Wednesday, October 30, 2019

Is Competition Good Essay Example | Topics and Well Written Essays - 1250 words

Is Competition Good - Essay Example In any case to adequately support competition, authorities must comprehend when competition itself is the issues reason, not its cure. Market competition, while hurting a few members, frequently profits public opinion. Anyhow does competition dependably profit public opinion? (Stucke, 2103) In business, competition prompts innovation. If youre the player in your field, it could be troublesome to progress. And in case youre working in a packed business, you wont succeed by doing what other a person does. Sound competition supports change which will recognize your organization from others through technology, item adjustments or by enhancing the client experience. (Forbes, 2014). Moreover, customer services are enhanced due to competition because as one of a few organizations offering a comparable item, an organization is compelled to vie for clients. Enhancing client administration enhances the chances of customer retention. (Forbes, 2014). Competition also shakes off complacency. In the event that an association is reliably attempting to advance and better itself, their workers will be urged to inspire themselves. (Forbes, 2014). Competition encourages an organization to concentrate on their core customer and target audiences. On the off chance that an organization is f ocusing on a particular geological area or demographic, market challengers sway them to better understand that setting. In doing in this way, they will have the capacity to better accommodate that target demographic/setting. (Forbes, 2014). Seeing what one’s rivals do well can show you things about one’s own business. Their practices may well furnish an organization with profitable knowledge into the state of the business sector, and help demonstrate to them; what works – and what does*3not. (Forbes, 2014) The Late Franklin D. Roosevelt once said: â€Å"Competition has been shown to be useful up to a certain point and no further, but

Monday, October 28, 2019

EC Law Essay Example for Free

EC Law Essay Part A Sonja is a temporary farm labourer of 16 years old. In the summer of 2005 she was hospitalized with sunburn got from working in the field without adequate UV protection according to the â€Å"Ultraviolet Radiation (UV) Protection at Work† Directive adopted by the EC. The Directive provides that the Member States should ensure â€Å"Sunblock and Sunglasses† to â€Å"workers in outdoor activities† within the meaning of the Directive. According to the independent arbitration scheme with employers set up with the approval of the Government by the Finnish Farm Labourers Union, Sonja, has brought her claim before the Arbitrator. Her claim requires that the Arbitrator interpret the â€Å"Ultraviolet Radiation (UV) Protection at Work† Directive. The Arbitrator considers that Sonja’s claim should be dismissed because she is not a â€Å"worker† according to his interpretation of the Directive, but merely an â€Å"apprentice† who does not qualify for legal protection. As provided in the independent arbitration scheme the decisions of the Arbitrator are legally binding and there is no right to appeal. According to the rules of procedure established by the instituting treaties of the European Communities for the Court of Justice of the European Communities, the Court’s jurisdiction is automatically mandatory in the areas expressly provided by the Treaties. There is no need for the Member States to accept this competence which means that the Court can be authorized by only one party, even against Member States. This also means that in the attributed domains by the treaties its competence is exclusive compared to any other jurisdiction. Article 234[1] (ex Article 177) from the consolidated Treaty establishing the European Community provides that: „The Court of Justice shall have jurisdiction to give preliminary rulings concerning: (a)  Ã‚  Ã‚  Ã‚  the interpretation of this Treaty; (b)  Ã‚  Ã‚  Ã‚  the validity and interpretation of acts of the institutions of the Community and of the ECB; (c)  Ã‚  Ã‚  Ã‚  the interpretation of the statutes of bodies established by an act of the Council, where those statutes so provide. Where such a question is raised before any court or tribunal of a Member State, that court or tribunal may, if it considers that a decision on the question is necessary to enable it to give judgment, request the Court of Justice to give a ruling thereon. Where any such question is raised in a case pending before a court or tribunal of a Member State, against whose decisions there is no judicial remedy under national law, that court or tribunal shall bring the matter before the Court of Justice.† In the case of Sonja, because the independent arbitration scheme set up between the Finnish Farm Labourers Union and the employers is conducted with the approval of the Government, to settle disputes regarding pay and conditions of work we can assimilate the Arbitrator with a court of law. The Arbitrator has an exclusive competence in this field. Moreover, he meets the requirements set up in the last provision of the Article 234, as set forth, because his decisions are legally binding and there is no right to appeal. This institutes an obligation upon the Arbitrator that whenever he has to interpret any act of one of the institutions of the Community he should raise a case before the Court of Justice of the European Communities. Therefore, before interpreting the provisions of the â€Å"Ultraviolet Radiation (UV) Protection at Work† Directive on the meaning of â€Å"worker† within the said act, the Arbitrator should have brought recourse in interpretation before the Court of Justice of the European Communities. The conditions for such recourse, as provided in the Article 234, are that: there has to be an open case brought before a national form of jurisdiction that has to request the Court, asking for the interpretation of an act of one of the institutions of the Communities. Because the Arbitrator did not open such recourse before the Court of Justice of the European Communities, Sonja has grounds for dismissal of his decision in front of a higher Finnish court of law through an extraordinary procedure. The dismissal can be decided only on procedural issues and not on the merits of the case because the decisions of the Arbitrator are not subject to appeal. In general, international jurisdictions are only competent to try states. They can not be used as a legal remedy by natural persons. However, the Court of Justice of the European Communities is accessible not only to the member states of the European Communities, but also, in very strict conditions to individuals, natural and legal persons. This provides Sonja with, yet, another alternative for her case. She can bring an annulment recourse before the Court. The annulment recourse is the possibility of the states, institutions of the Communities and natural and legal persons to challenge in front of the Court   a mandatory act issued either by the Council or by the Commission, and to be granted in certain conditions the annulment of the act. This is a way to control EU acts and their conformity with the instituting treaties. The provisions of the Rome Treaties show that there can be subjected to this form of recourse acts that are mandatory like directives and regulations, and in certain situations even decisions.   Article 230[2] (ex Article 173) of the consolidated Treaty establishing the European Community provides that: â€Å"The Court of Justice shall review the legality of acts adopted jointly by the European Parliament and the Council, of acts of the Council, of the Commission and of the ECB, other than recommendations and opinions, and of acts of the European Parliament intended to produce legal effects vis-à  -vis third parties. It shall for this purpose have jurisdiction in actions brought by a Member State, the European Parliament, the Council or the Commission on grounds of lack of competence, infringement of an essential procedural requirement, infringement of this Treaty or of any rule of law relating to its application, or misuse of powers. The Court of Justice shall have jurisdiction under the same conditions in actions brought by the European Parliament, by the Court of Auditors and by the ECB for the purpose of protecting their prerogatives. Any natural or legal person may, under the same conditions, institute proceedings against a decision addressed to that person or against a decision which, although in the form of a regulation or a decision addressed to another person, is of direct and individual concern to the former. []† Usually, individuals are allowed to bring actions before the Court only in reference to regulations which directly apply to them and directly breach their rights. However, proceedings can be brought regarding a directive in situations in which it has the same effects on the individual.   The â€Å"Ultraviolet Radiation (UV) Protection at Work† Directive directly infringes Sonja’s right to adequate protection for the type of labour she is doing and for the conditions in which she works by limiting the notion of â€Å"worker† to which it applies. With this limitation the Directive breaches the substantial provisions of the Treaty establishing the European Community. Regarding work, Article 13 of the Treaty provides that: â€Å"1.     Without prejudice to the other provisions of this Treaty and within the limits of the powers conferred by it upon the Community, the Council, acting unanimously on a proposal from the Commission and after consulting the European Parliament, may take appropriate action to combat discrimination based on sex, racial or ethnic origin, religion or belief, disability, age or sexual orientation.†[3] Therefore the principle of the prohibition of discrimination on grounds of age is laid down by an instituting treaty. It bears no difference that Sonja is only sixteen. She should not be discriminated against for this reason and not be considered as a â€Å"worker† under the Directive. The term â€Å"worker† is also described in many EU acts, including in the jurisprudence of the Court of Justice of the European Communities. The notion is wide and non-discriminatory, especially when considering a persons rights or the breach of these rights. â€Å"26. In accordance with the Courts case-law, the concept of worker, within the meaning of Article 48 of the Treaty and of Regulation No 1612/68, has a specific Community meaning and must not be interpreted narrowly. Any person who pursues activities which are real and genuine, to the exclusion of activities on such a small scale as to be regarded as purely marginal and ancillary, must be regarded as a worker. The essential feature of an employment relationship is, according to that case-law, that for a certain period of time a person performs services for and under the direction of another person in return for which he receives remuneration[4]† Moreover, the restriction on the term â€Å"worker† is in direct violation with the Directive No. 33 of 22 June 1994 on the protection of young people at work which applies to persons under 18 and provides that they should have suitable work conditions, â€Å"measures necessary to protect the safety and health of young people[5]†. In conclusion, the limitation of the notion of â€Å"worker† from the â€Å"Ultraviolet Radiation (UV) Protection at Work† Directive that prevents Sonja, because of her age and because she is a temporary worker to benefit from the proper work protection, is in direct violation of the instituting treaties, the principles on which the EU is based, the jurisprudence of the Court of Justice of the European Communities and basic human rights. This provides Sonja, although she is a natural person, with the active legal quality to bring recourse in annulment before the Court due to what she has suffered from the effects of this act. Part B The joined cases of Bernard Keck and Daniel Mithouard were brought before the Court of Justice of the European Communities as a reference under Article 177 of the EEC Treaty[6] by the Tribunal de Grande Instance (Regional Court) from Strasbourg (France), for a preliminary ruling in the criminal proceedings pending before the tribunal against the two. The Tribunal de Grande Instance has asked the Court of Justice of the European Communities to give an interpretation of the rules of the EEC Treaty relating to competition and freedom of movement within the Community. The Court has found that â€Å"Article 30 of the EEC Treaty is to be interpreted as not applying to legislation of a Member State imposing a general prohibition on resale at a loss†[7]. In the decisions of Keck and Mithouard the Court institutes certain principles regarding the measures that can be taken by states. Such a principle is the one stating that: â€Å"national measures which limit or prohibit ‘certain sales practices’ do not fall within the scope of Article 30[8], so long as they are applied to all those operating within the national territory and that they affect in exactly the same way, both in law and in practice, the marketing of national products and those originating from other Member States†[9]. The Court of Justice of the European Communities has subsequently interpreted the decisions in the cases of Keck and Mithouard on the matter of advertising, especially the vague formulation: â€Å"selling arrangements†. The decisions were applied and interpreted in connection to the way producers are able to market their goods and to the marketing strategies used by them. However, the two cases were exceptional interpretations of the Article 28, due to the circumstances and should have been regarded as such. On the contrary, this interpretation was widely extended by the Court. The extension has brought about the possibility of member states to impose certain restrictions in advertising. These restrictions were thought by the Court to be outside the scope of Article 28. Such measures cover fields like: â€Å"TV advertising and sponsorship of programmes aimed at children below the age of 12 being prohibited[10]† in Sweden, the advertising of toys in Greece which is time restricted, banns referring to certain kinds of toys in Germany and Denmark and so on. Goods that are considered â€Å"sensitive† are also subjected to banns even at an EU level. As an example there is the ‘Television Without Frontiers’ (TVWF) Directive in which there is stated that children should not have easy access to advertising for goods such as cigarettes and alcohol. Cases were brought before the Court with regards to such measures. Some decisions given by the Court find basis on its previous Keck and Mithouard decisions: â€Å"With respect to the free movement of goods (Article 30) the Court recognised that the ban on advertising could affect the free movement of the products advertised. It then referred to the Keck-Mithouard jurisprudence and ruled that a Member State could apply such restrictions if they were shown to affect in the same way, ‘in law and in fact’, the marketing of domestic products and of those from other Member States; were necessary for meeting overriding requirements of general public importance or one of the aims laid down in Article 36 of the EC Treaty; were proportionate for that purpose and that those aims could not be met by less restrictive measures†[11].   In conclusion, bans of advertising are considered to be in accordance with the Article 28 when they affect in the same way the marketing of the domestic products and that of the products from other Member States, they are necessary for requirements of general public importance and when less restrictive measures could not have been applied. Thus, the Court institutes the principle of proportionality that applies even if the ban has more serious effects on goods coming from other states than on national ones. Any state restrictions of the â€Å"selling arrangements†Ã‚   automatically affect access to the market contrary to what the Court has considered in the cases of Keck and Mithouard.   It is of course true that such restrictions provided in a non-discriminatory way do not infringe of the free movement of goods, but they do affect trade. Measures taken by states have to be â€Å"uncertain† and â€Å"indirect†, for them to fall outside the scope of the Article 28 and be regarded as breaches of the free movement of goods. The Keck case institutes a kind of presumption that certain measures taken by states, that fall under a certain category should be regarded as â€Å"uncertain† and â€Å"indirect† and therefore outside the scope of Article 28. This presumption is damaging in some cases. The measures should be analyzed according to the merits of each individual case and the effects they have in that particular case. Therefore, I believe that the cases of Keck and Mithouard affect the balance between state responsibilities and the free movement of goods. Bibliography: Consolidated Version of the Treaty Establishing the European Community (2002), Official Journal C325, Retrieved of the 10th on January 2005, Available at:   http://www.europa.eu.int/eur-lex/lex/en/treaties/dat/12002E/htm/12002E.html Brian Francis Collins v Secretary of State for Work and Pensions (23 March 2004); Judgment of the Court (Full Court);Case C-138/02; European Court reports 2004 Page I-02703, Retrieved of the 10th on January 2005, Available at: http://www.europa.eu.int/eur-lex/lex/Notice.do?val=287581:cslang=enlist=391912:cs,287581:cs,341893:cs,287498:cs,278038:cs,277710:cs,269338:cs,264078:cs,250808:cs,247148:cs,pos=2page=1nbl=18pgs=10hwords=work~worker~checktexte=checkboxvisu=#texte Criminal proceedings against Bernard Keck and Daniel Mithouard (24 November 1993); Judgment of the Court;   Joined cases C-267/91 and C-268/91, European Court reports 1993 Page I-06097, Retrieved of the 10th on January 2005, Available at:   http://europa.eu.int/eur-lex/lex/LexUriServ/LexUriServ.do?uri=CELEX:61991J0267:EN:HTML#DI    Council Directive 94/33/EC of 22 June 1994 on the protection of young people at work, Official Journal L 216 , 20/08/1994 P. 0012 – 0020,   Retrieved of the 10th on January 2005, Available at: http://europa.eu.int/eur-lex/lex/LexUriServ/LexUriServ.do?uri=CELEX:31994L0033:EN:HTML Lolivier, Marc (January 1998), The De Agostini ruling and advertising regulation, Commercial Comunications Newsletter, Edition 10,   Retrieved of the 10th on January 2005, Available at: http://europa.eu.int/comm/internal_market/comcom/newsletter/edition10/page04_en.htm Stanbrook, Lionel ( October 1997), Childrens advertising, consumer protection and the country of origin principle, Commercial Comunications Newsletter, Edition 09, Retrieved of the 10th on January 2005, Available at: http://europa.eu.int/comm/internal_market/comcom/newsletter/edition09/page18_en.htm Statute of the Court of Justice (November 2005), Retrieved of the 10th on January 2005, Available at:   http://curia.eu.int/en/instit/txtdocfr/txtsenvigueur/statut.pdf Þorvaldsson,   Bjà ¶rn (2002), Keck and Mithouard,   Master Thesis, Master of European Affairs Programe, Law, Retrieved of the 10th on January 2005, Available at: http://www.jur.lu.se/Internet/english/essay/Masterth.nsf/0/585A26471860B6F6C1256BCD00730AAF/$File/xsmall.pdf?OpenElement Mollers, Thomas M.J. (February 2005), EuGH, Rs. C-405/98 v. 8.3.2001 Gourmet International Products, Faculty of Law, Augsburg University, Retrieved of the 10th on January 2005, Available at: http://www.jura.uni-augsburg.de/prof/moellers/materialien/materialdateien/050_eugh_entscheidungen/eugh_1998_405_gourmet_international_products_en/ Competitive Federalism and Market Access in the EU, Jean Monet Center, NYU School of Law, Retrieved of the 10th on January 2005, Available at:   http://www.jeanmonnetprogram.org/papers/01/012701-04.html [1]   Treaty establishing the European Community, Art. 234 [2] idem, Art 230 [3] idem, Art. 13 [4] Brian Francis Collins v Secretary of State for Work and Pensions (23 March 2004) [5] Council Directive 94/33/EC of 22 June 1994 on the protection of young people at work. [6] Treaty establishing the European Community, ex Article 177 [7]Criminal proceedings against Bernard Keck and Daniel Mithouard (24 November 1993) [8] in the consolidated Treaty the number of the article has become 28 and it will be referred to accordingly [9] Lolivier, Marc (January 1998), op. cit. [10] Stanbrook, Lionel (October 1997), op. cit. [11] idem

Saturday, October 26, 2019

Got Milk? Advertisement Analysis Essay -- Advertisements Commercials M

â€Å" This advertisement was found in the October issue of Cosmopolitan. â€Å"Got Milk† advertisements are seen in all types of magazines from sports to beauty, featuring many different kinds of celebrities selling their product. The product being sold in â€Å"Got Milk† advertisements is, of course, milk. They are trying to reinforce that the calcium in milk keeps bones strong and helps prevent osteoporosis. In this advertisement for milk irony is it’s secret weapon to get the point across. There is a green eyed blonde with a low cut â€Å"little black dress† caressing her flawless body with her arm around a martini glass filled with milk. She is seductively leaning against a glass covered wooden bar with a luring gleam in her eyes. Her and the milk are the main focus of this advertisement. In the background is faded liquor and wine bottles. While looking at her you cannot take your eyes off of her milk mustache and the milk martini glass that got to touch her full pink lips. The irony of this advertisement is that out of all the handsome tall liquor bottles, she chose the thin lean martini with milk in it. The difference between her night black dress and the pure white milk contrasts like night and day. Good and bad shows their faces at the bar. The sex appeal of this woman in a bar full of alcohol drinking milk makes you question what the purpose of this add is. The positioning, proportions, and color in this ad portray the use of the goodness/purity of white milk positioned directly by the dark seductive woman and liquor bottles, which make you question what is good and bad for yourself. The proportions of the liquor bottles and the martini milk glass in this advertisement show the sizes, or importance of these objects. The liquor bottles, being small and in the back of the advertisement show that they are not as important to the viewer as the milk, which is larger and in the front. Of course it would be this way because the whole point of the advertisement is selling the product, milk. The liquor bottles are, therefore, in the back of the advertisement to cause your eye to wander to notice them and to intrigue your conscience. The martini glass is tall and slender just like the woman that stands beside it. The figure of the martini glass stands out to the viewer and makes him or her think about what is right for their body. The martini glass is a positive aspect of ... ...s for yourself. With the dark, liquor bottles in the background it suggests to the viewer that they should accept the temptation and not choose the milk. The milk, being the only white object in the advertisement is chosen by the woman and will influence the viewers by the vibrant white color of the milk. The colors used in this advertisement try to influence and tempt the viewer into picking what is bad for them, but because of the bold, white color of the milk viewers are not mistaken. The use of the goodness/purity of white milk positioned directly by the dark seductive woman and liquor bottles, that make you question what is good and bad for you is portrayed by the proportions, positioning, and color in the advertisement. The proportions show the sizes and importance of the objects in this advertisement by deceiving the eyes of the viewer. The martini milk glass and the liquor bottles in this advertisement lead one to think about the good and bad choices they make for themselves everyday by the positioning of the objects. The enforcement of the idea, black and white, or good and bad, is described through the colors of the liquor bottles and the martini milk glass.   Ã‚  Ã‚  Ã‚  Ã‚  

Thursday, October 24, 2019

Command Philosophy Essay

1. Mission: I am honored to serve as the Commander of this vital and highly essential unit. The task of rapidly responding to and supporting missions worldwide requires highly specialized and trained Soldiers. Units who provide this asset successfully manage an array of challenges. These challenges range from maintaining an ability to rapidly deploy, staying current with the latest systems and technologies, sustaining Unit capability to timely, effectively, and competently meet geographically scattered logistical requirements, to recruiting and retaining the best qualified Logistics Officers and NCOs. My command philosophy is therefore to accomplish this mission by focusing on what is important; readiness, Soldier support, customer support, relevance and responsiveness. 2. Readiness: In order to effectively perform our mission we must be able to mobilize in a timely manner. As the Commander, My first priority is to make sure the unit is properly prepared and ready to join the fight. This includes unit readiness, equipment readiness, strong mentorship programs, relevant training, and vital family support programs. 3. Soldier Support: Soldier support is parallel to unit readiness. In taking care of our Soldiers, we must promote the Army values of loyalty, courage, selfless service, duty, honor, respect, and integrity. We owe our Soldiers an environment that promotes safety, physical fitness, equal opportunity, professional development and free from harassment. Personal accountability is a must. I expect every member of this unit to serve with the highest ethical and moral standards. I have a work hard, play hard mentality. I expect training to be significant and I expect Soldiers to have the weekends and holidays off. 4. Customer Support: Our ability to provide customer service keeps us in business. Therefore, everyone should be conscious of the service we provide. Do it legally and professionally. Know each other’s duties. No one person can be responsible for anything. In a perfect world, requirements would come down 90-60 days in advance. In reality, it doesn’t usually occur this way. We need to adapt and overcome. Strive to develop yourselves, your subordinates and your customers. We need to be responsive to the needs of our customers to viable. We need to educate and be proactive to be vital. 5. Relevance: Our goal should always be to provide the highest-quality, technical and tactical logistical support in the world. We must be able to manage change to effectively meet constantly evolving mission requirements from various resources and customers. To accomplish this task, we must seek positions with greater leadership responsibility within this organization and in future assignments. We must continue to recruit and retain the highest quality officers and NCOs who have excellent technical and operational skills, and who possess strong leadership traits in order to ensure our mission success in the future. 6. Responsiveness: We must lead by example. I expect all leaders within this organization to serve as role models, mentors and facilitators. I expect all leaders to be competent, fair, consistent, and ethically sound. I expect all leaders to teach, coach, mentor and motivate. I expect all leaders to actively participate in the planning, execution, and monitoring of unit activities. 7. Conclusion: As the Commander, I will do everything within my power to accomplish these tasks, enable mission success and help each of you achieve your military professional goals.

Wednesday, October 23, 2019

The Cause and Effects of Global Issue

The cause and effects of global issue Because of the development of technology, which people use to treat diseases, the deaths caused by communicable disease are decreasing all over the world. However, the deaths of Non-communicable diseases increase. Non-communicable diseases such as Diabetes, Cardiovascular diseases (CVD) and cancer, which are caused mainly by the bad lifestyle result in the burden to the global economy and caused many deaths in the whole world. In this essay, firstly, the causes and effects of Diabetes will be introduced.Secondly, those things of CVD will be demonstrated. Finally, the Cancer’s cause and effect will be discussed. Diabetes is a quite widespread disease, which is caused by the lack of an important hormone called insulin. However, researches show that people who exercise less, insobriety and smoke more possibly get this disease and these factors are the primary causes of this disease (Colditz 1990, Helmrich 1991, Lynch 1996, Manson 2000, Ajani 2000). Because of the spread of this disease, people all over the world were greatly affected and it mainly includes three aspects.Above all, diabetes widely affects our health and daily life. Up to now, it’s still hard to cure diabetes. Diabetes has an excessive morbidity. DIABETES UK (2010) estimates that in 2009, 2. 6 million people in the UK were found to have diabetes and it predicted that the number would increase to 4 million people by 2025. Not only, in the UK, diabetes is also a big problem in the US. In a research (2011) shows that 25. 8 million people in the United States suffered diabetes, which represents 8. 3 percent of the total population. In other developing countries, the situation is even more difficult.In addition to the extremely high rate, diabetes always leads to other diseases like heart disease, High blood pressure, blindness, kidney disease, nervous system disease. In 2004, 68 percent of people older than 65 who were died from heart disease turned ou t to have relationship with diabetes (2011). From the year 2005 to 2008, 67 percent of people who suffered diabetes have greater blood pressure than the equal level (2011). Besides, diabetes is the leading factor of factors of blindness. In 2008, a total of 20290 people were living on kidney disease in the United States.Most of them have the history of diabetes. What’s more, about 60% to 70% of people with diabetes have a tendency of developing into nervous system disease (2011). Finally, it is also an economic issue to both governments and individual. ‘The Cost of Diabetes in Europe-Type 2 study’ is the first coordinated attempt to measure total healthcare costs of Type 2 diabetes mellitus in Europe. It evaluated more than 7000 patients with Diabetes in eight countries which shows that the total costs of diabetes were estimated at the EUR 29 billion a year(Jonsson,2004).It has the same situation in other countries all over the world. In Canada for 1998, the econ omic burden of diabetes was likely to between $4. 76 and $5. 23 billion(Keith, 1998). In Sweden, the prevalence of diabetes mellitus is about 3%-4% of the population. The economic burden of diabetes is estimated at 5746 MSEK in1994. (Jonsson, 1983) CVD are the most common complication of diabetes: diabetes causes the microscopic blood vessels of the heart which brings myocardial necrosis. In addition, it also causes atherosclerotic which contributes to coronary heart disease.Myocardial necrosis and heart disease both are a kind of CVD (Goldberg, 2000). Not only are CVD caused by diabetes, but also both of them have something in common. It shows clearly the connection between CVD and unhealthy lifestyle as diabetes does (Wright, Douglas, Rahman, 2004). In other words, unhealthy lifestyle is the main factor of CVD. Unhealthy lifestyle is reflected in using of tobacco, unhealthy diet, lack of exercise and staying up late. On the one hand, with the development of social economy and the living standard improving, people have sufficient money to purchase tobacco.Consequently, tobacco is introduced into people’s life. It has an enormous negative effect on human’s health and is also one of incentives of CVD (Millett, Gray, Saxena, Netuveli, 2007). As another effect of society progress, diet style has changed a lot: people’s staple bread has changed into the high adipose and high protein instead of grain and vegetables (W. H. O. , 2005). Fat intake more than reasonable limit intake, which was the main factors of nutrition superfluous. Over nutrition causes overweight and obese people greatly increases.Overweight and obesity are the common risk factors of CVD (W. H. O. , 2005). On the other hand, the quick pace of city life produces lack of exercise and staying up late. Lack of exercise causes the obesity, hyperglycemia, hypertension and hyperglycemia ( Furberg and Thune, 2003). It has been reported by Furberg and Thune (2003) the main risk factors of CVD are hyperglycemia, hypertension, hyperglycemia and obesity. As a result of staying up late, people usually feel ill next day. Phillips (2005) explained the reason why people feel sick. It is because staying up late engenders endocrine disorders.In addition, endocrine disorders will cause atherosclerotic cardiovascular disease, which is one of CVD (Phillips, 2005). Although the decrease of the death rates from CVD appears in some part of western countries (Slattery, Jacobs, Nichaman, 1989), it is still one of the most serious threats to humans, especially among the seniors, in developed countries where medical equipment and technology is comparatively advanced(W. H. O. ,1993). That means the current state of CVD is not that positive as it seems to be. CVD is still one of the deadliest diseases in most parts of western world.Statistics demonstrate that More than 30% of deaths in the United States were caused by CVD (Pakenham, 2010). To make matters worse, the disease, which con sidered to be solely happening in the western world, now spread to the developing countries and is becoming a worldwide leading cause of death (W. H. O. , 2005). Take China as an example, the number of patients with CVD reached 230 million in 2008, which means that 2 in 10 adults are suffering from cardiovascular disease (The Ministry of Health, 2010). As a whole, this kind of problem still remains a challenge for human beings (Pakenham, 2010).CVD not only causes large quantities of death, but also increases the enormous economic burden. People who have contracted this kind of diseases suffered unbearable cost pressure including expensive cost of drugs, of undertaking body examinations regularly and of surgery. In 2010 in China, as far as cardiovascular disease is concerned, the acute myocardial infarction costs Chinese society 1. 946 billion Yuan, while 6. 587 billion Yuan in intracranial bleeding and 9. 817 billion Yuan in cerebral infarction. (The Ministry of Health, 2010).Accord ing to China cardiovascular disease report(2010) despite of the fact of price changes, a respectively average annual growth rate of acute myocardial infarction, intracranial bleeding and cerebral infarction respect attained 34. 46%, 26. 85% and 31. 05% since 2004. China cardiovascular disease report (2010) stated that such a rapid growth of cost of CVD have a close connection with the rapid growth of the number of people and increases personal and national economic burden. Be similar to diabetes and CVD, the cancer spread very wide and quick and influence seriously. There are many factors, which can cause the increasing of Cancer.The main factor is the unhealthy lifestyle, such as alcohol abuse, inadequate diet, physical inactivity and tobacco’s use. Tobacco’s use, which has the biggest influence on human causes highest rate of cancer. The more and more use of tobacco causes the increasing of lung cancer, which has a high fatality rate. According to the J Natl Cancer I nst (1981), by far, the largest reliably known percentage is the 30% of current U. S. cancer deaths that are due to tobacco. On the other hand, the physical inactivity also causes the increasing of cancer, because the cancer is from the genic mutation.If people do fewer exercises, the more rate of genic mutation will be. So people will have a higher rate of getting cancer. Moreover, the pollution of environment causes the increasing of cancer too. It even can cause 37 forms of cancer (core-reading. No date) Because of the increasing of the cancer described above, it costs much money and influences the economy. This phenomenon not only occurs in developing countries but also in developed countries. According to the Boyle (2008), this is going to present an amazing problem at every level in every society worldwide. However, the influences in different countries are different.For example, the cost of cancer in the United States is less than 1. 73% of GDP but in the Hungary, which has a smaller population and domestic economy it is more than 3. 05% of GDP. (Global Health, 2010) This kind of difference between developing and developed countries is the result of the different degree of attention in the countries. In developing countries, the government pay more attention to the development of economy thus the control of cancer was ignored. Only when cancer becomes an evident disaster, the government will turn to treat it. However, it will cost more money, because the treatment costs more money than the prevention.The truth is that both developing and developed countries spend much money on cancer. The total economic impact of premature death and disability from cancer worldwide was $895 billion in 2008. This cost represents 1. 5 percent of the world’s gross domestic product (GDP). This economic toll from cancer is nearly 19 percent higher than heart disease, the second-leading cause of economic loss ($895 billion and $753 billion, respectively). (Global healt h, 2010) The high cost of cancer happened because the cancer has direct and indirect influences on the economy.The direct influences include the cost of treatment and prevention of cancer and the funds which be used in research of cancer. The indirectly influences is the decrease of the productivity, because there are no longer enough healthy adults who can work for the industry. Moreover, the death of cancer is more than any other disease, especially in the developing countries. People in Butler County are more likely to die from cancer than heart disease, counter to the trend seen nationally and across the region, according to Journal News’s examination.In some developing countries, the cancer death can equal or larger than 60% of the total death in there per year(Boyle,Levin,2008). In 2008, there were 12. 4 million new case of cancer diagnosed and 7. 6 million deaths from disease (Boyle,Levin,2008). There are a number of factors, which account for the increasing of Non-com municable diseases. However, the main factor is the bad lifestyle of people. On the other hand, the Non-communicable diseases cause many deaths and loss of global economy. It has been argued that there are three kinds of Non-communicable diseases, including Diabetes, CVD and Cancer, which play the important role in NCD.These three diseases caused by the bad lifestyle such as the lack of the exercise and the superfluous or unhealthy diet. Because of the increasing of the NCD, it cost a lot of government’s money to treat it and becomes a heavy burden to the global economy. All in all, the Non-communicable diseases as a global issue result in the burden with the global economy and cause many deaths in the whole world. References Colditz GA, Willett WC, Stampfer MJ,(1990)Weight as a risk factor for clinical diabetes in women. Am J Epidemiol Helmrich SP, Ragland DR, Leung RW, Paffenbarger RS Jr.Physical activity and reduced occurrence of non-insulin-dependent diabetes mellitus. N Engl J Med 1991 Lynch J, Helmrich SP, Lakka TA, et al. Moderately intense physical activities and high levels of cardiorespiratory fitness reduce risk of non-insulin-dependent diabetes mellitus in middle-aged men. Arch Intern Med 1996 Manson JE, Ajani UA, Liu S, Nathan DM, Hennekens CH. A prospective study of cigarette smoking and the incidence of diabetes mellitus among US male physicians. Am J Med 2000 Ajani UA, Hennekens CH, Spelsberg A, Manson JE. Alcohol consumption and risk of type 2 diabetes mellitus among US male physicians.Arch Intern Med 2000 Data from the 2011 National Diabetes Fact Sheet (released Jan. 26, 2011) http://www. diabetes. org/diabetes-basics/diabetes-statistics/ Revealing the cost of Type II diabetes in Europe(B Jonsson – Diabetologia, 2002 – Springer) Goldberg, K. B. (2000) Risk factor CVD in diabetic patients modification for cardiac disease. New York: The McGraw-Hill Companies JT Wright Jr, JG Douglas, M Rahman(1998)Prevention of cardiovascul ar disease in hypertensive patients with normal renal function, [online]Available at <http://www. ciencedirect. com/science/article/pii/S0272638698003357 >(13/12/2011 15:27) Gerald B. Phillips(2005)Is Atherosclerotic Cardiovascular Disease an Endocrinological Disorder? The Estrogen-Androgen Paradox, [online]Available at <http://jcem. endojournals. org/content/90/5/2708. short> (13/12/2011 15:38) ML Slattery, DR Jacobs Jr and MZ Nichaman (1989)Leisure time physical activity and coronary heart disease death. The US Railroad Study [online]Available at http://circ. ahajournals. org/content/79/2/304. short (13/12/2011 15:38)The Ministry of Health. (2010) China cardiovascular disease report, 21th Oct [online]Available at http://www. moh. gov. cn/publicfiles/business/htmlfiles/mohbgt/s6717/201109/52995. htm(13/12/2011 15:39) world health organization report(2005) Cardiovascular diseases (CVDs)not date [online]Available at http://www. who. int/mediacentre/factsheets/fs317/en/ind ex. html (13/12/2011 15:41) Making connection Unit 1 reading 2 J Natl Cancer Inst, (1981) . The causes of cancer: quantitative estimates of avoidable risks of cancer in the United States today. online]Available at<http://www. ncbi. nlm. nih. gov/sites/entrez/7017215? dopt=Abstract&holding=f1000,f1000m,isrctn> (13/12/2011 10:25) <<Core reading book>> Cancer In Developing World(2010). [online]Available at<http://www. globalhealth. org/view_top. php3? id=1056>(13/12/2011 10:26) American Cancer Society,lnc. (2010),The Global Economic [online]Available at<http://www. globalhealth. org/images/pdf/2010_cancer_report. pdf> (13/12/2011 10:34) Boyle/ P, and Levin, B. World Cancer Report (2008),

Tuesday, October 22, 2019

National Service Framework Essays

National Service Framework Essays National Service Framework Essay National Service Framework Essay Even with medical advancements and increased life expectancy, Diabetes remains the worlds 5th leading cause of death and the number of sufferers is said to be increasing. The health profile of Medway shows no significant difference compare to England average. It is probable that improved preventative measures should be developed. For instance whilst the overall population of Medway and Kent is predominately white, some parts of the county (particularly in the north) are more ethnically diverse. Therefore hospitals should apply policies which reflect these ethnic variations across the county. Understanding such differences enables healthcare and health promotion messages to be targeted in appropriate ways (Kent and Medway public health observatory NHS 2008). The (DoH) (2008) points out that the health profile of England shows some recent improvements in a number of critical areas for example declining mortality rates in targeted killers such as cancer and circulatory diseases. However similar successes cannot be attributed to research on diabetes, and the rates continue to rise. Although surveys can provide a useful guide, for instance a survey by the department of health drew a connection between a high prevalence of diabetes and population with greater obesity levels. In April the Secretary of State for Health launched Putting Prevention First, which set out plans for the NHS to deliver a national programme of vascular checks for everybody aged 40-74. This ambitious programme will, for the first time, carry out a systematic, integrated risk assessment of those members of the population who are most at risk and who, according to the evidence, have the biggest opportunity to benefit. Five Years on Delivering the Diabetes (NSF) (2008). When the National Service Framework standards were first published in 2001, only around 1.3 million people were diagnosed with diabetes, and it was thought that around a million had diabetes without knowing it. Since then, the Quality and Outcomes Framework (QOF) has rewarded GP practices for the identification and treatment of people with diabetes in their area and consequently there are now almost 2 million diabetic adults recorded on practice registers. This means that around 600,000 people have been diagnosed in the last five years equivalent to 2,000 a week and are now benefiting from the support they need to manage their diabetes (NICE 2009). Care planning is a key part of managing long-term conditions, and its importance has been stated in a number of major policy documents. The final report of Lord Darzis, NHS Next Stage Review, High Quality Care for All, stresses that, over the next two years, everyone with a long-term condition should be offered a personalised care plan. In February 2008 the National Diabetes Support Team (2008) produced its guide to implementing care planning in diabetes Partners in Care and is also working with Diabetes UK and other key partners to determine ways to support the NHS in embedding the principles of care planning into the delivery of diabetes services (NSF 2008). It has been reported that Primary care is getting better at managing diabetes and one of the outstanding achievements of the Quality and Outcomes Framework is the rising numbers of diabetics receiving essential tests and measurements (for example, blood pressure and cholesterol). And better still the results of those tests have also indicated health improvements, however it is important to note, that the 2005/6 National Diabetes Audit found that not everyone is receiving every care process that they need indicating that we still have some way to go. Its also vital that the person with diabetes is provided with as much information as possible prior to their appointment, to help them use their time with the healthcare professional as well as possible. This was a theme of the final report of the NHS Next Stage Review, which acknowledged that too few people have access to information about their own care (NSF 2008). Services  There are many innovative strategies that authorities can adapt to meet the needs of different sections of the community. In Kent the community diabetes nursing team give continued care and advance throughout all stages of diabetic suffering. The team educate those newly diagnosed with type 2 diabetes in clinic and group settings across Medway and Swale and also run group sessions for those who need to start insulin, usually via the telephone triage system, based at Parkwood Health Centre. Home visits for the housebound are undertaken, as are visits to patients in the community and mental health wards, residential and nursing homes and Prisons. The Community Diabetes Nursing team undertake the following a wide range of duties providing in-depth advisory and educational support. National Frame work  This National Service Framework (NSF 2005) for Long-term Conditions is a key tool for delivering the governments strategy to support people with long-term conditions aiming to build on proposed changes in NHS management and commissioning to bring about a structured and systematic approach to delivering treatment and care for people with long-term conditions to improve health outcomes for people with long-term conditions by offering a personalised care plan for vulnerable people most at risk; to reduce emergency bed days by 5% by 2008 through improved care in primary care and community settings for people with long-term conditions; to improve access to services, ensuring that by 2008 no one waits more than 18 weeks from GP referral to hospital treatment, including all diagnostic procedures and tests. The (NSF 2005) fully supports the concept of choice set out in Building on the Best: Choice, responsiveness and equity in the NHS. This aims to ensure that all people have a choice of when, where and how they are treated from onset of illness until the end of life. Conclusion: This essay had shown a critical account of the health requirements of a patient suffering from a chronic medical condition highlighting the importance and the need of caring for a diabetes sufferer within the community. Mr Thompsons case had shown that as diabetic suffer and the problems he had with his foot. The appropriate treatment was essential in order to deal with his problem the involvement of a multidisciplinary team help to provide the necessary treatment to help Mr Thompson. Community Matron and the district nurse played an important role by acting on behalf of the patient who is suffering from a long term illnesses ensuring that the patient received the appropriate care they need formulating a care plan to help control his diabetes and tend to his foot ulcers. The risk of developing type 2 diabetes is know to increase with age, and may be due to people at an older age becoming less active, gaining weight tends to affects their mobility and weakening their circulatory system. The Department of Health recommend that measures can be taken to improve the lives of diabetics. Although diabetes currently cannot be immediately cured, by using medication and other therapies it can be controlled. However Foot problems that are caused by diabetes signify more patients are more likely to spend more time in hospital using up hospital resources which is can be very costly. NICE guidance recommends that regular review of patients feet should be undertaken by the care from a multi-disciplinary foot care team whose aim are to identify risk factors, (Armstrong et al 1998, Edmonds et al 2004) points out the importance of eliminating or prolonging the development of ulceration and can significantly reduce the incidence of complications and amputation. The governments aims are to support people with long-term conditions by delivering recommend changes that will help people with long-term conditions. There are services within the community that provide support and education for diabetes suffers In Kent the community diabetes nursing team play major role in this time service.

Monday, October 21, 2019

Essays Essays - Essay, An Essay On Criticism, Thomas Robert Malthus

Essays Essays - Essay, An Essay On Criticism, Thomas Robert Malthus Essays are generally scholarly pieces of writing giving the author's own argument, but the definition is vague, overlapping with those of an article, a pamphlet and a short story. Essays can consist of a number of elements, including: literary criticism, political manifestos, learned arguments, observations of daily life, recollections, and reflections of the author. Almost all modern essays are written in prose, but works in verse have been dubbed essays (e.g. Alexander Pope's An Essay on Criticism and An Essay on Man). While brevity usually defines an essay, voluminous works like John Locke's An Essay Concerning Human Understanding and Thomas Malthus's An Essay on the Principle of Population are counterexamples. In some countries (e.g., the United States and Canada), essays have become a major part of formal education. Secondary students are taught structured essay formats to improve their writing skills; admission essays are often used by universities in selecting applicants, and in the humanities and social sciences essays are often used as a way of assessing the performance of students during final exams. The concept of an "essay" has been extended to other mediums beyond writing. A film essay is a movie which often incorporates documentary film making styles and which focuses more on the evolution of a theme or an idea. A photographic essay is an attempt to cover a topic with a linked series of photographs; it may or may not have an accompanying text or captions.