Life Easier Today Than It Was 50 Years Ago Essay

When you write a paper, you use some information that you have read in books, journals, on the Internet, etc. Your teacher might have told you, â€Å"Use your own words.† In other words, even when you use someone else’s information, you are not allowed to use the words they wrote. You have to use your own. You have to say the same thing in a different way. This is called paraphrasing. For example, if the book you are reading from says, â€Å"John Adams, who was involved in winning independence for the United States, was the second President.† You cannot write those words in your paper. You cannot even write, â€Å"John Adams, a man involved in winning independence for the United States, was its second President.† One way that you could re-write it is to say, â€Å"The second American President, John Adams, was also influential in gaining freedom for the country.† However, in spite of being told to use your own words, you might not know how to do it. There are a variety of techniques you can use. You can change the words for words of similar meaning; you can change the grammar; you can change the grammar or grammatical forms. In this reading, you will learn about ways that you can paraphrase. Methods of Paraphrasing Before you even begin to paraphrase, you need to make certain that you understand what you are reading. If you do not understand what you read, you cannot paraphrase it. There are six ways that you can change sentences to paraphrase the information. You will probably not use all of them in the same sentence, but you can use ones that are appropriate. (In each of the examples, only one change is made. This is not enough if you are actually paraphrasing.) Read about each type of change, and look at the examples. Then make that type of change in the sample sentences that follow. Changing Word Order One way you can change a sentence for paraphrasing is to change the word order. For example, you might change â€Å"Because I slept too late, I missed my first class† to â€Å"I missed my first class because I slept too late,† or â€Å"In order to pass that class, I had to study very hard† to â€Å"I had to study very hard in order to pass that class.† It is sometimes necessary to change the wording of the parts of the sentences. For example, â€Å"Terry wanted more books, but he couldn’t afford them,† can be changed to â€Å"Terry couldn’t afford more books, even though he wanted them.† 1. If you’re going to New York for Christmas, be sure to take warm clothes. __Be sure to take warm clothes, if you’re going to New York for Christmas.___________ ________________________________________________________________________________ 2. Even though the weather was good, Joan was in a bad mood. ___Joan was in a bad mood, even though the weather was good._____________________ ________________________________________________________________________________ 3. I had no money, so I borrowed some. __I borrowed some money, because I had none._____________________________________ ________________________________________________________________________________ Changing Parts of Speech You can also change parts of speech. If the sentence uses a noun, you can rewrite the sentence to use the verb or adjective form of the word, for example. You can change â€Å"Fifty-four men signed the Declaration of Independence† to â€Å"Fifty-four men put their signatures on the Declaration of Independence.† 1. The company needs to find a solution for this problem. __The company needs to solve this problem.______________________________________ ________________________________________________________________________________ 2. The poor economy has been the cause of high unemployment. ___The poor economy has caused high unemployment.______________________________ ________________________________________________________________________________ 3. If you eat rabbit, you will find its taste like chicken. __If you eat rabbit, you will find it tastes like chicken.______________________________ ________________________________________________________________________________ Using Synonyms English has many synonyms — words that have the same or similar meanings — so another way you can paraphrase is to change one word for a synonym. For example, you could change â€Å"Movies can be divided into three categories† to â€Å"Movies can be divided into three types.† 1. The way a person dresses affects the impression that other people have. __ The way a person dresses influences the image that other people have.___ ________________________________________________________________________________ 2. That phrase means â€Å"in a happy way.† ___That expression means â€Å"in a cheerful way.†_____________________________________ ________________________________________________________________________________ 3. There is little chance that the situation will improve. ___There is little possibility that the circumstances will get better.__________________ ________________________________________________________________________________ Using Negatives or Opposite Expressions Another way to paraphrase is to change a positive expression into a negative expression, or a negative expression into a positive expression. You could change â€Å"Rather than building a traditional memorial, the city built a park† to â€Å"The city did not build a traditional memorial; instead it built a park.† 1. Shaun was disappointed, because the movie wasn’t very good. ___Shaun wasn’t satisfied, because the movie wasn’t very good.______________________ ________________________________________________________________________________ 2. Japan is not a small country, compared to European countries. __Japan is a large country, compared to European countries.________________________ ________________________________________________________________________________ 3. Geri wanted some candy, but there wasn’t any in the bowl. __Geri wanted some candy, but the bowl was empty.________________________________ ________________________________________________________________________________ Combining or Separating Sentences Long sentences can be divided, and short sentences can be combined with other short sentences. You can change â€Å"Ireland is a wonderful country, which has beautiful scenery, friendly people, and an interesting history† to â€Å"Ireland is a wonderful country. It has beautiful scenery, friendly people, and an interesting history.† You can also change â€Å"Ireland is a wonderful country. It has beautiful scenery, friendly people, and an interesting history† to â€Å"Ireland, which is a wonderful country, has beautiful scenery, friendly people, and an interesting history.† 1. Elizabeth I was the daughter of Henry VIII. She is one of England’s most famous queens. __Elizabeth I, who was the daughter of Henry VIII, was one of England’s most________ __famous queens.________________________________________________________________ 2. This book is about a woman who pretended to be a man to join the army in World War II. It is one of Lynn’s favorite books. ___This book, which is one of Lynn’s favorites, is about a woman who pretended to___ ___be a man to join the army in World War II.______________________________________ 3. If you go to London, you should be sure to visit Westminster Abbey, where many of the kings and queens of England, as well as other famous people, are buried. __If you go to London, you should be sure to visit Westminster Abbey. Many kings and_ __queens of England are buried there. Other famous people are buried there, too.______ Using Different Grammar – Structure, Voice You can paraphrase by changing the grammar of a sentence, for example, but changing from active voice (â€Å"The dog bit the man†) to passive voice (â€Å"The man was bitten by the dog†) or by making other changes in the grammar. You can change â€Å"It is not unusual for June to be a rainy month here† to â€Å"June is often a rainy month here,† or â€Å"It is thought that this new plan will save money† to â€Å"Many people think that this new plan will save money.† 1. Various languages are spoken in this country. __The people of this country speak various languages._______________________________ ________________________________________________________________________________ 2. Frank studied French, and, as a result, he translated for our visitors from France. __Frank could translate for our visitors from France, because he had studied French.__ ________________________________________________________________________________ 3. Tom McGovern got married three times and had five children. ___Tom McGovern had three wives and was the father of five._______________________ ________________________________________________________________________________ Exercise Read the following sentences and paraphrase them, combining the techniques that you learned in this article. 1. Gone with the Wind, which was published in 1936, covered 12 years of the life of a woman named Scarlett O’Hara during and after the Civil War. It began when she was 16 year old and tells the story of her love for two men. ___Published in 1936, Gone with the Wind was the story of Scarlett O’Hara and the___ ___two men she loved. It covers Scarlett’s life from the time she was 16 until she was__ ___28, during the Civil War and the years that followed.____________________________

Opinions of Jane Goodall

The work of Jane Goodall has been recognized by many people around the world. Her contributions have been significant in our world today. Although most comments and opinions of her work have been positive, there are also people who oppose what she has done as well. She has studied chimpanzees and their behavior since she was of a young age, giving plenty of time for opinions to form regarding her as a person and her work as well. The positive opinions of Jane Goodall outweigh all the bad ones. Based upon interviews of my colleagues, the comments were all of the positive nature. They believe that Goodall has definitely made a difference in our world. She has helped us discover the theory of evolution and how this could actually be true. She also taught us where humans get some of their behavior based upon those of the chimpanzees. Moreover, people admire her determination and moral standards. She has founded the Jane Goodall Institute and devotes all of her time protecting the chimpanzees and their environment as well as supporting the research at Gombe. She is thought of as a role model because she is devoted to something that she does not have to do, she does her work because she cares and is determined to do what she loves. On the other hand, some primatologists have suggested flaws in Jane Goodall’s methodology which may call into question whether or not her observations are valid. Some say she did not use the right practices, for instance, naming the primates instead of numbering them, to eliminate the chance of having emotional attachment. Also, critics also say she did wrong by using feeding stations to attract the Gombe chimpanzees. It was suggested that the more aggression occurred because of artificial feeding, creating the â€Å"wars† that Goodall talked about. There were not many negative opinions of Goodall as a human being, she was just criticized of her work and the way she went about doing things. Like every person out there, there are people who approve or disapprove of someone and what they do. Jane Goodall made a difference in the way we think about evolution and our behavior. She helped us understand where we could have perhaps gotten some of our attributes and what affects our behavior. The chimpanzees were similar to humans, in the way that they behave and the way they go about in our daily lives. Jane Goodall has given everyone something to think about and continues to so, making amazing contributions even today.

Involvement and Consistency PowerPoint Presentation

Involvement and Consistency - PowerPoint Presentation Example Business organization is ongoing and involves everyone planning in our in the process to some degree. TEAM ORIENTATION Cooperation and collaboration across functional roles are actively encouraged in this organization. Working in this organization is like being part of a team. This organization relies on horizontal control and coordination to get work done, rather than hierarchy. Teams are primary building blocks of this organization. Work is sensibly organized in this company so that each person can see the relationship between his/her work and the goals of the organization. CAPABILITY DEVELOPMENT This organization delegates authority so that people can act on their own. The "bench strength" of this organization is constantly improving. This organization continuously invests in the skills of its employees. The capability of people in this organization is viewed as an important source of competitive advantage. Problems seldom arise in this organization because we have the skills nece ssary to do the job.

Reflection on Teaching Themes of Care Assignment

Reflection on Teaching Themes of Care - Assignment Example Reflection on Teaching Themes of Care Major Points and Questions Raised Noddings (1995) initiated the discourse with the bold plan to reorganize contemporary school curriculum to focus on questions and issues pertinent to human existence. As suggested, the curriculum is envisioned to be organized around themes of care: â€Å"caring for self, for intimate others, for strangers and global others, for the natural world and its nonhuman creatures, for the human-made world, and for ideas† (Noddings, 1995, 1). To engage the readers into justifying his contentions, the author opted to resolve questions such as: (1) why teach caring? (2) How can teaching themes of care by chosen and organized? (3) And, what kinds of preparations should schools and teachers focus on to ensure effectiveness in teaching themes of care? The questions were addressed through a discussion of the benefits of teaching and incorporating themes of care in the schools’ curriculum.

Age of Nationalism, Realism (1850-1871), and Age of Progress Essay

Age of Nationalism, Realism (1850-1871), and Age of Progress (1871-1894) - Essay Example While Napoleon III sought to preserve the most famous medieval buildings which had been disregarded since the French revolution, he directed the flattening of Large sections of the city and the replacement of old winding streets with broad avenues and large thoroughfares. This rebuilding was very significant as it turned Paris into a city of broad tree-lined boulevards and parks that are major tourists’ attraction sites today. Another positive legacy of Napoleon in France was the development of infrastructure. Under him, the French railway network was built. This greatly contributed to the development of steel industry and coal mining in France and radically changed the nature of the economy into the second largest in the world. Coal mining and steel companies issued stocks, which saw the French stock market expand enormously. The country entered the modern age of large-scale capitalism. Tycoon such as Eugene Schneider and James de Rothschild are symbols of the period. Frances largest banks founded during that period exist even today. Napoleon III was the first French ruler to have taken great care of French economy. His restructuring of Paris made the city to be what it is today as it determined a new type of urban setting and has had a great positive productive impact on the daily lives of Parisians. In fact, all posterior trends and powers referred to these renovations to either adapt or reject them or to recuperate certain of France’s elements. However, politically, Napoleon left a negative legacy, as his martial escapades were sometimes a fatal blow to Europe’s performance. Even when it involved radical and potentially revolutionary changes in politics, Napoleon III attempted to rearrange the world map to the favor of France. He was overambitious and he had gone too far and committed severe mistakes. He entered in wars that were not necessary for instance, the war with Russia and with Prussia that led

Secondary research Paper Example | Topics and Well Written Essays - 1000 words

Secondary - Research Paper Example In the conventional sense and wisdom, a worker or a person is considered to be a part time worker if he or she work for less than the stipulated thirty five hours in a week (Connolly & Gregory, 2008). In principle, in the recent past, the number of students in the United Kingdom who have taken up part time jobs has increased. To begin with, the students who are inclined towards taking the part time jobs are skewed differently in terms of their demographics and other social inclinations or information. Students who come from relatively poor backgrounds are most likely to take jobs part time so as to cover for the economic and financial difficulties. For instance, the students who depend on government loans and aid to cover their tuition fees are most likely to take up jobs so as to balance and afford their social costs and livelihoods. In this instance and line of thought, the students from poorer backgrounds such as Africa and Asia have been prone and skewed towards applying for jobs as part timers (Bennett, Williams, Page, Hood & Woollard, 2004). In the same respect and line of thought, people of relatively lesser status in the societal hegemony and hierarchy structure also take up part time jobs. It is conventional knowledge and common truth that people of â€Å"notable class and stature,† are more economically endowed and empowered in their lives as compared to others. For instance, the child of a president in one country as a University student in the United Kingdom would have a social more reputable name to be considered and revered in the society. Thus, it is very unlikely that such a student or person would take a part time job as an office assistant, or bar attendant while doing his or her studies. It could be because the son or daughter of the president would not perceive or view such a job to be of his or her equal measure. Thus,

Feminist theories in history of art Assignment Example | Topics and Well Written Essays - 250 words

Feminist theories in history of art - Assignment Example as the same nonsense that was at the middle of the canonical separation of the mediums that are used in drawing, painting and the making of sculptures and this was a way of emphasizing the underlying absurdity that was contained in her work. This was as though she had received an awareness of her own open wound and she was now trying to accept the absence of meaning and oneness that was in her life turning in to the non-subject of what she considered her non-work she considered this to be the big nothing and generally looked at it as an absurdity, (Wagner (b), 51). On all the levels of being visual which is where the unthought-of resides, Bourgeois’ work categorically goes against these dichotomies that are between the mind and the bod; abstraction and figuration; â€Å"visuality† and tactility; flatness and volume, time and space which generate other dichotomies that are more direct such as male-female, and black and white but also those that prevent visual art from achieving the effect that it aims at as thought which is opposition that casts visual art as spatial and narrative as being temporal works on confining each of these to a domain that is restricted of visual body and narrative mind, (Wagner (a), 10). The selection of diary notes is useful since it develops a position where the reader gets to understand the artists’ psyche n a verbal way rather than a visual one which greatly assists in the interpretation of works of art that are created and these notes range from poems to her inner thoughts about the surroundin gs that she is in, (Bourgeols,

Evidence Based Management and Leadership Research Paper

Evidence Based Management and Leadership - Research Paper Example In the last decade, it has been accepted that in the medical industry the decisions should be evidence based because in this way they can be more careful regarding individual patient’s treatment. Using evidence based management actually provides a just and more explicit way of taking care of someone (Axelsson, 2005). Medical is a profession where everything starts with care and treatment, therefore the use of evidence based management is very much necessary in this field. The evidence may come through a deep research and the observations and in this way we can say that in the medical field the research regarding new innovations and the medicines are really needed.  It is the 21st century and now almost everything is revolutionized or at least running in a new direction and also at a faster pace than ever before. Therefore, we can say that old techniques and the formulas are obsolete now and there are many new techniques to replace the old ones. Medicine is a kind of professi on, which only become perfect with a lot of experience and practice. Along with the practice and experience, the importance of research and exploring new and creative innovation cannot be neglected here. Innovativeness and the creativity play an important role in building a good image of a leader. Therefore, we can say that evidence based management can also help for building a good and effective leader in the hospitals.There is a famous proverb that ‘to a hammer, everything looks like a nail’.

Novel Frankenstein Essay Example for Free

Novel Frankenstein Essay The Novel Frankenstein is as relevant and terrifying today as it was when it was first published Explain How Mary Shelley makes her narrative effective and why it has fascinated and shocked audiences for nearly 190 years. Frankenstein is one of the most well known gothic horror stories. Frankenstein is set in the seventeen hundreds and was written by Mary Shelley. Mary Shelley wrote the book in 1816 and Frankenstein was first published in 1818. Mary Shelley blends gothic horror and romance which makes this novel world-famous and so successful. The novel has also been so successful because of the effective narrative Mary Shelley uses to shock and fascinate her readers. Such as the use of a lot of very detailed descriptive language and the use of three narrators to get different emotions and feelings to the reader. During the nineteenth century, electricity was a relatively new invention. This meant that many scientists were testing the use of electricity with the body. Scientists thought that Electricity could bring a dead person back to life. Erasmus Darwin suggested that this was possible. Mary Shelley was aware of a process called galvanism and a scientist named Luigi Galvani who had discovered that electricity flowed through nerves meaning that when electricity was placed in certain places on a dead body or animal if would move and look like it was alive. Scientists were learning more and more about the human body and how it worked. The general public were very interested and fascinated by these discoveries. Mary Shelley was from the romantic period. The Romantics believed in the power of the imagination. They looked to nature for and saw awe and wonder in its majesty. They distanced themselves from the evils of capitalism and industrialism. This could have lead here to write this story to show people how messing with science could lead to disaster, as it was messing with nature which was the main inspiration for the romantics. Mary Shelley was from a very radical family with very strong beliefs. Her mother was a campaigner for women to have equal rights and her father was another political free-thinker. He said that as long as people acted sensibly, there would be no need for rules or laws. Her mother died 10 ten days after giving birth to her and Mary Shelley also lost her own daughter within 2 weeks of giving birth. The reader also experiences these feelings when Frankensteins mother dies, just like Mary Shelleys mother. This is a technique to get the reader to feel the same as Shelley did to make the novel seem more real. These could be the reasons why Mary Shelley was so obsessed with bringing the dead back to life and the inspiration behind her novel Frankenstein. Mary Shelley got the inspiration for the novel in the snowy summer of 1816. In 1815 there had been an eruption from Tambora which had set the world into a long volcanic winter meaning that the summer of 1816 was a dark and cold one. Mary Shelley and her husband Percy Shelley had visited Lord Byron at his villa by Lake Geneva in Switzerland. The weather was too cold to go outside and enjoy a normal summer, so Byron challenged Mary Shelley and his personal physician John Polidori to each compose a story of their own, and the winner would be whose story was the most terrifying. Mary Shelley got the idea for her novel when she had a half-waking nightmare, and then she wrote this down giving her the main inspiration for Frankenstein. Frankenstein is about a young student of natural philosophy called Victor Frankenstein. He is determined to find the secret of life, and when he does he creates a living creature. The monster is gentle and kind, but is abounded by Frankenstein because he looks too ugly; this means he has to hide away from society as all who meet him are afraid of him. As the monster is lonely and isolated, that causes him to take revenge on his creator. He does this by not killing him, but all the ones he loves and cares about. Frankenstein, having nothing worth living for, pursues his monster to the Artic in order to destroy him. This leads him to exhaustion and death, the monster then sees he is dead and then kills himself as it is the only place he can seek rest. The novel shows the horrible consequences of playing God and this is what makes the book fascinating, as it questions all the main beliefs of religion and the soul. The book is different as it has three narrators who are Frankenstein, Robert Walton and the monster. They all narrate and give the reader a different insight into the story, which makes the book very unique. This technique is very effective because as it gives a different insight into each character it can make the reader feel different emotions for each character. Such as when it is Victor Frankenstein telling us his own story, it makes the reader feel more sympathetic towards him because the reader experiences the tragedies and upsets that Frankenstein feels.

George Orwells novel Essay Example for Free

George Orwells novel Essay George Orwells novel 1984, has been the center of much discussion since it was first published in 1949. A novel about a dystopian society that is ruled by a government with supreme power called Big Brother, 1984 raises a lot of curiosity about censorship and how secure freedom of speech really is for those who supposedly have it. Orwell uses the novels main character, Winston, as the vessel for carrying his message about censorship. Winston works for the Ministry of Truth, rewriting historical texts to suit the needs of a sect Big Brother called, the Party. History in Oceania must be censored so that it appears Big Brother has been and will always be there to watch over the citizens. Winston believes Big Brothers ways to be unethical and illegal purchases a diary to record his personal thoughts, even though he knows such actions are considered to be thoughtcrimes. If he is caught, he will be severely punished. Though Winston has the desire to rebel, he is able to stifle his individuality and personal desires quite well. His act, however, becomes more complicated after he meets a beautiful, dark-haired girl named, Julia. Because personal relationships are not appropriate, Julia gives Winston a note she has written in which she proclaims her love for him. Because love, like everything else in Oceania, is censored, Winston and Julia develop their relationship in secret. They eventually move into an apartment together and things seem to go smoothly. Both Winston and Julia feel that Big Brother has too much control over the lives of the citizens. Citizens are not allowed to think for themselves, fall in love, nor are they allowed to experience natural freedom of expression. The lovers are able to put aside their fears of being caught in order to experience the intense passion that often comes with falling in love. Things, however, eventually take a turn for the worse and the lovers are discovered. The discovery, is in part, due to Winstons fatalistic nature. He becomes unnecessarily risky and carries with him intense paranoia that they will eventually be caught. Due to the novels grim ending that involves Big Brother prevailing over the hero, Winston, 1984s messages stay with the reader for hours, in part, because extreme forms of censorship have existed in earthly historical societies and in many societies today. Examples of past instances of harsh and extreme censorship include the Inquisition, and the Holocaust. During both of these horrific historical events, people were denied some right of expression. During the Inquisition, people were denied the right to choose their religion. For many, that basic right is similar to the right to love, which the citizens of Oceania were denied. The Catholic institution, like Big Brother, attempted to convert heretics or kill them for their disobedience. The Nazi party was also similar to Big Brother. Members of the party could not imagine speaking out against Hitlers regime for fear of being killed or punished. The Nazi party, like Big Brother, made use of propaganda, and children who were easily influenced. Such propaganda is, in a way, a form of censorship because it promotes an idea that plays into the desires of a major organization, making it seem better than the alternative. When these historical examples are taken into consideration, it is easy to imagine why Orwells warning of extreme censorship is still valid in todays society regardless of its technological advancements. Making Orwells message even more appropriate, however sad and unfortunate, are examples of such censorship today. Because censorship is still an issue today, the novel resonates with readers. Everyone experiences censorship often, perhaps on a daily basis. People may feel the need to censor themselves at work, home in front of children or parents, in class, etc for fear of being judged harshly or hurting anothers feelings. Another common example of modern censorship is keeping ones sexual orientation a secret. Many feel the need to fall in love in the shadows like Winston and Julia because of what society may think of them. Sadly, todays society is also responsible for many hate crimes every year. Many also keep journals and diaries like Winston in order to express their most private thoughts, dreams, desires, and fears. Because Winston is like so many normal people in todays society, his character is very successful. Like Winston, the average person, when faced with something they feel is wrong or inappropriate, feels powerless to make a difference. I, for one, relate to his secret note-taking, his hidden relationship, and the urge to overcome societys censorship because I still believe in the freedom of expression that supposedly exists in America. However, I, like Winston, am powerless to make any real change, so I succumb daily to desires that are not my own. The strength of Winstons character alone makes 1984 a novel to stand the test of time. Or, perhaps it will be a book to be burned if censorship in our society continues to prevail.

Chronic Disease In St Lucia Health And Social Care Essay

Chronic Disease In St Lucia Health And Social Care Essay Chronic disease is a disease of a long duration and generally slow progression (WHO, 2010). The U.S. National Center for Health Statistics states that a chronic disease is one lasting 3 months or more. These chronic diseases normally cannot be prevented by vaccines or cured by medication, nor do they just vanish. Chronic diseases are mainly caused by three major risk factors tobacco use, poor eating habits and physical inactivity. Majority of these risk factors are themselves worsened by poor socioeconomic determinants, such as lack of education and poverty. Most often these determinants are a indication of the main forces driving social, economic and cultural transition, including globalisation, urbanisation and an aging populations. Chronic diseases are affecting population health as the epidemiological transition progresses and are the lead cause of mortality worldwide and pose increasing problems for the burden of disease and quality of life in developed and developing countries (WHO, 2003). Non communicable diseases include a broad range of conditions, including cardiovascular disease, diabetes, cancers, chronic respiratory disease, mental-health problems and musculo- skeletal disorders. The first four mentioned above account for approximately 50% of mortality globally, and share behavioural risk factors, such as excess calorie consumption, diets high in saturated and transfatty acids, excessive intake of alcohol, physical inactivity, and tobacco smoking. Approximately 35 million people have died from heart disease, stroke, cancer and other chronic diseases in the year 2005. The burdens of these diseases are equally shared among men and women, and are more prevalent in people under the age 70 (WHO, 2004). 80% of chronic disease deaths occur in low and middle income countries. Figure 1: Global distribution of total deaths (58 million) by cause in 2005. The age-specific death rates between the years 2005 2015 are projected to fluctuate slightly, Nevertheless, the ageing populations will result in an overall increase in chronic disease death rates for all ages combined. In 2005, all chronic diseases account for 72% of the total global burden of disease in the population aged 30 years and older. The total lost years of healthy life due to chronic diseases, as measured by DALYs, are greater in adults aged 30-59 years than for ages 60 years and older. More than 80% of the burden of chronic diseases occurs in people under the age of 70 years. Table 1: Projected global deaths and burden of disease due to chronic disease by age 2005- 2015 Deaths (Million) DALYs (millions) Deaths per 10000 DALYs per 100000 2005 2015 2005 2015 2005 2015 2005 2015 0-29 years 17 15 220 219 48 40 6320 5994 30-59 years 7 8 305 349 311 297 13304 13375 60-69 7 8 101 125 1911 1695 27965 26396 à ¢Ã¢â‚¬ °Ã‚ ¥70 20 24 99 116 6467 6469 32457 31614 All ages 35 41 725 808 549 577 11262 11380 World Health Organization projects that, globally, NCD deaths will increase by 17% over the next ten years. The greatest increase of 27 %and 25 % respectively will be seen in the African region and the Eastern Mediterranean region (WHO,) 1.2 Types of chronic diseases 1.2.1Cardiovascular disease Cardiovascular disease CVD is the term used by the scientific community to embrace not just conditions of the heart [ischemic heart disease (IHD), valvular, muscular, and congenital heart disease but also hypertension and conditions involving the cerebral, carotid, and peripheral circulation. The risk of CVD is related to diet, physical activity, and body ( ). The patterns of food supplies and of food and nutrition that modify the risk of CVD are also well known. Whereas CVD was once largely confined to high-income countries, it is now the number one cause of death worldwide as well as in low- and middle-income countries, where 80 percent of the worlds 13 million annual CVD deaths occur. And at least 21 million years of disability-adjusted life years (or DALYs, a measure of future productive life) are lost globally because of CVD each year. The vast majority of CVD can be attributed to conventional risk factors such as tobacco use, high blood pressure, high blood glucose, lipid abnormalities, obesity, and physical inactivity. Cardiovascular diseases are major cause of chronic disease death and were accounted for of 17 million deaths in 2002. It is estimated that by the year 2030, 24 million will die of CVD, of which 80% will occur in low and middle income countries (5). 1.2.2 Cancer Cancer is a major and growing disease burden worldwide. The number of new cancer cases is projected to increase from 10 million in 2000 to 15 million in 2020, 9 million of which would be in developing countries. The epidemiology of cancer in developing countries clearly differs from that in developed countries in important respects. While developed countries often have relatively high rates of lung, colorectal, breast, and prostate cancer (some of which is tied to tobacco use, occupational carcinogens, and diet and lifestyle), up to 25% of cancers in developing countries is associated with chronic infections. Seven types of cancers account for approximately 60 percent of all newly diagnosed cancer cases and cancer deaths in developing countries: cervical, liver, stomach, esophageal, lung, colorectal, and breast. 1.2.3 Respiratory Diseases Chronic adult respiratory diseases-such as chronic obstructive pulmonary disease (COPD) and asthma-are a major and growing burden in terms of morbidity and mortality in the developing world. COPD (which includes emphysema, chronic bronchitis, and obstructive airways disease) is largely linked with cigarette smoking as well as exposure to unvented coal-fired cooking stoves; it accounts for 2 percent of lost DALYs on a worldwide basis. 1.2.4 Diabetes Mellitus Diabetes affects people worldwide and is one of the oldest diseases known. There are two common types of this disease: type 1and type 2 diabetes. Type-1 diabetes accounts for 5-10% of all diagnosed diabetes. Type-2 diabetes is the most common form of diabetes. It accounts for 90-95% of diagnosed diabetes. The World Health Organization (WHO) estimated the worldwide prevalence of diabetes in adults to be around 173 million in 2002 and predicted that there will be at least 350 million people with Type 2 diabetes by 2030. At present about two-thirds of persons with diabetes live in developing countries and the majority of new cases will originate from these areas. The global increase in the incidence of diabetes is related to high levels of obesity associated with a change from traditional diets, diminishing levels of physical activity, population ageing and increasing urbanization. Diabetes Mellitus is the most prevalent form of diabetes on the global scale (6). For the past few decades, Diabetes Mellitus has reached epidemic proportions in many parts of the world. The World Health Organization (WHO) has predicted the global prevalence of all Diabetes will increase from 194 million in 2003 to 330 million in the year 2030 (7). 1.2.5 Hypertension Another commonly occurring chronic disease is hypertension. High blood pressure increases the risk of heart disease and stroke. Hypertension is sustained high blood pressure (à ¢Ã¢â‚¬ °Ã‚ ¥140/90mmHg). Blood pressure itself is the pressure exerted by the blood on the walls of the blood vessels. Each time the heart beats (about 60-70 times a minute at rest), it pumps blood into the arteries. Blood pressure is at its highest when the heart beats, pumping the blood. This is called systolic blood pressure. When the heart is at rest, between beats, blood pressure falls. This is diastolic pressure. Blood pressure itself is not harmful it is essential as it is the force that drives blood through the blood vessels to supply oxygen and nutrients to the bodys organs and tissues and carry away waste materials. However, when blood pressure becomes too high it has damaging effects on almost every part of the body and can lead to serious illness and death. Hypertension is an important public health challenge worldwide because of its prevalence and its role as a risk factor for cardiovascular disease. Some of the risk factors of hypertension include obesity, alcohol, family history, and smoking. There are two types of hypertension, namely primary hypertension and secondary hypertension. Primary hypertension is more common, occurring in 90-95% of the hypertension population. There is no identifiable cause and it develops gradually over many years. Secondary hypertension occurs in 5-10% of the hypertension population. () In the year 2000 it was estimated that the total number of adults with hypertension was 972 million. Of these, 333 million were estimated to be in developed countries and 639 million in developing countries (0). Kearney PM et al., predicted that by the year 2025, the number of people with hypertension will increase by approximately 60% to a total of 1.56 billion. (Kearney PM et al., 2005) the reasons are the continuing population increase and changes in lifestyle, which includes a diet high in sugar and high-fat processed foods and sedentarism. 1.3 Impact of chronic disease in the Caribbean Caribbean countries are in epidemiological transition, where not only nutritional deficiencies have considerably declined but infectious diseases have also been disappearing. However, over the last thirty years, nutrition-related chronic non-communicable diseases have slowly emerged as the major public health problems. Non-communicable diseases (NCDs) have gradually displaced communicable diseases in the Caribbean. Rates of chronic non-communicable disease such as diabetes, hypertension, cardiovascular disease and cancer have been increasing in the Caribbean and are the leading cause of mortality and mobility in the region (Ragoobirsinghet al., 1995, 2002; Wilkset al., 1998, 1999; Figueroaet al., 1999; Rotimi et al., 1999; Cruickshanket al., 2001, Figueroa, 2001; Sargeantet al., 2001; Henniset al., 2002a,b; Corbinet al., 2004; Wolfeet al., 2006). Of concern is the fact that while the prevalence and mortality rates of these diseases are highest in the elderly, they are not restricted to any one age group. An estimated 10% to 20% of the Caribbean population over 20 years of age suffers from diabetes and hypertension, respectively, with prevalence more than doubling at older ages (Hennis et al., 2002a, b). Hypertension and diabetes rank as the two leading chronic disorders among Caribbean populations and are also major risk factors for other diseases such as cerebrovascular disease (stroke) and coronary heart disease. Prevalence of chronic diseases in the Caribbean region over the pass 3 decades Another striking epidemic among the Caribbean population is the high prevalence of overweight [body mass index (BMI) >25 kg mà ¢Ã‹â€ Ã¢â‚¬â„¢2] and obesity (BMI >30 kg mà ¢Ã‹â€ Ã¢â‚¬â„¢2). Approximately half of the adult Caribbean population is overweight and 25% of adult Caribbean women are obese (Henry, 2004). The escalating trend in obesity is considered to be a major causative factor in chronic disease prevalence in the region. The increasing obesity levels, mainly among women, maybe associated with the changes in traditional diets and the adoption of sedentary lifestyles. In some the islands more than half of adult women are reported to be obese. Data from Barbados highlights the importance of obesity as a risk factor in chronic diseases. Based on available evidence, obese persons, (BMI>30) of 40-79 years had a 2.6 times greater risk of hypertension than persons with BMI 1.4 Impact of chronic disease in St. Lucia St. Lucia has undergone a significant demographic transition in the last 3 decades (Wilks, et al., 1998). Some features of this transition include the rise in the median age of the population from 20 years to 15 years between 1970 and 2010, the doubling of the proportion of persons older than 60 years old from 5000 to over 17,000 and the increase in life expectancy at birth from less than 50 years in 1950 to greater than 73 years in 2010 (World population prospectus, 2008). As a result, the main causes of illness and death in St. Lucia and many other Caribbean islands and regions at a similar state of development are the chronic non-communicable diseases (Sargeant et al., 2001). There is an increased prevalence of diet-related chronic non-communicable diseases, such as cardio-vascular diseases, diabetes and obesity. (Wilks et al., 1998). Between 1992-1999 in St. Lucia, preventable chronic diseases such as cardiovascular and circulatory systems accounted for 20.8% of deaths, with the major causes being cerebrovascular disease, ischemic heart disease, and hypertensive disease. Other major causes of death were cancers (14.5%), disease of the digestive system (8.7%), and diabetes (7.2%) (8). Approximately 1,304 deaths were due to diseases of the circulatory system and was accounted for 33% of all reported deaths, death due to cerebrovascular was (35.9%), hypertensive disease (14.8%), and ischemic heart disease (13.6%) (Health in America, 1998). There were 731 deaths due to cardiovascular disease from 1996 to 1999, accounting for 19% of all deaths and 53 % of deaths ratio of 5.8:1. Most (21 or 62%) occurred in the 15-44 years age group, and had a male-female ratio of 9.5:1. Cardiac arrest caused 268 cardiovascular deaths (37%), ischemic heart disease 174 (24%), pulmonary circulation and other forms of heart disease 134 (18%), and heart failure 153 (21%). Females accounted for 359 (49%) of deaths due to cardiovascular disease, and persons 60 years of age or older accounted for 588 deaths (80%). (WHO statistics). Based on PAHO statistic St. Lucia is the tenth leading island in the Caribbean with high rates of non- communicable chronic disease, accounting for approximately 63%. Over the years prevalence of non communicable diseases have been increasing, in a survey done by the Kairi consultants limited in association with the national assessment team of St. Lucia concluded the following findings for the year 2005 to 2006 for the distribution of chronic disease in St. Lucia. Irrespective of per capita consumption quintile, high blood pressure was the most prevalent lifestyle disease affecting persons with diseases in St. Lucia. In every quintile group, it also shows that the prevalence of diabetes ranks second to high blood pressure as a life time disease affecting persons with diseases in St. Lucia. In each of the quintile groups, more than three fifths of the persons with diseases reported suffering from high blood pressure while more than one quarter reported suffering from diabetes. In the year 2007 diabetes and Hypertension were the two the most pervasive and worsening health problems facing the island of St Lucia. The diseases afflict a broad swath of people, young and old. St. Lucia has a population of approximately 160,000 thousand people, and of this 28.1%of the population have abnormal blood glucose or high blood sugar and 8.1% have diabetes (Graven et al., 2007). 20% of people over 40 years of age suffer with the disease (the ministry of health 2007). At least 35% of those with Type 2 Diabetes Mellitus do not know that they have the condition (The Ministry of Health, 2008). In rural area of St. Lucia the proportion with undiagnosed diabetes is considerably higher (St. Lucia Diabetic Society, 2008). At the time of diagnosis, every tenth person with diabetes has already developed one or more micro- or macro-vascular complications (Ministry of Health, 2008). Diabetes is among the leading cause of death. If inadequately treated, diabetes can cause blindness, kidney disease, nerve disease, amputations, heart disease, and stroke. Even conscientious and well-treated diabetics frequently suffer from these complications and have above-average medical costs. If observed, the Native St. Lucian has many barriers to health education, which basically involves their culture, lifestyle, accessibility and socio-economic status. For instance, St. Lucian is currently experiencing a crisis of poverty. People from lower socioeconomic status have poorer health than those in higher socioeconomic positions. Various studies have reported the relationship between low socioeconomic status and the development of chronic disease ((Lynch et al, 2000; Stelmach et al, 2009; Supriya et al, 2009). Recent poverty assessments in St. Lucia estimate that 18.7% of households and 25% of the population live in poverty. Income inequality is high, with 26% of the population characterized as chronically poor (MPDEH, 2003). That same report estimated that a decade later in 2005/06 the poverty rate had increased to 28.8% of the population( Government of St. Lucia( GOVST), The assessment of Poverty volume1, 2006) .The highest poverty rates in2005/06 were in the districts of Anse La Raye/Canaries (44.9%), Micoud (43.6%),Soufriere (42.5%) and Laborie (42.1%). The poverty gap and poverty severity also occurred in these same districts (GOVST, 2006) Furthermore, because of poverty and living in rural areas, most people consume less expensive and often high fat foods, and less fruits and vegetables (Henchy et al, 2000). Brown et al, (2005) described how socioeconomic position influences health among persons with diabetes. Diabetes is twice more prevalent in low income populations compared to wealthy populations (Stelmach W et al; 2009). Some explanations for this increased risk among people of low-income or resource-poor areas include increased stress, low access to medical and preventive care, and poor environment. 1.5 Diet, nutrition and chronic diseases There are clear associations between the various biomedical and behavioural chronic disease risk factors, and it is well established that diet quality and healthy eating practices play an important role in both preventing and managing chronic diseases and the factors that increase their risk (Kant A.K, 2004). The links with food and nutritional status are especially strong in the case of cardiovascular disease, diabetes and their risk factors (metabolic syndrome, obesity, hypertension and hyperlipidaemia). The food we eat, in all cultural selection, defines ones health, growth and development. Risk behaviours, particularly smoking and sedentarism, alter the result (). All this takes place in a social, cultural, political and economic environment that can exacerbate the health of populations. Diet is a key component in predisposing to chronic disease, mainly where diet is energy dense causing positive energy balance and obesity. Adoption of western diet which are high in fats , aminal protein, refined carbohydrates and low in fibre, fruits and vegetable can further increase one risk of developing no of more chronic disease(). Several studies have demonstrated a prudent diet rich in fruits, vegetables, fish and wholegrain to be associated with a decline in chronic disease risk such as diabetes (Van Dam et al., 2002; Anne-Helen Harding et al., 2004) Carbohydrates Carbohydrates food source are the most important source of calories for the worlds population mainly because of their low cost and wide availability (). Although Carbohydrates is easily accessible and widely eaten carbohydrate is a key dietary component affecting insulin secretion and postprandial glycemia and is implicated in the etiology of many chronic diseases (Brand-Miller JC et al., 2004). Both the quantity and type of carbohydrate eaten have consequences on insulin secretion and postprandial glycemia. Foods with a rich glycemic index (or glycemic load) produce high rates in blood glucose.  Diets including large quantities of high GL foods increase the risk of diabetes, breast cancer, colorectal cancer, endometrial cancer, and overall chronic disease (Barclay AW et al., 2008). Dietary fibres Epidemiological evidence has shown that foods rich in fibre help glycaemic control in diseases such as type 2 diabetic patients(). A diet high in fibre helps in control blood sugar levels in those with type 2 diabetes. It also helps with colon health as the high fibre diet with smoothing the stool and facilitates to weight loss (). Fats Dietary fat is one of the most influential nutrients in health. Fats has many functions in the human body, As well as to providing more than twice the energy supplied by carbohydrates and proteins and supplying essential fatty acids, fats slows digestion of carbohydrates in order to fuel the brain he fats serve as carriers for fat soluble vitamins (A, D, E and K) and as parts of cell membranes(). The overconsumption of fat, mainly saturated fat, has been linked to six of the 10 leading causes of death worldwide ().Coronary heart disease and cancer ().There is a strong link between dietary fat consumption and risk of chronic diseases such as cancer, such as colon, breast, prostate, and ovary cancer (). Several studies over the past 30 years have verified the relationship of high dietary fat intake with higher mortality due to various cancers (). Some saturated fatty acids raise blood cholesterol levels and, thus, increase the risk of atherosclerosis (). High fat, intake is a main cause of obesity, hypertension, diabetes, metabolic syndrome and gallbladder disease (). Studies have show that countries with higher per capita intakes of fat, especially animal fat, have higher incidence rates of certain cancers, including breast, colon, prostate, and pancreas.[41] Migrational studies show that when individuals move from a country of low fat intake to one of high fat intake, the risk of some cancers increases [42] . Vitamins Vitamins are essential nutrients hey are required in small amounts, but have important and specific functions such as promoting growth, reproduction and the maintenance of health. Nutritionally, they form a cohesive group of organic compounds that are required in the diet in small amounts (micrograms or milligrams per day) for the maintenance of normal health and metabolic integrity. They are thus differentiated from the essential minerals and trace elements (which are inorganic) and from essential amino and fatty acids, which are required in larger amounts. Vitamin deficiency however, may increase the risk of chronic diseases (). Suboptimal folic acid levels, along with suboptimal levels of vitamins B(6) and B(12), are a risk factor for cardiovascular disease, neural tube defects, and colon and breast cancer() and low levels of the antioxidant vitamins (vitamins A, E, and C) may increase risk for several chronic diseases. . Nutritional Transition There are now approximately 350 million obese and more than 1 billion overweight people in the world, living in both developed and developing nations. Previously, underdeveloped nations grappled with undernutrition. Now many of these countries like St. Lucia are in a transitional state and are dealing with the twin evils of under- and over nutrition. In the Caribbean nations between the 1970s and 1990s, the prevalence of overweight/obesity increased from 7% in men and 20% in women in the 1970s to 22% in men and 58% in women (Ragoobirsingh D et al., 2004). The global prevalence of overweight amongst preschool children is estimated at 3.3%. Within the Caribbean region and St. Lucia has one of the highest incidences for this age group with St. Lucia having 2.5% of the 0-5 yr. population ( De Onis M et al.,October 2000) .Obesity in children and adolescents is known to have significant impact on both physical and psychosocial health, these soaring rates of obesity leads to an increase in hyperlipidaemia, hypertension, insulin resistance and abnormal glucose tolerance later in life (Reilly et al., 2003; Weiss et al., 2004). Urbanization, industrialization and transformation processes have been the main cause of this public health accomplishment. In modern cultures, demographic factors interact with social and economic factors and lead to changes in the patterns of health and diseases as hypothesized by Omrans epidemiological transition theory in the early 1970s (Orman et al., 1971). Omrans theory describes the changing pattern of mortality from the predominant communicable diseases to the emerging non-communicable diseases. In his study, Omran defined three stages of epidemiological transition, i.e. the age of pestilence and famine, the age of receding pandemics, and the age of degenerative and man-made diseases (Orman et al., 1971). 1.6 Dietary habits of St. Lucians Food habits reflect the plantation past: the typical diet contains a lot of starches, animal protein content that varies by location, and until recently, little in the way of green vegetables. Starches include various kinds of yams, dasheen, eddos, bananas and plantains, sweet potatoes, cassava and breadfruit. Most of these are boiled, served with some kind of stewed fish or meat, and accompanied by a sauce. Pepper (capsicum) sauce is always present at the table, as most dishes are not prepared spicy hot. Animal protein sources reflect the historical scarcity of this element: pork hocks, pig tail (fresh and salted), chicken back, and saltfish, (cod) salted beef, fish (tuna, flying fishing, red snapper, barracuda, sharke, sardines, jack fish). Most of the dishes are prepared with fats such as; coconut oil, lards, yellow butter. As much as St. Lucia has a wide variety of fruit they are only eaten Fruits such as; mangoes, golden apple, papaya, grapefruit, oranges, cherries, cashew, suga r apple(love apple).Main dishes are accompanied by vegetables such as, avocado, calaloo, spinach, tomatoes, okras, carrots, pigeon peas and lentils, Imported processed foods have been available for decades, but more recently account for larger parts of many meals. Foods such as pasta, rice, 1.7 Cause for chronic non-communicable diseases in St. Lucia Chronic diseases have numerous risk factors, which function at different levels, from the most proximal (i.e. biological), to the most distal (i.e. structural). These risk factors can be classified as modifiable and non-modifiable risk factors. Modifiable determinants include factors that can be altered, such as individual and community influences, living and working conditions and socio-cultural factors, non-modifiable determinants include those factors that are beyond the control of the individual, such as age, sex and hereditary factors. 1.7.1 Biological factors Some populations are susceptible to chronic disease because of inherited genes. In a south Africa a tribal group Afrikaners have been found to have familial hypercholesterolemia, a rare genetic disorder, characterised by very high low-density lipoprotein, cholesterol and early cardiovascular disease.( Steyn K et al.,1996). Genetic and lifestyle factors are considered to be the main contributors in causing type 2 diabetes (ORahilly et al; 2005). The genetic makeup of a person is as essential to the development of the disease but a person lifestyle and environmental factors can contribute significantly. Some of the major contributing factors include overweight, abdominal obesity and physical inactivity and to lesser extent intrauterine and early childhood factors (Alberti et al, 2007) 1.7.2 Early life origin The time between intrauterine growth and the development is the most vulnerable period in the life cycle and places major physiological, metabolic and psychological demand on the mother to support the growth and the development of the fetus (Allen, 2001). Good growth and development is dependent on a sufficient supply of energy and nutrients. Under nourishment during pregnancy is linked with poor pregnancy and neonatal outcomes which can have negative long term implications for the infant such as a reduction in intelligence, growth disorder, low immunity, increased morbidity, mortality and the development of a range of diseases during adulthood (Rasmussen, 2001) It is proposed that type 2 diabetes results from relative intrauterine malnutrition and the latter leads to lifelong programming (Baker et al; 1986). Children with low birth weight are most likely to experience growth restraint, whether due to intrauterine nutritional restriction or genetic predisposition to low birth weight; similar associations of low birth weight have been made for the development of diabetes (Lindsay et al; 2001). Babies who are born low birth weight tend to grow fast after birth catch-up growth, often become overweight as young children. They are most likely to develop high blood pressure and abnormal blood glucose level early in life, which future increase their risk of developing chronic diseases, such as heart disease and diabetes (Barkeret al., 1997). The prevalence of Low Birth Weight (LBW) is approximately 6 and 9% in the Caribbean. The association between low birth weight and adult disease makes urgent the concern of these high LBW prevalence rates in the Caribbean (Henry; 2000). An under-nourishes child is normally a smaller and shorter child (0) Stunting is an indication of long standing mal and under-nutrition and is often accompanied by fat deposition, particularly around the abdominal section when faced with food in abundance. Predisposing individuals to obesity in adulthood. () Likewise children who are born to large mother and are large for their gestational age are most likely to induce insulin resistance and type 2 diabetes later in life (Bennett et al; 2002). In Jamaica children shortness at birth and increased current weight are independent predictors of insulin resistance (Bennett et al; 2002). There is significant amount of evidence, mainly from developed countries, that states intrauterine growth retardation is connected with an increased risk of coronary heart disease, stroke, diabetes and elevated blood pressure (WHO, 2002; Godfrey et al., 2000; Forsà © et al., 2000). It may be the pattern of growth, i.e. restricted fetal growth followed by very fast postnatal catch-up growth that is vital in the underlying disease pathways. Likewise, large size at birth is also associated with an increased risk of diabetes and cardiovascular disease (McCance DR et al., 1996; Leon DA et al., 1998). Behavioural risk factors (lifestyle factors) Lifestyles play an important role in determining chronic diseases and lifestyle changes are likely to be responsible for a significant proportion of their increase over time. 1.7.3 Poor diet Nutrition is a major modifiable determinant of chronic diseases, with scientific evidence supporting the view that modifications in diet have effects on health outcome of a person. Non-communicable diseases are linked to high consumption of energy dense foods, made of animal origin and of foods processed or prepared with added fat, sugar and salt.() St. Lucia is undergoing rapid nutritional transition (Boyne, 2008). There has been an increase of fast-food restaurants, and an increased in the consumption of meals high in fat, sugar, and salt and a reduction in the consumption of cereals, grains, fruits, vegetables, tubers, and legumes (Jacoby et al.,2008). The increased consumption of imported foods high in fat and sodium has led to a decline of the health status of people throughout the region, with an increase in health problems such as obesity and diabetes (Report from WHO, 2003). 1.7.4 Physical inactivity Physical inactivity and sedentary lifestyle is linked with increased levels of obesity, breast cancer, colon cancer

Elizabethan Theater :: essays research papers

Elizabethan Theater Elizabethan times in the 1600s was a progression for the world of the theater. A period named after Queen Elizabeth I of England, it is from this period that modern day society has its foundation for the entertainment industry. From the violence that was prevalent because of the Black Death, people turned to the theater for its poetry and romance. During this time period, there were two types of theatrical performances that were available for the people’s viewing, comedies or tragedies. These two genres were never really intertwined until the time of William Shakespeare. His play, Romeo and Juliet, is an example of both a comedy and a tragedy. It starts off as a comedy with Romeo weeping like a baby because of his love Rosaline, who did not love him back and ends as a tragedy when Romeo and Juliet, a pair of star crossed lovers, commit suicide because the lost of each other. It was also during Shakespeare’s time that writer were finally acknowledged by the people. Befor e this time, writers were not considered upper classman. Another group of people that began to rise into a higher social class were the actors. Actresses were not present back then because women were not allowed on stage. It was considered unladylike to have a female actor. Men played all the parts. Theater owners were dependent on actors to make them a profit. Rehearsals for the plays were fairly short, only lasting for about a week. The performances themselves would only show for three to four days. Actors were expected to memorize hundreds of lines at a time. While one play could be performing, actors would be practicing lines for their next show. Play writers also began to make roles for the actors in the theatrical pieces. The theaters that actors performed in were roofless so that the sun could be used as lighting. Theatrical shows were held in the afternoon because it provided the best amount of light for the show. When the people gathered into the theater, the different clas ses of people were separated by where they could afford to sit and watch the show. The lower classmen were situated on the bare earth where it was dirty and smelly because it was never cleaned. The owners’ of the theaters found it less expensive if they did not keep high maintenance of their establishments. Higher classmen sat under a roof and for a penny more, they could buy cushions for their seats. Elizabethan Theater :: essays research papers Elizabethan Theater Elizabethan times in the 1600s was a progression for the world of the theater. A period named after Queen Elizabeth I of England, it is from this period that modern day society has its foundation for the entertainment industry. From the violence that was prevalent because of the Black Death, people turned to the theater for its poetry and romance. During this time period, there were two types of theatrical performances that were available for the people’s viewing, comedies or tragedies. These two genres were never really intertwined until the time of William Shakespeare. His play, Romeo and Juliet, is an example of both a comedy and a tragedy. It starts off as a comedy with Romeo weeping like a baby because of his love Rosaline, who did not love him back and ends as a tragedy when Romeo and Juliet, a pair of star crossed lovers, commit suicide because the lost of each other. It was also during Shakespeare’s time that writer were finally acknowledged by the people. Befor e this time, writers were not considered upper classman. Another group of people that began to rise into a higher social class were the actors. Actresses were not present back then because women were not allowed on stage. It was considered unladylike to have a female actor. Men played all the parts. Theater owners were dependent on actors to make them a profit. Rehearsals for the plays were fairly short, only lasting for about a week. The performances themselves would only show for three to four days. Actors were expected to memorize hundreds of lines at a time. While one play could be performing, actors would be practicing lines for their next show. Play writers also began to make roles for the actors in the theatrical pieces. The theaters that actors performed in were roofless so that the sun could be used as lighting. Theatrical shows were held in the afternoon because it provided the best amount of light for the show. When the people gathered into the theater, the different clas ses of people were separated by where they could afford to sit and watch the show. The lower classmen were situated on the bare earth where it was dirty and smelly because it was never cleaned. The owners’ of the theaters found it less expensive if they did not keep high maintenance of their establishments. Higher classmen sat under a roof and for a penny more, they could buy cushions for their seats.

Deviancy in Society Essay -- essays research papers fc

There are many different kinds of deviancy in today’s society. In this essay I will tell you the meaning of deviance, the different kinds of deviancy, the biological, social, and psychological factors on deviant behavior, and how they differ from each other. According to James M. Henslin, Editor of Down to Earth Sociology, â€Å"For society to exist, people must be able to know what to expect of others.† â€Å"People develop norms to provide regularity to social life.† â€Å"Deviancy is the violation of these rules and expectations.† So according to Mr. Henslin, we all have deviant tendencies in us at some point in our lives. We all violate rules and expectations others have created whether it is a minor or large-scale offense. In today’s society, the word deviant is used very commonly and its meaning becomes distorted. People might associate the word deviant with being twisted, nasty, or perverted. â€Å"Deviance is not a term for negative judgment.† It just means anyone to violate the expectations of others. The norms that we create cover three basic aspects of human behavior: our appearance, manner, and conduct. The rules of appearance and manner, if broken, are usually called civil disobedience and conduct is usually called criminal disobedience. The first major type of deviance that will be mentioned is against the appearance norm. The expectations of appearance concerns clothing, make-up, hairstyle, and other â€Å"social extensions of a person.† There are even certain expectations on things...

Final Exam – Financial Institution

Financial Insitutions Closed book, Closed Notes 1. Final Examination Fall 2011 Roger Staiger III What is the difference between the spot market and the futures market In the spot market, trades are executed immediately, i. e. real time. In the futures markets, which is a derivatives market, trades are agreed upon today but settled lat later dates in the future. 2. What is the main difference between the money markets and capital markets? Money markets are for short-term security exchanges, i. e. less than 270 days. The capital markets are for long-term security exchanges, i. e. greater than one year. 3.What are four requirements to transfer capital within an efficient market? a. b. c. d. e. f. Stable Government Low Inflation Savings (personal, corporate, fiscal) Competition Disclosure (transparency) Fair market rules (legal system) 4. Draw the difference between direct and indirect capital formation process. Business Securities Dollars Savers Business 5. Financial Intermed. Savers De scribe the purpose of an investment banking house. a. Design Sellable Securities b. Buy securities from corporations c. Resell to ‘savers’ (broker transactions) 6. Name two sources of funds for Financial Intermediaries. . Deposits (lenders, credit unions, pension funds) b. Premiums (life insurance) c. Share issuance (mutual funds) Name four main roles for depository institutions. a. Offer deposit accounts 7. All problems equally weighted Page 1 of 7 Financial Insitutions Closed book, Closed Notes b. c. d. e. 8. Final Examination Fall 2011 Roger Staiger III Repackage (warehouse) deposit accounts Underwrite risk on loans â€Å"Expertise† in quantifying creditworthiness Provide diversification for placed loans What are the unique characteristics for a credit union separating it from other depository institutions? . b. c. d. Not for profit All business restricted to members All members share a common bond (geography, employer) Small (relatively) depository institutio n 9. Name two of the securities found in the Money Markets. a. Treasuries b. Commercial Paper 10. Name two of the securities found in the Capital Markets. a. b. c. d. Fixed income securities Mortgages Securitized products Equity 11. Define â€Å"Derivative†. An asset for which the value is derived from an underlying asset. 12. A wife purchases insurance on her husband (the marriage is loving). What type of â€Å"trader† is the wife?A â€Å"hedger† as the wife is not purchasing the instrument to profit from the loss of her husband but to provide financial security should the husband expire. The strategy is loss-minimization and therefore a hedge. 13. Name two large risks when investing abroad. a. Country Risk b. Foreign Exchange Risk c. Interest Rate Risk Note: B&C could be considered parallel due to interest rate parity. All problems equally weighted Page 2 of 7 Financial Insitutions Closed book, Closed Notes 14. Final Examination Fall 2011 Roger Staiger III Wha t is considered the leading Federal District Bank?New York Federal Reserve 15. Name three operations performed by Federal District Banks. a. b. c. d. e. Clear Checks Replace old currency Provide loans through discount window) Collect economic data Research 16. How many district banks are there in the Federal Reserve system? 12 17. Name five sources of data used by the FOMC. a. b. c. d. e. f. g. h. i. j. k. l. m. Wages Consumer prices Unemployment GDP Business inventories Foreign Exchange Rates Interest Rates Financial Market Conditions Production Levels Business Investment Residential Construction International Trade International Economic Growth 18.Why does the Federal Reserve perform Open Market Operations? a. Increase/decrease level of funds in market b. Offset impact of other conditions that affect level of funds, e. g. holiday traffic 19. Why is the reserve requirement ratio important? Represents the proportion of deposits that must be held as reserves for a financial instituti on. It is one of the determinants of the money supply. 20. What are the two rates that the Federal Reserve sets? a. Federal Funds Rate b. Discount Rate All problems equally weighted Page 3 of 7 Financial Insitutions Closed book, Closed Notes 21. Final Examination Fall 2011 Roger Staiger IIIWhat are the four components of GDP? GDP = Consumption + Investment + Government Spending + Net Exports 22. What are the goals of the Federal Reserve? a. Control inflation (price stability) at 2. 00% b. Promote Growth 23. What are the goals of the ECB? a. Control inflation (price stability) at 2. 00% 24. What are the relative sizes of each asset class in the U. S.? Fixed Income ($32,000bn) Real Estate ($20,000bn) Equities ($18,000bn) Note: In 2006, Real Estate was the largest asset class but has suffered from over $10,000bn in losses over the current financial crisis and still losing†¦ 25. What is LIBOR?London Interbank Offering Rate: Rate that 16 large global commercial banks lend 10 differe nt currencies at 15 different maturities to each other in the overnight market. 26. The world is safe and growth permeates most economies. Explain what this means for the borrowing rate for the US government using a Supply/Demand curve and cash flow diagram for Treasuries. Price S P0 P1 D Quantity P As price decreasing, yield increases, i. e. it costs more for the U. S. government to borrow. All problems equally weighted Page 4 of 7 Financial Insitutions Closed book, Closed Notes 27. Final Examination Fall 2011 Roger Staiger IIIDraw the cash flow diagram for a zero coupon bond. 28. What are three methods that a financial institution uses to manage interest rate risk? a. b. c. d. e. Maturity matching Using floating-rate loans Using interest rate futures contracts Using interest rate swaps Using interest rate caps 29. Why do financial institutions sell their own underwritten loans? a. b. c. d. Maintain services (fee based income) Sell asset (earn positive spread) Sell asset (negative spread but significantly reduced risk exposure) Turnover of capital 30. What are the three main banking regulators in the U. S.? a. Comptroller of Currency b.Federal Deposit Insurance Corporation (FDIC) c. Federal Reserve 31. What is the current insurance limit by account offered to private investors by the FDIC? $250,000 32. What was important about Glass-Steagall? a. Separated banking and securities activities b. Prevented any firm that accepted deposits from underwriting stocks and bonds of corporation c. Intended to prevent conflicts of interest 33. What important about Gramm-Leach-Bliley Act a. Repealed Glass-Steagall b. Allowed affiliation between banks, securities firms, and insurance companies 34. What was most important about Sarbanes-Oxley (SOX)? All problems equally weightedPage 5 of 7 Financial Insitutions Closed book, Closed Notes a. b. c. d. 35. Final Examination Fall 2011 Roger Staiger III Increased transparency of reporting Internal reporting processes required Centr al database of information required Executives personally verifying (signing) financial statements What was Basel? Basel I Accord 1988: 12 major countries agreed on uniform capital standards Tier 1 and Tier 2 Capital adequacy Basel II: Revision of the measurement of credit risk; explicitly account for operational risk; requires more disclosure about exposure risk Basel III: Global regulatory standards for capital adequacy and risk.Fully phased in by 2019. 36. What are CAMELs Ratings? Rating system for banks: Capital Adequacy Asset Quality Management Earnings Liquidity Sensitivity 37. What is Value-at-Risk? Risk measure that quantifies size of risk to a given confidence level over a finite period of time. 38. What is important about Dodd-Frank? Unlike SOX, it includes large private entities under the veil of regulation, e. g. hedge funds, that pose systemic risk. Also intended to add transparency and force OTC products to trade across exchanges for greater transparency. Potentially d isconnected motivations of employees and corporations for reporting fraud, i. . employees (possibly former) share in a portion of an SEC fine recovered. (note: Dodd-Frank is 2319 pages so many answers will be given full credit. The above are important highlights, but again, there is a breadth of correct answers for this question) 39. Who is the current Federal Reserve Chairperson? Ben Bernanke 40. Who is the current Treasurer AND Johns Hopkins University Graduate? All problems equally weighted Page 6 of 7 Financial Insitutions Closed book, Closed Notes Tim Geithner Final Examination Fall 2011 Roger Staiger III All problems equally weighted Page 7 of 7

Integrity Essay

Morals reflect both the being you strive to become and the individual you truly are. The value morals hold in both society and our own minds are vastly immoderate. The degree to which we hold ourselves to our own moral determines our integrity. An adherence to a code of moral or artistic values, incorruptibility, is what’s known as integrity. A lack of integrity is often recalled far longer than actions within integral standings. Both John Proctor, from The Crucible, and Ed Murrow, of Good Night, and Good Luck, share this admirable trait to a great extent. I look for a lot of things in people before I fully bring them into my life. Those whose decisions have a kind of inner uniformity and integrity that makes them morally unassailable, those who I can trust. I want to associate myself with a person who I know would never betray me and always do what’s right, because if not your word than what have you? I define integrity as holding true to your own beliefs and standards. Living your life in a way that makes you proud or content is crucial, as John and Ed lived. The Crucible showed a large variation of characters with an even more significant variant of personalities. John Proctor was accused of witchcraft after a cruel manhunt plagued with lies and deception. His integrity was highlighted throughout the play, for example, when he confessed to the sin of adultery to save his wife. In another instance, John agrees to save his life and confess to witchcraft by post his name on the church, but when it comes to it, he cannot, â€Å"Because it is my name! Because I cannot have another in my whole life! Because I lie and sign myself to lies! Because I am not worth the dust on the feet of those who hang! How many may live without my name? I have given you my soul; leave me my name!† (Miller 1166). His integrity could not allow him to sacrifice the identities of those close to him. He gave his existence to preserve the integrity he made for his name. John Proctor was a selfless man of pure integrity. Ed Murrow also shared those qualities. The film Good Night, and Good Luck tells the story of McCarthyism, Joseph McCarthy used the fear of communism to wrongly jail citizens. Ed Murrow is the host of Good Night, and Good Luck on CBS. He sees the wrong in McCarthy’s actions and decides to take a stand  and tell the public his view. His entire career is in jeopardy, even himself exposing the lies of his profession for justice, â€Å"We have currently a built-in allergy to unpleasant or disturbing information. Our mass media reflect this. But unless we get up off our fat surpluses and recognize that television in the main is being used to distract, delude, amuse, and insulate us, then television and those who finance it, those who look at it, and those who work at it, may see a totally different picture too late.† (Good Night, and Good Luck). Ed Murrow risked everything he had and put so much energy into doing what is right. He is a perfect image of integrity. Bothe John Proctor and Ed Murrow were sources of moral value and integrity. Integrity is doing what is right, what is honest and true, and that is exactly what they did. John and Ed are both people we should try to learn from and look up to.

Nursing Care in Rural Communities Essay

Nursing Care in Rural CommunitiesLiving in a rural community can present challenges for residents in receiving adequate health care. Many believe that rural communities present less health risks than urban communities. In actuality, they each have their own unique health problems and risks. In rural areas, the elderly population is at risk for not obtaining sufficient healthcare for numerous reasons such as knowledge deficit, lack of transportation, and financial woes. The healthcare community also faces challenges in providing healthcare in rural areas. The community health nurse plays an extremely important role in rural America. They will help ensure that the community has access to appropriate medical care and assist with referrals for financial assistance. Rural Community Health versus Urban City Health There have many debates over the years about who has the better quality of life, including less health problems, those who live in rural communities or those that live in the urban city communities. Any person that is asked, will most likely have their own opinion. However, in actuality, both have their own unique set of health problems. Kids that grow up in rural areas, particularly farming areas, have a lower incidence of asthma and breathing difficulties than kids raised in urban areas. But, on the other hand, children in rural areas, on average, consume more fat and sugar than those in urban areas. Therefore, it is no surprise that the childhood obesity rate is the highest in rural areas CITATION Bec11 l 1033 (Beck, 2011). Urban communities a higher rate of sexually transmitted diseases and more violent crimes than that in rural communities. In urban areas, there tends to be a larger impoverished population due to immigrants migrating to urban areas. When a large portion of the population is at or below poverty level, it results in poorer living conditions and difficulty obtaining adequate food, water, sewage, and health care. Because of that, there is an increased rate of preventable diseases related to lifestyles CITATION Gal12  l 1033 (Galea, Ompad, & Vlahov, 2012). Both urban and rural communities have various drug and alcohol problems. The types of drugs and population using are unique to the area. Urban areas tend to have more sources available to help those seeking it. There are more treatment centers and also clean needle exchange programs. The Elderly Population in Rural America Many elderly that live in rural communities, have lived there the majority of their lives. Many will be living alone if their spouse has previously passed away. A specific need that many may have is lack of transportation. In most rural areas, there is not public transportation available. This results in many elderly missing medical appointments, check-ups, and possibly not even making an appointment when ill. Lack of receiving appropriate medication can also be a result of being without transportation. However, there are many other contributing factors for those not taking the appropriate medications. Many elderly living in rural areas, come from families that have farmed all their lives. Farming is an industry that has its ups and downs financially, and although provided for the family at the time, many did not have money available in retirement funds. This has resulted in a monetary deficit in the aging population. Another reason the elderly population in rural areas may not recei ve the appropriate prescriptions, is knowledge deficit. Many, especially in rural areas, have grown up treating themselves and their families with home remedies. This was a cost-saving solution, and also resolved the issue of limited available medical care. There are specific medical problems that are more prevalent in rural populations. These include heart disease, skin cancers, and Alzheimer’s or a form of dementia. Chronic diseases also more predominant in the aging population of rural America, these include arthritis and hypertension CITATION Rog02 l 1033 (Rogers, 2002). Challenges for Healthcare in Rural America. There are several challenges that are widespread when providing healthcare in Rural America. In general, there are less healthcare providers and hospitals available in rural areas. If there is a hospital close, it will most likely lack many pertinent departments such as a cardiac cath lab or a labor and delivery unit. Patients will be required to relocate to a larger town, further away. This may not be possible to many rural  Americans due to lack of financial ability, lack of transportation, or the lack of education. T hey may not have been educated on the importance of the procedure. There are also many insurance companies that do not contract with rural physicians. This would deter many people from obtaining adequate medical care due to the out of pocket cost CITATION Mos08 l 1033 (Moscovice & Rosenblatt, 2008). The Role of the Community Health Nurse in Rural Settings. The community health nurse will take on many roles in rural settings. Educating about the importance of immunizations is imperative. But, also, ensuring that all community members that desire the immunizations have the ability to come to the clinic to receive them. If not, the nurse may need to develop another plan in order to meet the community’s needs. The community health nurse needs to assist the elderly with obtaining transportation for medical visits. If they are only able to establish transportation certain days of the week, if possible make appointments for that day for them. Education is a large part of any nurse’s job description. However, as a rural community health nurse, it is essential that the community is educated on disease processes and the importa nce of taking prescriptions as prescribed by the physician. Many in rural communities, will generally have their own home remedies that they have used and may not understand why a specific medication is necessary. Because of financial concerns of many in rural areas, the community health nurse will need to educate patients on medical financial assistance programs and which local providers and hospitals are contracted with their insurance companies. Urban areas and rural communities in America, each come with their own unique health problems that are specific to that area. As a rural community health nurse, it is imperative to understand what specific deficits the general rural population has related to healthcare. The community health nurse has the ability to ensure that the entire rural community has access to healthcare, adequate education related to their medical problems, and can help refer patients to assistance for transportation and financial assistance. References BIBLIOGRAPHY Beck, M. (2011). City vs. Country: Who is Healthier. Wall Street Journal. Galea, S., Ompad, D., & Vlahov, D. (2012, September). Urban Health Issues. Retrieved from Rutgers University: http://www.healthynj.org/ Moscovice, I., & Rosenblatt, R. (2008). Quality-of-Care Challenges for Rural Health. The Journal of Rural Health, 168-176. Rogers, C. (2002). The Older Population in 21st Century Rural America. Rural America, 2-10.

Fool Chapter 25

TWENTY-FIVE THE KING SHALL BE A FOOL Alas, your humble fool is the King of France. Actually, France, Britain, Normandy, Belgium, Brittany, and Spain. Perhaps more, I haven't seen Cordelia since breakfast. She can be a terror when left to her own devices, but she keeps the empire in working order and I adore her, of course. (As has always been the case.) Good Kent had his lands and title restored, and was also given the title Duke of Cornwall, and the attendant lands and properties. He's retained the black beard and glamour given him by the witches, and seems to have convinced himself that he is younger and more vibrant than the multitude of years he carries on his back. Albany retained his title and lands and signed an oath of fealty to Cordelia and me, and I trust he will be true to it. He's a decent, if dull chap, and without Goneril in his ear, his will be the way of virtue. We've given Curan the title of Duke of Buckingham, and he acts as regent of Britain when we are not on the islands. Edgar took his title as Earl of Gloucester and returned to his home where he buried his father in the walls of the castle temple built to his many gods. He's started his own family and will no doubt have many sons who will grow up to betray him or simply be dolts in the image of their father. Cordelia and I live in a number of palaces around the empire, traveling with an embarrassingly large entourage that includes Bubble and Squeak, as well as Shanker Mary and other loyal staff from the White Tower. I have a crashingly large throne, on which I hold court with Drool on one side (who has been given the title of Royal Minister of Wank), and my monkey, Jeff, on the other. We hear cases of the local farmers and merchants, and I pronounce judgments, damages, and sentences. For a while I allowed monkey Jeff to pronounce sentences while I was off having lunch with the queen, giving him a little plaque with various penalties to which he could point, but that had to stop when I returned one afternoon from a protracted Cordelia bonking to find that the cheeky little bloke had hanged the entire village of Beauvois for cheese violations. (Awkward, that, but the French understand. They are very serious about their cheese.) Most of the time justice can be satisfied with a bit of verbal humiliation, name-calling, and pointed sarcasm, at which, it turns out, I excel, so I am viewed as a fair and just king and much beloved by my people, even the fucking French. We are at our palace in Gascony now, near northern Spain. Lovely, but very dry. I was just saying to froggy Queen Jeff today (he and Queen Burgundy are visiting), â€Å"It's lovely, Jeff, but bloody dry. I'm English, I require dampness. I feel as if I'm drying out and becoming all crackly as we speak.† â€Å"It's true,† Cordelia said. â€Å"He's always gravitated toward the moist.† â€Å"Yes, well, darling, we shan't speak of that in front of Jeff, shall we? Oh, look! Drool has sprouted an erection. Let's ask him what he's thinking about. Had his way with a knotted oak on the way here. A right spectacular tree-shagging it was, too. Knocked down enough acorns to feed the village for a week. They wanted to have a special feast day in honor of the git – declare him god of the tree-shag – more fertility symbols there than you can shake a stick at, innit?† â€Å"C'est la vie,†[47] said Jeff, in perfectly incomprehensible fucking French. Later, as I was holding audiences with the public, there entered the great hall three ancient, bent figures. The witches of Great Birnam Wood. I suppose I'd always known they'd show up at some time or another. Drool ran and hid in the kitchen. Jeff jumped on my shoulder and screeched at them. (Jeff the monkey, not the queen.) â€Å"A year has passed for witches three, And we are here to collect our fee,† said Rosemary, the green, cattoed witch. â€Å"Oh, for fuck's sake, you're on with the rhyming again?† â€Å"A need was filled, a promise made, For service done we must be paid,† the witches chanted in unison. â€Å"Just stop the rhyming,† said I. â€Å"And those rags are entirely too heavy for this climate. You'll get a rash on your warts and carbuncles if you're not careful.† â€Å"You've been made a king and enchanted your true love to be yours forevermore, fool. We only want what is our due,† said Sage, the most warty of the three. â€Å"Rightly so, rightly so,† said I. â€Å"But Cordelia is not enchanted to love me. She is with me of her own free will.† â€Å"Balderdash,† said Parsley, the tall witch. â€Å"We gave you three puffballs for three sisters.† â€Å"Aye, but I used the third to enchant Edgar of Gloucester, so he would fall in love with a laundress at his castle named Emma. Lovely lass with smashing knockers. She'd been mistreated by the bastard brother – only seemed just.† â€Å"Still, the spell was used. We will have our payment,† said Rosemary. â€Å"Of course. I have more treasure than you crones could carry. Gold? Silver? Jewels? But Cordelia doesn't know of all of your manipulations, nor that the ghost was her mother, and she mustn't ever. If you agree, name your reward, I've important kingly things to accomplish and my monkey is hungry. Name your price, crones.† â€Å"Spain,† said the witches. â€Å"Fuckstockings,† said the puppet Jones.

BristolMyers Squibb Company Essay Research Paper Joseph

Bristol-Myers Squibb Company Essay, Research Paper Joseph Esposito Intermediate Accounting II Dr. Ahmed Goma Bristol-Myers Squibb Company# 8220 ; A Critical Analysis to Disclosure in Financial Reporting # 8221 ; Bristol-Myers mission is to be the preeminent planetary diversified wellness and personal attention Company. Bristol-Myers seeks to accomplish success in the planetary market place. Product- Bristol-Myers is a shaper of many utile merchandises that people use and may depend on today. There merchandises range from Pharmaceutical ( $ 8,672 million ) , consumer medical specialties ( $ 4,278 million ) , Clairol a good known hair attention system ( $ 1,160 million ) , Matrix ( $ 306 million ) , Mead Johnson nutritionary ( $ 1,789 million ) , Convatec ( $ 726 million ) , and Zimmer ( $ 1,134 ) . Some of Bristol-Myers more good known Pharmaceuticals are Taxol which is a anticancer agent that Bristol-Myers Squibb has made one of its top research and development precedences worldwide and Pravachol received FDA labeling as the universe # 8217 ; s first lipid take downing drug to forestall first bosom onslaughts. Some of Bristol-Myers well-known world-wide consumer merchandises are Ban ( deodourant ) , Nuprin, Bufferin and Excedrin ( concern alleviation drugs ) merely celebrated its thirtieth twelvemonth. Clairol is known as one of he most widely used hair attention merchandises around the universe. Matrix a subordinate of Bristol-Myers makes merchandises such as Vavoom and Biolace hair attention merchandises. Mead Johnson Nutritional another one of Bristol-Myers really successful subordinates trades with vitamins and pamper expressions such as well-known favourites like Enfamil which is said to be every bit close to breast milk. Convatec which deals with lesion, skin attention and chronic attention merchandises. Finally, Zimmer is a shaper of surgical attention devices. Industry- Bristol-Myers Squibb Company is in one of the most competitory industries in the universe. In the last 10 old ages pharmaceutical merchandises have become progressively of import. With such diseases such as Aids and Cancer blighting our society, companies such as Bristol-Myers have to take a lead function in contending these deathly diseases. Bristol-Myers is known as one of the leaders against malignant neoplastic disease. In January of 1991 Bristol-Myers was chosen by the National Career Institute ( NCI ) to go a commercial developer of Paclitaxol, now Taxol, which is the discovery intervention against Ovarian and chest malignant neoplastic disease. Taxol comes from a rare species of yew tree found in the U.S. Pacific Northwest. Fabrication of the substance International Relations and Security Network # 8217 ; t easy due to the 50-step procedure taken to pull out it. Bristol-Myers made Taxol its figure one Research and Development precedence. Bristol-Myers leads worldwide in Cancer research and prides itself on it. Market- Bristol-Myers Squibb Company # 8217 ; s market International Relations and Security Network # 8217 ; t merely the U.S. Its market extends all over the universe, from Europe, Asia and South America. One of Bristol-Myers biggest market is Eastern Europe. A Magyar company named Pharmavit develops one of Eastern Europe # 8217 ; s most popular vitamins called Plusssz. Plusssz has achieved 97 per centum name acknowledgment in Hungary. Fifty per centum of the people have used the merchandise while 24 per centum usage it on a regular basis. The Plusssz line has become so successful that Mead Johnson, Bristol-Myers planetary nutritionary concern, is test selling Plusssz for launch in the Philippines and many other parts of the universe. Plusssz has established Bristol-Myers as an instant participant in Hungary, a market that is among the most competitory in all of Eastern Europe. Similarities and Differences- There are many similarities and differences between Bristol-Myers Annual Reports, Form 10K and 10Q Reports. The one-year studies for Bristol-Myers are really colourful and elaborate. However the Form 10K and 10Q studies are non colourful but merely Fiscal Statements. The one-year study is designed for the stockholder and informs any would be purchaser. Whereas the Form10K and 10Q studies are in apparent black and white and function the intent of informing none merely the Securities and Exchange Commission ( SEC ) . It is non sent out to stockholders or would be stockholders so it isn # 8217 ; t as brassy and calendered as the one-year study. The Form 10K study has many studies inside. The 10K first begins with an debut merely as the one-year study does with a description of Bristol-Myers. It than goes into item about its merchandises much like the one-year study, nevertheless with no images or colour which the one-year study uses to its advantage. Howev er the 10K study doesn # 8217 ; t explicate in item about the merchandises. It gives a short description whereas the one-year study goes into full item about all its merchandises. After merchandises the 10K goes into item about its Domestic and Foreign operations. It starts speaking about belongingss and some of Bristol-Myers legal proceedings. The one-year study besides talks about its judicial proceeding # 8217 ; s but it hides it manner in the dorsum of the study. Largely everything from growing to success is talked about in the one-year study. After judicial proceeding # 8217 ; s the 10K goes into more about the Executive Officers, there names and ages to their place on the board. The Form 10K study is a study that is published by the financial twelvemonth while the Form 10Q study is published quarterly and the one-year study is done every twelvemonth. The Form 10K study uses a five-year fiscal sum-up. The Form 10Q studies about the company in quarters, while the one-year study summarizes the twelvemonth. In 1994, Note 1 of the Accounting rules negotiations about the Basis of Consolidation. Which merely explains that the fiscal statements have Bristol-Myers and all of its subordinates. Cash and Cash Equivalents which is the hard currency on hard currency equivalents that mature in three months or less at the clip of purchase, recorded at cost, which approximates market. Time Deposits and Marketable Securities are available for sale and are recorded at just value, which approximates cost. Inventory rating are by and large stated at mean cost, non in surplus of market. Property and Depreciation- outgos for extra reclamations and improvement # 8217 ; s are capitalized at cost, while depreciation is computed utilizing the straight-line method. The extra to be over the net assets received prior to October 31, 1970is being amortized on a straight-line footing over periods non transcending 40 old ages. The net incomes per portion are computed utilizing the weighted-average figure of portion s outstanding during the twelvemonth. Note 1 Accounting Principles is the same enemy 1995 and 1996. In 1994 Note 2 they talk about Particular Charge, which explains the judicial proceeding # 8217 ; s of the company for that twelvemonth. It is the same for 1995. In 1996 Note 2 they talk about all of there acquisitions for the twelvemonth alternatively of the judicial proceeding # 8217 ; s from the old twelvemonth cause a colony was made in 1995. For 1994 and 1995 they talk about acquisitions in Note 3. For Note 4 in 1994 and 1995 they talk about the restructuring programs for the twelvemonth. In 1994 and 1995 they explain foreign currency passage and in 1996 it is included under note 4. In 1994 and 1995 note 6 explains other income and disbursals and in 1996 they talk about there stock lists. In 1994 and 1995 note 7 contains information on proviso for income revenue enhancements, net incomes before income revenue enhancements, nevertheless in 1996 belongings, works and equipment in note 7. In 1994 and 1995 stock lists is explained for note 8, but in 1996 short-run adoption and long-run debt is the high spot for note 8. In 1994 and 1995 note 9 contains the belongings, works and equipment information, but 1996 shareholders equity is in note 9. Accrued disbursals and other liabilities are given in 1994 and 1995 for note 10, but in 1996 they talk about the fiscal instruments. In 1994 and 1995 note 11 goes on about the short term adoption and long term debt and in 1996 note 11 negotiations a small about rentals. Financial Instrument is headlined in note 12 for 1994 and 1995, nevertheless 1996goes into the section information. In 1994 and 1996 retirement benefits are e xplained in note 13, but in 1995 shareholders equity is the pick here. In 1994 and 1996 note 14 contains postretirement benefits plans other than pension, and in 1995 rental is the topic. In 1994 shareholders equity is brought up and 1995 postretirement benefits and plans other than pensions are talked about in item while in 1996 the eventualities of the litigation’s are brought up and there consequences. In 1994 note 17 contains the section information foe the companies merchandises are reported. In 1995 eventualities is the topic of the consequences of their litigation’s through the twelvemonth. And in 1994 eventualities is the concluding note 18. Note 9- Stockholders # 8217 ; Equity: On December 3,1996, Bristol-Myers Squibb board of managers authorized a two-for-one split of it common stock effectual February of 1997. The board besides recommended an amendment be considered for blessing at the one-year meeting of shareholders to increase the figure of authorised portions of common stock from 1.5 billion to 2.25 billion portions. Each of the companies preferred portions are exchangeable to 8.48 portions of common stock and is callable at the companies option. The decrease in 1996, 1995, and 1994 were a consequence due to the transition in common stock. The dividends per common stock for 1996 was $ 1.50, 1995 it was $ 1.48 and in 1994 it was $ 1.46. Stock Compensation Plans: The company allows officers, managers and cardinal employees to buy company # 8217 ; s stock at no less than 100 % of the market monetary value on the day of the month the option is granted. Options by and large become exercisable at installments of 25 % per twelvemonth and have a upper limit of 10 old ages. The program besides provides granting of stock grasp rights where the grantee may give up exercisable options and receive common stock or hard currency measured by the extra market monetary value of the common stock over the exercising monetary value. This program besides guarantees certain executives allowing of performance-based stock options. Under the TeamShare Stock Option Plan, all full clip employees, excepting cardinal executives that meet certain old ages of service demands are granted these options to buy the company # 8217 ; s common stock on the day of the month of the market monetary value. The company authorized 30,000,000 for issue under this program. As of December 31,1996, 20,250,800 options were granted under the program with 400 options granted to eligible employers. These options become exercisable on the 3rd anniversary day of the month. The company applies the Accounting Principles Board sentiment No.25, Accounting for Stock issued to Employees, in accounting for its programs. If the compensation cost for the companies other stock option programs been determined based on the just value at the grant day of the month consistent with the metrology prescribed under Statement of Financial Accounting Standards No. 123, Accounting for Stock-Based Compensation, The companies net income and net incomes per port ion would hold been reduced by $ 55 million or $ .05 per portion in 1996 and $ 35 million or $ .03 per portion in 1995. The just value of options granted in 1996 and 1995 were $ 8.51 per portion and $ 6.47 per portion utilizing the Black-Scholes option-pricing. At December 31, 1996, 104,976,640 portions of common stock was reserved for issue to the stock programs options of the preferable stock. For each outstanding portion the company gives one Right. The Right becomes exercisable if the individual or group acquires good involvement of 15 % or more, of the companies common stock. Each Right entitles the individual to purchase one one-thousandth of a portion of a series of preferable stock at the exercising monetary value of $ 200. The Right expires on December 18,1997. Each Right entitles its holder to get portions have a value twice the Right # 8217 ; s exert monetary value. The company than can deliver the Rights at $ .01 per Right at any clip until the 15th twenty-four hours after the proclamation that a 15 % place has been acquired. Note 1 Accounting Policies: Note 1 Accounting Policies are the same in all three old ages: Footing of Consolidation The amalgamate fiscal statements include the histories of Bristol-Myers Squibb Company and all of its subordinates. Cash and Cash Equivalents Cash and hard currency equivalents chiefly include securities with a adulthood of three months or less at the clip of purchase, recorded at cost, which approximates the market. Time Deposits and Market Securities Time sedimentations and marketable securities are available for sale and are recorded at just value, which approximates cost. Inventory Evaluation Inventories are by and large stated at mean cost, non in surplus of market. Capital Assets and Depreciation Outgos for add-ons, reclamations and improvement # 8217 ; s are capitalized at cost. Depreciation is by and large computed by the straight-line method based on the estimated utile lives of the related assets. Excess of cost over Net Tangible Assetss The surplus of cost over net tangibles assets receives in concern acquisitions is being amortized on a straight-line footing over periods non transcending 40 old ages. Net incomes Per Share Net incomes per common portion are computed utilizing the leaden mean figure of portions outstanding during the twelvemonth. The consequence of portions issuable under stock programs is non important. Bristol-Myers recorded a $ 310 million restructuring charge, $ 198 after revenue enhancements, in the 4th one-fourth of 1995. The restructuring had to make with the consolidation of workss, and installations related to employees expirations. The charge consisted of employee related costs of $ 190 million, $ 100 million of assets write-downs and $ 20 million of other related disbursals. Note 10 Fiscal Instruments: Bristol-Myers enter a foreign exchange option and send on the contracts to pull off its exposure to its currency fluctuations. Bristol-Myers has been exposed to foreign currency assets and liabilities, which totaled $ 1,640 million, $ 1,385 million and $ 1,117 million at December 31, 1996, 1995 and 1994. The chief currency it is in is Deutsche Markss, Gallic francs, Italian lira and Nipponese hankering. The company mitigates the currency and its consequence through 3rd party borrowers and foreign exchange forward contracts. Foreign exchange option contract normally expire within the twelvemonth and are used to fudge intercompany cargos happening during the twelvemonth. Additions are recognized in the same period as the weasel-worded minutess. Some foreign exchange forwards are used to minimise exposure to fluctuating exchange rates. Additions or losingss are recognized as weasel-worded minutess. The sums of the companies contracts at December 31, 1996, 1995 and 1994 were $ 1,331 million, $ 1,377 and $ 1,120 million. The company does non fear for any inauspicious consequence on its financials ensuing from its engagement in this. At December 31,1996, 1995, and 1994 the transporting value of all fiscal instruments, both short-run and long-run, equal the just value. Decision I found Bristol-Myers to be a really interesting company. They have a wide scope of merchandises and they are known around the universe. Whether it is in the United States or every bit far as Europe and Asia. They lead the universe in malignant neoplastic disease research, but at that place research and development goes beyond merely contending malignant neoplastic disease. They have managed to dunk at that place manus in every market in the universe. Whether it is malignant neoplastic disease research to basic nutritionary demands to hair merchandise. Everything that we might utilize and take for granted might hold been produced by Bristol-Myers or one of there subordinates. Bristol-Myers genuinely has an border in what of all time they do. Strong competition though given from there rivals like Merck and Johnson A ; Johnson will assist Bristol-Myers acquire in front. Merely with this type of competition will companies win and will the people who need there valuable medical specialt y.