Monday, September 30, 2019

K217 Ena

K217 EMA Report Gary Table of Contents Page 1. Table of Contents Page 2. Introduction Page 3. Context Page 4. Discussion Page 8. Conclusions and Recommendations Page 9. References Introduction This is a report on Gary a 52 year old male service user who lives within the county of Conway. Due to a serious car accident some time ago he has lost the use of both his legs and he does not work and relies on disability benefits for his income, Gary lives alone and has some care provided by his daughter and the rest by a support worker.This report has been commissioned by Gary with the help of his support worker as he is interested in taking up some retraining so he can move towards getting back into the job market and becoming more independent. His daughter and son in law are apposed to the idea as they think Gary is getting on in years and she would not be able to attend the address to get Gary ready for work before 9. 30 am as she needs to get her children to school.His daughter also has reservations about the Gary's ex-work colleague as he has a reputation of being quite demanding of his employees and pays only a basic wage. In this report we are going to look into all the options that are open to Gary as in regard to him getting extra care so that he is able to push towards his goal of retraining for work. The key issues that we need to address as regard to Gary are can we get him the extra care that would make him more independent and give him the mobility to let him attend further education and training to put him back in the work place.This report is being compiled for Social Workers that are based within the Adult Social Services within Conwy County Council. Context With Gary's situation a number of significant events have happened which have led to his current situation, he lost the use of his legs sometime ago and lives alone after getting divorced some 15 years ago. Gary is suffering from depression and is taking medication for this, his daughter and son-in -law are relied on for most of his care and a support worker attends each day to give him a bath.Since the onset of his depression Gary has withdrawn from doing the activities that he used to enjoy and he is very much cutting himself off from the world. He enjoyed used to enjoy using his personal computer to research local and family history. The root of Gary's problem I believe is that he has become depressed due to his isolation from the real world and with his current lack of care and mobility he is almost ‘stuck in a rut' and needs to be removed from this situation and given more self worth.Gary needs a more active place in society and the more help that he can be given the more he will feel like he has a purpose in society, his family have reservations about the course of action that Gary wishes to pursue due to their limitations as regard to the time of day that his daughter can attend to get him ready and also the reputation of the old work friend that is offering him f uture employment.Adult Social Services have a number of goals for people who are disabled they include Maintaining independence, opportunities to contribute to the community, feeling valued, access to social contact and community, keeping active and alert (http://www. york. ac. uk/inst/spru/pubs/pdf/newvision. pdf) all these apply to Gary and Adult Social services need to move forward with Gary to give him a greater quality of life and move him towards the goals hat he wish to obtain there are a number of options that are available to them. There are a number of perspectives that could be considered when looking at the situation of Gary, we can look at through the eyes of the Social Model of Disability (K217 Book2), Sigma (Goffman 1968) , empowerment (K217 Book 3). When looking at Gary's situation I am applying the Social Model of disability which was created by disabled people themselves.This was primarily created as a result of the response that society has given to disabled peopl e and also a reflection of the experience that disabled people have come across in the health and welfare system which as given them a feeling of being socially isolated and oppressed. The second perspective that I am going to apply to this report is empowerment, this gives the service user greater control of the services that they receive, being involved in the planning of services and developing good practice. (Barnes and Bowl, 2001) DiscussionIn the case study that this report is based upon Gary has been in a serious car accident that has deprived him of the use of his legs and this now means that he can only get around with the use of a wheelchair. This situation has had a knock on effect of him have a low sense of self-worth and a lack of pride in his situation, he suffers from depression and is taking medication for this. Radar (the disability network) and Depression Alliance commissioned a report (http://www. depressionalliance. org/PDF/depression-disability-and-employment-re port. df) that looked into depression as a disability and how we can improve the way we look at depression and the changes we can make to help reduce job, long term economic inactivity and isolation. Of the 566 people who answered 95% were living with depression and a quarter (148) people had a long term physical health condition. 77% of the people reported that they had not received any support with employment. Gary is living with a type of disability which is difficult, most disabled people are not depressed and do not stay depressed.The prevalence of depression among disabled adults is twice that of healthy older adults (Beekman AT, 2002), the relationship between depression and disability is a two way street with depression there being a link between physical disabilities and depressive symptoms in older adults (Gill TM,Kurland B 2003). There is clear evidence that Gary has on the onset of depression that can be linked to the impact of the loss of his legs in his car accident an d with him now socially isolated and without employment these have now added to the problems over a period of time.In a report by Tania Burchardt called †Enduring economic exclusion' Disabled people,income and work' the study found out that disabled people now make up a large and growing proportion of people who are of working age, it now stands between 12 and 16% (Enduring economic exclusion Page. 4) One telling statistic is the problems that disabled people have getting work, and that one third of those disabled people who find employment are out of work once again the following year.In the report by Tania Burchardt the income statistics show that half of all disabled people have incomes below the general population indicator of poverty after it was factored in about the additional cost that disabled people incur due to their health. Gary wants to gain access to retraining so he can move towards gaining employment once again after he becomes qualified in the sector that he w ishes, to do this he is going to need some extra help from the local Conway Council to get to his goals.Conway Adult Social Services have a number of options that they promote that may be of assistance to Gary, they already give him care to help him get bathed and his daughter and son-in-law take up the care duties in the morning. Conwy can provide Homecare that can help with a range of things such as help getting up, getting dressed, preparing meals, doing laundry and shopping where appropriate (http://www. conwy. gov. uk/upload/public/attachments/466/Microsoft_Word__CCO_Leaflet_eng. df) . Gary would need to be assessed as to the level of care that he would be entitled to also considered as to the possibility of equipment or adaptions that could be made to the home to help him live more independently and safely in his home. Though Gary is set on this course of action his daughter and son-in-law have reservations about his age and the amount of care that she could give her father du e to her own family commitments.His daughters view point about his age and the fact that any new employer might demand to much from him is really being based on his disability and not solely based on is age (K217, Book 2). There should be no denial of opportunities or restriction of choice based on assumptions that are made due to his disability. Through the social model disability is understood as an unequal relationship within society and there can be no barriers preventing people from gaining equal access to information, education and employment.There are options that perhaps he has not considered and with him feeling socially isolated due to living alone and his lack of contact with the outside world. Conwy Council Adult Social Services promotes day care or opportunities to meet other people and take part in outings and other activities so Gary would be able to haver a much more active life that would could help with the depression he is suffering. (http://www. conwy. gov. uk/up load/public/attachments/466/Microsoft_Word__CCO_Leaflet_eng. pdf) The principles of good practice (http://www. nderstandingindividualneeds. com/page. php? identity=principles) state that you have to give Gary a choice about the way in which he wishes to move forward and also take into consideration his emotional needs. Social development is about gaining relationships with a variety of people and taking part in an ordinary life and currently Gary is unable to obtain these basic rights. Gregory Beattie talks about how a depressed individual has a lack of socialization and social support groups (Beattie, Gregory,S. 2005) Social Causes of Depression) and Gary has a lacking in both these things as he is unable to access them. If Gary was to obtain the extra help that he is going to need to obtain the goals that he has set himself a consultation with both himself and his family is going to be needed as to ascertain as to realistic goals that can be set. There would be a negative impact o n Gary should he set himself unobtainable goals that he then fails to obtain, this would be damaging to the situation.Statistics show that disabled people have a lower overall level of qualifications when compared to that of able bodied people (Employment of disabled people DoEE) 38% of disabled people have no qualifications compared to only 16% of non-disabled people. The report also concluded that of the 2,015 disabled people that were spoken to (26,000 households in total) 64% strongly agreed and 29% agreed that getting a job was important to them so the statistics show that it is important for disabled people to be in employment. 47% of the economically inactive disabled people who see themselves as being able to work would like a paid job.When speaking about Gary's visions of eventually going back into work his daughter has reservations incase he is taken advantage of by his employer and in the report one in six people (16%) who are economically active stated that they have exp erienced unfair treatment or discrimination in the work place. When looking at the overall statistics you can see that 42% report that that they have been discriminated by a potential employer and 41% by an employer, these figures speak volumes and during any assessment they will need to be presented to Gary so that he can see the real picture in the job market for disabled people.The option of Direct Payments is one that should be explored with Gary and when he is assessed for the amount of care that he needs the options should be discussed at length, direct payments have both good and bad points and do not fit everyone. As direct payments will mean Gary being responsible for a number of things it also might be advantageous to also consult with his daughter and son-in-law to see if they would be interested in perhaps helping Gary should he need it.Radar the disability network have produced a fact sheet that the family may find useful (http://www. radar. org. uk/wp-content/uploads/2 011/06/6_directpayments. pdf) , the fact sheet points out how Gary would become and employer and all the responsibility that comes as well as all the paper work he will be required to keep. He will need to consider if he wishes to have the work load of sorting out all the pay, dismissal, redundancy just to name a few of the obligations that he would have to meet as an employer to a personal assistant.The other option open to Gary is to place the care that he requires in the hands of an agency or self employed to take the burden of work away from himself and organise his care around his specific needs. Bringing Gary into the centre of this assessment into his care will empower him to participate (K217 Book 3) Jones and Meleis describe the concept of empowerment as ‘a social process of recognizing, promoting, and enhancing people's abilities to meet their own needs,solve their own problems, and mobilize necessary resources to take control of their own lives (Jones PS, Meleis 199 3).The empowering of Gary will start a process of helping him assert greater control over the factors that affect his health, in the past it was assumed that service users were supposed to be compliant with the directives that were in place from the health care professional's-the biomedical model. In the empowerment model there is a contact between Gary and the provider who take a joint responsibility in terms of agreed upon outcomes, people within the health care profession are obliged to respect Gary and assist him in making decisions.Multiple studies have shown that people that are more involved with the decisions about the care that they receive and also the management of the conditions that they live have better outcomes than those who are not involved in the process (Wagner EH,Glasgow RE,Davis C, 2001) (Greenfield S, Kaplan SH,Ware JE Jr, 1988). Conclusions and Recommendations In this report we have been looking at the situation that Gary is currently experiencing, he is a dis abled person who lost the use of his legs in a car accident some years ago and lives alone now after a divorce.He is looking at the possibility of getting some higher education and hopes to move into employment in the information technology sector, it has already been stated that daughter and son-in-law have reservations about this course of action due doubts about the ex-work colleague of Gary's that is offering him employment and the problems that this will present to her care giving situation.The report has looked at the links between depression, disability and joblessness and we have shown that there are links between these elements that are making Gary's life move difficult but also you must take into consideration that fact that Gary is very socially isolated. The report then looked at the option of direct payments and how Gary's care could be changed so he will have more control and power over his care and become the central focal point so he can move towards a more independe nt life and obtaining the goals that he is setting for himself.The report looked at all the pro's and con's on the direct payment system and all the extra paperwork and responsibility that comes with employing someone and how records must be kept and these funds are public money have to be accounted for. My recommendations are the following, Gary should have his care plan reassessed by Conwy County council Adult social services with the remit of looking at the possibility of changing the level of care that Gary currently is getting and exploring the possibility of Direct Payments as an option.There should also be consultation with his daughter and son-in-law (with the relevant permissions) and have them present to discuss any and all options. Please present all options to Gary as regard to becoming a greater part of the community and providing information on the day care that you and provide and any opportunities to meet other people and take part in outings and other activities tha t your local authority provides to people within the county.A list of approved providers in the local area should be presented to Gary and also discuss the various support networks that you have for carers and also the options of homecare that you provide including help with getting up,getting dressed, preparing meals and shopping etc. Gary may need the help from the benefits advice centre as regard to making sure he is getting all that he is entitled to and though outside your remit perhaps access to DLA to help with transportation needs. 2789 References http://www. ork. ac. uk/inst/spru/pubs/pdf/newvision. pdf accessed 31/05/2012 The Open University (2010) K217 Adult health,social care and wellbeing, Book 2, Milton Keynes, The Open University Goffman, E. (1968) Stigma: Notes on the Management of Spoiled Identity, Harmondsworth, Penguin The Open University (2010) K217 Adult health,social care and wellbeing, Book 2, Milton Keynes, The Open University Barnes, M. and Bowl, R. (2001) T aking over the Asylum: Empowerment and Mental Health, Basingstoke, Palgrave.Meager N,Bates P,Dench S,Honey S,Williams M,(1998) Employment of Disabled People:Assessing the Extent of Participation, Research report RR69, Department of Education and Employment. http://www. depressionalliance. org/PDF/depression-disability-and-employment-report. pdf accessed 31/05/2012 Beekman AT, Penninx DJ,Deeg DJ, de Beurs E, Geerling SW, van Tilburg W (2002) The Impact of depression on the well-being,disability and use of service in older adult: a longitudinal perspective, 105:20-27 Department of Psychiatry, Vrije University Amsterdam.Gill TM,Kurland B (2003) The burden of patterns of disability in activities of daily living among the community-living older persons, 58:70-75, Yale University School of Medicine, Department of Internal Medicine,New Haven, Connecticut. http://www. jrf. org. uk/sites/files/jrf/1859353274. pdf (Enduring economic exclusion) accessed 01/06/2012 http://www. conwy. gov. uk/up load/public/attachments/466/Microsoft_Word__CCO_Leaflet_eng. pdf accessed 01/06/2012 http://www. understandingindividualneeds. com/page. php? identity=principles accessed 02/06/2012

Sunday, September 29, 2019

What Is Meant and How Can Government Attempt to Correct It?

What is meant by market failure and how can government attempt to correct it? Market failure occurs when there is no economic efficiency within a market. Whereas government intervention is put in use when a market may not always allocate scarce resources efficiently in a way that achieves the highest total social welfare. Monopolies are one of the main causes of market failure. Monopolies are firms whom have eliminated all, if not, most competitors within that market leaving them with most control within that market.The main reason why monopolies are negative within the economy is because they dictate pricing. After having eliminated most competitors, they then can start to charge whatever price they want for a product as the consumers can’t go elsewhere. As well as having increased the price of a product, they now have caused a limit in choice for the consumer. This is because the consumer can’t go for a cheaper product within that market as the monopoly has gotten rid of competition, thus leaving the consumer with high prices to pay at a limited choice.Another reason is because monopolies only have profit maximisation in mind. Profit maximisation is when a firm determines the price and output level that returns the greatest profit. Although the firm is maximising its profits, monopolies are allocatively inefficient. Monopolies tend to become complacent over time because pricing power, not gains from efficiency or innovation, drive profits. This means that due to the fact that they have stripped consumer surplus and experiencing vast profits, they are simply not allocating resources efficiently simply to do with its size.As a firm gets larger, it is more difficult for managers to be on top of every single thing that occurs within the company. Unnecessary waste could be caused meaning they aren’t allocating the finite resources efficiently, which isn’t beneficial in any economy. Due to a lack of innovation and efficiency, this also c auses allocative inefficiency as they now have to competition to compete on efficiency and new technology, which affects markets in negative manors.Walmart invested over one billion dollars to lose within the first year, by making prices of products incredibly cheaper than its competitors which drove them out of business, then increased prices in order to make back the losses and make huge profits whilst having removed all if not most competition. This is known as predatory pricing and is now very difficult to achieve because the governments noticed what had happened within that market and had to intervene in order to control market share within markets.Governments have now set a limit of 25% market share so that monopolistic behaviour doesn’t occur within a market, thus allowing other smaller business to compete or even simply enter for new businesses to enter. This is beneficial because firms will now have to compete on efficiency and innovation, so the push of new technolo gy through research and development creates a higher efficiency within a market as firms will now try to keep costs low instead of taking consumer surplus like monopolies. Inequality plays a large factor within causing market failure.This is because differences in wealth and income of different groups lead to a wider gap in living standards between households. Thus the division of rich and poor. Society itself may not find too much inequality acceptable. Those who are born into a rich background are more likely to be rich later in life, whereas some who are born into a poor background are a lot more likely to live a life of poverty. This is because those with richer backgrounds will have better education and up bringing thus increasing the chances of success later in life. In a free market, this isn’t the case.It is thought that all individuals have the opportunity to succeed. But, because of misallocation of resources in a free market economy this isn’t always the cas e. The way the government try to tackle this issue and making the gap smaller is normally by imposing a larger tax on the rich and create government programs which transfer this income to the poor. These are normally known as welfare benefits, unemployment benefits, public schools, NHS and some sort of support for economic development in poorer communities where unemployment and poverty is very high.Welfare benefits are very beneficial in spreading income to poorer people as they now have money to spend and inject back into the economy which also stimulates it but also increases their opportunities in life as they can afford things like gym memberships which make for a healthier and fitter labour force. However, nowadays, people have gotten lazy and inherited this life of living on benefits. This isn’t beneficial for the economy in the slightest as they are people who are capable of working and add to the labour force but choose not to as they believe they ive an easier life by given money for free by the tax payer. Public schools are put in place because it gives those with a poorer background a chance to be educated and more possibilities for the future. This increase in possibilities could lead to them from escaping a life of poverty, thus decrease gap between rich and poor. NHS is also one of the best health care systems devised, because it gives the chance for those who cannot afford to pay for doctors and hospital bills if anything were to happen, which leaves the economy with healthier people or simply people who can be treated when ill for free.However, this comes out of the tax payers pocket and seems very unfair for those who pay and never need to use NHS whereas there are some who don’t work and choose to, you can almost say ‘milk it’. Even though some choose to abuse it, NHS has had more positive outputs into the economy as it keeps the labour force treated of any injury or illness making for a more efficient labour force thus preventing market failure. A market may fail due to externalities.Externalities are benefits or costs which come from economic activity and affect someone other than those who are actually engaged in that economic activity and are not taken into account fully in the price we pay. Due to the fact that they aren’t taking into account of the price they are a form of market failure because the amount of the activity carried out, if left to the free market would not be an efficient use of resources.One of the main negative externalities which affects is pollution, for example, a city where manufacturing industries are based would be the cause of the pollution and poor environment as they pollute the air which we breathe, the rivers by dumping chemical waste and kill wild life. If a government weren’t to intervene then these externalities would become so severe that our atmosphere and environment could come to be so polluted that people become ill and die. These people are the labourers of that economy and if work force starts dying out this leads to a loss in production as people would need to be treated.Thus, eventually leading to market failure. One way the government can resolve this is by setting regulations for example, a ban. Another way is by determining whether it’s a negative or positive externality, and if it’s negative, impose a tax, if positive, a subsidy. A tax on negative externality would correct market failure as the cost for it is now being taken into account in the price. Overall, as we can see the government has devised many different forms of policies in order to prevent market failure.Monopolies, inequality and externalities are some of the main reason to explain why market failure occurs, however the government has overcome this. For example, with monopolies, they realise one business having most percentage of market share wasn’t beneficial to the market and consumers as there simply wouldn’t be any competition and an exploitation by that firm so they set a maximum of 25% market share so that there would be fair competition and competing with prices in order to offer the consumer the best possible price and product.

Saturday, September 28, 2019

Wal-Mart Essay Example | Topics and Well Written Essays - 4750 words

Wal-Mart - Essay Example Porter’s generic strategy provides a clear linkage between strategic management and strategic finance. Wal-Mart’s decisions had a clear linkage between strategic management and strategic finance. Even when entering a foreign country, a firm needs to assess which markets to enter, the timing and the scale of entry (Hill, p488).Whether the strategy is to maintain cost leadership or product differentiation, the ultimate strategy is to gain competitive advantage and enhance profitability. Wal-Mart focused on cost leadership and their low-cost model served them well within the US but the same strategy did not help them in their international operations. In the US they had achieved organic growth but when they decided to expand their ventures overseas, they did not look beyond the low-cost model. According to Mintzberg (1987), a strategy must essentially have two characteristics – it is made in advance of the action undertaken and it must be devised purposefully and co nsciously. Wal-Mart did not follow this principle of strategic management.Wal-Mart did none of these and merely tried to replicate the business model that had brought them success in the US. Another important factor when entering another country is the choice of entry mode which must be based on long-term growth and profit potential. There are four different modes of entries - exporting, contracts (licensing) joint ventures (JV) or wholly owned subsidiaries (WOS) and the choice depends upon the level of control required.

Friday, September 27, 2019

A report on the accountability in Shell company in 4 areas of Research Paper

A report on the accountability in Shell company in 4 areas of accountability; describe and explain each of these selected issues and secondly describe how each issue is implemented Shell - Research Paper Example Shareholders are interested in knowing a firm’s financial position and whether it is able to earn adequate revenue so that their returns are maximized. Shareholders provide a business with capital, which is invested in valuable assets and are utilized in different ways. If a company does not utilise the capital effectively, it would fail in generating profits as well as in providing returns to shareholders. Similarly, suppliers are also interested in knowing whether a company is able to utilize the materials supplied by them and whether they are financially sound to make payments on time. Employees do not receive their salaries and wages on time if a company fails in generating adequate revenue. Also, they are affected if the firm pursues acquisition and merger related activities as this may lead to their shifting or loss of job. A firm also remains accountable to the society and the government in respect of its environmental policies and payment of taxes (Royal Dutch Shell Pl c, 2013). Globalization has induced complexity into the world of commerce. Companies are indulging in bureaucratic and unethical activities in order to sustain global completion and make profits. Corporate Social Responsibilities or CSR activities help in maintaining fair business practices and makes a company accountable in respect of its activities. Hence, firms are required to prepare CSR reports at definite periodic intervals. Such CSR reports are considered to be important in promoting business integrity, establishing proper regulatory framework and mapping efficiency of business authorities and senior management. For lawyers and accountants, CSR is largely a technical term involving only the accountability of a firm in respect of financial statements. CSR, however, is a broad term comprising several aspects such as, firm’s responsibility towards the society, environment, government and the common mass (Frynas, 2005). It is important

Thursday, September 26, 2019

Borjomi Mineral Water Research Paper Example | Topics and Well Written Essays - 4000 words

Borjomi Mineral Water - Research Paper Example Borjomi mineral water is a famous brand of naturally found mineral water in Central Georgia. Borjomi water is manufactured by IDS Borjomi Georgia, which is a part of the IDS Borjomi International. The carbonated mineral water is extracted from the springs of Borjomi Gorge, a resort town. Mineral water is the largest export industry of Georgia and Borjomi is the leading brand in this industry. IDS Borjomi is internationally recognized for their high-quality water products such as â€Å"Likani†, Bakuriani†, â€Å"Borjomi Springs† and â€Å"Borjomi†. The brand exports their products to more than thirty nations worldwide. IDS Borjomi is the largest mineral water manufacturing company amongst the Baltic and the CIS states. IDS Borjomi operated on the basis of four main principles. These are essential; indulging in continuous expansion, diversifying market and introduction of new products and conducting aggressive market campaigns. IDS Borjomi Georgia  is seen to conduct business on contractual as well as the corporate basis with Bottling Plant N1 and Bottling Plant N2. The company holds the license for extraction of water from the naturally existing springs of Borjomi Gorge. For doing so the company has its own extraction machines and infrastructural facilities. Broadly the company exports their products to various nations in North America, Europe, Asia and Australia. The Switzerland supply chain of Borjomi is managed by the IDS Group itself. The representing firm of the company in Switzerland is Mounted Martigny. The current business plan analyses the prospects of exporting Borjomi to Switzerland. The objective of the paper is to analyze the mineral water industry and target market condition existing in Switzerland so that an efficient export and distribution channel can be set up in the nation for Borjomi.

Wednesday, September 25, 2019

Engineering or business Essay Example | Topics and Well Written Essays - 2000 words

Engineering or business - Essay Example on of training on hazard prevention and safe operating procedures particularly on fire prevention and management procedures and occupational noise prevention and reduction program were tackled in details. The reason behind the need to strengthen the performance of its workplace inspection team was also covered in this report. To effectively manage the incidence of fire, it is important to maintain a safe working environment by making fire exits available and easily accessible. Other than the installation of fire prevention equipments, the use of early warning signs and devices like self-luminous or electroluminescent ‘exit’ signs in emergency exits and the provision of necessary trainings and easy access to medical facilities and first-aid kit are highly encouraged. To ensure that each employee do not suffer from a permanent hearing loss, HR managers of engineering companies should strictly implement the use of hearing protector and limit employees work to 8 hours per day. Measuring and recording noise level pollution should also be conducted on a regular basis. With the purpose of gathering useful information on how an engineering company can effectively implement and practice work environment safety, the target audiences for this study include the engineering students and workers who are currently employed in an engineering company. Since a portion of the engineering students may consider working for an engineering companies like Hofmann and Wintech, this report will be useful in terms of increasing the students’ and workers’ knowledge on how they can protect themselves from work-related injuries and accidents. Established back in 1955 by Gordon Hofmann, Hofmann Engineering grew as one of the largest U.S.-based companies that specialize in the manufacturing of night vision support gadgets, aircraft lighting, and photonic test equipments (Hofmann Engineering 2010a). The company expanded its business not only within the aerospace industry but also

Tuesday, September 24, 2019

Hypertension Research Paper Example | Topics and Well Written Essays - 2000 words

Hypertension - Research Paper Example Should the blood pressure hit 140/90 and above, one is considered to have hypertension. The two major classifications of hypertension are secondary and essential hypertension. Whereas essential hypertension refers to a high blood pressure case whose cause is unknown, secondary hypertension refers to high blood pressure caused by tumors, kidney disease, and birth control pills (Falvo, 2009). The essential type of hypertension has been identified to cause about 95% of all hypertension cases. That is, among the about 73 million adults in the United States suffering from hypertension, 69.35% have the essential hypertension (Falvo, 2009). Although the exact causes of hypertension are generally unknown, several risk factors have been associated with hypertension. These factors include diabetes, sedentary lifestyle, and lack of physical activity, smoking, vitamin D deficiency, stress, aging, excessive alcohol consumption, genetics, and medications such as birth control pills, obesity, and e xcessive consumption of salt. Others are chronic kidney disease and insufficient consumption of minerals such as calcium, potassium, and magnesium. The symptoms of the condition are rather hard to identify and quite a big percentage of hypertension victims do not know that they have the condition. Because this ignorance about one’s hypertension status could last years and endanger lives, it is recommended that people continually go for screenings. Included in these symptoms are problems with vision, breathing problems severe headaches, fatigue or confusion, nausea, blood in the urine, dizziness, irregular heartbeat, and chest pains (Falvo, 2009). This paper explores the subject of hypertension with regards to its statistics, prevalence, psycho-social challenges, lifestyles, treatment, researches, and community programs. Statistics on Hypertension That hypertension is a major health concern in the United States is evidenced by the statistics made available by federal, state, a nd local government agents as well as private citizens, community-based groups, and non-governmental organizations. For instance, that as many as one in three American adults are at risk of contracting chronic kidney disease, stroke, and heart attack/heart failure makes them highly likely to develop hypertension as well. Evidently, hypertension prevalence is rather alarming. It has also been noted that more than half of hypertension patients have not managed to put it under control, resulting in severe health and psycho-social problems, reduced control rates, and high prevalence across the population. According to the American Society of Hypertension (ASH), more should be done regarding the establishment of educational, prevention, treatment, management and research programs to address hypertension, which has been a national health concern for quite some tine. These programs should specifically target hypertension prevention, treatment, awareness, and the reduction of hypertensionâ €™s consequences. To meet these objectives, these programs will have to initiate

Monday, September 23, 2019

Security Planning and Assessment High School Essay

Security Planning and Assessment High School - Essay Example Geographical location may become important if the firm is situated in an area that is subject to political or social upheaval. Corporations with offshore facilities must constantly reevaluate and reassess their security requirements and vulnerabilities. Retail and wholesale outlets may take on additional threats if they sell or store materials that may be useful in the manufacture of explosives or weapons of terror. As the cost of goods changes over time, items that were once considered unattractive may take on new value. Dealing with these constantly changing environments requires a program that regularly reassesses security based on the current economic, political, and social climate. This paper will examine the myriad political, social, and economic forces and how they impact the management, planning, and assessment of security for private firms, and the methods that form the most appropriate response for these situations. Americans that are employed overseas for US corporations may become particularly at risk as the political climate changes or the social structure breaks down into lawlessness. Journalists may be kidnapped and held for either political ransom or financial ransom. Terrorists may kidnap high profile executives with the belief that they could be used as a bargaining chip to gain the release of terrorists held in the US or other foreign prisons. In assessing the threat level the political climate of the country should be considered. Questions need to be asked such as; does the country tolerate terrorism and terrorist groups Have these groups threatened the US or US interests If there is a cause for concern, the best assessment tool is intelligence. Geopolitical regions that are at a high risk of terrorist activity that is unfriendly to the US will often have a pattern of previous terrorist acts. If there been any changes in US policy that may initiate a terrorist kidnapping, then this wi ll heighten the risk of future activity. High level and visible personnel working overseas are usually the ones that are most at risk. Countering a personnel threat begins with thorough planning. One of the most critical actions that the person can take is to keep a low profile and remain as anonymous as possible. In addition, "be cautious of local officials in many regions, minimise your profile in order to minimise your risk" (The Cavell Group, n.d., p.1). Living and working locations should be gated with a guard at the entrance, and have video and audio monitoring capability. Routes and routines should be kept private and unpredictable. Personnel should be closely guarded by trained professionals, preferably from the region. If traveling in a private car, plans and escape routes should be planned ahead of time. Planning should also include contingency plans for the worst-case scenario. Family, staff, and colleagues should be trained in the proper response to any type of attack. It should be remembered that in the case of a kidnapping for ransom on foreign soil, the local government might not be helpful. The legal , cultural, and political disparities among nations, as well as the constraints on intelligence and expertise, "all point to the fact the prospects for effective action at the state level are not promising" (James & Goldstaub, 1988, p.75-76). Individuals and corporations operating on foreign soil

Sunday, September 22, 2019

Netaji Subhas Chandra Bose Essay Example for Free

Netaji Subhas Chandra Bose Essay Known as Netaji (leader), Mr. Bose was a fierce and popular leader in the political scene in pre-independence India . He was the president of the Indian National Congress in 1937 and 1939, and founded a nationalist force called the Indian National Army. He was acclaimed as a semigod, akin to the many mythological heroes like Rama or Krishna, and continues as a legend in Indian mind. Subhas Chandra was born on January 23rd 1897 in Cuttack (in present day Orissa) as the ninth child among fourteen, of Janakinath Bose, an advocate, and Prabhavatidevi, a pious and God-fearing lady. A brilliant student, he topped the matriculation examination of Calcutta province and passed his B. A. in Philosophy from the Presidency College in Calcutta. He was strongly influenced by Swami Vivekanandas teachings and was known for his patriotic zeal as a student. His parents wishes kept him away from the Indian freedom struggle and led him into studies for the Indian Civil Service in England. Although he finished those examinations also at the top of his class (4th), he could not complete his aprecentship and returned to India, being deeply disturbed by the Jallianwalla Bagh massacre. He came under the influence of Mahatma Gandhi and joined the Indian National Congress (a. k. a. Congress). Gandhiji directed him to work with Deshbandhu Chittaranjan Das, the Bengali leader whom Bose acknowledged as his political guru. Bose was outspoken in his anti-British stance and was jailed 11 (eleven) times between 1920 and 1941 for periods varying between six months and three years. He was the leader of the youth wing of the Congress Party, in the forefront of the trade union movement in India and organized Service League, another wing of Congress. He was admired for his great skills in organization development . The Influence of Bose Bose advocated complete freedom for India at the earliest, whereas the Congress Committee wanted it in phases, through a Dominion status. Other younger leaders including Jawaharlal Nehru supported Bose and finally at the historic Lahore Congress convention, the Congress had to adopt Poorna Swaraj (complete freedom) as its motto. Bhagat Singhs martyrdom and the inability of the Congress leaders to save his life infuriated Bose and he started a movement opposing the Gandhi-Irvin Peace Pact. He was imprisoned and expelled from India. But defying the ban, he came back to India and was imprisoned again! Clouds of World War II were gathering fast and Bose warned the Indian people and the British against dragging India into the war and the material losses she could incur. He was elected president of the Indian National Congress twice in 1937 and in 1939, the second time defeating Gandhijis nominee. He brought a resolution to give the British six months to hand India over to the Indians, failing which there would be a revolt. There was much opposition to his rigid stand, and he resigned from the post of president and formed a progressive group known as the Forward Block (1939). The second World War broke out in September of 1939, and just as predicted by Bose, India was declared as a warring state (on behalf of the British) by the Governor General, without consulting Indian leaders. The Congress party was in power in seven major states and all state governments resigned in protest. Subhas Chandra Bose now started a mass movement against utilizing Indian resources and men for the great war. To him, it made no sense to further bleed poor Indians for the sake of colonial and imperial nations. There was a tremendous response to his call and the British promptly imprisoned him . He took to a hunger-strike, and after his health deteriorated on the 11th day of fasting, he was freed and was placed under house arrest. The British were afraid of violent reactions in India, should something happen to Bose in prison. The Mystery Begins Bose suddenly disappeared in the beginning of 1941 and it was not until many days that authorities realized Bose was not inside the house they were guarding! He traveled by foot, car and train and resurfaced in Kabul (now in Afghanistan), only to disappear once again. In November 1941, his broadcast from German radio sent shock waves among the British and electrified the Indian masses who realized that their leader was working on a master plan to free their motherland. It also gave fresh confidence to the revolutionaries in India who were challenging the British in many ways. The Axis powers (mainly Germany) assured Bose military and other help to fight the British. Japan by this time had grown into another strong world power, occupying key colonies of Dutch, French, and British colonies in Asia. Bose had struck alliance with Germany and Japan. He rightly felt that his presence in the East would help his countrymen in freedom struggle and second phase of his saga began. It is told that he was last seen on land near Keil canal in Germany, in the beginning of 1943. A most hazardous journey was undertaken by him under water, covering thousands of miles, crossing enemy territories. He was in the Atlantic, the Middle East, Madagascar and the Indian ocean. Battles were being fought over land, in the air and there were mines in the sea. At one stage he traveled 400 miles in a rubber dinghy to reach a Japanese submarine, which took him to Tokyo. He was warmly received in Japan and was declared the head of the Indian army, which consisted of about 40,000 soldiers from Singapore and other eastern regions. Bose called it the Indian National Army (INA) and a government by the name Azad Hind Government was declared on the 21st of October 1943. INA freed the Andaman and Nicobar islands from the British, and were renamed as Swaraj and Shaheed islands. The Government started functioning. Leader of Masses and the Military  Bose in INA Uniform 1943 Early Success and Tragic End Bose wanted to free India from the Eastern front. He had taken care that Japanese interference was not present from any angle. Army leadership, administration and communications were managed only by Indians. Subhash Brigade, Azad Brigade and Gandhi Brigade were formed. INA marched through Burma and occupied Coxtown on the Indian Border. A touching scene ensued when the solders entered their free motherland. Some lay down and kissed, some placed pieces of mother earth on their heads, others wept. They were now inside of India and were determined to drive out the British! Delhi Chalo (Lets march to Delhi) was the war cry. The bombing of Hiroshima and Nagasaki changed the history of mankind. Japan had to surrender. Bose was in Singapore at that time and decided to go to Tokyo for his next course of action. Unfortunately, the plane he boarded crashed near Taipei and he died in the hospital of severe burns. He was just 48. The Indian people were so much enamored of Boses oratory and leadership qualities, fealressness and mysterious adventures, that he had become a legend. They refused to believe that he died in the plane crash. The famous Red Fort trial wherein Boses generals and the INA officers were tried, became landmark events. Initially, the British Government thought of a court-martial, but there was a countrywide protest against any kind of punishment. For common Indians, Axis and Allied powers hardly mattered, but they could not tolerate punishment of fellow countrymen who were fighting for freedom. The British Government was in no position to face open rebellion or mutiny and a general amnesty for INA soldiers was declared. While Boses approach to Indian freedom continues to generate heated debate in the Indian society today, there is no denying of his burning patriotism, his tireless efforts to free India from inside and outside and his reckless adventures in trying to reach his goals. His exploits later became a legend due to the many stories carried by the disbanded INA soldiers who came from every nook and corner of our great country. Had he lived, Subhas Chandra Bose could have given a new turn to Independent Indias political history. But he lives on eternally in the Indian mind, more famous after his death.

Saturday, September 21, 2019

The UK travel and tourism sector Essay Example for Free

The UK travel and tourism sector Essay Inbound and Outbound Tourism Outbound tourism is when you leaving the UK to travel to another country for business or leisure. Outbound tour operator is organising holidays and provides a range of discount package deals, which you can combine with accommodation, transport to the destination and ground transport such as a transfer from the airport to the hotel. The two largest tour operators are Thomson and Thomas Cook Group. Outbound travel agents can give advice, sell and administer the booking for a number of different tour operators. 7000 travel agency has been estimated in the UK, some of these agencies have multiple branches while others are independent shops. Some online travel agencies operate only on the internet and have no physical outlet on the high street for example online agencies are Expedia, Ebookers, Travelocity and Opodo. Outbound Transport In the UK, there are varieties of ferry, rail and airlines organisations providing transport services to other countries. The Euro star is the outbound rail for the UK, it takes passengers to France (Paris and Lille) and Belgium (Brussels). Norfolk Line is the outbound ferry company in the UK, it take passengers from Dover to France. Supporting organisations- There are various supporting organisations that provide a regulation and promotion role for outbound tourism. Ancillary organisations- There are a variety of ancillary organisations that support outbound tourist, these include car hire and insurance companies. An example of ancillary organisation is providing travel insurance to outbound traveller can be found at GO, Columbus Direct and Direct- travel. Inbound tourism is when a foreign tourists coming in to the UK for business or leisure Inbound Tour operator- UK inbound tour operators can organise travel service for groups of inbound tourists. After the tourists have arrived by plane, these organisations can organise transfers, accommodations, tours, interaries, events and education for them. Coach  operators- Coach Operators are the first UK travel and tourism organisations used by a group of inbound tourists arriving in the UK by coach operators. They can provide a range of transport operations for inbound tourist ranging from simple airport to accommodation and transport to full tours around the UK.Many coaches provide DVD/video players, toilets, tea and coffee services. Supporting organisation- There are many supporting organisation that operate in Britain. For example, Meet England is the official body responsible for promoting England as meetings and events destinations, venue, and travel arrangements for those organising conferences. Ancillary organisations- As with domestics and outbound tourism, there are a variety of ancillary organisation which support inbound travel and tourism organisations, including car hire companies such as enterprise easy car and national.