Book Review Our Iceberg Is Melting - 1015 Words

Our Iceberg is Melting: Changing and Succeeding Under Any Conditions John Kotter and has produced a great book that contains a wealth of wisdom and insight. While it looks and reads like a simple book, it is anything but simple. The message which Kotter is able to make clear goes much deeper than the surface story of a colony of penguins in search of answers pertaining to their survival on an iceberg. He easily describes a scenario through a penguin colony that any person can relate to and think about in a more in-depth manner. The fable is entertaining and interesting and deals with how a penguin colony deals with change that has become inevitable if they are to survive. The story revolves around a penguin colony in Antarctica†¦show more content†¦It is one which the whole colony can agree upon because they all were involved in the process in some form. Communication was an important factor which could not be ignored if any results were going to be seen. The leadership council in this story made sure that everyone in the penguin community (also could be thought of as the office) was aware of the conversations regarding the iceberg and the changes that were taking place. The end of the story describes a once permanent colony living on one iceberg now living nomadically. This is quite a change for them and one which we can learn a lot from. I found this book thoroughly enjoyable as it was both entertaining and educational. I enjoy reading anything that may seem like there is not much depth to, but when you sit back and think about how it relates to your actual life, is really quite remarkable. The process of change as outlined in the book is a great model for your personal life and especially your work life. It not only told a tale, but showed that just a regular penguin (employee) can step forward at any time with an idea or observation and speak his mind. Its inspirational because we all think of ourselves as the regular penguin. But we too, can make a difference. All you have to do is find one person who will listen, and they are certainly out there. From that point, persistence and belief is important. Leadership at that point is also very important. Dont back away fromShow MoreRelatedUse Of Metaphor Intervention : A New Approach For Working With Systems Divided By Conflict And Caught Essay827 Words   |  4 Pagesdefensive perception. Journal of Applied Behavioral Science, 26: 219-239. Blanchard, Kenneth. 1981. The one minute manager. New York: Berkley. Bretts, J. A. 2008. A fable that powerfully conveys management ideas.Book review, Amazon.co.uk, http://www.amazon.co.uk/Our-Iceberg-Melting-Succeeding-Conditions/ Brown, John Seely, Stephen Denning, Larry S. Prusak and Katalina Groh. 2005. Storytelling in organizations: Why storytelling is transforming 21st century organizations and management. Oxford: ElsevierRead MoreEssay on The Global Warming Controversy3199 Words   |  13 PagesThese scientists believe humans are the source and solution to the problem. Global warming, regardless of the source, is causing many adverse effects to the planet, such as the affect it causes on aquatic animals and the melting icecaps. Scientists believe that by cutting our carbon emissions through political action and finding alternative sources of energy we can stop the damages of global warming. The world today is divided in two different points of view regarding global warming. AlthoughRead MoreRhetorical Analysis on Energy Disaster1068 Words   |  5 Pagesrate we currently use it will â€Å"guarantee the equivalent of two, three, four or more Gulf oil-spill-style disasters in our energy future† (Klare 1). In reference to Michael T. Klare’s background, he is a (PAWSS) Professor and affiliated with the Peace and World Security Studies and the School of Critical Social Inquiry. 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He begins to communicate his concerns through a series of meetings with some resistance and discussion. Meetings are held with his peers, as well as with the elders of the colony. A different approach is used for the different settings. This book is allegorical depiction of practical aspects of business meetingsRead MoreThe World Is Blue Reflection Essay1790 Words   |  8 Pages Review and analysis by: Kylee Luckett â€Å"It is our choices...that show what we truly are, far more than our abilities.† -Albus Dumbledore They say only a few will ever speak loud enough to be heard over the other seven billion voices on the planet. Today someone is shouting. Screaming off of the pages of â€Å"The World is Blue† is Sylvia Earle, National Geographic Society’s Explorer in Residence, and vast contributor to the effort to preserve the planet’s oceans. Earle’s book is notRead MoreAn Assignment On Strategic Change Management Model3280 Words   |  14 Pagesworld†. 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I Am Not A Boxer, And I Don t Battle Anybody - 936 Words

The individual I chose for my exposition is Muhammad Ali, and before you inquire! I am not a boxer, and I don t battle anybody, in any case it interests me seeing such character which was not just one of the best competitors of all time, he was also the front cover of Times magazines 4 times ever, could take 100 thousand fans to a football stadium to watch a boxing match, but on the other hand was conflicted as the twentieth century that helped shape and by whom was shaped. I appreciate such characters, which can surpass all life troublesome and change history. It was a hot and crispy morning in Arizona when one of the greatest legends of sports died after fighting respiratory problems and Parkinson disease for over 30 years. If I could ask this one question to Ali: Who are you? I am sure this would be his answer: I am Muhammad Ali the greatest of the greatest†¦ For many people this could be called exaggeration, an excess of confidence, among other things, to me it could be simply summarized in one term Grit. Born in Louisville, Kentucky in 1942, he had every one of the fixings to end up only a customary individual. His house was not the most amicable environment for an African-American individual amid that time encountering childhood in the confined South, he experienced racial bias and partition firsthand. Experiencing childhood in a low-pay neighborhood was challenging, for example, when his bicycle got stolen at 12 years old, Ali as of now showed early indications ofShow MoreRelatedDeveloping Management Skills404131 Words   |  1617 Pagesindex. ISBN 978-0-13-612100-8 1. Management—-Study and teaching. 2. Management—Problems, exercises, etc. Kim S. II. Title. HD30.4.W46 2011 658.40071 173—dc22 I. Cameron, 2009040522 10 9 8 7 6 5 4 3 2 ISBN 10: 0-13-612100-4 ISBN 13: 978-0-13-612100-8 B R I E F TA B L E O F C O N T E N T S Preface xvii Introduction 1 PART I 1 2 3 PERSONAL SKILLS 44 Developing Self-Awareness 45 Managing Personal Stress 105 Solving Problems Analytically and Creatively 167 PART II 4Read MoreOne Significant Change That Has Occurred in the World Between 1900 and 2005. Explain the Impact This Change Has Made on Our Lives and Why It Is an Important Change.163893 Words   |  656 PagesSolidarity Remembered Janis Appier, Policing Women: The Sexual Politics of Law Enforcement and the LAPD Allen Hunter, ed., Rethinking the Cold War Eric Foner, ed., The New American History. Revised and Expanded Edition E SSAYS ON _ T WENTIETH- C ENTURY H ISTORY Edited by Michael Adas for the American Historical Association TEMPLE UNIVERSITY PRESS PHILADELPHIA Temple University Press 1601 North Broad Street Philadelphia, Pennsylvania 19122 www.temple.edu/tempress

Growth rate of a seed Essay Example For Students

Growth rate of a seed Essay Problem: How does the amount of light affect the growth rate of a seed?Literature Search: This experiment is only trying to verify the answer since this question has been proven before. Others have also proven that seeds germinate at the same rate at the early stages no matter how much or how little sunlight there is. Once the radicle brakes trough and the plant starts to use photosynthesis to produce energy and grow. Since sunlight is needed in photosynthesis, the plant with more sunlight starts to grow more rapidly then the plant that lacks sunlight. Hypothesis: If the seed is exposed to sunlight then the seed will grow more then the seed that is kept in the dark. Experimental design: I took the four seeds and divided theme into groups of two. I placed theme inside a paper towel which was inside a cup. I water both of the cups and placed one in the closet, where it was dark. The other cup I placed on the ledge, where there was a large amount of light at all times. Each day I provided the seed with the equal amount of water. In this experiment I had one control which was the plant in the dark. Results and conclusion: My hypothesis was correct. As you can see from the data graphs at first the seeds germinated at the same rate until the tip of the radicle broke trough and was visible. Afterwards the seed which was in the light grew more rapidly then the seed which was in the dark. I think this happened because when the seed is in the early stages of germination it does not use light to grow but is controlled by phytochrome. Which is a hormone that controls the germination of a seed before it reaches light. After the radicle broke trough, the seed needed sunlight for photosynthesis, so they plant which was deprived of sunlight grew slower then the plant which got sunlight. REFERENCES:1.Hartman, H.. Plant Propagation. Englewood Cliffs, NJ: Prentice Hall. , 1990. Janick, J. 2.Horticultural Science. New York: W.H. Freeman and Co., 1986.

Pharmaceutical Industry in India Essay Example

Pharmaceutical Industry in India Essay Industry overview Pharmaceutical sector is an important industry of any modern day economic power. Pharmaceutical industry in India has a very humble past. After independence, development of pharmaceutical industry was one of the top agenda of government along with steel and manufacturing industry. The market was protected against competition for a long period of time by giving incentives to small firms, license-raj etc. Today the Indian pharmaceutical industry is the front-runner science-based industries in the country. Today the industry boasts of wide ranging capabilities in the complex field of drug manufacture and technology. The sector is pegged to be worth US$ 7. 3 billion. The annual growth rate is estimated to be around 13%. Reports suggest that the domestic retail market would be worth around US$ 12 billion by 2012. Indian pharmaceutical industry ranks 4th in terms of volume globally and 13th in terms of value. It has 8% share in global sales 20%-24% share in production of generic drugs. The domestic players satisfy almost all of the country’s demand for formulations and bulk drugs. Indian firms aren’t limited to domestic market; they are now competing head on with multi national players in international arena. For many firms, exports constitute 60%-70% of the total revenue earned. Reasons for this strong growth are low cost of manufacturing, low cost of RD, innovative scientific manpower etc. The total pharmaceutical exports in 2007-08 clocked US$ 6. 68 billion against US$ 5. 73 billion in 2006-07 recording a growth rate of 16 per cent. India is poised to be one of the fastest growing pharmaceutical markets in the world. We will write a custom essay sample on Pharmaceutical Industry in India specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Pharmaceutical Industry in India specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Pharmaceutical Industry in India specifically for you FOR ONLY $16.38 $13.9/page Hire Writer This has led to entry of many major companies in the Indian market and a huge amount of FDI inflow. Evolution of the Indian Pharmaceutical Industry The Indian regulatory system made several arrangements to protect the domestic pharmaceutical industry from foreign competition in its nascent phase. One of them was recognition of only process patents. This built a sound and strong base for strong and competitive domestic market but deterred entry of foreign players. The life of Indian pharmaceutical industry can be broadly divided into two phases, namely Pre-Patent regime and Post-Patent regime respectively. Lets take a look at both of them in detail: Pre-Patent Regime: This period can be segmented into various time periods for better understanding: 1947-1970 During this period country was trying to stand on its feet after gaining independence. The pharmaceutical industry had to be built from scratch. Though several domestic players had sprung up in market but their impact on market was limited. The reason was their inability to compete with MNC players who had better access to resources, better technical know how and access to larger amount of funds. These foreign players imported formulations and sold them in India. They were neither contributing to pharmaceutical industries nor to the manufacturing industries in India. People had low spending and restricted access to healthcare facilities because of low levels of income. The government had realized that dependence on imported drugs had to be reduced so that essential drugs could be made available to public at cheap prices. For this country needed to build indigenous drug production capabilities. To fulfill this objective Hindustan Antibiotics Limited (HAL) and Indian Drugs Pharmaceutical Limited (IDPL) were setup in 1954 and 1961 respectively. These companies soon established themselves as major producers of critical drugs, which, were being imported at that time. 1970-1979 The MNCs continued to dominate the domestic market in spite of steps taken by government. Government introduced two legislations in 1970 to accelerate the process of self-reliance and indigenization. These were Indian Patent Act and Drug Price Control Order (DPCO). These two regulations provided the launch pad for the Indian pharmaceutical industry to take off into a new growth spiral. Indian Patent Act: The act granted patents only for methods and processes used to manufacture the substance. This allowed the domestic players to reverse engineer the drugs present in market and find its constituents. They started making the product using the same bulk drug by using a modified production process. Drug Price Control Order: Government regulated prices of 354 essential bulk drugs and formulations to ensure wide spread availability of drugs at a reasonable price. These two legislations changed the industry structure and growth pattern. Several small-scale ndustries (SSI) came into existence in formulation business. They had significant advantage as their products were out of purview of price control. Low entry barriers, abundance of bulk drugs and dispersed market acted as additional catalysts. All these factors had a significant impact on the position of MNCs in India. These regulations introduced the concept of price control did not recognize product patents. Therefor e the MNCs had no incentive of introducing new drugs in the market. Their overall share in formulations started to decline as time progressed. 1979-1987 Government in 1979 amended DPCO. Number of drugs under purview of DPCO was bought down from 354 to 163. Government also increased the permissible mark-up on drugs from 40%-60% to 75%-100%. DPCO also regulated the production by fixing ratio between formulation and key bulk drugs. This ensured continuous and uninterrupted supply of key bulk drugs. Investments made by government in past had started bearing fruit. IDPL and HAL provided technical assistance to smaller players in establishing their foothold. Hence even smaller players started to supply critical drugs to market. Indian firms started to invest in RD because of availability of skilled researchers in country. This resulted in launch of new drugs through process re-engineering. Government funded Central Drug Research Institute (CDRI) and Council of Scientific and Industrial Research (CSIR) made major contribution to the research base. Indian firms had advantage of low cost structure and very good reverse engineering technical skills. After they had established themselves in domestic market they turned their attention towards export. They took measures to utilize their advantage in global arena and were quite successful. There was no improvement in conditions of MNC’s. High tariffs caused the prices of their product to go up. Price control measures taken by government directed them to sell at cheaper price. Therefore they focused on specific sectors where they still had a stronghold. They were reluctant to launch new products in country because of lack of proper patent protection. This resulted in overall decline of their market share. 1987-1994 This was a consolidation period of the industry. The entire industry registered a double-digit growth rate through the period. This high growth rate was attributed to rise in per-capita income of people and introduction of new drugs at cheap price. The increase wasn’t limited to domestic market. While bulk drug production grew at CAGR of 16%, bulk drug export grew at CAGR of 40%. By 1994 exports comprised 50% of total bulk drug production. To meet the ever-increasing demand, companies had to invest heavily in increasing their capacities. High growth rate also attracted new players to the market. Competition in market increased manifold as the number of players in the market doubled over this period. Most important development of this period was liberalization program initiated by the government. The tariff barriers were lowered which leveled the playing field for MNCs vis-a-vis domestic players. This also increased foreign investment in domestic pharmaceutical industry. The liberalization policy also benefited domestic players who made efforts to increase their global presence due to lower tariff and non-tariff barriers. 1995-2001 The major development of this phase was government’s commitment to recognize product patent regime after 2005. This increased the expectation of MNCs. Most of them increased their equity stakes in Indian operations. MNCs also realized that they could convert India into their manufacturing base. India had quality manufacturing facilities at cheap costs. Domestic firms too had saturated Indian market. They were focusing on global markets more seriously now. They entered into alliances with MNCs, entered into JV’s in overseas market, set up world-class manufacturing facilities and strengthened their brands to strengthen their position. The small players finally came of age and gave serious competition to their bigger counterparts. Even though market grew at 15% intense competition from smaller players pushed the bigger players towards generic formulations. Bulk drugs had lower margins because of intense competition. To overcome this most players forward-integrated into formulation manufacturing or increased their export to non-regulated markets where margins were higher. 2001-2004 During this period domestic players increased their focus on market of generic drugs. They invested in RD and upgraded their manufacturing facilities to comply with GMP norms. During this period the domestic formulations market registered a decline, barring a few segments. MNCs were strengthening their interest in domestic market as product patent regime was to be implemented in 2005. Post-Patent Regime 2005-2006 Government passed an ordinance in 2005 implementing the product-patent regime. This move was aimed at bringing India at par with global pharmaceutical market. Other major developments during this period were implementation of VAT, shift in excise duty levy to MRP based levy and implementation of good manufacturing processes. During this period Indian players established themselves in global market with their innovatively engineered generic drugs API. 2006-2007 The new pharmaceutical policy has been center of attraction. Government wanted to bring essential drugs on which the manufacturers made fat profits under the purview of DPCO. The proposed pharmaceutical policy was aimed at bringing 354 essential drugs under purview of DPCO so that they are within reach of common man. The policy has provision of limiting MAPE to 150% to put a cap on profits earned by pharmaceutical firms. The duties on API were reduced to encourage manufacturing. Government has also set up NPPA to regulate pricing of drugs in India. Companies will have to sell their drugs at price decided by NPPA. Regulatory Environments in various parts of the world Europe The European Medicines Agency (EMEA) is the apex body, which governs medicine industry in Europe. Scientific opinions of the agency are prepared by committees i. e. the committee for medicinal products for human use (CHMP), the committee for medicinal products for veterinary use (CVMP), the committee for orphan medicinal products for rare diseases (COMP) and the new committee on herbal medicinal products (HMPC). EMEA performs the scientific evaluation of the quality, safety and efficacy of medicinal products in EU. EMEA also coordinates the resources for scientific evaluation and assessment regarding products undergoing the mutual recognition procedure and the master files for plasma and vaccine antigens. EMEA also provides guidance for companies requesting scientific advice. It also provides scientific advice before the application of new marketing authorization for centralized and mutual recognition procedures. Scientific Advice Working Party (SAWP) does this task. In order to sell products in EU markets firm have to obtain a license. This license is granted by CHMP after it assesses the product in question. European Pharmacopoeia (Ph Eur) specifies the quality specifications for pharmaceutical preparations and their ingredients. Before submitting a Marketing Authorization Application (MAA) the firm is required to show the safety and efficacy of the medicinal product. To show this local clinical data should be generated for a new medicinal product. Thus it is necessary to conduct clinical trails before launching a product in EU. If the product has already proved safety and efficacy in some other country then a bridging clinical study is sufficient. The initial license granted to a firm has to be renewed after five years. The risk-benefit balance is revaluated. If the result of re-evaluation is positive then the firm is granted the license for unlimited period of time unless the competent authority decides otherwise. In cases of drugs that require long-term safety study, the license for unlimited period is usually granted after 2-3 re-evaluations. The EU pharmaceutical legislation is very extensive and robust. In order to ensure high quality and safe therapies it provides extensive rules and guidance on licensing procedures for medicinal products. USA Pharmaceutical sector in USA is regulated by the department of Health and Human Services. The apex regulatory body is US FDA, which enforces the basic drug and food legislations. When a drug manufacturer develops a new drug, first the drug is tested on animals. Then he obtains approval for human trials through Investigational New Drug (IND). The data collected through human clinical trials in IND and animal studies is used to file a New Drug Application (NDA). NDA is used to communicate to FDA about safety and effectiveness of the drug, high quality manufacturing standard for the drug and appropriate labeling of the drug. New drugs are developed under patent protection. This grants exclusive marketing rights to the developer of the drug. After expiry of the patent period, other firms can sell a copy of the drug. This copied version of drug is called as generic drug. In order to get approval from FDA to sell generic drugs, firms must file for an Abbreviated New Drug Application (ANDA). Generic drug sector became very lucrative because the manufacturers of generic drugs didn’t have to invest in costly animal studies and human clinical trials. Also the pharmacists were given the right to sell substitute generic drugs instead of a specific drug unless explicitly specified by the doctor. To get an FDA approval for their ANDA the firms had to ensure that their drugs contains the same amount of active ingredient as the original drug, it should be identical in dosage form, strength and administration method and manufactured under the same manufacturing standards as for the original drug. A Drug Master File (DMF) is submitted to FDA that contains almost all information related o the drug. Some information in the file may be of confidential nature. India In India both the central government and the state government share the responsibility of regulating the pharmaceutical industry. The Drug and Cosmetic Act and Drug and Cosmetic Rule are the legislations passed by the government in this regard. Through this legislation the government regulates import, manufacture, sale and distribution of drugs in India. The central government plays as the coordinator of policies like drug approval, clinical trials, setting up standards, controlling the quality of imported drugs etc where as the state governments see that the policies laid down by the central government are being implemented by the firms. The Drug Controller General of India (DCGI) co-ordinates all the activities involved. Pharmaceutical industry in India regulated on basis of price, patent quality. DPCO fixes an upper limit on critical formulations API. NPPA regulates the pricing of all the drugs manufactured or sold in India. A firm cannot price its drug on its own; it has to be approved by NPPA. NPPA has also put an upper limit of 150% on MAPE. If the firm invests heavily in RD then the limit is increased by 50%. In 1995 government had amended DPCO to limit the size of drugs under purview of DPCO to 74. After implementation of product patent regime government is mulling over bringing the number of drugs under DPCO to around 200. The Drug Cosmetic act specifies the quality standards to be met for any drugs that is manufactured, sold or distributed in India. Manufactures have to follow GMP in their manufacturing plants. FDI up to 74% is allowed on the automatic route in the case of bulk drugs, their intermediate Pharmaceuticals and formulations (except those produced by the use of recombinant DNA technology). The Government considers FDI above 74% for manufacture of bulk drugs on a case-by-case basis. It’s allowed only for manufacture of bulk drugs from basic stages and their intermediates. It also extends to bulk drugs produced by the use of recombinant DNA technology and the specific cell/tissue targeted formulations if it includes manufacturing from basic stage. Government had liberalization plans of increasing the FDI cap to 100% and making the process of investing more easily and investor friendly. The plans were not implemented because of political pressure exerted by the Left Parties on the government. Recent Developments Raw material shortage hits pharmaceutical firms Olympic games in China have put brakes on high-flying Indian pharmaceutical industry. In order to present its clean image before the world during the games, China has ordered to close various drug manufacturing units to prevent environmental degradation. This has caused a scarcity of raw material in India and has pushed up prices of generic medicines. Daiichi Sankyo buys majority stake in Ranbaxy Daiichi Sankyo Company, Ltd (Daiichi Sankyo) has bought majority stake in Ranbaxy Laboratories Limited (Ranbaxy) from the Singh family, the largest controlling shareholders of Ranbaxy. The deal is subject to regulatory approvals. This deal will allow Ranbaxy access to global markets that have been off-radar for the firm till now. Daiichi Sankyo is looking forward to gain a stronger foothold in a very fast developing Indian market as well as the base established by Ranbaxy in USA. Sun Pharmaceuticals gets USFDA nod for generic Depakote The USFDA has granted a final approval to Sun Pharmaceutical Industries Ltd for its Abbreviated New Drug Application (ANDA) for generic Depakote, divalproex sodium delayed release tablets. Divalproex sodium delayed release tablets are indicated as monotherapy and adjunctive therapy in the treatment of patients with complex partial seizures. US Congress to probe FDA`s Ranbaxy case The US House Energy Commerce committee is investigating the FDAs stance on the Ranbaxy case. The committee is to probe FDAs handling on Ranbaxys imports. The committee will also probe whether FDA knowingly let unsafe medicine to enter US. Sun Pharmaceuticals Taro deal Sun Pharmaceuticals, offered $454 million, all in cash, to buy out an Israeli generics manufacturer, Taro Pharmaceuticals. The deal has not been completed as yet because of encountering several roadblocks. Taro Pharmaceuticals is an Israeli pharmaceutical firm with a global presence. By acquiring Taro, Sun is trying to enter the low-competition, specialized segments like dermatology and pediatrics. Taro’s large presence in the Canadian market is also an attraction for Sun. Key Features of quarter April-June FY09 †¢Improvement in product and geographic mix: Higher contribution from exports (62%) for generics and higher proportion of CRAMS business (46%) were the key highlights of the quarter. †¢Improvement in margins: led by higher overseas and CRAMS sales, a 5. 9% YoY depreciation in the Rupee v/s the USD and increased captive consumption from companies like Dishman, Lupin and Piramal Healthcare. Raw material pressure to persist in the near term: China’s decision to (i) shut down polluting plants around Beijing and (ii) restrict the movement of hazardous chemicals in view of the Olympics resulted in raw material shortages and a consequent increase in prices. A rise in crude oil prices resulted in increases in the price of API solvents and intermediates. Our interaction with a few companies suggests that raw material shortage may persist for the next one-two quarters. †¢Depreciating rupee leads to MTM losses on Forex debt: A 7. % and 9% QoQ depreciation of the rupee v/s the USD and Euro respectively resulted in most companies declaring MTM losses on their FCCBs and foreign debt. Prominent among the losers were Ranbaxy, Jubilant and Cipla. GSK recently signed a deal with Aspen and Strides GSK Pharmaceutical has collaborated with Aspen through which it would have access to a portfolio comprising 1200 products and 450 molecules of Aspen and its JV with Strides. GSK would get these products approved in 95 emerging markets and distribute and market these as well, while Aspen will continue to market in Sub-Saharan Africa and other countries. Jubilant signs drug discovery pact with Amgen Jubilant Bosys Ltd. and Amgen Inc. , the largest US-based biotech company on Monday announced a drug discovery partnership. As per the deal, Amgen and Jubilant will collaborate to develop a portfolio of novel drugs in new target areas of interest across multiple therapeutic areas. Jubilant will develop early preclinical candidates emanating from Amgens early discovery efforts for an initial term of three years. Amgen will have responsibility for the subsequent pre-clinical and clinical development and commercialization. Amgen will retain / own the drugs developed under the collaboration with worldwide commercialization rights. Jubilant Biosys will partner in early-preclinical development effort from its state of the art Jubilant Research Centre Bangalore, while Amgen will pursue later stage pre-clinical and clinical development and commercialization of the drugs in global markets. The financial terms include a combination of research funding and success-based milestones paid to Jubilant during pre-clinical and clinical development for multiple projects undertaken by the collaboration. The total financial Milestone value is subject to successful development and commercialization of the portfolio of novel drugs. Glenmark`s molecule for Neuropathetic Pain to enter Phase I trials Glenmark Pharmaceuticals Ltd has announced that its candidate for Neuropathic Pain, Osteoarthritis and other Inflammatory Pain-GRC 10693 is entering Phase I trials. The company intends to develop GRC 10693, a cannabinoid-2 (CB-2) receptor agonist, in neuropathic pain as the primary indication. The molecule has been filed for Phase-I approval with European regulatory authorities. Biocon, Abraxis launches ABRAXANE in India Biocon Limited and Abraxis BioScience, Inc, a fully integrated biotechnology company announced the launch of ABRAXANE (paclitaxel protein bound particles for injectable suspension) (albumin-bound) in India for the treatment of breast cancer after failure of combination therapy for metastatic disease or relapse within six months of adjuvant chemotherapy, ABRAXANE is now available in India as a single-use 100 mg vial (as a lyophilized powder, to be reconstituted for intravenous administration). The Phase III clinical trial in the U. S. demonstrated that ABRAXANE nearly doubled the response rate, significantly prolonged time to progression, and significantly improved overall survival in the secon line setting versus solvent based Taxol in the approved indication. The Medical House ties up with Dr Reddys Labs The Medical House Plc, a drug delivery specialist has signed a non-exclusive development, licensing and supply agreement with Dr Reddys Laboratories. The agreement covers an initial five-year term of supply, within US, European Union and Canada, with an option for Dr Reddys to extend the agreement to the rest of the world, on mutually agreed terms, the company said in a filing to the London Stock Exchange. The duration of the agreement can also be extended by mutual agreement and the development costs associated with customization would be paid to The Medical House (TMH) in addition to reimbursement of all agreed external costs. Strides completes acquisition of Ascent Pharmahealth Strides Arcolab has completed the acquisition of controlling interest in Ascent Pharmahealth Limited (formerly Genepharm Australasia Limited), thereby making Strides the 4th largest Generics Company in Australia. Strides now holds 50. 1% stake in Ascent Pharmahealth Limited, an ASX listed company. At final closing in Sept ’08, Strides may own upto 55% in Ascent Pharmahealth Ltd. Shareholders have voted to change the name of Genepharm Australasia Limited to Ascent Pharmahealth Limited. Ascent Pharmahealth Limited will include the assets of Drug Houses of Australia [DHA] in Singapore, a wholly owned subsidiary of Strides Revenue in excess of US$90mn on a combined Performa basis. Lupin acquires Hormosan Pharma Lupin Ltd has acquired Hormosan Pharma GmbH (Hormosan), a German Sales and Marketing generics company specialized in the supply of pharmaceutical products for the Central Nervous System (CNS). Hormosan, with total sales of Euro 6. 8mn for the year ended December 2007, develops, licenses and markets a range of generics in Germany. Hormosan has a complementary product portfolio with products in the Central Nervous System and Cardiovascular therapeutic segments. Hormosan has created a strong brand identity in the German generics market through its strong patient compliance message, essential for patients within the CNS sector. Besides strong key account management the company also has a successful in Regulatory team, Pharmacovigilance, Medical Information and Marketing teams. Aurobindo Pharma receives nod for 2 ANDAs Aurobindo Pharma has received final approval from the US Food Drug Administration (USFDA) for 2 ANDAs namely Ceftriaxone for injection USP 250mg, 500mg, 2g and Ceftriaxone for injection USP 10g pharmacy bulk pack. These are Cephalosporins under the Anti-infective segment. Lupin Pharma receives nod for Divaiproex. Sodium Tablets Lupin Pharmaceuticals, Inc. (LPI) has received final approval for the Companys Abbreviated New Drug Application (ANDA) for Divaiproex Sodium Delayed-Release Tablets, 125 mg, 250 mg and 500 mg from the U. S. Food and Drug Administration (USFDA). Commercial shipments of the product have already commenced. Lupin Divaiproex sodium delayed-release tablets are the AB-rated generic equivalent of Abbott Laboratories Depakote tablets. Depakote had annual sales of approximately US$ 803mn for the twelve months ended March 2008, based on IMS Health sales data. Dr Reddy`s lab to invest in Perlecan Pharma Dr Reddys lab has purchased holding of Citigroup Venture Capital International Mauritius Limited its nominees and IDBI Trusteeship Services Limited (the merged entity after its merger with The Western India Trustee and the Executor Company Limited) in Perlecan Pharma Private Limited. The Board of Directors of Dr Reddys Laboratories Limited at their meeting held on July 21, 2008 had approved this proposal aggregating to US$18mn. References: http://www. pharmaceutical-drug-manufacturers. com/pharmaceutical-industry/ http://www. thehindubusinessline. com/iw/2004/07/25/stories/2004072500401000. htm http://www. ibef. org/industry/pharmaceuticals. aspx www. indiainbusiness. nic. in/industry-infrastructure/industrial-sectors/drug-pharma. htm

ACT Test Center Has These Problems - SPEAK UP

If Your SAT/ACT Test Center Has These Problems - SPEAK UP SAT / ACT Prep Online Guides and Tips No one likes to be a tattletale. Okay, most people don’t like to be a tattletale. However, when your future dream college is at stake, which it is when you take the SAT/ACT as it accounts for 30-50% of your college application, you NEED to be a tattletale when there are testing issues. In this article, I will run through a list of common problems at testing sites such as: Instruction Issues Timing Issues Noise Issues Break Issues Possible Cheating If any of these issues occur, you should speak up! Let your proctor know and if they won’t listen contact the College Board or ACT after the test (as you are not allowed to access your phone during the test). Most of these issues are based on my personal experience taking the SAT in South Los Angeles. The experience was a nightmare, and it was heavily unfair to the students I took it with. Instruction Issues Issues can begin before the test even starts.The instructions are very important.If you do not understand the instructions clearly when your proctor reads them, ask them questions about the instructions.Do not feel weird about this.Again, your future is at stake. Make sure you understand the instructions fully. Speak up!If your proctor cannot answer your question, ask them to ask another proctor on the campus or ask them to call the College Board or ACT office.NOTE: Because there are many incompetent proctors, as I learned personally when I sat for the June 6th SAT, try to make sure you understand the instructions for the test BEFORE you go sit for the test. Read the instructions on an SAT practice test such as one of these free onesor ACT practice test such as one of these free ones.Read them at least a week in advance of your test date.That way, if you have any questions about them, you have plenty of time to call or email the College Board or ACTabout your question. Timing Issues Your instructors most likely do not know the timing of the test as well as you do,if you have been practicing.If you do not know the timing, you should make sure you do before you take the test. For the SAT, Section 1 - Essay - 25 minutes Sections 2-7 - 25 minutes each Sections 8 and 9 - 20 minutes each Section 10 - 10 minutes 3 breaks of 5 minutes each For the ACT, Section 1 - English - 45 minutes Section 2 - Math - 60 minutes Section 3 - Reading - 35 minutes Section 4 - Science - 35 minutes Optional Writing - 40 minutes Sometimes, the instructors will misread the time and give you more or less time than necessary. Read about the disaster that was the June 6th SAT.I highly recommend timing on your own watch.If your proctormesses up, speak up!If they won’t listen to you when you try to correct them, call the College Boardor contact the ACT. Noise Issues Your testing experience should be relatively noise free, other than page turning or pencils writing.If you are disturbed by any other noises, such as your proctor listening to music on their cellphone (happened to me) or watching a movie on their iPad (happened to my friend), you should speak up!This is your time to shine.Do not let anything get in your way. If there are noises outside that are disturbing you such as kids screaming or an ice cream truck blaring music (both happened to me), speak up!Politely ask your proctor if they can speak to the noisemakers! Here are the steps to take in that situation: Raise your hand. Wait for your proctor to arrive at your seat. Say, "I'm sorry, but that noise (from your headphones, iPad, or outside) is distracting me from focusing on the test. Is there any way you could turn it off / speak to the person making the noise? Thank you so much for your help and understanding! I really appreciate it!" Who could say no to that? If a noise is distracting you, it is probably distracting others, so you are actually being a hero, not a tattletale!If your proctor still refuses to help, talk to another proctor on your break or call the College Board or the ACTafter the test. Break Issues You should receive three 5 minute long breaks during the test for the SAT. For the ACT, you should receive 2 breaks: one after section 2 and one after section 4. The ACT does not have a standard amount of time for the break as they told me when I asked. They said "5-10 minutes, probably 10 minutes." Regardless, do not let your proctor try to cut a break.It happened to me!If you want all three breaks, insist on taking all three. Speak to your proctor about it.If he or she disagrees, speak to another proctor about it or call the College Boardafter your test. Possible Cheating If you spot possible cheating the day of the test, tell your proctor and call the College Boardor the ACT office(I know I've said it about a hundred times, but it is important!).The College Board has an entire office dedicated to test integrity.Your test is being curved based on everyone who sits for the test. If they cheat, you suffer.Don’t let them get away with it. You will regret it if you don't! When you should speak up and why you shouldn't be afraid of speaking up You should speak up if anything severely disrupts your test. That includes everything I have mentioned as well as anything else that might happen to disrupt your test (alarms going off, students talking, etc.). You should not be afraid to speak up. You NEED to speak up. As I said before, this test accounts for 30-50% of your college application. You deserve fair testing conditions, so you can rock the test. You should not be afraid of being labeled a whistleblower. The College Board or ACT will respect you for it and will investigate your concern. Also, they will most likely let you retest for free, so there is an upside to being a whistleblower! Do not worry about your score being cancelled if you complain. If you want your score and the disturbances were minimal, you will most likely have a delay in your scores being reported, but you will still receive your scores. If you feel the conditions were completely unfair, you probably want to retest anyways. If you complain about major issues (such as timing discrepancies), the College Board or ACT may cancel your score as well as the others at your test site, but they will most likely have you retest for free. If you took the SATand would like to contact the College Board to file a complaint about your test center, call this number(609) 771-7710 or email this addresstestcenter@info.collegeboard.org, both ofwhich are specifically for test center complaints. Don't be afraid of calling when they have an entire phone line and email dedicated to addressing your issue. They must get a ton of calls and emails. If you took the SAT and would like to contact the College Board about cheating, call this number609-406-5430 or this number800-257-5123 (on test days only)or email this addresstestsecurity@info.collegeboard.org. Again, they have an entire office dedicated to test integrity. They want you to tell them about potential cheating. If you took the ACT and would like to contact the ACT office tofile a complaint about your test center or to report cheating, send an email to their office using this form. They have a form specifically for this purpose. Use it if you need it! Recap Know your rights! Instructions Read them a week before taking the test. Ask the College Board or the ACT office questions. On the day off, ask the proctor any new questions you have. For test timing, For the SAT, you get 25 minutes for the Essay, 25 minutes each for Sections 1-7, 20 minutes each for Section 8 and 9, and 10 minutes for Section 10. For the ACT, you get 45 minutes for English, 60 minutes for Math, 35 minutes each for Reading and Science, and 40 minutes for the Optional Essay (Writing Test). Time it on your own watch. If your proctor accidentally cuts time, speak up! For the SAT, You get three 5-minute breaks. Don’t get shortchanged! For the ACT, you get two 5-10 minute breaks! If any noise bothers you, ask your proctor to try to resolve it. Report any cheating to your proctor and the College Boardor the ACT office. What’s next? Read about the issues at my testing center that made my test a nightmare. Read about the critical mistake the College Board made on the June 6th test, and the millions of students it failed. Want to improve your SAT score by 240 points?We've written a guide about the top 5 strategies you must be using to have a shot at improving your score. Download it for free now: Have friends who also need help with test prep? Share this article! Tweet Dora Seigel About the Author As an SAT/ACT tutor, Dora has guided many students to test prep success. She loves watching students succeed and is committed to helping you get there. Dora received a full-tuition merit based scholarship to University of Southern California. She graduated magna cum laude and scored in the 99th percentile on the ACT. She is also passionate about acting, writing, and photography. Get Free Guides to Boost Your SAT/ACT Get FREE EXCLUSIVE insider tips on how to ACE THE SAT/ACT. 100% Privacy. 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Skin and Foot Assessment of a diabetic mellitus patient The WritePass Journal

Skin and Foot Assessment of a diabetic mellitus patient Introduction Skin and Foot Assessment of a diabetic mellitus patient IntroductionCase scenarioNeurologic system Skin assessmentThe outcome of having foot assessmentOutcome of musculoskeletal systeOutcome of neurologic assessmentOutcome of peripheral vascular assessmentOutcome of skin assessmentConclusionReferenceRelated Introduction In this article, we will discuss a case scenario related to diabetic mellitus patient. After understanding the case, we will state what is our main concern in this scenario and why will we focus on this aspect rather other aspect. Also we will introduce some tools to do an assessment in order to predict the outcome. If we understand the possible outcome, we may anticipate the outcome of this patient and understand the possible worse situation too. In this scenario, foot assessment will be focused on. Case scenario Ms Wong, 47 years old woman who was a housewife, arrived at hospital due to get dizzy, fatigue and fall in the floor at home with little bleeding. After she arrived at emergency department, nurse discovered she got a wound in the left heel but she didn’t feel pain, nurses suspected she got the wound during she fell in the floor. Her vital sign was normal; body temperature was37.5C, pulse 70/min, blood pressure 126/80 mmHg, respiration 18/min. After having a blood glucose test, we knew that she was suffering from hypoglycemia and her blood glucose index was 2 mmol/d. As nurse provided glucose water and wound dressing to her, she recovered and transferred to ward for continuing observation. Her past history was that she was suffering diabetic mellitus for 7 years and having regular oral diabetic mellitus medication without daily blood glucose test by herself and her BMI was over 25, she was overweighed. Her parents had diabetic mellitus too but they passed away. After tackling her emergency problem which is lower blood glucose level, we will focus on the further investigation in order to find out the reason why she don’t get any feeling of her wound as well as to investigate how the sensation change and what is the possible outcome so as to give some recommendations to her and prevent the serious consequences. As early detection and treatment of diabetic foot complication could reduce the prevalence of negative outcome. (Prakash, 2011) In the following part, we will focus on the foot assessment. For foot assessment Foot assessments include the following aspects such as demographics, musculoskeletal system, neurologic system, peripheral vascular system and skin. Assessments will though inspection, palpation, sensation and using tools so as to obtain the result. For demographics To obtain data from interview, it includes regarding type of diabetes, gender, any smoking habit, presence of hypertension, retinopathy, nephropathy and suitability of footwear. (Thompson, Nester, Stuart Wiles, 2004) For musculoskeletal system Assessment includes postures, gait, strength, flexibility, endurance and range of motion. It includes evaluation for any deformity because imbalance of foot muscles frequently. (Khanolkar, Bain Stephens, 2008) Other muscles problems like claw toes, hammer toes, heel spurs, calluses, cracks and corns. (Chan, Yeung, Chow, Ko, Cockram Chan, 2005) The website shows how to have the musculoskeletal assessment to the patient. (BJSM, 2008) Inspection and palpation can be applied into this assessment, note the size and contour of the joint which is including knee and ankle, inspect the skin and tissue of the foot for color, swelling and any masses, any lesion or deformity, pay attention of the skin integrity. Palpation is including skin for temperature, muscles, bony articulations and area of joint capsule, notice any heat, tenderness, swelling. The most important is to palpate radial and brachial pulse. If the peripheral pulse is weak, we need to have a further assessment. Neurologic system Assessment should include asking neuropathic symptoms such as burning, tingling, numbness and nocturnal leg pains. Assessment related to sensory assessment, pressure assessment, and vibration sensation too. For sensation Pinprick sensation test is used to test pain. Lightly apply the sharp point or dull end to the foot skin randomly, unpredictable order and ask the patient to say sharp or dull depending on the sensation felt. If the result of pinprick sensation test is abnormal, temperature sensation test will be applied. Fill two test tubes, one with hot water and one with cold water and apply the bottom ends to the patient’s skin randomly and ask them to say which temperature is felt. Another method to test sensation is light touch. Apply a wisp of cotton to the skin, stretch a cotton ball to make a long end and brush it over the skin in a random order and irregular intervals and ask the patient to say yes when touch is felt. (Jarvis, 2004) Pressure sensation is usually assessed by using the10gnylon Semmes-Weinstein monofilament. (Khanolkar, Bain Stephens, 2008) For vibration Tuning fork can be used to test vibrations over bony prominences. Strike the tuning fork on the heel of your hand and hold the base on a bony surface of the fingers and great toe and ask the patient to indicate when the vibration starts and stops. If no vibrations are felt, move proximally and test ulnar processes and ankles, patellae. Also compare the vibration of both sides. (Jarvis, 2004) For peripheral vascular system The Doppler ultrasonic stethoscope is a device to detect a weak peripheral pulse and to measure a low blood pressure or blood pressure in a lower extremity. The Doppler stethoscope magnifies pulsatile sounds from the heart and blood vessels. Place a drop of coupling gel on the end of the handheld transducer. Place the transducer over a pulse site, swiveled at a 45-degree angle. Apply very light pressure and locate the pulse site by the swishing, whooshing sound. (Jarvis, 2004) Nurses should apply both Doppler ultrasonic stethoscope and ankle-brachial index. The Ankle-brachial Index is to apply a regular arm blood pressure cuff above the ankle and determine the systolic pressure in either the posterior tibial or dorsalis pedis artery. Then divide that figure by the systolic pressure of the brachial artery. The normal ankle pressure is slightly greater than or equal to the brachial pressure. However, the ankle-brachial index may be less reliable because of calcification which makes their arteries non-compressible and may give a falsely high measurement. (Jarvis, 2004) Skin assessment If patient have wound or skin impair, nurses should do wound assessment to record the size and the characteristic such as redness, edema, pain and heat. It is used to follow the wound healing progress. If necessary, nurses may have a bacteria test to confirm either the wound have microbe or not. (Worley, 2006) The outcome of having foot assessment The assessment findings can be used to indicate or predict the problems of their diabetic foot. The most positive outcome is no diagnostic findings. It is including integrated skin with normal sensation. However, other possible findings are neuropathy, ischemia, ulceration, infection and necrosis. The most serious alive consequence is amputation. Outcome of musculoskeletal syste The possible finding of musculoskeletal system is foot deformity. Deformity should be recognized early and accommodated in properly fitting shoes before ulceration occurs. If nurses assess the footwear, the chance of foot deformity will be reduced. Deformities include the Charcot foot which refers to bone and joint destruction that occurs in the neuropathic foot. Early diagnosis is important to prevent severe deformity. The foot presents with unilateral erythema, warmth and edema. (Edmonds, 2008) Outcome of neurologic assessment The outcome of neurologic assessment is either absent of sensory neuropathy or not. If patient loss of sensory neuropathy, they cannot sense pain or pressure and has a lack of identity with their feet. Also, motor neuropathy where muscular loss results in the clawed toes, high arch, foot drop and an absent ankle reflex. Due to absence of sweat and sebum production of autonomic neuropathy, the skin is dry and inelastic. In addition, pressure sensation test can be further confirmed their pain sensation is true or not. If patient can feel the pressure from the filament, the protective pain sensation is present. It is important to avoid areas of callus when carrying out this procedure as applying the filament to a plaque of callus may lead to a false diagnosis of neuropathy being recorded. (American Diabetes Association, 2010) Outcome of peripheral vascular assessment The outcome of Doppler ultrasonic stethoscope is to indicate the presence of peripheral vascular disease though listen the pulse qualities. The normal range of ankle-brachial index is 1.0 to 1.2. If the ankle-brachial index is of 90% or less, it indicates the presence of peripheral vascular disease. If the index is 0.9 to 0.7, it indicates a mild claudication, 0.7 to 0.4 indicates moderate to severe claudication, and 0.4-0.3 indicates severe claudication usually with rest pain except in the presence of diabetic neuropathy. The most serious outcome of this assessment is the index less than 0.3; it is diagnosing ischemia with impending loss of tissue. (Jarvis, 2004) Ischemia or peripheral arterial occlusive disease is the possible outcome too. It eventually will reduce in arterial perfusion severely and result in vascular compromise of the skin, often precipitated by a major trauma. Also ischemia is always associated with neuropathy. (Wilson, 2003) Infection process is the main reason for major amputation following ulceration. It can complicate the neuropathic and the neuro-ischemia foot ulcer. As infection originate from skin trauma or ulceration, often spreading to soft tissue then bone. Associated with neuropathy or ischemia, mean infection is often missed because of an absence of pain or loss of ability to mount an inflammatory response. Also there is no increase in temperature, white blood cell count and C reactive protein. (Wilson, 2003) Outcome of skin assessment The most positive skin assessment outcome is integrated skin and no wound. However, if diabetic patient have wound, healing is usually protracted. It is because patients with neuropathy continually traumatize their foot wounds by walking freely upon them. It is difficult to tell patient to take rest when they don’t feel pain during walking. Also patients with ischemia cannot mount an adequate inflammatory response to fight infection and achieve healing. Another reason is related to the healing process. Macrophages and neutrophils are important agents in wound healing, particularly at the inflammatory stage which is fundamental to all ensuing stages. However, the above function of diabetic is impaired. Thus the wound will hard to heal. If the wound decay, it will become foot ulceration. (Bentley Foster, 2007) Necrosis is a grave implication that diagnosis necrotic foot, threatening the loss of the lumbs, and is caused by infection or ischemia or both. It is classified as either wet or dry, each with its specific management. If it is in the neuropathic foot, necrosis is invariably wet initially and is nearly always due to a septic arteritis secondary to soft tissue infection complicating a digital or metatarsal ulcer. The arterial lumen is often occluded by a septic thrombus. Both wet and dry necrosis can occur in the neuroischemic foot. The common cause of a black toe is again septic arteritis, exacerbated by large vessel disease in the leg. Dry necrosis can also develop in the neuroischemic foot and is secondary to a severe reduction in arterial perfusion. (Edmonds, 2008) For Amputation The combined impact of neuropathy, ischemia and infection are so great that is amputation. It is preceded by foot ulceration and infection. It is because diabetic related to an artery disease which reduces blood flow to the feet. If the blood flow reduces, the healing process will be slowly. Even with preventative care and prompt treatment of infection and complications, there are instances when amputation is necessary to remove infected tissue in order to save a limb or even save a life. (Wilson, 2003) If missing the above assessment, nurses cannot diagnosis the problem of this patient. The most serious consequence will be happened. Conclusion Diabetic foot assessment indicates lots of different outcomes. Patient with diabetic should not look down upon their wound; it will be have a serious consequence which is amputation. In order to have a quality of life, an impaired skin’ diabetic patient must need the further foot assessment so as to prevent the negative outcome. Reference American Diabetes Association. (2010). Foot Complications. Retrieved Mar 23, 2011, from http:// www.diabetes.org/living-with-diabetes/complications/foot- complications.html Bentley, J., Foster, Ali. (2007). Multidisciplinary management of the diabetic foot ulcer. Wound Care, S6, S8, S10, S12. BJSM. (2008). Knee Exam (5 of 27): Neurovascular evaluation: supine. Retrieved Mar 23, 2011, from youtube.com/user/BJSMVideos#p/u/38/xe W7dwcBZCI Chan, C. N. J., Yeung, T. F. V., Chow, C. C., Ko, T. C. G., Cockram, C. S., Chan, N. N. (2005). A manual for management of diabetes mellitus a Hong Kong Chinese perspective (revised ed.). Hong Kong: TheChineseUniversity ofHong Kong. Edmonds, M. (2008). A natural history and framework for managing diabetic foot ulcers. British Journal of Nursing, 17(11), S20, S22, S24, S25-S29. Jarvis, C. (2004). Physical Examination Health Assessment (4th ed.).Philadelphia:Elsevier Khanolkar, M. P., Bain, S. C., Stephens, J. W. (2008). The diabetic foot. Q J Med, 101, 685-695. Prakash, S. (2011). Early Screening to Cure from Type 2 Diabetes. Retrieved March 23, 2011, from http://topnews.us/content/237118-early-screening-cure-type-2 -diabetes Thompson, L., Nester, C., Stuart, L., Wiles, P. (2004). Interclinician variation in diabetes foot assessment- a national lottery?. Diabetic Medicine, 22, 196-199. Wilson, D. J. (2003). Amputation and the diabetic foot: learning from a case study. Wound Care, S18, S20, S22, S24. Worley, C. A. (2006). Neuropathic Ulcers: Diabetes and Wounds, PartI.Etiology and Assessment. Dermatology Nursing, 18(1), 52-53.

Is it fair, just and reasonable to allow the police to escape Dissertation

Is it fair, just and reasonable to allow the police to escape liability from a breach of duty - Dissertation Example This research will begin with the statement that tort is not something new. In fact, the law of tort is a very old legal concept, even older than the notion of crime. In the ancient period, the discourse on law is not on the laws of crime per se; rather it was more on the law of wrongs. By 1300’s, the English common law developed procedural mechanisms that was used to bring an action to court. During this period, writ system was developed and one of the most original writ was the writ of trespass. However, it should be noted that the writ of trespass was not a demand for right but it was a rectification for wrong done. Then, by 1400’s, sense and appeal to justice was integrated in the actions and responses to cases. By late 1700’s concept of negligence was developed and by 1800’s there was a shift from causation to fault for actions on cases. Meanwhile, the search for principles or theories that would explain further the concept of negligence became a prim ary concern in tort. This brief historical tracing of tort highlights the fact that early in the evolution of tort, the idea of remedies for wrongful acts was already perceived as a powerful tool in keeping public order, security, and peace within the society. However, despite the historical progression of tort and a common belief that tort implies compensation for injuries, there is an observed difficulty in coming up with a universal definition for tort. This is because there are different kinds and structures of torts, with different purposes and aims, variegated interests and different kinds of interferences. 11 Working on the premise that tort covers a wide scope, this research will deal with one of the controversial â€Å"legal wrong for which the law provides remedy†,12 - police negligence and liability. The police are significant public group in the society that has been mandated by law to protect and preserve the peace. 13. Police are in a unique position as they ful fil their specific function that is mandated by law, which is to protect and keep the peace not just of one person, but also of the entire society. 14 However, this unique function is not a guarantee that police will never commit a civil wrong. 15 In fact, just like other members of the society, they are also susceptible to negligence as they perform their functions. Cases show that police negligence is a reality, but because of ‘public policy immunity’, they have not been held accountable for their negligence. In other words, they enjoy immunity from their negligence to the extent that police immunity from liability is the general rule. 16 However, Osman v UK17 demands a re-appropriation of police immunity from liability. Current experiences question police immunity and as such, mar the logic of the law itself. Since, its logic is the experience of the law. 18 In this scenario, matter of justice and fairness, in lieu of police immunity is raised.19 Tort and Negligence: The Rise of Tort of Negligence The term tort is derived from the Latin word tortus, which means twisted. In French, it means wrong. 20 Tort, in the English tradition, connotes the idea of a â€Å"legal wrong for which the law provides remedy†.21 In this purely technical and legal sense, tort falls under the civil law because â€Å"

Business Law Essay Example | Topics and Well Written Essays - 1500 words

Business Law - Essay Example "Except where the parties have agreed otherwise, the goods do not conform with the contract unless they: (a) are fit for the purposes for which goods of the same description would ordinarily be used; (b) are fit for any particular purpose expressly or impliedly made known to the seller at the time of the conclusion of the contract, except where the circumstances show that the buyer did not rely, or that it was unreasonable for him to rely, on the seller's skill and judgment." In this case, the seller is acting in the course of business. It is common knowledge that bricks are made of clay. According to facts, ‘Sparkling Bricks’ were made of compressed paper. CISG (Article 38(1)) states that, ‘The buyer must examine the goods, or cause them to be examined, within as short a period as is practicable in the circumstances.† If the courts are convinced that it could have been revealed that the bricks were not made of clay upon reasonable examination, Brick-for-All would not be held liable. Paul can easily be expected to have known that what kind of material was used in making those bricks. Kingsley Ltd is a construction company and the purchasing of bricks is a very important factor for them. They must have chosen Paul to purchase the bricks because he must have had sufficient knowledge about bricks. In the given case, ‘Sparkling Bricks† were normally used externally which is their ordinary use. The facts clearly evince that the bricks that did not came into contact with sea salt did not allow damp into the house. They were fit for the purpose of external usage. The only purpose that was mentioned by Paul to the seller was external use. He never said anything about the location of the site where they were to be used. Paul chose the ‘Sparkling Bricks’ himself. On the other hand, i f ‘Sparkling Bricks’ are such that it cannot be found out upon reasonable examination that they were made of compressed paper instead of clay, it is a duty of Brick-for-All to tell the buyer about that fact. If it is further assumed that the knowledge about the bricks being made of compressed paper was crucial for Paul’s decision, Brick-for-All would be held liable. Article 36(1) of CISG states that, â€Å"The seller is liable in accordance with the contract and this Convention for any lack of conformity which exists at the time when the risk passes to the buyer, even though the lack of conformity becomes apparent only after that time.† Still assuming that reasonable examination by Paul could not have revealed the composition of the bricks, it would have been immaterial if Brick-for-All would have mentioned that fact to him. If the courts hold Brick-for-All liable, there is a question of restitution. Kingsley Ltd would be unable to return the bricks in the ir original form. Article 82(1) of CISG states that, â€Å"The buyer loses the right to declare the contract

Week one CYB 634 Assignment Example | Topics and Well Written Essays - 250 words

Week one CYB 634 - Assignment Example This causes unfairness to participants. This can be, however, managed through proper competition rules and ethics so as to make it of value to participate. Valuable competition should include the following: fairness in that everyone is treated the same and those who win should win fairly. Any educational competition should add knowledge to learners and also test the right question of a particular level of education. Transparency is key to any competition where grading and procedure for marking are known and used in the marking process. Transparency calls for check and balance where the result should be reviewed and independent external examiner to ascertain their correctness. There should also be a way to detect cheating and a punishment proposed to it. So as to deter those who are conspiring to cheat on the tests. Cyber competition should include the following event, post analysis tests this where those who have undergone a particular test can be evaluated after some time, e.g. two years to determine if their skills are up to date with current market demand so as to give them a chance of

Social work as a practice

Social work as a practice Social work as a practice is of recent origin and attempts to meet the needs of people especially those in urban areas. In essence, it is a professional activity of helping individuals or communities enhance or restore their capacities to a social functioning and to create societal conditions favorable to their goals. It aims to improve the quality of human life as well as show commitment towards social justice (Ryan and Hughes, 1998). Individuals, families, communities and organizations are able to attain their full potential by seeking social work related services. The need for such services has been extended to cater for children as they are currently facing challenges that hinder their proper development. This has become the main focal point of this document. First of all, as mentioned above, social work is aimed at improving the livelihoods of people and engaging them constructively to attain their full potential. This cuts across all generations including children. Several reasons have contributed to my desire in working within the Public Child Welfare system. The system is driven by the aim to promote the safety, wellbeing and permanency of children as well as families (Ryan and Hughes, 2006). Most children experience situations such as being deprived of parental care, abuse ranging from physical, sexual, emotional to neglect, marital conflicts, stigma related issues, unfavorable socioeconomic conditions (Weaver et al., 2006) that expose them to scenarios such as opting for prostitution. Qualities Of A Good Child Protection Services Worker For one to be a Child Protection Services worker, one has to meet the basic requirements which include a Bachelors degree in social work or a Masters degree in social work, maintain substantial knowledge of current affairs pertaining to childrens welfare and be able to apply the knowledge acquired into structured settings. One should be aware of the ethics and values which describe in detail the code of conduct. A commitment to the ethics and values of a Child Protection Services worker should be fully adhered to, be able to apply basic helping skills where one is able to respond to individual, group and community needs, engagement skills, observation skills, communication skills, empathy skills, resistance intervention and assessment skills. With these strengths I am able to carry out my duties as Child Welfare Protection Officer effectively and efficiently. Challenges To Effective Child Welfare Service Provision However, even with the above strengths, several challenges exist that compromise service delivery on the part of the child welfare services worker. Ryan and Hughes (1998) expound on these challenges to include; poor public perception of the Child Welfare Social worker. Service delivery is compromised by high staff turnover as well as lack of competent personnel in the social work institutions; vulnerability of families with complex needs thus requiring time bound complex solutions. This cannot be tackled by the few workers available; poor working conditions result in the workers having to bear with increasing caseloads without proper remuneration and flexible routines; increased caseloads with complex needs. These stem in part from the vulnerability of families where breadwinners are unable to provide sufficiently for their dependants. Complexity of these needs requires complex actions in their solutions which further demands time to solve them; reduction in the number of foster care parenting. Increased caseloads face a backlog of foster care parenting as less individuals sign up into foster care systems due to increased expenses and bureaucracies involved. Proposed Changes To Improve The Publics Perception Of Public Child Welfare Services In order to improve the public perception of public child welfare services, adequate training and employment should be done to increase the number of competent personnel in these institutions. This would effectively take into account the need to improve service delivery to cater for increasing cases related to child welfare (Weaver et al., 2006). Secondly, institutional changes that encompass policy development and implementation need to be adequately addressed to ensure systematic co-ordination in securing resources for affected families and children. Further more, compensation should be incorporated to promote foster care parenting o that foster families do not feel overburdened in taking care of the adopted children. Staff should also be compensated in situations where they have incurred extra expenses of both time and money in their quest to address underlying issues brought to them. Permanency Planning Weaver et al., (2006) defines permanency planning as a guiding principle intended to minimize the exit, entry and time spent in home care. It includes both legal and social efforts aimed at securing viable families for children. It further describes where a child will live after foster care. Foster Care System Foster care system refers to a system where a minor is taken up in a caregivers home. Such a caregiver is certified by the state and is referred to as a foster parent. The state and a child welfare institution engage in legal decisions affecting the minor while the foster parent contributes to the daily care of the minor and is compensated for extending such services by the state. This system is mostly short term in nature as the minor awaits permanent adoption or reunification (Ryan and Hughes, 1998) Career Prospects Five years after my graduation, I intend to become a social worker with a bias in child protection services. I will focus my attention mainly in child labor and female genital mutilation cases for the first three years. I will then establish an organization whose main mandate would be to address the above issues. References Ryan, J. and Hughes, R. (1998), Field Guides to Child Welfare (Vol II-XIII). Washington: CWLA Press Weaver, D. et al., (2006), Retention of Public Child Welfare Workers. Berkeley: California University

Fairy Tale Icons in Morrisons Tar Baby and Monteros Te Tratare como a

Deconstructing Fairy Tale Icons in Toni Morrison's Tar Baby and Rosa Montero's Te Tratare como a una reina ABSTRACT In this study I will examine how, from a feminist perspective, both Toni Morrison's fourth African-American novel, Tar Baby (1981), and Rosa Montero's third post-Franco Spanish novel, Te tratarà © como a una reina (1983), explore the problems that arise when women believe that they are the stereotypes permeating literature. Both women writers employ similar techniques that subvert and deconstruct the stereotypical roles of men and women, unveiling the fairy tale icons of the heroine and the hero that have been masquerading as "real" people. ESSAY Day and night are mingled in our gazesÃ…   If we divide light from night, we give up the lightness of our mixtureÃ…   We put ourselves into water tight compartments, break ourselves up into parts, cut ourselves in twoÃ…   we are always one and the other, at the same time. -Luce Irigaray1 In 1975 the death of Franco and forty years of dictatorship and censorship offered Spanish women the freedom to reexamine their identity and question their role in a patriarchal society. At the same time on another continent, African-American women are also struggling to find their identity among the numerous American literary images that, until the 20th-century, had not realistically represented their gender or race. Notwithstanding the different histories, geographies, and ethnicities between African-American and Spanish women, a common thread that appears to bind them is their inheritance of a legacy of struggle against the internalization of controlling patriarchal perceptions and images of women that lead them to believe that they are, indeed, the stereoty... ...997. Montero, Rosa. Te tratarà © como a una reina. 1983. Barcelona: Seix Barral. 1990. Morrison, Toni. Tar Baby. 1981.New York: Plume, 1982. NOTES 1 Luce Irigaray, This Sex Which Is Not One (Ithaca: Cornell University Press, 1985) 217. 2 Critics have noted that what I call "multiple interpretations" and binary oppositions are characteristic of Morrison's works. 3 Trudier Harris, Fiction and Folklore: The Novels of Toni Morrison (Knoxville: U of Tennessee P, 1991) 116. 4 On the Sea Bird II he thinks of "women" (6), later with the same contextual references he thinks of "fat black ladies" (119). 5 This and all subsequent translations are mine. 6 Racial stereotyping, also defined in fairy tale motifs, suggest that Son is a "frog" when his African-American hair is in its natural state and a "prince" when he conforms to the grooming norms of the white culture.

Leadership Crisis †Role of Tomorrow Leaders Essay

With the world becoming a global village, today’s leaders need to Think Global & Act Local. It’s essential that Leaders understand the nuances of managing businesses across globe that depict challenges in terms Culture, Laws, History/Background and many more. While I do not have an exposure to working other than India, I do have experience working in 6 to 7 states in India. The challenge is no different as the culture in India changes from one state to another & infact it’s different within states also. Thus as a leader you need to be able to understand & adopt to such changes, lead & manage them effectively. Engage people, reciprocate & build trust: One of the major challenges in today’s world for the Leaders is â€Å"How effectively you engage your people†. People are the prime movers. Leaders who realize this can only be successful in getting the desired goals. In this era, the challenge for the Leaders is to continually engage people, build trust & sustain. Nimble & Pay 360 degrees attention to set standards: Today’s leaders need to be more open & flexible. Gone are the days of Autocratic means of leadership. A leader need to be proactive, watchful in terms perception as perceptions need to be managed & be decisive. Connect to other Leaders & Communicate: Networking is an important trait of an effective leader. Gone are the days wherein Leaders are perceived as Master of all thus it is essential that Today’s leaders understand the fact & identify such connects for better results. We as a leader need to continuously be connected to all such sources who may be experts in each of their areas or fields. There is tremendous revolution observed in the field of communication with the advent of mobile phone, internet, facebook, twitter etc,. Leaders need to effectively use all such means to get & remain connected thus making him more accessible. Manage Uncertainity & Volatility: Change is the order of the day & ofcourse the only thing which is constant in the worls. The biggest challenge a leader faces in todays world is Managing Change. The change may be in terms of technology, system, laws, processes etc, but the biggest challenge lies in how does the leader identify & adopt himself to the changing needs & drive the people to adopt the change successfully. Morals & Values: Morals & Values adopted by individuals make their identity. Living by these morals & values, despite them being challenged creates value & these traits differentiate an ordinary person & a Leader. Each Leader whim we adore depicts such values Mahatma Gandhi depicts Integrity, Bill Gates depicts Innovation, Mother Terrisa depicts Compassion, Nelson Mandela depicts Endurance & many more. What we need to understand & realize from each of these leaders is that their acts reflected the value which is â€Å"Walk the Talk†. The leaders need to imbibe such traits to be successful.

SAT Essay Strategies from Real SAT Essay Graders

SAT Essay Strategies from Real SAT Essay Graders SAT / ACT Prep Online Guides and Tips If you've spent any time doing SAT prep, you probably are familiar with what it’s like to write an SAT essay. But what’s it like to be an SAT essay grader? Find out what essay graders look for, what the essay grading job involves, and effective SAT essay tips you should use as a result of this information as I bring you...insights from real SAT essay graders. Note: The information in this article is for the old (pre-March-2016) SAT essay, which was scored out of 12 and part of the Writing section. Because the new SAT essay has been administered (and graded) so few times, there's not much information out there yet about the grading process for the new essay. We'll update this article as soon as the information comes out.

A Letter to My Girlfriend essays

A Letter to My Girlfriend essays You are Beautiful. You deserve the world. You are an amazing person. I wish I could give you everything you want and deserve. You deserve to be happy. You deserve to have people care about you. You deserve to be told every day how beautiful you are. You are my world, my everything, my one true love. I want you to be happy more than anything else. I would give up everything I have for you. You are beautiful, intelligent, caring, loving, determined, funny, ambitious, considerate, bold, brave, kind, loyal, lovable, and perfect. You take my breath away every time I see you. I love you and miss you every second we are apart. Never in my life have I felt more dedicated to anything. I pledge my life and my love to you and I promise to keep investing my time and energy into you and what we have together. Every day I learn something new about you and I am always reminded of how amazing you are. Whenever we are apart, I am constantly thinking of you. It is crazy how every little thing can remind me of you. Your smile, your laugh, and the sound of your voice are never far from my thoughts. I can remember the touch of your hand as though you are right here sitting next to me. No matter how far apart we are, you are always in my heart and in my thoughts, and your name is always on the edge of my lips. Your presence in a room makes my light feel so much lighter and my heart yearns for you when you are far away from me. Now that we are miles apart, I cannot wait until we are together again. When I see you again, I will never want to leave your side. I can only use so many words in the dictionary to show you how much I love you. I love you so much that you are always on my mind, putting a smile on my face and making my heart skip a beat. There are so many ways for me to express my love and I plan on showing you just how much love I have for you for the rest of my life. I hope th at my actions let you know the extent of my affection ...

Developing and Managing Performance (Organisation Essay - 1

Developing and Managing Performance (Organisation - Essay Example Over the years, there has been a lot of attention given on performance management and development with the demand for thorough information being actually intensified with the economic downfall. Human resources specialists have toiled to make sure that they keenly evaluate performance between relevant and fair measures putting most of their focus and efforts on essential aspects of any business. Essentially, the different efforts have circled around making sure that the processes are similar in temperament with the requirements of a changing breed of line manager, stream line the systems that are paper based and facilitate admittance through media. Nonetheless, most of the human resource strategies that have more experience are also focused in ensuring that managing the performance conveys in an environment where the evolution of numbers and effect on organizational brand and innovation is based on the ways of the business success. Concurrently, the report focuses on evaluating the challenges an organization may incur in putting it into place a performance and reward strategy using knowledge of the results past case studies and theories from different specialists on the field but mostly on human resources. Currently, the nature of work is altering with diverse organizations and corporations operating in more of a specialized network that is also flexible and natural; basically, the frequency of strategic partnering arrangements between organizations increasing the need for management relationships to be managed beyond the organization and hence further work is required. On the other hand, reward systems are also a critical part of any organizations design and how well they are compatible with the rest of the systems has an equal effect on to what extent they will be effectual and also on the quality of life that people will experience in the organization. There have been new reward systems practices

Bereavement care Assignment Example | Topics and Well Written Essays - 2500 words

Bereavement care - Assignment Example In the wake of the same, different cultures carry out different ritual acts in alleviating the effects of a loss and creation of resilience. Rituals play a great deal of functions in the life of a person subjected to the given tragedy. Medically, the rituals act as therapeutic step. There are several rituals depending on the society that is concerned with the issue. One of them is the funeral of a deceased person. Funeral as a ritual is carried out differently in the different societies. For instance, in the western world, there is usually a high sense of cultural differences and these would to a large extend be dictated by the specific culture. Funeral home visits with a casket among the western nations; a catholic wake as well as a Shiva among the Jews is some of the rituals. What function do these serve? There are rituals that are also part of other rituals. A funeral service is a greater ritual that is carried by most groups in the world. One of the roles of a funeral and its sub -rituals is that it creates admissibility and appreciation in the hands of the bereaved. Many people according to Bonnano have had to appreciate the fact that so many mourners can turn up to witness the burial of someone in the society. Finality of the death is therefore appreciated and realized at that instance. Burial or cremation is also a ritual that must be carried out to a dead person. Burials witness a lot of activities. These activities just like the whole funeral process are supposed to create an acceptable situation of the reality of the matter (Cecilia & Thomson, 2005). In the western societies for instance, most of the actions are leveled towards creation of acceptance in the victims who suffer from denials instead of carrying out unwarranted practices. Therefore, all the rituals and behaviors are supposed to create a transition and actually the witness of a behavior is usually an indication that the transition is being successfully implemented. Different societies defin e the expected behavior in a funeral differently. The basis of the behavior is based on the traditional and historical facts that have been followed over the generations (Bonanno, 2009). A great deal of knowledge about emotions is a strong issue when it comes to dealing with resilience at any stage. Much of the western world would therefore have a very personalized approach to issues of resilience than the other parts of the world. Therefore, there is no conditioned definition of the expected behavior in a society but it is based on the type of culture that has been cultivated over the generations. Bonanno’s View of Resiliency and Grief Grieving as a way related to resilience is a process in the recovery process. Grieving is suffering due to any reason that would take resilience to recover back to normalcy. Grief is an emotion that is strong and overwhelming mostly caused by an unfortunate happening. During grieving, there is a high sense of symptomatic experiences that go wi th the situation and is highly dependent on the strength of the loss incurred. The victims experience a lot of numbness and there’s a total removal from the daily life. This daily life includes social life and therefore, there is support that is required to make sure that the victim recovers completely. The response of the experts to the situation of grieving

State-Supported Terrorism Assignment Example | Topics and Well Written Essays - 750 words

State-Supported Terrorism - Assignment Example These are the nations that pose a threat to the US National Security, although Saudi Arabia and Pakistan also come under the same list of â€Å"passive sponsorships† but regardless to their activities they are excluded out deliberately. In article 3 the writer, Daniel Byman has identified the states that are passively sponsoring terrorist organizations around the world. The states that are prominently known for their support are Saudi Arabia, Pakistan, Iran, and Lebanon. These states in order to strengthen their security jeopardize the National Security of US and drag societies into the darkest propensities. It is a widely known fact that 9/11 was orchestrated with the help of Saudi Arabia of which funding transactions were traced evidently displaying Saudi Arabia’s tacit terrorist sponsorship for destroying US security. Likewise, Pakistan is held responsible for the Talibanization within the country, as the members of its intelligence ISI are in full support of Al-Qaeda. These countries which are referred to as â€Å"non-state actors† stay at the corner, some may as well agree on fighting terrorism becoming invaluable allies for the time being. The problem is not with their attitude of doing something instead it’s their attitude of doing nothing at all about the prevailing threats to the national security. One way these states react to these problems is that they offer a middle ground to the problem to safeguard their own security they shift their problem to others by offering the terrorists to stay and get arrested or leave which moves them to other countries where they perform acts of terrorism. These terrorist groups often act as government’s partners and not as their agents, although they openly deny the accusations it is evident with the size of their training setups, their methods of recruitments and funding.  

Learning curve Essay Example for Free

Learning curve Essay The term the learning curve has a popular, well-known meaning in American culture. In consideration of how and when you start to examine the way that term is used, most people discover that the primary and perceived meaning of the term really doesnt make any sense. If the curve is drawn on a chart which tracks resulting knowledge against time spent learning, it might look like the Tetris © (a popular logic game) graph here to the right. By visual consideration, the chart is steepest at the beginning, when a person first starts learning how to play Tetris. The beginner usually gains knowledge quickly, learning the game in just a few minutes. Though there is much to learn, the player will never learn as quickly as he or she did at the beginning learning how to play the game. | Here is another example: I believe that most people would consider the process of blowing leafs out of their yards with a leaf blower is very simple, but is that the instance? For many, regardless of education and or experience, it only takes about two minutes to get up and running blowing leaves. Additional knowledge milestones await most people after they have invested more time, such as flushing corners, minimizing blowback, and blinding the cyclists. | On the charts shown in this article, the knowledge milestones are made up and arbitrary, however labeling the vertical axis can be challenging. For most people, learning can be a series of successes, but it can also be a slow refinement of technique. It isnt really accurate for a person to say they are still learning to dribble a basketball when many NBA professionals with years of experience are still refining the process. | Shown to the right is an expanded timeline on the basketball learning curve. Many of the knowledge milestones on this chart cant really be learned in an hour. Most people can and do learn that they exist, but are not able to actually perform them for another year. | This quest for adequate understanding was spurned by my desire to identify activities which have a shallow learning curve. If steep learning curves are grueling, then shallow ones must be enjoyable, right? Shown here on the right is a graph for the learning curve of World of Warcraft. It is definitely enjoyable. Maybe the vast number of things to learn makes it so compelling, or the timed-release of new experiences. Speed of learning is probably not the best way to determine whether or not something is fun. | Another example. Learning to drive a manual transmission. Learning to drive a manual transmission is difficult because it requires a certain level of knowledge and skill before it can be done at all. The payoff, and true measure of success, is learning it well enough to dare to venture out into real traffic on a person’s own. In consideration of the aforementioned graph, it is cognitive to most people that in many examples of learning, there is only one real milestone to be reached. | This final graph compares the learning of two different students, and it is the only chart where the idea of a steep learning curve actually makes sense. The lower (green) section of the graph represents the state of being unable to perform a certain task. The upper section represents the state of being able to perform it. The orange line student can be said to have a steep learning curve. The sample student crossed the threshold into able after one day of learning. The red line sample student had a shallow learning curve. Said student needed four days to become able to adequately learn and or retain the learned knowledge. Posters note: I found the foregoing article one day while doing research on different learning styles. The original post on Cockeyed. com I believe was meant to be satirical, however in my opinion the information is highly beneficial in understanding the original author’s perspective on how many people learn. In considering the authors said perspective, I truly believe he or she has captured what many people today consider the â€Å"learning curve† process. Please write me with any comments, questions and or concerns. William Lucas ([emailprotected] net)| |