded C2H4. 4, 5, 6 The other way ethanol can be created is biologically by fermenting, an energy production processes requiring no oxygen, sugars with yeast.7 Ethanol 4 Ethanol is made up of easy to obtain resources, corn, and it is easy to make; this is showing that gasoline will be competition in the future.3 Currently in Brazil ethanol provides 18% of he country’s automobile fuel from just sugar cane. 3 About 99% of US produced ethanol is used to create E10, which is a mixture of gasoline and ethanol. In short ethanol can possibly play a more important role in the automobile industry. Advantages and Disadvantages: In figure 4 you can compare both the combustion of gasoline and ethanol gasoline consumes more oxygen and releases more carbon dioxide than ethanol. Ethanol Fuel :: Energy Vehicle Automobile E85 Missing Figures Ethanol Abstract: As of now we drive cars almost everywhere from home to the local store or different states. According to www.wikipedia.com there is â€Å"an estimated 243,023,485 registered passenger vehicles in the United States according to a 2004 DOT study!† 1That is a lot of cars. In a year the US alone consumes around 146 billion gallons of gasoline that is a huge amount. 2 According to figure 1 about 86% of all world energy comes from oil, gasoline, and coal; this leaves a tiny 14% to be divided among the other natural resources we could harness. Of that 14% of natural resources 9% are where ethanol falls and of that 9% only 12% is from biofuel. This means almost less than 0.3% of all our natural resources come from ethanol. Ethanol is already used in car gasoline as mixture, which most cars use and it is about 10% ethanol giving the name E10.3 This is helping us conserver our oil, gas, and coal resources so if we can further study in that field we will have a better future. 3 Introduction: One of the most common sources ethanol is made from is corn. Some other sources come from â€Å"sugar cane, bagasse, miscanthus, sugar beet, sorghum, grain sorghum, switchgrass, barley, hemp, kenaf, potatoes, sweet potatoes, cassava, sunflower, fruit, molasses, corn, stover, grain, wheat, straw, cotton†3 (http://en.wikipedia.org/wiki/Ethanol_fuel) Ethanol is noticed in chemistry by an oxygen and a hydrogen bonded to almost anything (example show in figure 3). Ethanol is colorless and flammable as well as being the alcohol in alcoholic drinks.4 Ethanol can be produced as a petrochemical, a chemical product from raw materials of petroleum, by hydrating ethylene, double bonded C2H4. 4, 5, 6 The other way ethanol can be created is biologically by fermenting, an energy production processes requiring no oxygen, sugars with yeast.7 Ethanol 4 Ethanol is made up of easy to obtain resources, corn, and it is easy to make; this is showing that gasoline will be competition in the future.3 Currently in Brazil ethanol provides 18% of he country’s automobile fuel from just sugar cane. 3 About 99% of US produced ethanol is used to create E10, which is a mixture of gasoline and ethanol. In short ethanol can possibly play a more important role in the automobile industry. Advantages and Disadvantages: In figure 4 you can compare both the combustion of gasoline and ethanol gasoline consumes more oxygen and releases more carbon dioxide than ethanol.

Moby Dick :: essays research papers

Moby Dick is an extremely long novel written by Herman Melville. This book is an epic tale of a crazed sea captain hunting the whale that bit off his leg told through the eyes of a school teacher. As the story begins Ishmael is at the local boating dock looking for work. Ishmael being a school teacher has allot of time off as of the moment because the school is at recess, for what reason i don't know. He is in a tavern talking amongst the whalers. He asks if they know of any ships on witch he could board as a hand for the captain. One of the stories he receives is of a man named Ahab. He is offering good pay and good work for any man who wants to join him on his ship. the only problem is that people say that he is a rather evil man. Ishmael shes one of the ships hands and boards for a trip witch he will never forget. The ship sets sail and every thing seems to be going smoothly. Everything except one tiny detail, Ishmael hasn't seen the captain Ahab. He knows hes there because he has heard men talking to him, but Ishmael has yet to see him. When Ishmael finally dose see captain Ahab he is shocked. The man is a very evil looking person. Ishmael can see the fire in his eyes. He is shocked by the pure hatred of witch Ishmael speaks of Moby Dick, the whale who took his leg. Because Ahab comes off as such an evil man Ishmael doesn't want to become any sort of a friend of him. He develops a slight dislikement of him and begins to call him Stubb when he isn't around. As the story goes on it describes in very good detail what happens on their whaling trip. I don't know if this is a normal whaling trip or not because i don't do much whaling myself. Ishmael describes in great detail all actions taking place on the ship that he sees. Until one day. One day as this ship is sailing along a whale is spotted. It isn't just any whale though, it is Moby Dick. Ahab becomes what seems to be almost possessed. He is so enraged with the whale that he orders everything to be stopped and every man is to concentrate on killing the whale. He has every man loaded in to the whaling boats and he begins his chase. He shouts at his men, and screams at the whale. He curses it as if it were from hell.

Nature of Poverty Essay

The nature of poverty can be described in many ways. The obvious way to explain poverty is the lack of income. However, in the deeper meaning, poverty also includes those who lack of security, healthcare, power, and other basic necessities. Poverty can be categorised in terms of absolute poverty and relative poverty. Absolute poverty is household based measure by income per year under a statistic developed by government which will aid those who are poor by giving them money depending on the number of members in the family on a yearly basis. While, relative poverty focus on people’s living with no statistic. For instance, if a family has 10 members but they have only 3 cars, they can be regarded as poor. Nevertheless, there are three common methods that use to measure the level of poverty. The first method defines poverty as a lack of income, which can be measured by World Bank. The absolute poverty for this case is a cut up point above or below the certain amount of income. Yet, this method has a major drawback. Since it focuses solely on income and ignoring other important factors such as social well-being or the general welfare of people, this method fails to provide the whole aspect of poverty. Secondly, UNDP measures poverty in terms of the lack of capability. It is known as Human Poverty Index that indicates the standard of living of the people in the country, which are life expectancy, life satisfaction, and footprint. This method provide not only deeper but also broader ways of measuring and assessing poverty. It looks pass the income factor and takes into consideration the non-monetary aspects, which generate the more well-rounded information and results. However, there are some critics that this method cannot truly measure the level of the poor since statistics and numerals are unable to measure people’s feelings. It is said that we cannot know how others feel unless we walk in their shoes, therefore, in order to get the accurate result, living with the poor is required. Lastly, poverty as a social exclusion is mentioned by Robert Chambers about the nature of poverty. Chambers introduces the bottom-up theory, which suggests that people should actually work with the rural poor who lack of power to speak out, security, and live with fears. Therefore, the approach is carried out to get an in depth understanding of what are the real meanings of poverty by associating directly with the poor. By this view, Chambers tends to provide qualitative method while other methods are quantitative based. Although this method  provides useful information of the poor, there are few flaws to be considered. Because the outcome is mainly based on qualitative methods such as verbal communication, there is a high tendency that the outcome will be bias. Moreover, snapshot may occur. For example, the interview conducted during the harvest season might get a better result than the actual reality. Therefore, the long-term picture should be taking into account in order for the outcome to be more anthological and longitudinal. Another problem is that people may not be honest, which is called courtesy bias. This way people will only answer what the researchers want to hear and leave the truth out. Thus, sometimes researchers may ask them to draw the picture of their life, which turns out to be a better way to get the real answer. Chambers talks more about vulnerability and isolation of people. For example, the poor cannot transport to sell the goods. In conclusion, there are several ways to measure the level of poverty. Three most common methods are the lack of income, HPI by UNDP (lack of capability) and social exclusion by Robert Chambers. Each method uses different viable and factors to indicate the level of poverty, all have their own advantages and criticisms. Therefore, each one is suitable and appropriate in different situations and purposes. However, in my opinion, even though, the lack of income method might be easier to measure and assess, the social exclusion theory by Robert Chambers could provide the real well-being of people since it includes the important of non-monetary factors that are crucial for the welfare of people.