Womens Day

Women’s Day Women are not an asset, nor are they mere human beings – they are the pride of society. From raising the children through to educating our youth, they carry the largest burden of helping us in comprehending how important life is and why it should be preserved for the greater good of mankind.In Pakistan, we do not need to look any further – from our households through to our sociological development, they are the pillars upon whom we depend for our emotional and spiritual support, and even at times our economical, social and political fabric coherence. From the youngest to the oldest, they are equivocal representatives of the brighter side of Pakistan. Kiran Khan, for instance, represented Pakistan in swimming on an international platform – the Commonwealth Games, and the 2008 Summer Olympics to name a few; Dr.Attiya Inayatullah and Mrs. Safia Ameen, who were prominent members of the Population Council and brought to the fore the importance of e pidemiological analysis in Pakistan; Ms. Fatima Jinnah, who deserves an honorary mention in this regard for laying the foundation stone of the All Women Association; Mrs. Bilquis Edhi, wife of Abdul Sattar Edhi, is in her own right a testament to the Edhi Foundation.Her concentrated efforts in maintaining the humanitarian relief efforts for the people of Pakistan are at par with her husband and Pakistan is in debt to her patriotic passion for the nationalistic cause that she continues to pursue to this day; the numerous laureates of Pakistan are endless and deserve wreaths of praise for their contributions to Pakistan. That isn't to say that they alone are representatives of our society. On a daily basis we see them strive to bring a shining image of Pakistan that has been earned through fair means and admirable efforts.Notable mentions include; Mrs. Fauzia Kasuri, who pioneered the concept of ‘international level higher education for the masses' to noteworthy effect – with the advent of the Beaconhouse School System that, to this day, is the most diverse private school network that teaches Cambridge assorted GCEs to the masses; with the Educators providing an equal opportunity for the less affording stratum of Pakistan; Ms. Fatima Riaz, an undergraduate student of Ata-ur-Rehman School of Applied Biosciences (ASAB) in National University ofScience and Technology (NUST), who has instituted the start of a NUST-level society titled â€Å"Bioreach† – the prime objective being to ‘reach' out to the general public and provide a ‘researcher's contributions' towards understanding diseases in Pakistan better and, furthermore, helping understand how they can be caused and avoided; to the numerous female students of Pakistan whom have represented Pakistan on numerous platforms – school, college, and university level – internationally and nationally; the mothers of children guiding them towards the right path; the elder ly women whom have provided their undivided attention in providing advice and counselor support to our veterans in their time of need; they are the numerous ‘silent heroes' whom have held our society's fabric together since Pakistan's inception. This article is a testament to the women of Pakistan, without whom Pakistan would have been different. We, the people of Pakistan, salute you for your untiring efforts and tip our hats in praise and support of your relentless pursuit of the national cause. And with this, we would like to conclude this dedication to you.

Cycles in Biology †Synoptic Essay

A cycle can be defined by a series of repeated steps that produce an end product which is the same as the start product. There are many cycles in biology including cycles that occur inside organisms such as the cardiac cycle, calvin cycle and the krebs cycle. There are also biological cycles that occur around us in the outside world such as the carbon cycle and the nitrogen cycle. I have decided to focus my essay on the biological cycles that occur inside organisms. The cardiac cycle is vital in all organisms with a heart, to pump blood round the body. There are phases of the cardiac cycle; systole (contraction) and diastole (relaxation). The heart consists of 4 chambers, 2 being the atria at the top of the heart and the other 2 being the ventricles at the bottom of the heart. Systole occurs separately in the atria and ventricles and diastole occurs simultaneously in all 4 chambers. The cardiac cycle is controlled by electrical waves that spread throughout the heart. The blood flows into the heart straight into the atria via the vena cava and pulmonary vein. A wave of electrical activity is firstly spread from the Sino-atrial node which spreads across both atria, this causes the atria to contract which forces blood down into the ventricles through the atrioventricular valves. The atrioventricular septum prevents the wave crossing the ventricles. The wave passes to the atrioventricular node where it is passed down the septum down specialised fibres known as the bundle of His. This occurs after a short delay to allow all the blood to flow from the atria to the ventricles. This wave passes down the bundle of His to the Apex of the heart where the Ventricles contract upward, pumping blood out of the ventricles into the pulmonary artery and aorta through the semilunar valves. Here the blood is then passed round the body where it then returns to the heart and the process repeats.

A Rose for Emily Analysis

2) What does the title of the story suggest about the townspeople’s feelings toward Miss Emily? Why do they feel this way about her? (Or: What does she represent to them? ) Is there anything ironic about their feelings? The title of the story suggests that the townspeople have some sort of caring feeling towards her, since a rose is usually a symbol of care or love. They feel some sort of respect to her and her family, since they are the last remnant of the traditional south and the only ones who embrace it the most. The townspeople actually have a pity for her, because after her father died, the association of her being higher class lowered. Then, it was lowered the most when she started to spend time with Homer Barron because he was from the North and a day laborer, and thought Miss Emily should have been with someone of higher status, as she was brought up. 3) Describe and discuss the symbolism of Miss Emily’s house. The dust all over the interior of Miss Emily’s house symbolizes the traditional south which Miss Emily continues to embrace mentally through her actions and visually through the looks of her house. The traditional south ways are being abandoned, but Emily refuses to go along. The traditional south ways are old, and Emily wants to stay attached to them, so they linger throughout her home in the visual form of old dust. The portrait of her father symbolizes also that Emily does not want to adjust to the new times. He lived his life in the traditional times, and she did not want to believe that he was dead. The portrait symbolizes his everlasting presence in Emily’s life, even after his death. 4) What is the role of the â€Å"smell† incident in the story. What other problems has Miss Emily caused the local authorities? The role of the smell incident gives suspicion as to what it is in Miss Emily’s house that is causing it. It gives suspicion that it is something like a dead body, because only such things like a dead body can have such a permeating odor able to reach outside. Miss Emily also has not paid the taxes and thinks she is still entitled to the tax waiver that Colonel Sartoris gave to her, even though he is dead. 5) How do the townspeople know what they know about Miss Emily’s life? What is the source of their information? The townspeople know what they do about her house from when the Aldermen visited the inside of her house. They were the ones who saw how dusty and creepy it was inside of the Grierson house. They also get the minister’s wife to get in contact with her relatives, who then come and visit. They also know most of the information they know by simply keeping track of her and seeing her do the things she does, such as buy the poison, and buy the wedding gifts. They all find out by gossiping and sharing the things they see, especially the older women. 6) Consider the mixed quality of the townspeople’s reactions to Miss Emily’s â€Å"failures†. 7) What is the significance of Miss Emily’s actions after the death of her father? Miss Emily tried to keep the body of her father with her in her house. This signifies that she did not want to accept the fact that he was dead. She was lonely, and did not want him to go too, like her lover that had recently left her. He was part of the last of the Grierson family and had shaped her whole life, so she did not want to let him go. 8) What role does Homer Barron play in the story? Is there anything ironic about a match between him and Miss Emily? Homer Barron plays the newcomer to town who Miss Emily succeeds with in her ruesome plans for him. The irony in their relationship is that they are from different regions, which did not have a good relationship back then, because of the Civil War. Homer was from the North, and represented the new innovation of the coming future. Miss Emily has remained in the South all her life and wishes to stay practicing her values and not adjust to changes in life. It is also ironic that after all of the upbringing from her father sending away men who were not â€Å"high enough in class† for her, that she would choose Homer as her partner. Her father would have never approved of him. 9) Look closely at the second paragraph in section five. What does this paragraph suggest about the nature of the people’s memories of the past? 10) What is the horrible revelation about Miss Emily that the story ends with? How is this related to the overall meaning of the story? The horrible revelation about Miss Emily is that she actually used the rat poison to kill Homer, and even more grotesque, she kept his body frozen in time so that he could stay with her forever. We also find a gray hair from Miss Emily, which means that she laid down next to the body in the bed for her own satisfaction. This is related to the overall meaning of the story because it shows how Miss Emily was determined to live life and have things the way she wanted them, and she didn’t care that the times were changing or that her actions were socially unacceptable. She lived the rest of her life devoted to the traditional ways of the south, and did not want to accept any changes. A Rose for Emily Analysis 2) What does the title of the story suggest about the townspeople’s feelings toward Miss Emily? Why do they feel this way about her? (Or: What does she represent to them? ) Is there anything ironic about their feelings? The title of the story suggests that the townspeople have some sort of caring feeling towards her, since a rose is usually a symbol of care or love. They feel some sort of respect to her and her family, since they are the last remnant of the traditional south and the only ones who embrace it the most. The townspeople actually have a pity for her, because after her father died, the association of her being higher class lowered. Then, it was lowered the most when she started to spend time with Homer Barron because he was from the North and a day laborer, and thought Miss Emily should have been with someone of higher status, as she was brought up. 3) Describe and discuss the symbolism of Miss Emily’s house. The dust all over the interior of Miss Emily’s house symbolizes the traditional south which Miss Emily continues to embrace mentally through her actions and visually through the looks of her house. The traditional south ways are being abandoned, but Emily refuses to go along. The traditional south ways are old, and Emily wants to stay attached to them, so they linger throughout her home in the visual form of old dust. The portrait of her father symbolizes also that Emily does not want to adjust to the new times. He lived his life in the traditional times, and she did not want to believe that he was dead. The portrait symbolizes his everlasting presence in Emily’s life, even after his death. 4) What is the role of the â€Å"smell† incident in the story. What other problems has Miss Emily caused the local authorities? The role of the smell incident gives suspicion as to what it is in Miss Emily’s house that is causing it. It gives suspicion that it is something like a dead body, because only such things like a dead body can have such a permeating odor able to reach outside. Miss Emily also has not paid the taxes and thinks she is still entitled to the tax waiver that Colonel Sartoris gave to her, even though he is dead. 5) How do the townspeople know what they know about Miss Emily’s life? What is the source of their information? The townspeople know what they do about her house from when the Aldermen visited the inside of her house. They were the ones who saw how dusty and creepy it was inside of the Grierson house. They also get the minister’s wife to get in contact with her relatives, who then come and visit. They also know most of the information they know by simply keeping track of her and seeing her do the things she does, such as buy the poison, and buy the wedding gifts. They all find out by gossiping and sharing the things they see, especially the older women. 6) Consider the mixed quality of the townspeople’s reactions to Miss Emily’s â€Å"failures†. 7) What is the significance of Miss Emily’s actions after the death of her father? Miss Emily tried to keep the body of her father with her in her house. This signifies that she did not want to accept the fact that he was dead. She was lonely, and did not want him to go too, like her lover that had recently left her. He was part of the last of the Grierson family and had shaped her whole life, so she did not want to let him go. 8) What role does Homer Barron play in the story? Is there anything ironic about a match between him and Miss Emily? Homer Barron plays the newcomer to town who Miss Emily succeeds with in her ruesome plans for him. The irony in their relationship is that they are from different regions, which did not have a good relationship back then, because of the Civil War. Homer was from the North, and represented the new innovation of the coming future. Miss Emily has remained in the South all her life and wishes to stay practicing her values and not adjust to changes in life. It is also ironic that after all of the upbringing from her father sending away men who were not â€Å"high enough in class† for her, that she would choose Homer as her partner. Her father would have never approved of him. 9) Look closely at the second paragraph in section five. What does this paragraph suggest about the nature of the people’s memories of the past? 10) What is the horrible revelation about Miss Emily that the story ends with? How is this related to the overall meaning of the story? The horrible revelation about Miss Emily is that she actually used the rat poison to kill Homer, and even more grotesque, she kept his body frozen in time so that he could stay with her forever. We also find a gray hair from Miss Emily, which means that she laid down next to the body in the bed for her own satisfaction. This is related to the overall meaning of the story because it shows how Miss Emily was determined to live life and have things the way she wanted them, and she didn’t care that the times were changing or that her actions were socially unacceptable. She lived the rest of her life devoted to the traditional ways of the south, and did not want to accept any changes.

Inequalities And Its Eeffects Essay Example | Topics and Well Written Essays - 2250 words

Inequalities And Its Eeffects - Essay Example a from the World Bank, the World Health Organization, the United Nations and the Organisation for Economic Cooperation and Development (OECD), and others. â€Å"To avoid being accused of picking and choosing our measures, our approach in this book has been to take measures provided by official agencies rather than calculating our own† (Wilkinson and Pickett 2009, pg. 18). However, this approach of the authors to prove their hypothesis was not accepted by all the experts. They found loopholes in this methodology, particularly the statistical analysis part, and thereby found loopholes in their arguments as well. The point put forward was, by just drawing lines or even a â€Å"line of best fit† based on a various variables and series of data points does not hold any statistical significance, unless the statistical analyses was done. They are convinced that these statistical tables do not provide the correct picture, as adequate analyses were not done. This was pointed out by Moore (2010) â€Å"Drawing a line through a series of data points signals nothing concrete†¦ The authors promise that they "have only included a best-fit line through the points"†¦But since they do not provide any statistical analyses, this can't be verified.† Kay (2009) further adds up against the methodology and thereby the argument of the authors by pointing out how regression methods may not correctly aid in analyzing the economic and importantly social statistics. As social statistics could be influenced by various variables, and is an evolving process, it cannot be easily focused. In addition, adequate data were not given in relation to the estimated equations. Thus, if one â€Å"removes the bold lines from the diagram, the pattern of points mostly looks random, and the data dominated by a few... This esssay stresses that the inequality can be measured as the one that happens between the rich and the poor in a particular country, and not inequalities between the rich countries and the poor countries. The key point or differentiation, the authors make, is that wellbeing of a country’s people, cannot be actualized or should not be judged based only on the wealth or economic status of that particular country. Instead, the focus should be far more deeper, with the economic inequalities between the rich and the poorer sections of the population mainly deciding the welfare of the people. Spatial based concentration of anything including population, industries and also income could also lead to inequalities. Authors Wilkinson and Pickett points out how more equal distribution of resources and thereby the income status â€Å"will mean fewer people will be living in shanty towns, with dirt water and food insecurity†. This paper makes a conclusion that these inequalities is prevalent for the past few centuries only because of the advancements particularly in economic, social and technology sphere, which took place mainly in the last few centuries. In the earlier centuries, human beings lived in a mostly egalitarian prehistoric hunting and gathering societies with very minimal inequalities. However, as the world advanced certain sections of the population utilizing the various advancements, progressed optimally, while leaving behind others. This inequality is now visible in various facets of human life and is leading to various repercussions for the people

Explain why Wells avoids calling his characters by their names Essay

Explain why Wells avoids calling his characters by their names - Essay Example Figuratively speaking, the author talks about social struggles. It has to be mentioned that these two types of races, Morlocks and Eloi, represent the social classes that would later dominate the Earth. Of course, the whole notion of social struggle is hidden behind the Darwinian feel og the two races. These races give the science fiction feel of the book. One should understand that this book was published at the dawn of the Industrial Age. This was a time of great change, where people moved in from the country to the city, to provide manpower for new industries that have sprouted. Now, capitalism has risen, and with that, the notion that the rich will become richer permeated. It should also be noted that in 1859, Charles Darwin published the Origin of the Species which argued that species evolved to be better adapted for survival. Survival of the fittest ensued. Now the upper-class reacted to this idea by thinking that they are the better species, thus they are rich. This is Social Darwinism. How is Social Darwinism significant to The Time Machine? The book tackles the idea that the Eloi are the lithe, lazy but beautiful people. They are obviously an allegory to the rich. The Morlocks are the ones who work for the Eloi, they look horrible and they are mean. They live underground. It is also known that they eat the Eloi. They represent the working class. Now, this is a picture of two social classes exploiting each other, and it is set in the future. By that, Wells is actually warning the people the dangers of technology and wealth; how it would deepen the gap between the rich and the poor, and how it would affect the future and the lifestyles of the future inhabitants of the Earth. The book shows the rich have evolved into helpless humans and the poor have evolved into cannibals. It is a warning and a concrete example of Darwin’s theory of evolution. It should be noted that the Time Traveler is not called by his name at all. He is just that: Time Travele r. Why is the Time Traveler only being referred to as the Time Traveler? This is because the Time Traveler acts as a witness; a representative of the modern man to the future world. As the Eloi and the Morlocks find themselves separated by their classes in that world, the Time Traveler does not belong to any of those social classes. He can be anyone. He is an observer, and a scientist at that. Scientists should always be objective when making their posits, and by not assigning a proper identity, the Time Traveler maintains this position. The Time Traveler is also a passive person as he is only a visitor in the future. He knew there was a problem but he does not make any effort to fix it. His lack of name signifies the lack of identity and power to do things. He is on the sidelines, watching. Giving an identity to him by giving him a name will change the neutrality of the character, as well as his ambiguousness. Other characters do not have a name in the story as well. When the Time Traveler was explaining the Fourth Dimension, Wells introduced other characters as dinner guests. They are, among others, the provincial mayor, the medical man, the very young man, the psychologist etc. Only Filby has a name, and he is being described as the argumentative young man with red hair. Why the generic names? Well, firstly, it’s a style that H.G. Wells chose to employ throughout the book. The common names indicate

All forms of government welfare should be abolished Essay - 1

All forms of government welfare should be abolished - Essay Example Moreover, most of government welfare initiatives fail the test of providing long-term solutions to economic challenges facing society, thus encourage a persistent culture of reliance on others and loss of productivity. 3. What is your position regarding the topic? My position is that government welfare programs should be abolished. 4. What â€Å"evidence† have you offered to support your claim/position? Have you included your survey results? A lot of Americans were dissatisfied with the management of the program, claiming that the beneficiaries of the programs were misusing the welfare funds by staying idle, and having bigger families in order to receive more aid (Sheely, 2012). Others refrained from marriage so as to be eligible for more benefits (Greenberg, Ashworth, Cebulla, & Walker, 2005). These are clear signs of abuse, which basically call for the abolition of the government welfare. 5. Put your claim/position and â€Å"evidence† through the â€Å"Scientific Met hod† and â€Å"Proving a theory† steps. Are there any steps on which your claim/position and evidence do not measure up to the examination? If so, what can you do to make them more acceptable? Firstly, despite the significance of the welfare reform initiated in the mid-1990s, states are still struggling to curb the exploitative nature of the policy upon the productive segment of the economy. Greenberg et al (2005) indicated that more than half of people covered in the programs do not deserve the benefits. The current legal safeguards do not seem to offer long-lasting solutions to these ills at all. Many women have persisted with their habit of having many children in order to enjoy more benefits from the program. Moreover, the hefty annual benefits amounting to $7,000 is costly, especially where the beneficiaries channel the money elsewhere other than for a child’s upkeep (Grogger, Haider, & Klerman, 2003). This means that if such benefits were eliminated, chance s of women having children for purposes of benefitting from the cash would be very slim (Sheely, 2012). Secondly, as Gelman (2008) has pointed out, government revenue mainly generated from taxation of the salaries of the working class end up funding the more than a $746 billion welfare budget in 2010 (Guzman, Pirog, & Seefeldt, 2013). It is apparent that the social security fund is an area where hardworking citizens are disenfranchised to offset the needs of the supposed persons in need of services. The moneys collected from the social security fund do not amount to credible benefits for retirees. The funds are channeled to undeserving individuals who do not work hard to earn a living at all. In view of this, it is unfair for government to sustain the welfare programs because most of the beneficiaries are not willing to work hard, despite the existence of economic opportunities in the country (Grogger, Haider, & Klerman, 2003). The channeling of funds into wrong hands calls for the need to reexamine the clear definition of a needy individual. 6. Who is your intended audience? My intended audience is the government, especially the lawmakers and the working class populations because they hold the key to the abolishment of the legal structure which support welfare programs. 7. What is your purpose? What do you want the audience to do, to feel, or to think? Congress and the working class should be cognizant of the waste and work towards the realization of a change of laws as a way of making the economically

The Daily Life of a President Research Paper Example | Topics and Well Written Essays - 1000 words

The Daily Life of a President - Research Paper Example Job of a president includes â€Å"chairing meetings, setting agendas, appointing committees and assuring their proper functioning, and supervising the board administrator† (Stafford). What to talk of the meals, even the breakfast of a president is hardly ever taken in a private setting. Quite often, the president has to attend breakfast out of the house. Such news are typical of a president; â€Å"Georgian College  employees are invited to attend a  President’s Breakfast  at the  Barrie, Midland, Orillia  andOwen Sound  campuses† (â€Å"Have Breakfast†). Almost every day, the president has to deal with unforeseen matters and be present beyond the office time to make decisions of national and international significance. This practically involves the president in the job mentally, if not physically for full 24 hours because most presidents can not escape their job even in their dreams. The day of a president starts with the personal secretaryâ₠¬â„¢s report, who does the night duty to make note of all news, calls and messages for the president that may arrive in the night while the president is sleeping. While he is delivered a glassful of fresh juice or bed-tea as may liked by the president in the bed, the personal secretary narrates the report and the two discuss how to modify the schedule to incorporate the changes. The secretary also confirms the numbers of flights, time of flights. He also checks if the pre-departure arrangements have been made to all local and abroad tours. The president has breakfast with the family, if he is spared the opportunity by the local ministers, government officials or foreign ministers. A heavy breakfast acquaints the president with all the energy that is required during the day. After the breakfast, the president sets off to make guest appearance at some school, hospital or conference. He may or may not accompany his wife with him on such visits. In a vast majority of cases, presidents t ake their wives along with them to the opening ceremonies. On his way to the ceremony or conference, the president tends to take a preliminary in-sight to the speech prepared for him by the personal speech-maker. Most presidents appoint a person with exceptional vocal skills for this purpose. The speech is hardly ever read completely and thoroughly by the presidents as they are so many and have to be made at quite a lot of places on a daily basis. Occasionally, a president may experience difficulty reading a speech if the words are printed wrongly. The president’s visit adds tones to the importance of a ceremony and it is brought in the lime-light. The president may be offered buffet at the location of ceremony for lunch. After the ceremony, the president proceeds towards the press-conference for clarifying public’s doubts over the enforcement of recent alterations in the rules and regulations. A president takes the press-conference as an opportunity to clarify the con fusions that may have cultivated in the minds of the public and the media from time to time and satisfy their queries. Press-conference is a very challenging event for a president because he has to live answer the most critical questions openly raised by media’s representatives. To make it worse, the whole session is telecast live and each and every emotion of the president is recorded. In order to gain public’

Comparative youth justice Essay Example | Topics and Well Written Essays - 1000 words

Comparative youth justice - Essay Example Despite their naivety, initially children were treated and punished in the same way as their adult counterparts irrespective of their crime but gradually the criminal justice system was introduced to reforms that ensured an alternate protocol to deal with child crime. Tracing the history of youth justice system, In 1933, The Children and Young Persons Act (1933, Sec. 44(1)) was introduced which said, ‘Every court in dealing with a child or young person who is brought before it, either as an offender or otherwise, shall have regard to the welfare of the child or young person and shall in a proper case take steps for removing him from undesirable surroundings, and for securing that proper provision is made for his education and training’. Since then there have been amendments and changes to this act. Later acts, for example, The Children and Young Persons Act of 1969 (1969, Sec. 43 (1)) gave a more of a welfare spin to youth justice but the question arises that should the young ones be punished for their crimes (which they might have committed in adolescence and immaturity)? People have different perspectives over this, some say that they should be forgiven and sent to rehabilitation centres while others are of a view that they should be punished so they learn their lesson and never repeat the mistake again. Surprisingly, it has been observed that first timers who have been punished for their crime tend to become second time offenders. This might be associated to the severity of the punishment that consequently makes the young so revengeful of the society. The next logical inquisitions that pop up include, is custody/punishment an expensive way of making bad people worse? Does the locking up of children work? Statistics show that around 2203 children are in custody in England and Wales and most of them are imprisoned for non-violent offences so does it add up to be logical to imprison a child for a non-violent crime when they can be rehabilitated in the community? Locking someone in prison is usually for individuals who are harm to community. The premise of taking a child into custody is a thought that suggests that they are a hazard to society. Children tend to wallow, all their lives in a complex that they were not worthy enough to be forgiven and given another chance. These disturbing thoughts make them so hateful of the society that they begin to think that no matter what they do, they will land up in a prison anyway. According to Morse (2010, Sec. 6), in his report to the ministry of justice, such thoughts make it easier for these children to go back to crime thus they end up being second time offenders. Although all of them do have a potential to have a good life again but once they get into a prison such is the urge of reoffending that they are likely to be engaged the cycle of getting in and out of prison for life. According to Wark (2010), some young offenders were interviewed during a research and it came out that tho se children have now become worst than before. A child who was given a custodial sentence at the age of 12 for robbing off people to buy drugs, is now a maniac to society, he was expelled thrice from school after that then became a rebel. He began fighting on streets, spitting at teachers, threw chairs at fellow students and started smoking, he has become an angry rebellious child who is not acceptable anywhere and the already highlighted non-acceptance has

Sales and marketing PROJECT 213 Research Paper Example | Topics and Well Written Essays - 2500 words

Sales and marketing PROJECT 213 - Research Paper Example ilities around the area like dawn beach, on the beach, Saint Maarten Zoo, Museum of Saint Maarten, Guana Bay Beach and the University of Saint Marten. The property is well situated, and it provides a good place to spend holidays and honeymoon in St. Maarten. People visiting the hotel have fun at the white sand beaches and the blue-green waters (Westin Hotel and Resorts, 2015). The property is located alongside other properties that offer recreation and education services. Some people visiting recreation centres in the area end up spending their nights at the hotel. Dawn beach is adjacent to the hotel about 0.4 km away. The beach is usually busy with people from the area and others from other places of the world. Dawn beach is advantageous because most of the people visiting the beach end up spending at the hotels rooms. On the other hand, people who visit Dawn Beach pollute the environment making most of the people not willing to spend in the hotel. Another property in the areas is Guana Bay Beach, that has the same value with the Dawn Beach. The Museum of Saint Maarten is another property that is important to the hotel. People visiting the museum include students, families, couples and business people. Most of the people visiting the museum spend time at the hotel, eating, drinking and spending at the hotel rooms. The University of St. Maarten has increa sed the population of the area providing more customers to the hotel. The university is located 4.9 km from the hotel. Most of the students at the university come from different countries and spend their free time at the beaches. Students from the University visit the hotel for drinks and launch. The lecturers and staff also use the hotel for the conference and special meeting. The university visitors spend their nights at the hotel (Westin Hotel and Resorts, 2015). In Saint Maarten, there are many hotels that compete direct with the Westin Dawn Beach Resort. The managers and the directors value and rate the

Information Management and Design - Critical Thinking Mod 4 Essay

Information Management and Design - Critical Thinking Mod 4 - Essay Example This will help in knowing the number of CDs that move fast thus enabling the shop owner to diversify into such product codes, hence enabling a clear focus and indication of the products that are in store or out of the store. It should put into consideration the programs that are able to have predetermined weekly forecasts all through the levels of operations of the shop (Wierenga, 2008). When this is done the shop owner is able to have an automatic manipulation of the prices of the CDs in stocking thus factoring in those that sale slow without losing profitability. This system should also take into consideration the ability to set prices in an interactive way that enables better displays thus promoting wholesale practices, this is able to factor all the CDs that are on display without any kind of discrimination in quality versus prices. The prices should be designed in a way that they are grouped as per the code classifications of the products, there may be some CDs that may not sell that first, it is therefore important to put them in that category of CDs that sell fast and code them the same. This kind of system design is able to promote profitability and the movement of the stock (Wierenga, 2008). While designing the system it is also important to put into consideration the promotional calendars that are geared into performing multiple weekly operations rather than single weekly price settings. This should set values for seasonal promotions where certain types of CDs sell at high levels hence the system designs should be able to take into account the promotional activities from the manufacturers to the shop retail levels. The system should be designed in a way that it is able to capture the prices from the competitor’s level in an incomplete way so as to help in designing competitive prices for the products that are able to sell faster and those that sell slower (Burstein, 2008). This kind of system design should be able to find a way of coordinating all the CDs and their categories while in the stores. This system should factor a better way of finding correct method of coding the prices according to the market trends which helps in achieving consistent images across the categories of the CD products in the store. The system should be able to capture all the information from many sources and integrate them together in a compatible format so that the inventory systems can be integrated with pricing systems (Burstein, 2008). The design should be able to help the shop owner in scaling the CDs into one category or more categories so as to help in promoting sales equally regardless of whether the CD is of inferior or superior qualities. While doing all these, the system should also be designed in a way that it gives prices recommendations in a strategic way that all the products are sold in a strategic way and this should be able to warn and discard bad pricing strategies. All these system designs should factor in better ways of easi er data accessibility for better reporting and decision making in knowing the best products in and out of store. When the data is easily accessed, there is a greater possibility of consolidating the data set that can be used in getting better analysis of the CDs according to their clientele suitability and prices. The system shou

Duddy Kravitz Materialism Essay Example for Free

Duddy Kravitz Materialism Essay Materializing is a major role in this book it affects a large part of the characters second and one person first hand. It also affects the plot due to the main characters obsession with materialism. Materializing can also cause people in relationships to grow apart due to confusion with priorities. Materializing can drive people to become some one that they would never wish to become with out even realizing it. It can also push you to do stuff that you would never think of doing. In the book The Apprenticeship Of Duddy Kravitz, the main character Duddy Kravitz was brought up with the saying a man with out land is a nobody. Duddy believes that the more land and money he gains the more of a somebody he will become. Duddy goes through life trying to make more and more money and gain more and more land. With an obsession like this it can cause a person to forget about priorities and also the heath and feelings of others. With Duddy by the end of the book his push to become a somebody cause the lost of respect from a family member and the loss of valued friends. It caused Duddy to put his own friend in a wheel chair for life just so he could try and save some money. Materializing can cause your judgment to fog and able you to do almost anything to get a head in the race to becoming a somebody. Duddy went to the point of forging a crippled friends check so he could buy more land. After he finally owns and controls all of the land hi feels that he has become a somebody. Duddy let money and poisons become the only thing that mattered to him. Duddy lost sight of everything that he lost and all the people that he hurt along the race to become a somebody. The plot of the book was greatly affected be materialism. The book is based around a selfish, greedy man named Duddy Kravitz a man that would stop at anything to become rich and well known. The plot twists as Duddy personality becomes meaner and more money driven. The plot of the book starts with the main character Duddy trying to make living well at the same timework his way up to becoming rich and at least locally famous. Duddy starts off as a happy man with a girlfriend, has many friends that are rich and is starting off his own business. However later on in the book after he starts to buy land to build a dream he starts to go bankrupt. As times get tough Duddy slowly starts to loss grasp of his goals and dreams that would make him a  somebody. The money hungry man starts to become verbally violent and uncaring for others. At this point he is only worried about losing his land and money. ################# but really Duddy has lost much more than he has gain. He has lost his friends, his girlfriend and the respect of his grandpa. The plot is based on materialism with Duddy. All most every problem in this book is a result in Duddy trying to make it big in life and becoming a rich man with a lot of land. When materialism is present with in a relationships it can push people to grow a part over time. It is usually noticed be one member and rarely caught but the person who is obsessed with it. With Duddy Kravitz it was present thought out his life. However as time moved on it slowly turned in to the only thing that mattered to him in his life. When Duddy first started to date Yvette you could see the connection they had with each other, you got the impression that they where meant to be together. They would go on picnics together, go for walks in the woods, and go swimming in the lake. This is where Duddy discovers his soon to be land, with in seconds you could see that the Duddy obsession with materialism has started to make things different between then. Duddy tried to bribe Yvette not to tell anyone about their place and offered to cut her in on the profits if she would keep it a secret. When money and the land came in to the picture it caused Duddy to almost stop trusting Yvette and act like she was more like a business partner rather than girlfriend. This cause Yvette to become angry and upset that Duddy didnt trust her and brought money in to the picture. Slowly over time Duddy became verbally violent towards Yvette, always telling her to shut up and yelling at her profoundly. Slowly Duddy obsession pushed him away from Yvette. By the end of the book Duddy was so obsessed with land, money and trying to become a somebody that he lost the important things in life. Duddy lost things that cant be bought but money, or impressed with land, he lost friends and family.

Case Study Of Unstable Angina

Case Study Of Unstable Angina The patient in context is a 61 year old male, Mr. X, admitted to hospital in the late evening for a case of unstable angina. Presenting complaints include left-sided chest pain which was less severe than that of his previous admission and localized pain during rest. Absent symptoms are profuse sweating as well as nausea and vomiting, orthopnea and paroxysmal nocturnal dypsnoea, cough and fever. Patients past medical history includes diabetes mellitus and hypertension diagnosed 6 years ago, ischaemic heart disease (IHD) since 3 years ago, for which the last hospital admission was 11 months ago. In the previous admission for IHD, Mr. X also suffered from pneumonia and ventricular failure, his electrocardiogram (ECG) indicated right bundle branch block, his serum troponin I levels were 0.3 ng/mL (normal levels 0-0.1 ng/mL), and his creatinine levels were 5.0 mg/dL (normal for males 0.2-0.6 mg/dL). Mr. X is also afflicted with chronic kidney disease, for which his baseline creatinine dur ing his last admission was 208 ÃŽÂ ¼mol//L. Mr. X has retired from the military and is living with his wife, who monitors his medications and compliance. He used to be a chronic smoker but has stopped smoking 15 years ago. His previous medication history is as below: Drug and Form Strength Frequency Furosemide tabs 40 mg BD Omeprazole tabs 20 mg PRN Amlodipine tabs 10 mg OD Simvastatin tabs 20 mg ON Perindopril tabs 4 mg OD Table 1: Table showing past medications of Mr. X. Mr. X takes no non-prescription medications and has no known drug allergies. On examination he appears to be alert and comfortable on his nasal cannula for delivery of oxygen 3L/min. His blood pressure is 134/81 mmHg, pulse rate is 76 bpm, body temperature 37oC, SpO2 of 99%, abdomen feels soft and non-tender, and no pedal oedema was observed. A blood glucose strip test reveals that Mr. Xs glucose levels were 10.3 mmol/L. Emergency ECG shows right bundle branch block and no ischaemic changes. The tentative diagnosis was unstable angina and further tests were scheduled, including a full blood count (FBC), renal profile (RP), liver function test (LFT), troponin and creatinine (CKMB) investigations, as well as a urine full examination and microscopy (UFEME). The immediate plan was to give Mr. X subcutaneous enoxaparin 60 mg stat and twice daily thereafter, aspirin 75 mg tablets once daily, lovastatin 20 mg tablets once daily, sublingual glyceryl trinitrate when required, and to continue the 3L/min oxygen cannula. Clinical Progress Day 1 Morning Patient was well, free from chest pain, tolerating orally and suffering from no nausea or vomiting. He had minimal shortness of breath (SOB). Troponin I levels were at 0.15 ng/mL and ECG showed no acute or evolving changes. Fasting plasma glucose was at 4.8 mmol/L (within normal range). Secondary dehydration was observed using the skin pinch test, so patient was started on intravenous normal saline drip (3 x 500 mL bag per 24 hours). Patient was found to be anaemic due to pre-existing chronic renal failure. Evening Patient reported mild chest pain and SOB. His troponin I levels were 0.15 ng/mL and other vitals were normal. His creatinine levels were 423 ÃŽÂ ¼mol/L. Day 2 Patient felt comfortable and his vitals were normal. His creatinine levels decreased to 345 ÃŽÂ ¼mol/L. Day 3 Patients condition was well, no chest pain was reported but he was still experiencing some SOB in the morning, which subsided in the afternoon. Patient was put on continuous peritoneal dialysis in the late morning. Patients vitals were normal, and he was taken off enoxaparin in the evening. Day 4 Patient complained of chest pain in the morning, with minimal SOB. His vitals were normal. Subcutaneous enoxaparin 60 mg was given and the IV saline was continued. Lab Findings Urine Biochemical Analysis (Day 1) Investigation values Normal values Protein ++100 mg/dL Glucose negative negative Blood negative Leucocytes +-10 WBC/ÃŽÂ ¼L Ketone negative negative Bile negative negative Urobillinogen normal Specific gravity 1.025 1.003 1.040 pH 5.5 4.6 8.0 Nitrite negative negative Table 2: Results of urine biochemical analysis on Day 1 Lipid Panel Fasting Serum Lipid Plasma total cholesterol / mmol/L 4.5 Desirable Borderline 5.17-6.19 High risk >6.20 Plasma triglyceride / mmol/L 1.27 à ¢Ã¢â‚¬  Ã¢â‚¬Å" Desirable Borderline 1.7-5.64 High risk >5.65 Plasma LDL-cholesterol / mmol/L 2.91 à ¢Ã¢â‚¬  Ã¢â‚¬Å" Desirable Borderline 3.36-4.12 High risk >4.13 Plasma HDL-cholesterol / mmol/L 1.01 à ¢Ã¢â‚¬  Ã¢â‚¬Å" Desirable >1.03 High risk Total cholesterol / HDL-cholesterol 4.5 Desirable Borderline 3.8-5.8 High risk >5.9 Table 3: Results of lipid panel (fasting serum lipid levels). Renal Profile Electrolytes Measured levels on Day 1-1.14am Measured levels on Day 1-12.54am Measured levels on Day 2-10.47am Normal range Urea / mmol/L 22.8 22.4 21.1 2.8-7.2 Sodium / mmol/L 129 128 129 136-146 Potassium / mmol/L 5.3 4.8 4.7 3.5-5.1 Chloride / mmol/L 98 94 101 98-107 Creatinine / ÃŽÂ ¼mol/L 423 398 345 58-96 Table 4: Renal profile of Mr. X showing levels of electrolytes and creatinine. Plasma troponin I 0.15 ng/mL Liver Function Test Measured level Normal range Plasma total protein 81 g/L 66-83 g/L Plasma albumin 34 g/L 35-52 g/L Plasma globulin 47g/L 25-44 g/L A/G ratio 0.7 0.9-1.8 Plasma alkaline phosphatase 119 u/L 30-120 u/L Plasma aspartate transaminase 19 u/L Plasma alanine transaminase 43 u/L à ¢Ã¢â‚¬  Ã¢â‚¬Ëœ Plasma total bilirubin 6 ÃŽÂ ¼mol/L 5-21 ÃŽÂ ¼mol/L ESR 47mm/hour à ¢Ã¢â‚¬  Ã¢â‚¬Ëœ 0-20 mm/hour Table 5: Results of liver function test showing protein and liver enzyme levels in plasma. Full Blood Count (FBC) (Beckman Coulter) Cell type Measured level Normal range WBC 9.9109/L 4-10109/L RBC 3.341012/L 3.8-4.81012/L Haemoglobin 95g/L 120-150g/L Haematocrit 0.273L/L 0.36-0.46L/L Mean cell volume 81.8fl. 83-101fl. Mean cell haemoglobin 28.4pg. 27-32pg MCH concentration 347g/L 315-345g/L Platelets 353109/L 150-400109/L RDW 19.4% Neutrophils 3.3 2-7 x109/L Lymphocytes 1.74 1-3 x109/L Monocytes 0.55 0.2-1.0 x109/L Eosinophils 0.21 0.02-0.5 x109/L Basophils 0.03 0.02-0.1 x109/L Table 6: Full blood count of Mr. X. Vital Stats Chart Date Time Blood Pressure/ mmHg Temperature / oC Pulse Rate/ bpm SpO2/ % Blood Glucose levels/ mmol/L Day 0 11.05 pm 140/80 37 91 100 13.9 11.30 pm 137/84 37 80 100 Day 1 8.30 am 130/80 37 70 4.8 (fasting) 3.55 pm 130/70 37 90 10.30 pm 108/64 37 81 Day 2 8.20 am 119/69 37 78 4.50 pm 130/90 37 82 9.6 9.45 pm 140/90 37 80 6.7 Day 3 8.50 am 114/77 37 72 98 6.6 Table 7: Records of vital stats of Mr. X from Day 0 3. Disease Overview Pharmacological Basis of Drug Therapy Acute coronary syndrome (ACS) is a broad term used to classify a continuum of symptoms and events stemming from acute ischaemic episodes affecting the cardiac muscle.1 This includes unstable angina, non-ST segment elevation myocardial infarction (NTEMI), and ST segment elevation infarction. It is usually characterised by chest pain which increases in its severity at rest or with physical exertion. The ischaemic events usually arise from the development of unstable atheromatous plaques,2 which explains the fact that stable angina (due to a stable coronary atheromatous plaque) is not included under this umbrella term. Rupture, ulceration or fissures of the atherosclerotic plaque often leads to formation of a thrombus, causing occlusion of coronary arteries and inadequate blood flow and, subsequently, inadequate supply of oxygen and nutrients to the cardiac muscle. This can be precipitated by acute stress factors on the sclerotic cap usually consisting of fibrous material, which is caus ed by local blood flow disturbances or vasospasms3. Unstable angina usually occurs without cardiac muscle damage while myocardial infarction (MI) may occur with or without myocardium damage. The thrombus formed in unstable angina is labile and obstruction is transient, and not a full-on occlusion as would occur in MI.4 Unstable angina occurs at rest and is almost indistinguishable from a non-ST segment elevated myocardial infarction except in the severity of cardiac muscle ischaemia. Theoretical definitions of unstable angina would include changes in usual patterns of stable angina after a stable pain-free period, or severe acute anginal pain causing almost total incapacity5, though it is difficult to define it exactly as the term is often used by medical professionals to describe a range of different conditions intermediate between stable angina and MI. The primary clinical symptoms of unstable angina are: sudden occurrence of chest pain that persists for more than 20 minutes which may be felt in other areas such as the jaw, arm, shoulder, neck or back; without cause (as opposed to stable angina which stems from physical exercise); shortness of breath, rapid pulse rate, and sometimes a rapid drop in blood pressure. Patients suffering from an ACS have a high risk of MI and possible even death; immediate hospitalization is often required1 and treatment is of a more urgent nature compared to that of stable angina. It has been suggested by the National Health Service (NHS) Hospital Episode Statistics in 1998 that 1000 out of every million per population is affected with unstable angina, or 10 acute hospital admissions per week.6 On a more recent note, NHS has reported in 2009 that angina affects between 10-15% of women and 10-20% of men aged 65 and above in England.7 Due to the close relationship between unstable angina and coronary events, it is worth noting that the highest averaged rates of cardiovascular events were observed in Glasgow and Belfast (UK), North Karelia and Kuopio (Finland), Newcastle (Australia), and Warsaw (Poland).8 Diagnosis of an unstable angina episode, or any ACS in that matter, is based on several aspects9. Physical symptoms include anginal pain at rest that lasts for 20 minutes or more; new onset angina severely limiting ability of physical activity; or changes in existing angina intensity, frequency or length of attack. One or more of these symptoms are an urgent indication that the patient is suffering from an ACS attack. Upon admission to hospital, ECG and blood tests should be performed to confirm the type of ACS in order to initiate treatment. In unstable angina, the ST segment is not elevated and levels of cardiac enzymes are normal (especially troponin T and I). If the onset of symptoms is unclear as to indicate ACS, a measurement of serum troponin concentration should be carried out 12 hours from presentation to establish the diagnosis.10 Treatment of unstable angina and NSTEMI are similar in terms of pharmacological management; indeed they are at presentation indistinguishable exc ept in terms of the severity and extent of cardiac muscle ischaemia, in which the ischaemia is less severe in unstable angina and less troponin T and I are released into the bloodstream. Antiplatelet agents. Aspirin and clopidogrel are the immediate emergency drugs used in the ambulance, both being antiplatelet drugs. Aspirin is an irreversible inhibitor of arachidonate cyclooxygenase (COX) enzyme, in which covalent acetylation of the serine moiety in a hydrophobic channel in the enzyme11 reduces synthesis of thromboxane A2 in platelets and prostaglandins in the endothelium. This prevents platelet aggregation and further enlargement of the thrombus formed in the coronary artery. Clopidogrel is an inhibitor of the ADP-dependent activation of the GPIIb/IIIa receptor and prevents the formation of fibrinogen bridges between glycoprotein IIb/IIIa receptors on the surfaces of platelets11, subsequently preventing platelet activation. Glycoprotein IIB/IIIA receptor antagonists, eg, abxicimab, have the advantage of inhibiting all pathways in the platelet activation process by inhibiting the glycoprotein IIB/IIIA receptor. Anticoagulants. Unfractionated heparin is an activator of antithrombin III, which inhibits the action of thrombin and serine proteases. The heparin also binds to thrombin; the combined effect of this and the heparin-antithrombin complex formed inhibits thrombin, which decreases the conversion of fibrinogen to fibrin and reduces platelet aggregation. In contrast, low molecular weight heparins (LMWH) have molecular sizes that are too small to bind to thrombin but still bind to antithrombin III, which inactivates all serine proteases including Factors XIIa, IXa, and Xa11, preventing the coagulation process. Direct thrombin inhibitors such as hirudin and bivalirudin inhibit thrombin reversibly. These agents can bind to free and bound thrombin, thus have the ability to prevent and dissolve preformed clots. Synthetic pentasaccharides (fondaparinux) is a selective indirect inhibitor of Factor Xa. It binds to antithrombin III reversibly, catalyzing the inactivation of Factor Xa12 and inhibit ing the coagulation cascade. Beta blockers. All beta blockers bind to beta-adrenoceptors, competitively antagonizing the action of catecholamines. These drugs block the beta-1 adrenoceptors at the heart, achieving a decreased heart rate and force of cardiac contractions, as well as lowering blood pressure. Atenolol is relatively specific for cardiac beta-1 adrenoceptors and exerts fewer side effects associated with beta-2 adrenoceptor blockade, for example bronchospasm in asthmatics. Nitrates. Organic nitrates mimic the actions of endogenous nitric oxide to relax vascular smooth muscle by increasing the synthesis of cGMP, leading to the dephosphorylation of myosin light chains.11 Vasodilatation of coronary arteries causes increased coronary blood flow and coupled with its effects of decreasing arterial pressure and also cardiac output, the myocardial oxygen consumption is largely reduced. Statins. Also termed HMG-CoA reductase inhibitors, these medicines inhibit the rate-limiting enzyme in the synthesis of cholesterol, in which this enzyme converts HMG-CoA to mevalonic acid. ACE inhibitors are diuretics acting on the rennin-angiotensin system which inhibit the angiotensin-converting enzyme (ACE) and block the production of angiotensin II from angiotensin I. This reduces vascular resistance, increases tissue perfusion, and reduces cardiac afterload. Angiotensin II receptor inhibitors also act on the same system as the ACE inhibitors, except that they block the angiotensin II receptors directly instead of inhibiting their formation. The outcome is the same as above. Evidence for Treatment of the Condition Antiplatelet Agents The SIGN guidelines advocate that aspirin and clopidogrel be given to patients with ECG ischaemic changes or increased levels of cardiac markers; and aspirin is advocated for all patients suffering from ACS. A meta-analysis of 287 randomised trials proves the protective effect of aspirin on patients with unstable angina, halving the rate of cardiovascular events, including death, non-fatal MI and strokes, or also termed the first primary outcome; while in those with an acute MI, it reduces the rate of coronary events by almost a third13. Long-term use of aspirin for these patients was also shown to be a beneficial antiplatelet therapy. According to the same study, reduction of serious vascular events by clopidogrel was 10% compared to aspirin. The combined use of clopidogrel and aspirin as compared with a placebo and aspirin showed significantly higher success rates in reducing occurrences of first primary outcomes (9.3% compared to 11.4%, P On the flipside, although short term studies have shown that antiplatelet medications are effective for patients with renal failure in the prevention of serious vascular events13, the risks of bleeding is increased by renal disease15, posing a possible contraindication for antiplatelets to Mr. X. A clinical study found that treatment for NSTEMI ACS in patients with chronic renal disease (mild to moderate stages) was less aggressive than those with normal renal function, despite the risk that these patients with renal disease would experience greater adverse outcomes from insufficient treatment for ACS compared to the other patient group16. However the available information on adverse effects of antiplatelets on patients with varying degrees of renal disease is limited and it would appear that this would result in the reluctance of medical professionals in using this class of drugs for patients with chronic renal disease as well as ACS. It can be inferred that Mr. X would gain the maximum benefits if his medications were changed to aspirin 300 mg and clopidogrel 300 mg stat and aspirin 75 mg and clopidogrel 75 mg thereafter, in which the patient should be closely monitored for signs of bleeding. Heparins LMWHs A 2003 review of 7 studies involving 11,092 patients with non-ST elevation ACS found that low molecular weight heparins (LMWH) were more effective than unfractionated heparins in reducing MI events, requirement for revascularization procedures, and thrombocytopenia17. No difference in the mortality, recurrent angina, major and minor bleeds were observed in the two types of drugs. A meta-analysis of 12 randomised trials with 17,157 patients involved found that patients who have had a non-ST elevation ACS who were put on aspirin experienced no significant difference in benefits in efficacy (preventing MI or death) or safety (major and minor bleeding complications) when they were put on unfractionated heparin or LMWH17, implicating no difference in the thrombolytic effect in both classes of drugs. These results are partially similar to those of the first review. Another meta-analysis of 2 phase-3 trials comparing enoxaparin and unfractionated heparin, on the other hand, showed a signifi cant (20%) difference in reducing death or severe cardiac ischaemic events18. From an economic point of view, authors of yet another meta-analysis on the subject stated that the cost of LMWH is 3-5 times higher than unfractionated heparin19. From these data it can be concluded that LMWHs does indeed have additional positive treatment outcomes compared to unfractionated heparins22; it does not show significantly decreased side effects (bleeding). Enoxaparin has, though, an increased bleeding effect on patients with renal disease as reported by an investigation of 106 patients, in which total bleeding complications occurred in 22% of normal patients and 51% of patients with impaired renal function (p It is still the drug of choice for patients present with non-ST elevated ACS, and this is applicable to Mr. X with unstable angina. Beta-Blockers Beta-blockers were not prescribed for Mr. X. The SIGN guidelines states that beta-blockers should be the drug of choice for first line treatment of anginal pain in patients with non-ST elevated ACS. A meta-analysis of 5 trials consisting of 4700 patients in all showed a 13% reduction in anginal pain with the use of beta blockers (initially IV then oral for a week) in patients with non-ST elevated, MI-characterised chest pain23. It was stated in the clinical progress Mr. X had chest pain on Day 1 and 4, thus the addition of a beta blocker to his medications would be useful in alleviating his pain. Despite the popular belief that beta-blockers are contraindicated in patients with diabetes mellitus, it is possible to treat these patients using beta-blockers as long as good glycaemic control is achieved and the patient is monitored regularly24. This would further support its use in Mr. X; furthermore, several studies have shown that diabetic patients derive a significant benefit from the use of beta-blockers after an MI, in which diabetic patients had a significantly lower mortality 1 year post-discharge25, total mortality after 3 years, and deaths from cardiac events26. A multicentre randomized trial, the HINT trial, on patients with unstable angina found that metoprolol, a relatively cardioselective beta blocker, reduced occurrence of myocardial ischaemia or progress to MI within 48 hours, indicating that metoprolol has a short term beneficial effect on patients not already taking beta blockers prior to the unstable angina episode27. It has been suggested that beta-blockers be the first line treatment for unstable angina and if patients remain unstable, a calcium channel blocker should be added28. Statins The beneficial effects of statins in reducing mortality and cardiovascular events have been proven by a meta-analysis of large, randomized controlled trials (n=90,056) where coronary artery disease was present or absent29. The positive results were also proven spanning a large range of serum cholesterol levels. Investigations comparing the use of intensive versus moderate doses of statins in the early stages and post-ACS showed positive results: a meta-analysis of 4 large trials (n=27,548) shows a 16% reduction in cardiovascular deaths or MI, as well as a 16% reduction in cardiovascular deaths or coronary events30. This view is shared by another meta-analysis of the same subject of 13 randomised controlled trials which found a decrease in mortality and coronary events after 4 months of treatment31. These data support the use of statins by Mr. X. Nitrates Nitrates have been widely used in relieving pain from unstable angina, despite its lack of clinical evidence in supporting its role in improving survival and reducing the rate of MI and cardiovascular events32. ISIS-433 and GISSI-334 reports no significant difference of the use of glyceryl trinitrate post-MI in reducing the overall mortality; however this may be explained by the fact that more than 50% of patients in the controlled group are also on other forms of nitrate therapy, such as intravenous glyceryl trinitrate. Despite this, nitrates will still be of use for reducing the pain in post-MI patients and those with unstable angina. The BNF advises against the use of nitrates in patients with serious anaemia (Hb Glycaemic control Mr. Xs plasma glucose levels were elevated on the day he was admitted to hospital (13.9 mmol/L). Diabetes mellitus has been proven to be a strong independent risk marker for coronary heart disease: patients with poorly controlled diabetes at hospital admission have a worse outlook on prognosis and future development of cardiovascular events35. The DIGAMI investigation reports that the use of intensive insulin therapy increased long-term prognosis (P=0.011) of patients presenting with hyperglycemia (>11mmol/L) at admission compared with those on standard antidiabetic therapy36. These data support the use of insulin to control the blood glucose levels of Mr. X which were highly increased upon admission. This is also supported by the SIGN guidelines which advocate immediate control of blood glucose is carried out for MI patients with glucose levels of more than 11.0 mmol/L for at least 24 hours. ACE Inhibitors The SIGN guidelines recommend that patients with unstable angina should be given ACE inhibitors as long-term therapy. In patients at high risk of cardiovascular events, ACE inhibitors (ramipril was investigated in a report37) have been proven to reduce overall mortality, MI, and stroke, particularly in patients with diabetes mellitus. Perindopril was found to reduce cardiovascular risk (relative risk reduction =20%, P=0.0003) in a population with stable coronary heart disease in absence of heart failure38 in a double-blinded, randomized multicentre trial involving 13,655 patients. A meta-analysis of the 2 above trials and a third one (PEACE) showed a reduction in overall mortality, cardiovascular death, non-fatal myocardial infarction, stroke, heart failure, and coronary artery bypass surgery by ACE inhibitors39. This demonstrates the benefits of ACE inhibitors in patients with atherosclerosis: as patients who had an ACS event would have a higher rate of cardiovascular events, the po sitive outcomes of ACE inhibitors can perhaps be extrapolated to this population in order to decrease coronary events and improve prognosis. However, the BNF advises caution and close clinical monitoring if ACE inhibitors are to be used in patients with hyponatremia ( Oxygen therapy On admission, Mr. Xs SpO2 was 99% and remained high throughout his stay in the hospital. The use of oxygen therapy is significantly beneficial only in hypoxic patients (with SpO2 Anaemia and Unstable Angina Anaemia can disturb the balance between myocardial oxygen supply and demand: a decrease in the number of red blood cells can lead to a reduction in the supply of oxygen to the myocardium. Thus correction of the causative factor would be sensible in the treatment of unstable angina for the patient in context. Mr. X was given a combination of ferrous fumarate, vitamin B complex, and folic acid for treatment of his anaemia. From the data in Table 6, it can be seen that Mr. X has low haemoglobin concentrations (95 g/L) and a low mean cell volume (81.8 fl.). To confirm that Mr. X is indeed suffering from iron-deficiency anaemia (as suggested by his treatment medication), three parameters must be established namely the plasma iron, the plasma ferritin, and total iron binding capacity. However, as very few conditions can cause abnormalities in the mean cell volume, and a decreased value is due to iron-deficiency anaemia or thalassemia42, it is safe to assume that Mr. Xs anaemic condition is due to an insufficiency of iron. Iron supplements are given to correct the iron status of the patient, in which the ferrous form given orally is found to be cheap, safe and effective in the majority of patients with iron-deficiency anaemia2. Vitamin B complex and folic acid are only indicated in patients with the respective deficiencies2; there is little evidence that they would be of any significant benefit in patients with iron-deficiency anaemia. Summary Based on the evidence given, Mr. Xs aspirin dose should be changed to 300 mg stat and 75 mg thereafter, and clopidogrel should be added into his medication profile in the same doses. These changes ensure that Mr. X is obtaining sufficient antiplatelet effects from his medications to prevent another attack of unstable angina or even a myocardial infarction. Present drugs that were given for his condition that are suitable and supported by evidences include enoxaparin, lovastatin, insulin, and GTN: these can be safely continued without problems. A beta-blocker (metoprolol tablets) may be given additionally in doses of 50-100 mg as evidences described above have shown that they can be safely used in diabetic patients contrary to popular belief; an ACE inhibitor (perindopril as previously used by Mr. X) may be initiated coupled with regular electrolyte

SWOT Analysis Manchester United

SWOT Analysis Manchester United Introduction The football industry in United Kingdom is booming and outwardly been successful in the past years. The research and strategic planing will be based on the case of Manchester United, one of the most famous and successful football clubs in the country. Due to this, the data acquired from the official website will be used as the basis and the analytical tool in examining the capacity of the company.The basic study on this report is based on Manchester United FCs internal and external environment factor. Critical Success Factor The main aspects of Critical Success Factors is based on 5 key sources there are understanding the industry, good competitive strategy and industry position, understanding the environment factors and good managerial position. Due to these 5 key the company should be success in its industry. MU is very success club in Barclay Premier league and the report is about the analysis why MU has success in its football industry. Porter Five Forces Competitive Analysis Suppliers The major component of a football club is the football team itself. The football team is made up of a variety of players with different skills, for example defenders, midfielders, attackers and the goalkeeper. These players are purchased from other clubs in the UK and around the world. The major problem here is that a club pays unreasonable sums of money for a player who is currently under contract with another club. Players can allow their contracts to pass and transfer free to another club but since they receive a proportion of the transfer fee, and so does the owning club, it is not really in their interests to do so. Thus, many clubs try to nurture their own talent by training young hopefuls and carefully talent scouting at other clubs. MU has its own academic to train for their potential and younger player to join their club there as well. Buyers Freely includes sponsors and television companies who provide the club with the revenue to purchase quality players. Football clubs try to tie in sponsors with long-term contracts and must ensure that the sponsor they pick has a similar consumer profile to the one that they have. There should be overlap between the supporter profile and the consumers that the sponsor wishes to communicate with. Buyers also include the football match attendees. These break down into occasional supporters, season ticket holders and frequent supporters. It is important that a club try to build on the loyalty of their supporters by providing more loyal fans with an enhanced package of benefits, for example season ticket holders get cheaper tickets and a discount on merchandise. Entry barriers Popular football clubs require large stadia. These are extensive and expensive service scapes both to develop and maintain. The cost of acquiring strong new players is also considerable. The ownership of football clubs is also regulated and media owners are not allowed to own more than a 10% share in any football club in the UK. The cost of setting up a football club is prohibitive and it seems that only the wealthiest of entrepreneurs and entertainers can afford the luxury of being a chief executive of a popular football club. The entry barriers could be lowered by purchasing land and building a stadium in a relatively cheap region, however, this strategy is often not viable because fans support their local or regional club and so the location becomes particularly important. Substitutes perhaps the closest substitute to watching a match live (revenue goes directly to club) is to watch the highlights or the full match on TV (revenue goes to television company and indirectly a proportion goes to the club). Where a club has a large fan base spread out over a disparate geographical region, the club might wish to offer its own TV station or Internet or mobile match news services. Competitive rivalry Other clubs represent the closest rivals and usually a fans loyalty to a particular club is intense. However, the author believes it is a myth that fans will never change loyalty to another club. They often do, particularly when they move to another region of the country or they cannot get in at their current club because of lack of space, prohibitive prices, and so on. The football game is also organised so that clubs need to beat each other in order to advance up the league tables. This generates a fierce loyalty amongst fans and a rivalry that is part of the enjoyment of football spectatorship. Reinforcement of this loyalty and the management of fans hopes and expectations is of paramount importance to a football club. Internal and External Environment Factor Analysis (SWOT analysis) (S)trengths The main strength of Manchester United is their brand awareness, Manchester United is outstandingly recognized worldwide, and if advertised as the general team with international sponsors. As a result, implies that any merchandise that they locate in the market, with the team name and emblem will be straight away recognized by their fans which could get there to a million. Besides that, Manchester United is having the great fan loyalty, ticket sales is also considered as strength for Manchester United, as there is a big waiting list for passes for every match, and with the new expanded arena, the income of ticket sales is bound to increase over the coming years. However, this is not the sole source of income for Manchester United and products are still required to be taken into account as the major part of total revenue by its retail store. The loyalty of the fans also is the main edge of the Manchester United against competitors, and this is due to the strong reputation of the Manchester United. Moreover, the company is also performance strong marketing effort towards their supporters by sending their prospect and loyal supporters their newsletters regarding the different activities and events in the company. Manchester United similarly possesses great distribution channels with various retail stores worldwide. This will be very helpful when introduci ng their new products. As these familiar connections are previously prepared, Manchester United have to guarantee that they are employing these channels to the full capability, and that these links for transmission can be engaged to feedback data in addition to flow out of the products. (W)eaknesses The main weakness that has been defined based on their website is their products and product variety. It is obvious that they have launched a lot of different products at many different occasions. There is an issue although whether the fans were consulted in this context. It looks like that MU has introduced a broad diversity of products from jerseys to Credit Cards. MU has been recommended that the club has merely exploited the more obvious income channels, and thus money-wise it would be more precious to perform more research in this field. The club obviously requires looking into their existing product collection and from this, they will be capable of situating their products, employing instruments like the Boston Matrix, and it will let the club to know which of their products are booming in the market. It is noticeable that even though the present products are selling well, this is a field where there will continually be a space for development, to suit their fans prerequisites in a profitable manner for the club. Another weakness for Manchester United is that currently, the club has been so thriving, and it is now working on such a massive level, there is a upsetting estimation that the club has now lost its origins, and it is no longer concerned with the game of football, but all about their profit or income. Unnecessary outlooks such as this can have a negative effect on the fans. Even though as long as Manchester United carries on performing well, this may not bring about too much worry for the club, as it has worldwide support; nevertheless, it is still required to be taken into account. (O)pportunities The main opportunity for Manchester United at the moment is the penetration to the American market. There is an opportunity in the proximate future to structure the coalition with one of the worlds most well-off team in sports, the New York Yankees. This will signal enormous merchandise channels in America, and provide Manchester United the lead over all other Football teams in the American context, presenting their product to a new market. Even though there is a superior height of risk concerned in tendering their products over to the US, then entering the existing market, by reason of the coalition with the Yankees, this danger is condensed. (T)hreats Manchester United is in a exceptionally firm site, as they have no direct dangers from any players in the industry. The most important threats that must be measured by the company are the growth or development of their competitors. This can occur if one of their rivals or new entrants had determined and figured out that the use of their Internet for their processes will result to competitive advantage. Due to this, there is a huge breach connecting Manchester United and the following strongest competitor. However, there are a number of dangers to Manchester United that has to be taken into account. Another threat to Manchester United at present is the Change of leadership in the team. Manchester United is required to promise that this will not affect the sales of its merchandise. Another less direct threat to Manchester United is lacking finances put into academies and junior football, from where potential players would initiate. However, Manchester United has used up in a football a cademy to train potential football players. Resources and Competences Threshold Resources Manchester United has a variety of Threshold Resources. Such as their stadium Old Trafford which can have around 75000 spectator to be seating in. Mu also have a huge worldwide of retail stores and Megastore to sell their product such as cloth, shoe, equipment and other which is related to the Red Devil or MU. Besides that, MU owns the Red Cafà © where their fans and customer can be enjoy food, matches and face-to-face showing wall with MUs non-stop action. MU has variety of staff line such as first team for matches, academic, coaching staff and ticketing as well. Besides that, MU financial is stable and the strong sponsor AIG on of the biggest insurance company of the world. Unique Resources MU owns a Museum which is show the greatest football club history of MUs. MU is managed by its manager Alex Ferguson for 24 years and he is the most successful manager of British football industry. Besides that, MU also has a range of value players such as Ryan Giggs, RIO Ferdinand, and Wayne Rooney and so on. Other than that, the product of MU is Unique as well like MU jersey, sport shoe and others. The strong fans club also 1 of their unique resource as well. Threshold Competences The Old Stafford stadium is the biggest stadium among all football clubs in UK. Therefore, there are more spectators can be sitting in and the revenue is higher than other football club. Besides that, the Museum is also unique for its club there is only showing of MU history and it can be an advertising method to attract more fan and consumers to purchase in. Besides that, it is not a advertising that MU paying for, instead the consumers will pay for a tour for it. Beside that, the Wider network of distributor of its retail store and megastore than others. Conclusion Manchester United is in a very competitive spot at present, nonetheless they require to be cautious that they are not getting self-satisfied and that they are focusing on the market, and the requirements of their clients and followers. By implementing the research into their markets, it will allow them to build up products for the clients, which will bring about sustained

Femininity in Homer’s Iliad Essay -- Iliad essays

Femininity in Homer’s Iliad In Homer’s Iliad, predominant feminine presence inspires the events of the poem and the destinies of the men involved. This feminine presence is not a product of the actions and decisions of the women in the poem, but rather a conceptual, creative feminine force without which the poem and even human life would not exist. Homer personifies this presence in nature and maintains it through the voice of the Muse, his inspiration. There is a deeper essence of a feminine presence in the poem, however, which lies in the characteristics of life itself. It is the woman who gives birth to the heroes and therefore she is the first to bring her child to life and to put him on the road to death. This biological phenomenon might seem superficially irrelevant to the fears and concerns of the masculine heroes who are most concerned with death, destiny and honor, the principle themes of the Iliad. These are of great importance to these heroes because these aspects of life will determine whethe r or not the world will remember them. Furthermore, as fame is their only path to immortality, the desire for fame after death motivates them to live honorably. It is the feminine role in nature that introduces the men to the life of the hero which instills this longing to be remembered after death, and it is, therefore, the feminine role in nature that gives purpose to human life. Homer acknowledges this effect and uses poetic devices to maintain a powerful presence of femininity throughout the poem. The feminine presence in the Iliad carries the poem like a pregnant woman carries a fetus in its final stages in the womb. Homer hints at this phenomenon through the many details of his poem that involve units of nine. As th... ...en will grow while another / dies† (6.146-149). Glaukos, the â€Å"shining son of Hippolochos,† (6. 145) makes this declaration in Book Six. The fact that Homer describes him as â€Å"the shining son of Hippolochos† indicates that his ancestors were virtuous and fortunate to have an honorable descendent to tell their stories to respectful listeners. Without a decent parentage and honorable descendents, a man’s fame will not survive his death. Men do not have the power to ensure that they will have children and grandchildren to continue their lineage; it is the woman who carries the child in her womb. A man can never be sure if his child is legitimately from his or another man’s blood line. This knowledge is a power that nature gave the woman, a power that no man can ever control. Work Cited Homer, Iliad, trans. Richard Lattimore New York: Harper & Row Publishers, 1965. Femininity in Homer’s Iliad Essay -- Iliad essays Femininity in Homer’s Iliad In Homer’s Iliad, predominant feminine presence inspires the events of the poem and the destinies of the men involved. This feminine presence is not a product of the actions and decisions of the women in the poem, but rather a conceptual, creative feminine force without which the poem and even human life would not exist. Homer personifies this presence in nature and maintains it through the voice of the Muse, his inspiration. There is a deeper essence of a feminine presence in the poem, however, which lies in the characteristics of life itself. It is the woman who gives birth to the heroes and therefore she is the first to bring her child to life and to put him on the road to death. This biological phenomenon might seem superficially irrelevant to the fears and concerns of the masculine heroes who are most concerned with death, destiny and honor, the principle themes of the Iliad. These are of great importance to these heroes because these aspects of life will determine whethe r or not the world will remember them. Furthermore, as fame is their only path to immortality, the desire for fame after death motivates them to live honorably. It is the feminine role in nature that introduces the men to the life of the hero which instills this longing to be remembered after death, and it is, therefore, the feminine role in nature that gives purpose to human life. Homer acknowledges this effect and uses poetic devices to maintain a powerful presence of femininity throughout the poem. The feminine presence in the Iliad carries the poem like a pregnant woman carries a fetus in its final stages in the womb. Homer hints at this phenomenon through the many details of his poem that involve units of nine. As th... ...en will grow while another / dies† (6.146-149). Glaukos, the â€Å"shining son of Hippolochos,† (6. 145) makes this declaration in Book Six. The fact that Homer describes him as â€Å"the shining son of Hippolochos† indicates that his ancestors were virtuous and fortunate to have an honorable descendent to tell their stories to respectful listeners. Without a decent parentage and honorable descendents, a man’s fame will not survive his death. Men do not have the power to ensure that they will have children and grandchildren to continue their lineage; it is the woman who carries the child in her womb. A man can never be sure if his child is legitimately from his or another man’s blood line. This knowledge is a power that nature gave the woman, a power that no man can ever control. Work Cited Homer, Iliad, trans. Richard Lattimore New York: Harper & Row Publishers, 1965.

The Strength Trainer?s Guide to Success Essay -- essays research paper

Your body has about 650 muscles. No matter that you care about just four or five of them, all of which can be sculpted with maybe a half-dozen strength-training exercises. You still need all of them to perform the normal functions of everyday life; breathing, eating, walking, sucking in your stomach at the beach. Of course everyone wants to have the perfect body; however, few of us don’t effectively know how to reach our body building goals. Since muscle growth is such a slow process, weight-lifting should be broken down into three muscle developing stages.   Ã‚  Ã‚  Ã‚  Ã‚  The first stage of muscle development is the process of preparing your muscles for growth. This is the stage all beginning weight-lifters should start from. A muscle will not grow until the muscle is at its’ peak condition; this means your have to slowing condition your muscles in order to move to more powerful and intense exercises. In this stage, you want to do lots of different exercises and variations of exercises; use a high number of repetitions, at least 12. However, only do each exercise once during your workout. Most beginners have the mistake of trying to push themselves to hard at the start of their training and find themselves so sore they won’t be able to train for a week or more. Soreness is the sign that your muscle are not at its peak condition. This is why advance lifters don’t get muscle soreness nearly as bad as beginners, even when the advance lifter does much more intense workouts.   Ã‚  Ã‚  Ã‚  Ã‚  Try to do exercises that isolate a muscle or muscle group rather that multiple muscle exercises. An example would be doing a set dumbbell flies, instead of a set of barbell bench press, for your pectorals exercise. Try to train three times a week having at least a days rest between workouts. Set up your workouts so you are doing â€Å"push† exercises one day, such as presses and squats, and â€Å"pull† exercises on the next workout, such as pull-ups and hamstring curls. This is a good way to keep track of your training and it makes sure your muscles get enough rest in-between workouts. This stage of muscle growth takes around six months of training in order to move to stage two.   Ã‚  Ã‚  Ã‚  Ã‚  Stage two is the start of the actual muscle building process. After six months of training: you have largely improved your muscular strength; noticed ... ...are working the same body area in another exercise you do during the workout. Try to do about half isolated lifts and half core lifts. A good stage three workout for an upper-body â€Å"pull† day would be: abs, an isolated exercise; biceps curl variations, isolated; variations of back rows, core; and finally pull-ups variations, core. During the variations of exercises, do about two sets per variation. Stage three is three days a week with at least one days rest in-between exercises, as well. Continue in this stage until you reach your desire strength training goals.   Ã‚  Ã‚  Ã‚  Ã‚  Remember that muscle growth is a very long and slow process, and it needs a healthy, high-protein diet as well as weight-training. It takes time and a lot of effort in order for sufficient muscle growth to accrue. It really isn’t all that bad though; after the first month or two going to the gym will just be a habit and you won’t be walking around as sore from the lifting. Research has shown people up to the age of 65 can built muscle and strength; therefore, almost anyone, by following the three stages of muscle development and training, can reach their strength training goals with success!

Kids Having Kids Essay -- essays research papers

  Ã‚  Ã‚  Ã‚  Ã‚  Linnie, from one of the poorest areas of Washington, D.C., started having sex when she was only eleven. Girls from disadvantaged homes are three to four times more likely to have children. By the time Linnie was fifteen, she was pregnant. As soon as she found out, her boyfriend of five years left her. This is very common when it comes to teenage pregnancy. More teens are having sex and getting pregnant then ever before! These girls must decide what to do about their child, and that is a very hard decision!   Ã‚  Ã‚  Ã‚  Ã‚  There are about four million teens that are sexually active in the U.S. Only about half of them use protection. There are many influences in a young person’s life. Mass media is a big part of the influence. Television displays twenty thousand scenes of suggested sexual intercourse. 94% are on soap operas between unmarried couples and teens. Some say that sexual education being taught in school makes it seem acceptable. It also makes teens think about sex more. Another reason that teens are having sex is because times have changed. For example, in the 1950s, pregnant teens were sent away for nine months to stay with distant relatives or to live in homes of unwed teen mothers. Until the 1970s, pregnant teenagers were not allowed to stay in school, but now it isn’t nearly as strict!   Ã‚  Ã‚  Ã‚  Ã‚  There are many effects of having sex and one is getting pregnant. The first step is to think about what to do with the baby. One of the hardest steps is telling your parents...

Financial Accounting 3 Summary

CHAPTER 1: FINANCIAL STATEMENTS Financial Statement – the means by which the information accumulated and processed in financial accounting is periodically communicated. General purpose financial statements -PAS1 prescribes to ensure comparability both with the entity’s financial statements of previous periods and with the financial statements of other entities. -statements intended to meet the needs of users who are not in a position to require an entity to prepare reports tailored to their particular information needs. Components of financial statements 1. Statement of financial position 2. Income statement 3. Statement of Comprehensive Income 4. Statement of Changes in Equity 5. Statement of Cash Flows 6. Notes comprising a summary of significant accounting policies and other explanatory information objectives of financial statements -to provide information about the financial position, financial performance and cash flows of an entity that is useful to a wide range of users in making economic decisions. General features of financial statements Going Concern An entity preparing PFRS financial statements is presumed to be a going concern. If management has significant concerns about the entity’s ability to continue as a going concern, the uncertainties must be disclosed. If management concludes that the entity is not a going concern, the financial statements should not be prepared on a going concern basis, in which case PAS1 requires a series of disclosures. Accrual Basis of Accounting PAS1 requires that an entity prepare its financial statements, except for cash flow information, using the accrual basis of accounting. Materiality and Aggregation Each material class of similar items must be presented separately in the financial statements. Dissimilar items may be aggregated only if they are individually immaterial. Offsetting Assets and liabilities, and income and expense, may not offset unless required of permitted by a Standard or an Interpretation. Frequency of Reporting An entity shall present a complete set of financial statements at least annually. Comparative Information PAS 1 requires that comparative information shall be disclosed in respect of the previous period for all amounts reported in the financial statements, both face of financial statements and notes, unless another Standard permits or requires otherwise. Consistency of Presentation The presentation and classification of items in the financial statements shall be retained from one period to the next unless a change is justified either by a change in circumstances of requirement of a new PFRS. Measurement of elements process of determining the monetary amounts at which the elements of FS are recognized and carried in the statement of financial position and income statement. Measurement base on financial attributes 1. Historical cost- amount paid or the face value of the consideration given to acquire assets at the time of acquisition. 2. Current cost- amount that would have to be paid if the same or an equivalent asset was acquired currently. 3. Realizable value- am ount that would currently be obtained by selling the asset in an orderly disposal. 4. Present value- discounted value of the future net cash inflows that the item is expected to generate in the normal course of business. CHAPTER 2: STATEMENT OF FINANCIAL POSITION The Statement of Financial Position Elements Asset An asset is a resource controlled by the entity as a result of the past events and from which future economic benefits are expected to flow the entity. Liability A liability is a present obligation of the entity arising from past events, the settlement of which is expected to result in an outflow from the entity of resources embodying economic benefits. Equity Equity is the residual interest in the assets of the entity after deducting all its liabilities. Statement of Financial Position Presentation An entity must normally present a classified statement of financial position, separating a current and noncurrent assets and liabilities. Only if a presentation based on liquidity provides information that is reliable and more relevant may the current/noncurrent split be omitted. In either case, if an asset (liability) category commingles amounts that will be received (settled) after 12 months, note disclosure is required that eparates the longer-term amounts from the 12-month amounts. An asset shall be classified as current when it satisfies any of the following criteria: * It is expected to be realized in, or is intended for sale or consumption, in the entity’s normal operating cycle; * It is held primarily for the purpose of being traded; * It is expected to be realized within 12 months after the reporting period; or * It is ca sh or a cash equivalent unless restricted from being exchanged or used to settle a liability for at least 12 months after the reporting period. All other assets shall be classified as noncurrent. A liability shall be classified as current when it satisfies any of the following criteria: * It is expected to be settled in the entity’s normal operating cycle; * It is held primarily for the purpose of being traded; * It is expected to be settled within 12 months after the reporting period; or * The entity does not have an unconditional right to defer settlement of the liability for at least 12 months after reporting period. All other liabilities shall be classified as noncurrent. Long-term debt expected to be refinanced under an existing loan facility is noncurrent, even if due within 12 months. If a liability has become payable on demand because an entity has breached an undertaking under a long-term loan agreement on or before the balance sheet date, the liability is current, even if the lender has agreed, after the balance sheet date and before the authorization of the financial statements for issue, not to demand payment as a consequence of the breach. However, the liability is classified as non-current if the lender agreed by the balance sheet date to provide a period of grace ending at least 12 months after the balance sheet date, within which the entity can rectify the breach and during which the lender cannot demand immediate repayment. When an entity presents current and non-current assets and liabilities as separate classifications on the face of the BS, it shall not classify deferred tax assets (liabilities) as current assets. CHAPTER 6: ACCOUNTING CHANGES Changes in accounting estimate A change in accounting estimate is a normal recurring correction or adjustment of an asset or liability which is the natural result of the use of an estimate. Examples of accounting estimate a. Bad debt b. Inventory obsolescence c. Useful life, residual value, and expected pattern of consumption of benefit of depreciable asset. d. Warranty cost e. Fair value of financial assets and financial liabilities Changes in accounting estimates are to be handled currently and prospectively, if necessary. Prospective recognition of the effect of a change in accounting estimate means that the change is applied to transactions, other events and conditions from the date of change in estimate. A change in depreciation method is accounted for as a change in accounting estimate. Accounting policies -are the specific principles, bases, conventions, rules and practices applied by an entity in preparing and presenting financial statements. Changes in accounting policy A change in accounting policy shall be made only when: a. Required by an accounting standard or an interpretation of the standard. b. The change will result in more relevant or reliable information about the financial position, financial performance and cash flows of the entity. Examples of change in accounting policy a. Change in the method of inventory pricing from the FIFO to weighted average method b. Change in the method of accounting for long term construction contract. c. The initial adoption of policy to carry assets at revalued amount d. Change from cost model to fair value model in measuring investment property and property, plant and equipment e. Change to a new policy resulting from the requirement A change in accounting policy required by a standard or an interpretation shall be applied in accordance with the transitional provisions therein. If the standard or interpretation or transitional provisions or if an accounting policy is changed voluntarily, the change shall be applied retrospectively. Retrospective application means that any resulting adjustment from the change in accounting policy shall be reported as an adjustment to the opening balance of retained earnings. The amount of the adjustment is determined as of the beginning of the year. Prospective application means that the new accounting policy is applied to events and transactions occurring after the date of change. Change in reporting entity A change in reporting entity is a change whereby entities change their nature and report their operations in such a way that the financial statements are in effect those of a different reporting entity. CHAPTER 7: INTERIM FINANCIAL REPORTING Interim report is a financial reporting period shorter than one financial year. Components of an interim financial report a. Condensed statement of financial position . Condensed income statement c. Condensed statement of comprehensive income d. Condensed statement of cash flows e. Selected explanatory notes Under PAS 34, paragraph 28, the general rule in preparing interim financial statements is that costs and expenses that clearly benefit more than one interim period are allocated to the interim periods affected. Inventory loss from market decline is reported in the interim period in w hich the decline occurs. Recovery of such loss on the same inventory in later interim period is recognized as gain in the later interim period. However, any gain on reversal of inventory writedown is limited only to the amount of loss previously recognized. The effects of a disposal of segment of business are reported separately in the interim periods in which they occur. PAS 34, paragraph 39, provides that cost incurred unevenly during a financial year shall be anticipated or deferred for interim purposes only if it is also appropriate to anticipate or defer such cost at the end of the financial year. Gains should be recognized in the interim period in which they are realized. The cumulative effect of change in accounting policy is shown in the statement of retained earnings, not in the income statement. CHAPTER 8: OPERATING SEGMENT Under PFRS 8, an entity shall disclose information about an operating segment that meets any of the following quantitative thresholds: 1. The segment revenue, including both sales to external customers and intersegment sales or transfers, is 10% or more of the combined revenue, internal and external, of all operating segments. 2. The segment profit or loss is 10% or more of the greater of the following: a. The combined profit of all operating segments with profit b. The combined loss of all operating segments with loss 3. The assets of the segment are 10% or more of the combined assets of all operating segments. Under PFRS 8, paragraph 13, segment revenue includes sales to external customers and intersegment sales of operating segments engaged solely in manufacturing. Revenue includes both sales to unaffiliated customers and intersegment sales. Under PFRS 8, paragraph 15, the total external revenue attributable to reportable operating segments must be at least 75% of the total entity external revenue. General corporate expenses are not allocated to operating segments as a measure of profit or loss. If the total external revenue attributable to reportable segments constitutes less than 75% of the entity external revenue, additional segments shall be identified even they do not meet the 10% quantitative threshold until 75% of the entity external revenue is included in reportable segments. Moreover, reportable segments that are below the10% threshold can be aggregated as one segment if they have similar economic characteristics and share a majority of the five aggregation criteria as follows: a. Nature of product b. Nature of production process c. Class of customer d. Method of distributing product e. Regulated environment CHAPTER 9: CASH AND ACCRUAL BASIS Method of Accounting. 1. Cash Basis- Income is recognized when received regardless of when earned, and expense is recognized when paid regardless of when incurred. 2. Accrual Basis- Income is recognized when earned regardless of when received, and expenses are recognized when incurred regardless of when paid. Computation of sales under accrual basis Cash Sales XX Sales on account: Trade accounts and notes receivable XX Collection of Trade accounts and notes receivable XX Sales returns, allowances and discounts XX Accounts and notes receivable write off XX Trade notes receivable discounted XX Total XX Less: trade accounts and notes receivable,beg XX Total Sales XX Computation of Purchases under Accrual Basis Cash Purchases XX Purchases on account XX Trade accounts and notes payable,end XX Payment of Trade accts and Notes payable XX Purchases return, discounts & allowances XX Total XX Less: Trade accts and notes payable,beg XX Total purchases XX Income other than sales Income received XX Add: Deferred income- beg XX Accrued income- end XX Total XX Less: Deferred income- endXX Accrued income- begXX XX Income for the current year XX Expenses in general Expenses paid XX Add: prepaid expenses- beg XX Accrued expenses- end XX Total XX Less: Deferred income- endXX Accrued income- beg XX XX Income for the current year XX Prepaid expenses are expenses paid in advance but not yet incurred. These are assets. Accrued expenses are expenses already incurred but not yet paid. These are liabilities. CHAPTER 10: SINGLE ENTRY Single Entry System A system of record keeping in which transactions are not analyzed and recorded in the double entry framework is called a single entry system when the records are said to be incomplete. CHAPTER 11: ERROR CORRECTION Prior Period Errors Prior period errors are omissions from, and misstatements in, an entity’s financial statements for one or more prior periods arising from a failure to use, or misuse of, reliable information that was available and could reasonably be expected to have been obtained and taken into account in preparing those statements. Such error result from mathematical mistakes, mistakes in applying accounting policies, oversights or misinterpretation of facts, and fraud. Prior period error shall be corrected by retrospective restatement, meaning, if comparative statements are presented, the prior year statements are restated to correct the error. Types of Errors a. Statement of financial position errors *affect the statement of financial position and real accounts only, meaning, the improper classification of an asset, liability and capital account. b. Income Statement errors * affect the income statement or nominal accounts only, meaning, the improper classification of revenue and expense account c. Combined statement of financial position and Income statement errors * affect both the statement of financial position and income statement ecause they result in a misstatement of net income If it is impracticable to determine the period specific effect of an error on comparative information for one or more prior periods presented, the entity must restate the opening balances of assets, liabilities, and equity for the earliest period for which retrospective statement is practicable (which may be the current period) Further, if it is impracticable to determine the cumulative effect, at the beginning of the current periods, the ent ity must restate the comparative information to correct the error prospectively from the earliest date practicable. CHAPTER 12: STATEMENT OF CASH FLOW Cash comprises cash on hand and demand deposits. Cash equivalents are short-term, highly liquid investments that are readily convertible to known amounts of cash and which are subject to an insignificant risk of changes in value. Cash flows are inflows and outflows of cash and cash equivalents. Operating Activities are the principal revenue-producing activities of the entity and other activities that are not investing or financing activities. Investing activities are the acquisition and disposal of long-term assets and other investments not included in cash equivalent. Financing activities are activities that result in changes in the size and composition of the contributed equity and borrowings of the entity. *Interest and dividends received and paid may be classified as operating, investing, or financing cash flows, provided that they are classified consistently from period to period. Interest paid – usually operating; alternatively financing Interest received – usually operating; alternatively financing Dividends received – usually operating; alternatively financing Dividends paid – usually financing; alternatively operating FINANCIAL STATEMENT ANALYSIS THE BASIC FINANCIAL STATEMENT ANALYSIS 1. HORIZONTAL OR COMPARATIVE ANALYSIS -represents the differences in absolute amount and in percentage between two periods (i. e. years, quarters, etc. ), two companies, actual and budgeted date, and other bases analyses. Percentage of changes= Amount of change/Base 2. TREND ANALYSIS It extends beyond two years. The purpose of trend analysis is to track down what happened in the past and provide a pattern on what may happen in the coming years. It uses indexes and ratios to simplify the visible complications of numbers contained in financial reports. . THE VERTICAL ANALYSIS (OR COMMON-SIZE ANALYSIS) It gets the proportional component of each of the variables in the financial statements in relation to a chosen base 4. THE FINANCIAL MIX RATIO CLASSIFICATION OF FINANCIAL MIX RATIOS a. Profitability Ratios It measures the ability of the business to generate profit in relation to sales, investments, assets, equities, or common shares outstanding. â⠂¬ ¢RETURN ON SALE = Net Income Net sales †¢GROSS PROFIT RATE = Gross Profit Net Sales †¢RETURN ON TOTAL ASSETS = Net income + Interest expense, net of tax/ average total assets RETURN ON SHE = Net income Ave. SHE b. Growth Ratios -Are indicative of the organization’s potential and attractiveness as an investment option. EARNINGS PER SHARE = Net income – Pref. dividend Ave. common shares outstanding BOOK VALUE PER SHARE = Shareholder’s Equity Ave. shares outstanding c. Liquidity Ratios Liquidity refers to the ability of the business to pay its obligations in cash as they mature. OPERATING TURNOVER = collection period + inventory days INVENTORY TURNOVER = COGS Ave. inventory INVENTORY DAYS = 360/ inventory days RECEIVABLE TURNOVER = Net credit Sales Ave. Trade receivables COLLECTION PERIOD = 360/ ARTO PAYABLE TURNOVER = Net credit purchases Ave. Trade payables PAYABLES DAYS = 360/ payable turnover NET WORKING CAPITAL = Current Assets-Current Liabilities CURRENT RATIO = Current asset/ Current Liabilities QUICK RATIO = Quick Assets/ Current Liabilities d. Leverage Ratios Financial leverage is a measure of risk. DEBT to EQUITY RATIO = total debt Net SHE DEBT to ASSET = Total debt total assets TIME INTEREST EARNED = EBIT interest expense