US Dropping of Two Atomic Bombs on Japan Research Paper

US Dropping of Two Atomic Bombs on Japan - Research Paper Example The historical event During the final stages of the World War II (WWII), United States of America dropped two atomic bombs on the Nagasaki and Hiroshima. Under the executive order of Harry Truman, the US president, the US dropped Little Boy, a uranium atomic bomb, on the city of Hiroshima, the 7th largest city in Japan. This was on 6th August, 1945. The uranium bomb was so powerful that within minutes half of Hiroshima city vanished. The city was unbelievably destroyed. Out of its 90,000 buildings, more than 60,000 were utterly demolished (Rezelman et al, 2000 and Adamsand Crawford 2000). Information from Harry S. Truman Library & Museum (1946) reveals that as brief as it was, the flash of the explosion emitted intense radiant heat travelling through the air at the speed of light. The explosion was, therefore, followed instantly by flash burns. The US estimates that 60,000-70,000 people were killed and 140,000 others were injured (Rezelman et al, 2000). On 9th August, 1945, three days after the bombing of Hiroshima, Fat Man, next nuclear weapon was dropped in Nagasaki over the north factory. It was exploded at a height of 1,800 feet above the city in order to attain a maximum blast effect. At its blast, buildings collapsed, there was shortages of electric systems and as a result of this, as well as a wave of secondary fires which contributed to massive deaths. Most of the casualties to the inhabitants of the city were caused by primary heat waves. Many others were burnt and killed when their homes, offices or other buildings were burst into flames. Flying debris also contributed to more injuries. 39% of the buildings standing were destroyed. Air was being drawn back to the middle of the burning area, a firestorm of winds immediately followed and because of this, trees were uprooted. The bomb killed 42, 000 people and injure d over 40,000 more (Rezelman et al, 2000 and Adamsand Crawford 2000). The Radiation Effects Research Foundation (2000) estimates that within the 2-4 months after the bombings, 90-000-166,000 people in Hiroshima were killed by acute effects of the blasts, while 60,000-80,000 were killed in Nagasaki but roughly half of the death in each case occurred on the first day. During the two explosions, the causes of deaths were generally the same. Thousands died instantly from flash or flame burns, falling debris and other secondary causes; over the following months others died from acute radiation sickness and other conditions arising from compounded effects of injuries and sicknesses. Most of the people who died were civilians (Harry S. Truman Library & Museum, 1946). Analysis of the historical and contemporary causes of the event On 7th December, 1941, Japan invaded Thailand. It then moved to invade British Malaya and the Pearl Harbor in the US territory of Hawaii. This war was referred to as the Pacific war or the WWII. The war saw the US, China and UK as members of the Allied Powers coming together against the Empire of Japan. The allied power wanted Japan to withdraw from the WWII. On 26th of June 1945, the Harry Truman, the US president, Winston Churchill, the UK Prime Minister and Chian Kai-shek, the chairperson of the Nationalist government of China, issued a document called the Potsdam Declaration. The Potsdam Declaration document which was agreed upon during the Potsdam conference outlined the terms of surrender for Japan. The ultimatum clearly stated that, if Japan did not pull out of the WWII, it would face quick and utter destruction (Villa,

Nokia Sustainability Report Essay Example for Free

Nokia Sustainability Report Essay Nokia Corporation is a Finnish multinational communications and information technology organization that originated and is headquartered in Finland. Its main products are mobile phones and portable information technology devices. It also offers Internet services such as games, music, media, messaging, applications, as well as free map information and navigations tools through its exclusively owned subsidiary Navteq. Nokia also has a joint venture with Siemens, and Nokia Siemens Networks, a telecommunications network equipment and services company. Nokia is a large company, with almost 100,000 employees in 120 countries, with sales in more than 150 countries; it is the world’s second largest mobile phone manufacturer, after Samsung, by 2012 unit sales. However, beginning in 2007, this organization is undergoing a major crisis that is challenging its current and future sustainability. While it was the world’s prime vendor of mobile phone from 1998 to 2012, it has suffered a declining market share over the past five years due to the outpouring popularity of smartphones from companies like Apple (iPhone) and Samsung. Therefore, Nokia’s share price has significantly lowered from a US$40 in 2007 to under US$2 in mid-2012. After this huge downfall, Nokia decided to implement a strategic partnership with Microsoft in which Nokia smartphones will have Microsoft’s Windows Phone operating system within them, replacing Nokia’s previous operating system, Symbian. However, this decision did not prove to be a success nor save Nokia from its downfall, as the company reported six consecutive loss-making quarters before finally returning to a profit in its fourth quarter in 2012. So what exactly happened to Nokia that has brought it to its current financial and economic state today? Is there any way that they can bounce back from this tragedy? If so, how? In this research report, I will attempt to explain how and why Nokia is now facing a severe technological challenge, as well as why it has now become an organizational and managerial failure, a sharp contrast to how successful it once was. Next, I will explain how Nokia’s failure to outsmart the competition and its poor choice of disregarding technological trends and advancements has brought it to its economic and financial state today. I will then remark on Nokia’s current management’s actions and reactions in terms of the organization’s state and whether or not I believe these actions will lead to either sustainability or failure for the future of this company. I will then end this report by providing some suggestions on how to improve Nokia’s chance for sustainability, and hopefully, success in the near and further future. While Nokia faces sustainability, global, and technological challenges, I will focus on their technological failures which greatly attributed to their catastrophic downfall. Nokia was once one of the worlds’ leading mobile-phone producers. However, in 2012, they failed to adjust their strategy to comply with the new ways people used their phones. By looking through Nokia’s long-running history, it comes as a shock to some as to how disastrous and despairing their situation has become. Nokia started as a riverside paper mill in south-western Finland in the year 1865. It then evolved to produce rubber products such as rubber boots and tires. It was not until 1912 that Nokia began its cable and electronics business. Nokia’s first electronic device was a pulse analyzer for use in nuclear power plants, produced in 1962. The company’s first endeavour into telecommunications was made in 1963 when it developed radio telephones for military and emergency services. Nokia’s hugely successful period began in the 1979, beginning with the creation of a radio telephone company, and launching the Nordic Mobile Telephone (NMT) service, the â€Å"world’s first international cellular network†¦to allow international roaming (Nokia. com). In 1987, Nokia introduced its first handheld phone for NMT Networks and became a classic. The Global System for Mobile (GSM) communications was also implemented as the European standard for digital mobile technology. International roaming, text messaging, and high-quality voice calls were all easily available on GSM, providing Nokia with a starting point for further innovation. Nokia manufactured its first GSM phone, the Nokia 1011, in 1992. In the same year, new Nokia President and CEO Jorma Ollila made a crucial and game-changing decision to solely focus on mobile-phone manufacturing. In 1994, Nokia began producing the 2100 series of mobile phones and by 1998, it is the world leader in mobile phones; the company’s strategic decision to focus solely on telecommunications definitely paid off. Innovation and continued success did not end there; in 1999, Nokia launched the Nokia 7110, a phone equipped with web-based capabilities such as email and web browsing, the first of its kind. They also produced a phone that included a built in camera and video capture in the early 2000s. However, Nokia’s biggest success was in 2002, when the introduction of 3G technologies allowed them to create phones with a wide range of functions including downloading music, watching TV on the go, and so much more. In 2005, due its huge success and impact on the mobile technology industry, Nokia was named the 5th most valuable brand internationally. Things began to take a turn for the worst in 2010 when Nokia met its competitors, namely Apple and Android-based devices. The smartphone era was surging in popularity leaving Nokia behind with its â€Å"candy-bar style† phones and outdated operating system. This downfall for this once highly successful company called for some serious changes, including the assigning of new President and CEO, Stephen Elop, a former head of Microsoft’s business division. Elop has â€Å"a strong software background and proven record change management (Nokia. com). † It may come as no surprise then that Nokia announces its partnership with Microsoft; Nokia mobile phones will be adopting the Windows 7 operating system in order to compete with the Apple iOS and Android. Nokia launched its first Windows phone in 2011. Since the introduction of Apple and Android devices, Nokia’s economic state has never been the same; and it is quite difficult to say whether they will ever reach that same success in the future again. There are several reasons that can be credited to Nokia’s downward spiral. Firstly, Nokia failed to respond to the changing consumer trend in technology; while consumers were moving on to smartphones with newer, faster operating systems within the likes of Apple and Samsung, Nokia’s Symbian operating platform remained the same and struggled to compete with these new â€Å"pocket-sized mini-computers. In summary, Nokia did not react quickly enough to changing consumer demand, and therefore, were aggressively crushed by the competition in terms of capturing market share. Their late response with the introduction of the Windows phone did not occur until 2011, while Apple and Samsung have been continuously improving their devices and operating systems since 2007. With technology improving so quickly nowadays, four years is a long period for Nokia to, with any luck, catch up. The integration of Microsoft’s Windows 7 as Nokia’s mobile operating system has yet to reap rewards for the organization either. This may be due to the fact that Apple’s iOS and Google’s Android platforms have gained popularity since their early introduction and remain the leaders of mobile operating systems. Another problem that Nokia encountered is due to its late strategic change; many people associate its classic ‘candy-bar style’, brick phone with outdated technology, just like cassette tape players, and VHS players. Today’s consumers are also very technologically savvy; they need to have the best and newest device as soon as they can get their hands on it. Nokia also did not market itself as an innovative brand as it stuck by its brick-style phone and operating system for almost a decade before considering any major changes. While Nokia and Microsoft are both huge and strong companies, they will have to go through some rough patches before, and if, they can reach success again. As of now, they are in a financial struggle, cutting many jobs and other financial expenditures. Nokia is indeed focusing on attempting to reinvent the company, and to, hopefully, bring it back to where it once was: a leader in mobile technology. While there are many opinions floating around the media, it is hard to say what will happen to Nokia in the near future. While they have not done anything drastic, such as file for bankruptcy, they are going through some major, rough changes right now, including cutting thousands of jobs worldwide, and the closure of several factories. In 2012, Nokia announced their plans to cut 10,000 jobs internationally by the end of 2013 as well as the closure of research and development facilities in Finland, Germany, and Canada as stock prices continue to fall. Nokia’s market value today is below $10 billion. At the end of 2013, it is estimated that about 25,000 employees will be laid off at Nokia; this number of job cuts totals to about 36% of Nokia’s workforce. Things continue to look dim for this organization as Moody’s Investor Services downgraded Nokia’s rating to ‘junk’, further proving its dire state. Nokia’s human resource management did not play a part in its recent downfall as it was due to a technological failure, not a human resource issue. Nokia was a large, multinational company for quite some time, and its long-run success proves that their human resources teams are nothing short of competent, effective, and diligent. The goal of their human resources management is to satisfy their customers, motivate employees, and increase the dexterity and flexibility of management to address specific HR needs. Nokia’s HR team is also responsible for creating customer satisfaction through the manufacture and delivery of products and services in order to fulfill customer needs. They were able to do this by providing leading and innovative technology, in the past, to a wide range of clients around the world. Nokia’s intangible services, such as telephone helplines, are available 365 days a year, exemplifying dedicated and excellent customer service. Nokia also treats its employees very well. This organization works together with its employees in order to create a healthy, efficient, and successful environment so everyone can achieve their full potential. Encouragement, motivation, and keeping employees happy are vital for Nokia to perform productively. Because Nokia is a goods manufacturer, the free flow and exchange of ideas among employees at any level is strongly encouraged. In order to encourage and motivate employees, Nokia has compensation plan consisting of an annual base salary and bonuses. Short-term incentives for both individual and group projects also exist. Overtime pay and call-out pay are also implemented, and employees are able to purchase stock or performance shares. Finally, employee health and pension benefits are compensated to Nokia’s employees to form a healthy and productive work environment. While the HR strategy and structure at Nokia seem sustainable, some may argue that Nokia’s current and most recent President and CEO, Stephen Elop, has contributed to its present dismal state. Before working for Nokia, Elop worked for Microsoft from 2008 to 2010, and was responsible for Microsoft Office products as a member of the organization’s senior leadership team. The controversy surrounding Elop when he first joined Nokia was the release of his internal company memo titled â€Å"Burning Platform† which was immediately leaked to the media. The memo compared Nokia’s current situation, failing within the flourishing smartphone industry, to a person on a burning oil platform. The reception received from the media was mixed, some stating that Nokia needed that harsh wake-up call to make some drastic changes in strategy, while others called it â€Å"the costliest management memo ever written (Ahonen, 2011),† believing he should be fired due to Nokia’s severe and rapid disasters since his arrival. In 2011, Elop made the decision for Nokia to discontinue their in-house mobile operating systems and replace it with Microsoft’s Windows Phone operating system. The plan was to be carried out gradually in the next few years, with Elop expecting a full discontinuation of the previous Symbian platform by 2016. Technology writers have criticised Elop for this decision by stating that it was done in bad timing and with a lack of communication; later, Elop himself admitted to the damaging effects of his Burning Platform memo. Ahonen has also stated that, because of this memo and Elop’s lack of communication to Nokia employees, the organization â€Å"is doing the most rapid death in the shortest period of time ever, for a global market leader Fortune 500 company. So what’s next for Nokia? Throughout all the journals, newspaper articles, blogs, and interviews, it is quite obvious what the main message for Nokia is: do something, and fast. While it is apparent that Nokia faces all three challenges of sustainability, technology, and global endurance, technology is and will remain to be their biggest challenge. Unless Nokia succeeds thr ough technology, being a mobile phone manufacturer, they will not be able to overcome or accomplish the other two challenges of global endurance and sustainability. It is quite unfortunate that Nokia, once a world leader in its field, failed to meet the technology challenge of keeping up with the current, fast-moving trends of technology and consumers. Nokia’s slow reaction to the shifting trends and the reactions they have made to support themselves have negatively impacted the company’s current economic state, as well as the state of their human resources. Elop’s poor strategic decisions in the hopes of saving Nokia have yet to bear fruit; instead, Nokia has been forced to cut thousands of jobs, and close some of their facilities worldwide. While these decisions are crucial for Nokia’s short-term survival, serious changes need to be implemented to obtain long-term sustainability, besides partnering with Microsoft. Nokia is a huge, well-known company, and its brand is something everyone knows of; their challenge is to change the way people think about and look at the company: not as an old, obsolete form of mobile technology, but a new, state-of-the-art organization that can adjust to the ever-changing technological tendencies. Elop still has some time to redeem himself as the President and CEO of Nokia, but unless he makes some rastic, positive changes to Nokia, other forms of recovery should be considered. One suggestion for Nokia would be to change its operating system from Microsoft’s Windows Phone to Google’s Android. One of Nokia’s mistakes leading to failure was making the unpopular choice of using Windows as its operating system; they should have realized that choosing Android as their platform would have reaped huge benefits for them as its surging popularity and success have made brands such as Samsung and LG skyrocket to economic prosperity. Technology experts, such as one engineering executive has even stated that they â€Å"don’t understand why Nokia couldn’t develop Android phones—even in parallel with Microsoft’s Windows phones. † Choosing Windows instead of Android as their new operating system is a huge opportunity Nokia definitely missed out on. Another recommendation would be to sell the company to a successful brand, such as Samsung, who has now redeemed themselves to become Apple’s leading, and closest rival. By putting themselves under Samsung’s wing, Nokia will gain Samsung’s competitive advantage of being a visionary and innovator, and a fast mover in capturing modern technological trends. While it is never an easy task to admit defeat, selling Nokia to a prosperous company just may be what this organization needs to save itself from further fiascos. A merger with a strong, competitive company, with massive market share and organizational resources may just be what Nokia needs to bring itself back up to what it used to be: an innovative, mobile communications giant with shareholder value, technological advancement, and worldwide success.

Abortion Essay -- essays research papers

Partial-Birth Abortion Act During the Clinton administration the Partial-Birth Abortion Act, a bill that would make it illegal in all of the United States for a partial-birth abortion to be performed, caused major debate throughout the House of Representatives and the Senate; recently different versions of the bill had been passed through the both the House of Representatives and the Senate. In prior years Clinton had vetoed similar bills to ban partial-birth abortions. The House and Senate have passed somewhat different versions of the Partial-Birth Abortion Ban Act (S-1692), sponsored by Congressman Charles Canady (R-Fl.) and Senator Rick Santorum (R-Pa.). This bill would place a national ban on partial-birth abortions. President Clinton successfully vetoed similar bills in 1996 and 1998. When the Senate approved S.1692 last October, it was by a margin two votes short of the two-thirds majority needed to override a veto. The congressional bills are similar to a Nebraska law that was struck down by a five-justice majority of the U.S. Supreme Court on June 28 in the case of Stenberg v. carhart. After carefully examining that ruling, the leading sponsors of the bill decided that it would be more productive to focus on other pro-life bills for the remainder of this congressional session. (National Right to Life News, August 2000) Partial-Birth Abortion is used after twenty weeks of pregnancy. The doctor pulls the baby out of the mother with forceps feet first and stops when the only thing remaining inside the mother is the baby’s head. The doctor then takes a pair of scissors and inserts them into the back of the neck of the child, spreads them apart and then proceeds to suction the brain of the child out of it’s head. The child is now no longer living and can be disposed of. Under current legislation the only factor that separates partial-birth abortion from homicide is the fact that the child’s head remains inside the mother while the procedure is performed. The Partial-Birth Abortion Act is not a bill to make abortion illegal just partial-birth abortions. Those who support this bill in the Senate are pro-life, whil... ...ter, June 2001) The laws were overturned by the United States Court of Appeals in Illinois and Wisconsin following the Supreme Court’s lead. United States District Judge Arthur Tarnow overturned the ban in Michigan. Planned Parenthood had challenged the laws in all three states and was said to be gratified by the decisions. â€Å"We are pleased with these rulings because they protect women’s health from being sacrificed to a dishonest campaign to demonize a safe and medically necessary procedure.† Planned Parenthood continued," And we are reminded again, as all Americans should be, of the importance of a fair-minded and independent federal judiciary.† Another problem with the ban on partial-birth abortions is what to do in the case of a health threat involving the mother. If a pregnant women faces death through the birth of her child do we save the mother or the child? Another problematic example is if the mother already has children, and partial-birth abortions are illegal, the child could potentially be born and the mother could pass leaving all of her children to grow up without a mother.

Freytag’s Pyramid in A Rose for Emily

Though a non-linear narrative, Faulkner’s A Rose for Emily fits well into the dramatic structure outlined in Freytag’s Pyramid.   Exposition is centered around the death of the eponymous character, Emily Grierson, and details her history in the town of Jefferson.Moving backward in time, a deal between Emily and a former mayor, Colonel Sartoris, is discussed, in which Emily is remitted of all taxes due to a loan Emily’s father made to the town before his death.   This expository information allows the reader to form a more substantive picture of Emily before the narrative actually begins.Faulkner establishes the tone of the story as cryptic and elliptical.   Emily is someone who can only be known vaguely, through all that can be understood in a few incidents.   By failing to disclose too much about Emily, Faulkner lends her an air of mystery, thus heightening the reader’s interest in her character.The story then leaps back in time thirty years, when there was concern in Jefferson over a smell coming from Emily’s house.   This is the point of rising action, in which the narrative acquires tautness in conflict.   Now the narrative is propelled forward by the reader’s curiosity- what is causing this horrible smell?   All of this builds on the mystery surrounding Emily, she becomes not so much a woman as an apparition, a vague blur in the mind of the reader.As the narrative proceeds on it constantly moves backward in time, so that the climax occurs at the point furthest in the past.   Emily’s purchase of the arsenic precedes chronologically the events of the first, second, fourth, and fifth parts of the story.   A Rose for Emily inverts the traditional narrative structure in which a story generally drives toward some point in the future, delving into the past for its revelations.The purchase of the arsenic must be regarded as the story’s climax for it is the only instance in which Emily takes action within the narrative.   She resolves here to take that action, the fruits of which are revealed in the final part of the story when the skeleton of Homer Barron is found in her bedroom.Part four of the story represents falling action, as with the purchase of the arsenic the fate of Homer Barron has been settled.   That the arrival of Emily’s family, or â€Å"kin† as Faulkner refers to them, is merely brushed upon in the vaguest terms serves as evidence- the focus of the story is elsewhere.   All that is left here is for the story to unravel into the denouement, which comes of course with the discovery of her supposed husband’s corpse.Here, Faulkner pulls back the curtain and allows the reader to briefly glimpse some of the mystery behind Emily, and by simply suggesting at one perversion, he hints at a whole host of other strange activities.   Thus the story is concluded not by solving the mystery, but rather by increasing its lurid allure.In a sto ry, such as A Rose for Emily, which is as much about ambience as it is about creating drama, a small action can carry great weight.   Emily’s very presence, â€Å"dear, inescapable, impervious, tranquil, and perverse,† shocks the small town of Jefferson out of entropy and into the life of narrative.Thus, though the story is nominally propelled along by curiosity over a strange odor emanating from her house, it is Emily herself in the end that sustains the interest of the reader.   Though Freytag’s Pyramid is an excellent guide for distilling dramatic structure from an otherwise elusive narrative, its application is limited.   While the model corresponds to the purely dramatic elements of A Rose for Emily it cannot account for such complementary elements such as tone and style, which often facilitate drama just as much as a well-honed structure.Faulkner’s writing operates obliquely, touching points of interest and then just as quickly departing from them, leaving a slight fog about the people and places he evokes.   The use of Freytag’s Pyramid can help shine a light through this fog and offer one a greater insight into the nature of this mysterious piece, A Rose for Emily.

Kite Runner Pomegranate Tree Essay

In Khaled Hosseini’s novel, The Kite Runner, the changing depiction of the pomegranate tree symbolizes the changes in Amir and Hassan’s relationship, and is woven into the novel’s central theme of sin and redemption. Throughout the novel Hosseini depicts Amir’s struggle to redeem himself ever since he witnessed the rape of Hassan and stood by as a silent bystander. Amir and Hassan shared a very close friendship doing everything together yet the loyalty between each other was lopsided. Amir could never match Hassan’s unconditional love and loyalty towards him and this sets up the internal struggle in Amir’s mind, because he was sensitive enough to realize the unfairness of the situation. Hosseini uses the pomegranate tree throughout the book as the backdrop for describing key events that influence Amir and Hassan’s relationship. The first depiction of the tree portrays a safe haven but subtle details in the passage point to the events that unfold later. As children, Amir and Hassan spent many hours under the shade of a pomegranate tree up on a hilltop where Amir would read stories to Hassan. Here the pomegranate tree is a symbol of comfort, a place where he and Hassan could be alone sharing the simple pleasure of storytelling. Amir’s description of the â€Å"shadows of pomegranate leaves dancing† on Hassan’s face depicts the protective aspect of the tree, a sanctuary for the two friends (28). The tree and hill are symbolic of Amir and Hassan’s friendship; the tree is rooted in the hill but as the seasons change both the hill and the tree change and so does their friendship. The mention of seasons foreshadows how over time Amir and Hassan’s friendship will be destroyed, in the same way that the rain had turned the â€Å"iron gate rusty† and caused the â€Å"white stone walls to decay† (27). When Amir and Hassan return to the pomegranate tree after the rape, Amir says to Hassan he will read him a new story as they walk up the hill and a sense of hopefulness is conveyed. Amir points out that the â€Å"grass was still green†. Here the green is symbolic of hope and renewal and it connotes Amir’s effort to fix his damaged relationship with Hassan (91). However, when Amir describes that the green grass atop the hill will soon be â€Å"scorched yellow† it also foreshadows Hassan and Ali’s abrupt departure from Kabul, and the devastating impact this has on Amir and Baba (91). Hosseini’s use of the word scorched connotes an event that happens suddenly and is a premonition of worse things to come. Amir is not able to deal with his memories of their happier days under the tree, and instead of storytelling he decides to provoke Hassan to reproach him for his own inaction when the rape occurred. Amir’s ulterior motives – to provoke Hassan and not tell stories – are revealed when he â€Å"picked up an overripe pomegranate† (92) and throws it at Hassan. The overripe, rotting pomegranate is symbolic of a wound that has been left alone too long, the guilt of Amir not helping Hassan when he was raped. The pomegranate fruit itself represents the complexity of their relationship; it is a fruit with a hard skin that is difficult to peel and inside there are beehive-like segments hiding hundreds of red pulpy seeds. Amir is not able to come to terms with his guilt and tries to avoid Hassan at first, but later when he tries to make amends he realizes that for Hassan it will never be the same. The pomegranate also alludes to the forbidden apple from the Bible, symbol of the original sin, and thus it serves to foreshadow the events that are just about to unfold. As Amir hurls pomegranates at Hassan, he repeatedly calls Hassan a coward, but in reality he is letting out his own frustration in the hopes that Hassan will retaliate. He is trying to cover up his guilt for not intervening when Hassan was raped, almost as if Amir is trying to justify that Hassan is the coward and not himself. Once Amir stops pelting the pomegranates he sees Hassan â€Å"smeared in red like he’d been shot by a firing squad† (93). The imagery here represents how deeply Amir’s actions and words had wounded Hassan. Ironically, it also foreshadows the eventual death of Hassan, later in the novel, when he is shot by a Taliban firing squad. When Amir returns to Afghanistan after receiving Rahim Khan’s letter, he finds Kabul under the Taliban regime totally changed. As Amir walks up the old â€Å"craggy hill† from his past he realizes that nothing is the same (264). The craggy hill now represents the destroyed Afghanistan. Amir describes that while walking up the hill every breath felt â€Å"†¦like inhaling fire† (264). This simile illustrates how much pain walking up the hill causes an lder Amir now, although it was something he did almost every day with Hassan when they were carefree children. When he reaches the pomegranate tree, he recalls Hassan’s letter saying â€Å"the pomegranate tree hadn’t borne fruit in years† (264). The barren tree is symbolic of how their friendship was ruined twenty years ago in the winter of 1975. But when Amir locates the faded carving of his and Hassan’s name on the tree, the fact that â€Å"it was still there† makes the pomegranate tree a symbol of hope once again and shows Amir a way to atone for his sin (264). After so many years and so many struggles their friendship was tattered but upon seeing it, Amir finally resolves to redeem himself for the guilt of betraying Hassan; a betrayal that became a heavy burden on his shoulders for twenty long years through his silence and inaction. The changes of the pomegranate tree depict the changes in Amir and Hassan’s relationship. We first see it as the lush shady tree from Amir’s childhood where he and spent countless hours reading stories. Next it appears as the scene where Amir destroys his friendship with Hassan. And finally, it is at the same but now barren pomegranate tree where Amir returns and locates the fading reminder of his long lost friend. Each conflict in Amir and Hassan’s friendship was always on Amir’s part. It was Amir who stayed silent when Hassan was assaulted, it was Amir who tried to provoke Hassan’s reproach by throwing pomegranates at him, but it was also Amir who made the effort at the end to rescue Hassan’s son and his nephew, Sohrab. Like the faded carving, Amir’s friendship with Hassan had faded but never completely disappeared. Amir made the worst mistake of his life but he still had an opportunity for redemption, and that was by rescuing Sohrab from the Taliban and acknowledging him as his own flesh and blood If he didn’t, he knew he would go to his grave with the guilt of the sin he committed in the winter of 1975. While atonement for one’s sin is the central theme of The Kite Runner, the pomegranate tree is one of the main symbols used by the author to show Amir’s journey for atonement and redemption in the book. Hosseini’s repeated use of the pomegranate tree serves as a useful symbol to understand the evolving relationship of Amir and Hassan.

ocean pollutants essays

ocean pollutants essays Pollution in our oceans is a serious problem. According to Marie Wild in her article "Ocean Pollution", "Ocean pollution is one of the major killers of our sea animals.". Most of the waste that is dumped is plastic, which takes hundreds of years to break down (Oceanic Research Foundation [ORF]). Everyday millions of animals are caught in fishing nets and six pack beer rings. It is thought that only fish are affected from getting caught in these. In reality they also kill birds, turtles, dolphins and seals. The animals are slowly strangled or suffocated by the rings as well as cans, fishing line, nets, kite strings and ropes (Wild). Or, as stated be the National Wildlife Federation (NWF), they die from accidental consumption (NWF website). Garbage is not the only threat to the safety of our oceans though, other things, such as, air pollution and chemicals are dangers too. Ships cause much of this pollution, often dumping raw sewage into the ocean (Ocean Dumping-The Causes of Ocean Pol lution; Ed Hunt, pg. 37). Also responsible are the factories that are located on the coast. These factories often, in search of easy disposal, will dump chemicals into the ocean. In previous years major culprits were paper mills and related plants, which would release waste into the ocean. A large increase could lead to long term rises in the levels of water mutagens, pathogens, teratogens and radioactive materials (Hunt 46). An article from ORF, "Oceans at Risk-Problems and Dangers Affecting our Oceans", reads: From the land, high levels of pesticides and toxins are being carried to the oceans, dramatically affecting shallow coastal zones, sea grass marine nursery areas, and coral reefs. Over sixty percent of the raw or treated sewage produced by man, rich in nitrogen, is being dumped into the oceans causing eutrophication in coastal waters. This overabundance of nutrients is causing algae blooms worldwide, impacting the ...

Essay on Ayoder Janecasestudy 04122015

Essay on Ayoder Janecasestudy 04122015 Essay on Ayoder Janecasestudy 04122015 Jane Case Study Audrey Yoder Rasmussen College In this case study, the father keeps beating Jane. Because this keeps happening, it is causing her to become a stronger woman. She learns that he is doing because of fear and learns to use his fear to her advantage by making him give her what she desires. She makes him feel guilty for hitting her so he buys her what ever she would like. She then gets married to a man that beats her as well. She then turns it around to make him give her what she wants just like she did to her father. Jane acted like this because of the mental and physical pain her father had been causing her. She always felt like she was never good enough for him, and that caused her to turn against him. When she got married, and her husband started to do the same thing, it caused her to turn against him as well. She then learned to use their emotions against them. When she learned to do this, they stopped beating her and she then got what she wanted. She was using their own emotions against them. If Jane’s father ever gets married, he will most likely beat his wife. She will either leave him or learn to use it against him like Jane. If she leaved then it will cause more mental damage than he already has. If she chooses to stay, she could learn to use it against him and still cause him more emotional trauma. The emotions he has that cause him to beat women need to be overcome. He should go see a psychologist and learn to overcome his fears. If he does this, then he will learn to overcome his fears and not beat women. Instead of Jane getting married, She decided to go to college.

18 Terrific Christmas Gifts Ideas For College Students

18 Terrific Christmas Gifts Ideas For College Students Oh, the weather outside is frightful†¦ Isnt it? And you still have to get outside and buy gifts for your college friends. Oh, wait! You can actually stay at home and just order them online. Its definitely not the hardest but not the easiest thing to do. Check out our list of Christmas gifts for college students before your shopping anxiety starts. Gadgets A perfect gift is not only nice and memorable but also useful, especially for a student. Gadgets are great helpers in studying. Hence they are brilliant gifts. Ask yourself what you would like to get for Christmas. Perhaps, your friends have the same tastes. Also, you need to make sure your friends dont already own one of the items you want to get for them. Some of the gadgets listed below may become one of the best motivational gifts for college students. 1 Headphones Wireless or noise-canceling headphones are what each college student needs for concentrating while studying in noisy dorm rooms. They are pretty affordable, and there are a bunch of various types of them. Wireless headphones are great for working out, running or doing chores while listening to favorite music or audiobook. Noise canceling headphones are designed to block ambient noises and talks so that one can focus while studying. Source 2 Portable chargers Your friends will definitely appreciate a charger as a gift. Having your devices dead while not be able to plug it in might become a tense situation. Portable and wireless chargers are multipurpose and can be used with different gadgets. There are even solar chargers which are indispensable while camping. Source 3 Digital cameras Although modern cell phones have built-in cameras, students who are interested in photography would prefer professional digital camera. They have much more features and will be more functional for vlogs and photoshoots. You can easily find a compact and powerful camera for under $500. Source 4 Digital notepads Its easier to carry one small notepad in your bag or backpack rather than a pile of notebooks. It saves all the written files to Evernote account and it is great for taking notes or drawing schemes, charts, maps, and diagrams. Quick access to files and high usability makes digital notepads great gifts. Source 5 Bluetooth speakers Portable speakers are great for parties or relaxed chilling out. It can play music, audio books and calming sounds of nature or white noise. It can be voice-controlled and connected to any device. Source 6 Fitness trackers Dont forget about sports lovers. Sports watches help to keep track of pulse, burnt calories and the number of miles you run daily. They are one of the best gifts for college boyfriend or girlfriend. Source Games, Interests, and Hobbies 1 Party games â€Å"Never have I ever† set or â€Å"Cards Against Humanity† will draw attention to your friend if he or she brings it to a party. They are affordable, funny and easy to play, so if you dont know what to give your friend for Christmas, buy some good board game. Source 2 A survival set If your college mate is interested in hiking or forest exploring, get him a backpack with a built-in solar battery, or a multipurpose knife with a set of different useful tools for camping. There are also sets that contain everything you need for surviving in the wild nature or in case of zombie apocalypse. This is an excellent gift for guys. Source 3 Craft materials Its a great gift for college girls and boys who are in love with crafting. Consider these items: supplies for knitting (yarn, needles, and crochets); supplies for woodcarving (wax, carbon sheets, wooden mallet); materials for jewelry making (beads, cords, threads, and tools); wax and molds for candle making. It all depends on what kind of handicraft your buddy prefers. Just ask what they need and they will appreciate your attention to their hobby. Source 4 Personalized T-shirts or bags Find out if your friend is a fan of a certain band, movie or comic-book characters. Its much easier to buy a perfect gift for a person whose tastes you are familiar with. Afterward, you should go for an online-shopping for the item you chose. Source 5 Funny gifts It may be a set of party glasses with funny lettering, joking book (â€Å"The Manual to Manhood,† â€Å"Lifes Missing Instruction Manual†), a funny pillow or a pack of lottery tickets. Source 6 Gift cards It is a present for someone who you think will spend money more wisely than you. You can find different kinds of gift cards for many stores online, even Itunes. And dont forget about subscriptions, such as for Netflix. Source Household Items And Devices Being away from home may be difficult and intimidating. You may find some of these useful Christmas gift ideas for college freshmen and other students suitable for this year presents. Keep in mind the items youll see below if youre looking for a gift for college boyfriend or girlfriend. 1 A cookbook or cooking utensils Its always a great gift for a beginner cook, especially for a student who has left his home and now is about to start adult life with cooking his own meal. Who knows, maybe one day your present will lead your friend to become the next Jamie Oliver. Source 2 A portable vacuum cleaner Keeping a dorm room clean might be hard sometimes. Portable vacuum cleaners with sanitizing feature are great gifts for students who live in rooms with a messy person. Such vacuum cleaners are compact and easy to transport, and still, they are powerful enough to clean the room perfectly. Source 3 Cozy socks or pajamas Gifts that make your friend feeling like home are a perfect cure for homesick. Pick some cozy and warm pajamas and a pair of funny socks. Wearing warm and soft pajamas and a pair of socks with funny prints will create a Christmas mood even if your friend is far from home at the time. Source 4 Candles and blankets These are great gifts for college girls because they love making their bedrooms neat and cozy. Some good smelling candles and furry woolen blankets will make a great present in a cold wintry day. Source 5 Instant photo printers for phones Help your college friend to decorate a room with printed photos to make the atmosphere brighter and more relaxed. Instant printers dont have any wires. You can use them to print favorite photos from any cell phone. Source 6 A travel mug or a water bottle Thermal mugs help to keep your drinks hot or cold for a long time. So they are very useful when one needs to spend hours in a library or when someone is going to be outside for a long period of time. Coffee-loving college students should get enough caffeine or they can start freaking out. Source Find the best present for your college friend, considering their preferences. But if you are unaware of what preferences they have, theres a thing each student needs money. We know that sound boring, but its better than nothing. Perhaps, the next year you will succeed to choose some better presents.

The Butcher of Milwaukee's Human Slaughterhouse Essay - 1

The Butcher of Milwaukee's Human Slaughterhouse - Essay Example The discovery that a man so confident, tidy, well mannered and clean was capable of such heinous murders, as well as cannibalism, would be a central aspect of this study. To investigate the motives and incentives that led a seemingly average man to indulge in a killing spree that lasted and went undetected for 13 years is what this essay will concentrate on. Furthermore, the analysis will be aided by the use of two theories that will scrutinize factors that have contributed to the crime in question and led to the constitution of Jeffrey Dahmer who came to be known as ‘the man who redefined serial murders’ by the Online criminologist. Â  According to Tru Crime Library, Detective Patrick Kennedy was the person who gained Jeffrey Dahmer’s trust and hence plummeted into the depths of his degeneracy. His killing spree of 13 years took root from fantasies about killing men and having sex with their corpses at the age of fourteen. By sixteen he had become an alcoholic with an intense interest in chemistry and dismembering animals. Research, as stated by Dr. Randall Lockwood (vice president of training and initiatives for the Humane Society of the United States), has found excessive links between animal cruelties in the early years of childhood to future serial killings. A common characteristic shared by serial killers like Jeffrey Dahmer, Ted Bundy, and David Berkowitz. Â  In June of 1978, right after graduation, Dahmer committed his first murder. Steven Hicks, a hitchhiker that he picked up, had sex with and then drank beer with was the first of his victims.

Improving Time Management Research Paper Example | Topics and Well Written Essays - 1000 words

Improving Time Management - Research Paper Example One of the first steps in trying to solve this problem was to determine what kind of information I needed to gather in order to solve the problem.   Some things were very concrete, such as my class and work schedule.   You could say my dinner schedule was pretty concrete, too, except my dad would make exceptions to the rule if I just talked with him ahead of time.   Other things, such as how much time I would need for homework, were flexible by someone else’s standards.   In other words, it depended on my instructors to determine how much homework they were going to hand out each night and when we were going to have tested.   However, the syllabi that they handed out at the beginning of the term could give me an average amount of time per week that I would need for homework.   Even less predictable was the schedule I worked out with my friends when I would see them, what we would do and how long we would hang out.   This would be the hardest bit of information to figure out.   Finally, there were the things that I had to do, like laundry and sleep, that was necessary for my welfare but that I usually forgot to plan.   These kinds of things could just be listed out and approximate times are given, such as I know I like to have 8 hours of sleep at night and I know it usually takes me about 4 hours to get my laundry done when I finally get around to doing it. Once all this information is gathered together, it is necessary to evaluate it and bring it into some form of organization.    With my class schedule and work schedule in front of me, I can chart out the days and times each week that I have to be in each place. To do this, I will make a big chart with a single row of seven squares, one for each day of the week. I will write my class times and my work times down, leaving space any time there are gaps where I don’t have to go to work straight from school. I will pencil in family dinners on every day that work and school donâ₠¬â„¢t get in the way. Using the syllabi from my classes, I will attempt to determine just how much time each day I will need to finish my homework and then try to find time in this schedule for study. I know things like sleeping and laundry take a set amount of time, so I will also pencil these in because they are flexible – I can sleep a little less if I need to and I can do the laundry on another day if necessary. The time left in each day will be the time I have available to spend with my friends, since this is both the hardest to pin down and the least important of my activities toward my future success. By using this chart, I will be able to take better control of my life and make sure that I get everything done that needs to be done. I did run into some problems in trying to apply my ideas, such as when

Justice Antonin Scalia and the Doctrine of Original Intent Research Paper

Justice Antonin Scalia and the Doctrine of Original Intent - Research Paper Example What originalism is and the advantages of originalism as compared to other methods of constitution and statutes interpretation. He has also given reasons as to why he chooses to use the method of originalism over other methods which still prove to be efficient. Original intent is used in law as a theory that defines how the constitution and statutes should be interpreted. Original intent implies that when interpreting any text, the authors intent on that particular text, should first be determined so as to accomplish the purpose of that statute. Original intent assumes that a particular text has only one intended meaning (Scalia 23). Theoretical debates on the adjudication of the constitution have been there for a long time. There are all types of advocates who give different methods of interpreting statutes as well as the constitution and how the courts ought to do and what they ought not to do. Originalism is a method that has proved quite dominant in America (Levy 342). This metho d has been well embraced by Justice Antonin Scalia. Who is seen to fully embrace this method and further gives long justifications to help support the originalism belief. Justice Scalia Antonin insists that Original intent determines the meaning of the constitution. ... Scalia advocates for textualism with exceptional rigidity. Textualism refers to having statutes interpreted based on its normal meaning. Other critics say that textualism is more of political. All the same Justice Scalia Antonin appears to be more conservative as is evident in his service at the Supreme Court. Scalia agrees that text that is statutory is not necessarily inherent liberally neither inherently conservative as that depends on who wrote it. Originalists say that reading strictly of any text can only be found by giving an interpretation of the constitution by using the original intent of that particular constitution. Justice Scalia opts to use an originalism theory that is softer, that is to say, interpretation should be made based on the time of constitution adaptation. Scalia feels this is much stricter as compared to allowing attempts by Justices to decipher author’s intent. Textualism is what Justice Scalia advocates for since he believes that Intent ruling is a s ambiguous as a living constitution. He believes this allows greater discretion as compare to other methods of interpretation. According to the conservative originalists, rights are those made via the democratic process and written constitutionally together with its amendments. Justice Antonin Scalia does not quite agree with the living constitution idea or even agree to give power to the judiciary to even modify the constitutional. This means that Scalia’s originalist method is more of statutory interpretation of the text than the living interpretation of the constitution. Believing that the normal meaning of the statute should facilitate for

Marriage and Divorce Essay Example | Topics and Well Written Essays - 3750 words

Marriage and Divorce - Essay Example This discussion takes an in-depth look at marriage and divorce including a brief historical assessment, statistics and trends regarding both marriage and divorce and the many varied factors that contribute to divorce. It also includes the story of a couple that are now happily married after both experienced divorce and input from two experts in the field who give advice on how to avoid actions and feelings that contribute to an unhappy marriage. The sanctioned ceremonial joining together of a man and woman can be found throughout all societies of the world and predates the written language, the use of sophisticated tools and expressions of art. However, this practice has taken on many forms in the long history of mankind (â€Å"History of Marriage†, n.d.). Ancient peoples formed societies because they found safety in numbers, the ‘pack mentality.’ Pairing-off into man-woman couples provides many advantages that are common to early and modern day people as well which includes the proliferation of bloodlines, a structured system that enhances the chances for successful reproduction and allowing for an orderly procedure in which to pass along property and other assets to family members. Marriage, in both early history and today, is the product of love and affection and, to roughly the same degree, a need for economic and social stability. The custom of wearing a wedding ring dates back to the days of Ancient Rome. Its round form was and is still believed to symbolize an eternal and never-ending union of two souls (â€Å"History of Marriage†, n.d.). Around the time of the fall of the Roman Empire, the practice of polygamy was officially prohibited and laws were enacted banning adulterous relationships as well as all other types of relationships that were considered inconsistent with a permanent, monogamous covenant. These

Theater Article Example | Topics and Well Written Essays - 250 words

Theater - Article Example Alas!  There emerges an energetic, fresh and composed man dressed up in black overall, pair of trousers, and socks. His black Spanish cape sits firm and symbolic on his head. His hands clutched around his crotch as he walks majestically to center stage, staring at the ground a little worried. Behind him follows a nonchalant woman dressed up in a grey dress. The man takes a turn and stands on some pulpit looking at the sky in awe. The woman scales up the single staircase and sits comfortably on the traditional chair. Another man in white, gray official and tie emerges at the entrance, gently scrubs as he gazes at the entrance board. He then walks to center stage, stands there shortly. He turns to a second woman behind him. They approach each other with intense passion, almost kissing†¦, but then the woman withdraws and runs to the back of the stage as a group of elegantly dressed female dancers storm the stage. They go round the man and take positions on stage, start dancing ma rvelously after signal from the lady queen who sits on the staircase as the woman on the traditional chair comes up. The dance surges in intricate patterns. One dancer woes the official man to join the dance but he is adamant. Finally, the female dancers win him over. They sit down and watch as the man starts to dance alone impressively on

Marriage and Divorce Essay Example | Topics and Well Written Essays - 3750 words

Marriage and Divorce - Essay Example This discussion takes an in-depth look at marriage and divorce including a brief historical assessment, statistics and trends regarding both marriage and divorce and the many varied factors that contribute to divorce. It also includes the story of a couple that are now happily married after both experienced divorce and input from two experts in the field who give advice on how to avoid actions and feelings that contribute to an unhappy marriage. The sanctioned ceremonial joining together of a man and woman can be found throughout all societies of the world and predates the written language, the use of sophisticated tools and expressions of art. However, this practice has taken on many forms in the long history of mankind (â€Å"History of Marriage†, n.d.). Ancient peoples formed societies because they found safety in numbers, the ‘pack mentality.’ Pairing-off into man-woman couples provides many advantages that are common to early and modern day people as well which includes the proliferation of bloodlines, a structured system that enhances the chances for successful reproduction and allowing for an orderly procedure in which to pass along property and other assets to family members. Marriage, in both early history and today, is the product of love and affection and, to roughly the same degree, a need for economic and social stability. The custom of wearing a wedding ring dates back to the days of Ancient Rome. Its round form was and is still believed to symbolize an eternal and never-ending union of two souls (â€Å"History of Marriage†, n.d.). Around the time of the fall of the Roman Empire, the practice of polygamy was officially prohibited and laws were enacted banning adulterous relationships as well as all other types of relationships that were considered inconsistent with a permanent, monogamous covenant. These

Jennifer Weltz Discussion Board Coursework Example | Topics and Well Written Essays - 250 words

Jennifer Weltz Discussion Board - Coursework Example The background image of an open book and presentation of various authors work is informative on the role of the corporation. Furthermore, the placement of functional hyperlink at the top region of the website makes navigation easy. In addition, the information about presented on the website is appropriate for the purpose of the website. Consequently, this among other reasons brings out the purpose of the website. 1. As the president of JVNLA, an organizational that has sold books domestically and internationally for almost two decades, I would like to know what do you look for in an author’s work that makes JVNLA what it is today (Our Team: Jennifer Weltz )? 3. With regard to your speech to the Historical Novel Society Convention that was held in San Diego, Madam President I quote â€Å"†¦I try to help my authors receive what they need to make their books reach their highest potential†. To me this implies that you have a commanding knowledge in realizing what it takes one to be the best author. Do you have any plans to nurture potential authors

APA Help Center Analysis Essay Example for Free

APA Help Center Analysis Essay The website APA Help Center from the American Psychological Association (http://apahelpcenter. org/articles/topic. php? id=2) is all about articles and information focusing on family and relationship. It is demonstrated by a picture of a father and son on the upper right part of the webpage. In the center, the main heading â€Å"Family and Relationships† covers 49 subheadings that vary from disorders, parenting, stress to sexual orientation. The website is particularly useful and functional to me in a sense that it offers helpful advices with regards to certain family relationships such as parenting and psychological disorders such as mental health, emotional wellness and anger management. It also offers a number of tips on specific issue. If I want to have knowledge on how to help a friend who is suffering from chronic illnesses, the website is indeed of great help. It bestows me a realization that I, as a friend and loved one, need not be afraid because chronic illness is not contagious, instead, I must help my friend deal with it by offering support and care. The website itself is divided into seven parts namely about the APA Help Center, featured topics, articles and information, find a psychologist, request information, for reporters and home. However, I focus on the articles and information because of some reasons I have stated earlier. Moreover, the mentioned part of the website provides enormous information and knowledge. It serves as a virtual psychologist to me. There is no need for me to go and see a psychologist just to be informed on some things of utmost importance such as coping with stress, how to control anger, how to deal with back-to-school blues, and a lot more. Nevertheless, if I desire to talk to a psychologist, the website has already done a template on finding one nearest to my area. I greatly recommend the site to everyone I know because it is indeed useful. If there are issues with regards to particular things that are not on the list, a person can still find some useful information by using the search template on the uppermost right part of the page. Reference American Psychological Association. (2004). Family and Relationships. APA Help Center. Retrieved March 2, 2009 from http://apahelpcenter. org/articles/topic. php? id=2.

Billboards And Transit Advertisements Media Essay

Billboards And Transit Advertisements Media Essay Another research Street Smart was a successful pedestrian and bicycle safety program implemented in 2002, to educate the public on the severity of this problem and to promote pedestrian participation organizations concerned about the public safety issue, and funded by several Districts, countries and stat e agencies. Pedestrians were targeted with a variety of outdoor opportunities .12 posters were placed in key Metro stations around the area. 65 bus backs were created and placed on buses. They were targeted to reach pedestrians running to catch buses three posters were produced which dealt with pedestrian behaviors and safety issues. One side was printed in English, with the second side in Spanish. These were distributed for display in government buildings, schools, and libraries, parking garages, grocery stores and various events, In order to validate the campaign and judge effectiveness of the effort, a longitudinal tracking study was conducted both before and after the campaign. Evaluation goals were to discover if public awareness of pedestrian and bicycle safety issues was increased. Awareness of the advertising and public relations campaign for Street Smart increased. Awareness of the advertising and public relations campaign for Street Smart increased significantly between the pre-campaign survey and post-campaign survey among motorists 18 to 44 years of age, although there was a significant increase in awareness of the Street Smart Campaign to make drivers aware of pedestrians and the laws to yield to them in crosswalks. Hence outdoor medium played a significant role in bringing awareness among people. In country India, Coca Cola keep up to the Polio Pulse program, elevated attentiveness throughout outdoor promotion in appearance of hoardings, posters and banners, community declaration on the behalf of companys circulation motor vehicles and improving workers helpers on vaccination axis and also for activate communities. The Government of India prepared to launch the biggest polio vaccination force in 2000, In India Coca Cola and International Rotary declared a foremost nationwide partnership to help the Governments hard works to struggle for the mortal syndrome. It was later calculated (not scientifically) that a large majority of people responded by dropping suggestion in the suggestion boxes. Moreover it was observed that during this campaign the sale revenue of Coca Cola increased. There were at least 35 billboards: Coca Cola India and Rotary International also funded 15-transit advertisement. Their target was not only rural but sub- urban areas as well. The campaign was succes sful in bringing awareness and perception and outdoor medium proved to be an integral part of the media, playing a positive role in the society. If we talked about health care issues, Outdoor advertising plays a very fundamental role. On August 10, 1995, President Clinton announced some steps and plans to restrict the advertising, promotion, distribution and marketing of cigarettes to teenagers (White House Press Release 1995, P. 1). The Government stress on young people to prove identity or show ID card to buy a cigarette and also Government broadcast that billboards advertising cigarettes or smokeless tobacco near playgrounds and schools should be forbidden. Another restriction that Government imposes on Advertising is that Image that attracts Minors is not being appreciated on the billboards. The marketing campaigns used for cigarettes to minor are banned and the ban includes items ranging from single-cigarette sales, T-shirts, and gym bags to the sponsorship of sporting events. The FDA wants to educate the people to start raising funds to and implement an annual $150 million campaign aimed at stopping minors from smoking (White House Press Release 1995, P. 2). Another Goal of U.S. Department of Health and Human Services is to reduce half of the number of minors who start smoking. The 1994 Surgeon Generals Report (U.S. Department of Health and Human Services 1994, p. 5) found that over three million children smoke cigarettes and a supplementary one million teenager males use smokeless tobacco also daily 3000 youths become regular smokers (Institute of Medicine 1994, p.8). The younger the age that a person starts to smoke the superior the chance of becoming a heavy smoker (cf. Escobedo et al. 1993; Taioli and Wynder, 1991). Seventy percent of minors who do smoke apologize for their assessment and 66% would like to give up (George H. Gallup International Institute 1992, p. 54). Although the smoking rates for adults have declined, the smoking rates of minors have failed to decline in a decade. In the FDAs (1995) Proposed Rules, Section 897.30(a) sets out acceptable forms of advertising. Advertising that has the cigarette or smokeless tobacco product brand name (unaccompanied or in combination with any other word) or any other indicia of tobacco product classification may appear only in newspapers, magazines, journals or other publications; on billboards, posters, and placards (in accordance with section 897.30b). Another Section 897.30(a) deals with advertising of cigarettes and smokeless tobacco goods to adults. The use of color is not prohibited in these advertisements. The advertisements may have slogans, symbol, and other forms of categorization. Imagery is allowed, because the effect on young people would be nominal. Section 897.30(a) places no limitations on advertisements for tobacco products in adult publications. Projected Rule Section 897.30(b) states that no outdoor advertising, such as billboards, posters, or placards, may be placed within 1000 feet of any playground, elementary school, or secondary school (p. 41374). The projected policy put out numerous separate rest rictions on advertising. The first illustrates acceptable forms of advertisements in adult publications (Section 897.30a) and a more preventive format in publications that are understand by those less than 18 years of age (Section, 897.32). The second exclude outdoor advertising within 1000 feet of schools and play- grounds (Section, 897.30b). The third prohibits the marketing of sales promotion items (e.g., T-shirts) bearing any indicia of product recognition and prohibits the funding of events in the brand name (Section, 897.34). The rationale behind the conventions is not to avoid all sales of tobacco products, but the sale of these products to children and teenagers. The projected guideline limiting the design of advertising to minors should withstand a legal challenge. The Division of Health and Human Services has various studies to express the connection among smoking and health risks. The smoking velocity started to turn down later than cigarette advertisements were forbidden from the electronic medium. The projected limitations on outdoor advertising and the proposed ban of promotional matter also are expected to survive legal inspection. Governmental history supports this vision. So it can now rightly be said that Outdoor media can play a vital role in the society norms and prevents any discrepancy. Continuation of Outdoor advertisement related with marketing and restrictions, it is said that the U.S cigarette companies have been under pressure for decades. The most major problem facing by U.S tobacco industry is the Food and Drug Administration (FDA) rule. The rules for FDA are to restrict the sale and distribution of tobacco products to children (60 Fed. Reg. 41314). After only one year of this restriction the FDA announced and intended to protect children from using tobacco products. (61 Fed. Reg. 44396). Here the role of Outdoor advertisement is for social purpose. Through advertising you can convey bad message as well as creative and constructive message and for that FDA bans the cartoon images to protect the children from taking tobacco habits. Only advertisement allows portraying the people such as Marlboro cowboy. The FDA also rule, that advertising should not be in white backgrounds and black text. The specific rule that had been taken by FDA for outdoor advertisement w as to ban all billboards within 1000 feet of schools and playgrounds and limit all outdoor advertisement to black and white only. According to FDA agreement all transit advertisement including sign in stadiums, arenas, shopping malls, video gaming centers related with tobacco industry must be prohibited. Here the main problem is for the retailers and the manufacturers of the tobacco industries. Hence the proposed settlement was to ban all outdoor advertisement even if advertising is inside a retail store that was visible from outside so it is not surprising that tobacco industry suffers tobacco marketing restrictions. So it can now rightly be said that outdoor media advertisement played a key role for creating perception of the people. If you do outdoor advertisement for social cause then definitely it creates impact to the people by generating awareness. So outdoor media is a unique and effective media for communicating with the people. Hence understanding the importance of this me dia, government implements certain rules and regulations. More lately, (Pollay, 1986) recommended that advertisement is so persistent, rhythmic, and specialized that involuntarily it can affect our society in both negative and positive way as a entertaining institution. Furthermore, (Lantos, 1987) accomplished that advertising imperfectly reflects our lives, although it can strengthen and accelerate the pace of social change. A very interesting fact is that the majority of disapproval of advertising from those who focus on advertising social functions. A quote from a Stanford historian amplifies this concern. Although it wields a huge social authority, comparable to the influence of religion and learning, it has no social goals and no social accountability for what it does with its influence so long as it refrains from palpable violations of truth and decency. It is this lack of institutional responsibility, this lack of inborn social purpose to balance social power which, I would argue, is a basic cause for concern about the role of advertising (Potter 1954, p. 177). In 1959, the National Industrial Conference Board carries out a survey between advertisers to find out the common areas of concern for advertising management. As a result of their survey, the Board initiated major studies dealing with the following topics: Estimated spending strategies. Pre-testing advertising. Evaluating media and determining advertising efficiency. In additional words, all of these conclusion making areas are apprehensive with civilizing the efficiency of the advertising effort, but they imagine that the firms strategic decision to advertise was sound. So it can now rightly be said that advertising is a much additional effective promotional tool for escalating brand demand in some manufactured goods/market situations than others. Booming advertising depends on the correct combination of several factors. The most of these factors includes (The Economic Effects of Advertising, Neil Borden) The tendency of demand in the exacting industry is supposed to be getting higher. There are supposed to be an opening to encourage particular demand. There is considerable chance for product discrimination. Consumer happiness depends on unknown characters that cant be easily evaluate at the time of acquire. Powerful emotional buying motivation survives. The arrangement of potential unit sales times rate of gross margin must be high sufficient to authorize necessary advertising expenditures in the particular product. So the basic purpose of advertising appraisal system explained above is to discover what role advertising should play in completing the marketing goals of the firm. The process of setting advertising objectives has the benefit of supporting management in setting objectives which are responsive to conditions within the firm, the market, and the economic environment. The strategic importance of the appraisal conclusion in the series of advertising management decisions is demonstrated as under. Figure 2.1 This structured procedure that described above is to suggest relieve to managerial resolution making. Advertising in Pakistan Advertising industry in Pakistan has flourished immensely and has bought handsome revenue to the country. Advertising in Pakistan according to Aurora, a bi-monthly magazine published by Dawn Group of publication in November -December 2004 edition, Maryam Ali Baig writes despite the endemic weakness of Pakistans economy in the last 10 years, the advertising industry has seen growth during this period. Moreover, the total worth of the advertising market in 2002 was, according to Gallup estimates, 8.1 billion rupees. (135 million dollars annually). Advertisers in Pakistan cater almost all the needs of the people. There are all types of advertising being done in Pakistan. Due to innovation in technology and graphics advertising in Pakistan has taken a new step. The advertisers now urge for the very best for their product. Brief History of Advertising in Pakistan Advertising was first seen in form of print in Pakistan. Newspaper was the first medium for the advertising later. Magazines and other form were chosen for advertising. Radio also aired advertising, after all these advertisements were bringing in, profits with them. Television emerged late in broad medium of Pakistan. However, it became an effective medium for the advertisers. Not only international products, but also national products were advertised on television. Advertising agencies with the advancement in technology adopted new trends. Outdoor advertising became an integral part for any commercial or non-commercial advertising. Although being the oldest medium, it was recognized later in Pakistan. Advertising Media in Pakistan The advertising media being used in Pakistan is covering almost all international standards. The advertisement media in Pakistan includes: Broadcast (Television, radio), Print (Newspaper, Magazines, Pamphlets, Broachers, Banners), outdoor (Billboards, Transit Advertising, Electronic Billboard, Posters), below the line (Loyalty Cards, Buntings, other stationary items). Advertising in Pakistan, has set new parameters designed for development in many grounds. Like many other fields, advertising in Pakistan, is playing a positive role in progression for the country. Advertising itself, has many roles which it performs in many any society. Pakistani society, on the whole is based on religious governing comprising of sacred norms and folkways. There are certain dos and donts in any society. Advertisers are bound to follow these norms for their own good will and success. Advertising in Pakistan is performing all these roles. Advertisers in Pakistan follow the given norms and values of the society. For example, it is unethical to advertise anything regarding sexual context, Champaign advertisement, or anything against National Integrity of Pakistan. Furthermore, it is unethical to advertise anything about any religion. Advertising is playing a vital role in Pakistani society both economically and socially. It is catering for the needs of the audiences in many ways for example, by providing them consumer good services, informing them about new products, entertaining them with new methods and last but not the least, performing many social cause tasks to gain goodwill and publicity for their name. Functions of Advertising in Pakistan Advertising performs four main functions in any society. To Inform To interpret To entertain To persuade In Pakistan, the advertising takes the responsibility of informing people about new products and services. This is not only in commercial use but non-commercial field as well. The advertisers select the media for transmission of their message accordingly to the requirement of the product/service. The audiences are informed through various mediums of mass communication. It is generally observed, that many times people dont know the importance or value of the product or service. Hence, it is the responsibility of the advertiser that he interprets the core meaning of the product/ service in the right manner. In Pakistan advertising share a healthy and sometimes conflicting competition. Various products/ services require different types of entertainment. There are many new trends being brought into this field. For instance, Hilal Sweets has taken the initiative of bringing in banded songs for their products. Pakistani advertising also carries other elements such as celebrity endorsement, transformational advertisement. Advertising in Pakistan, Has given a boost to the economy of Pakistan. The main function of advertising in although to persuade the audiences to actually purchase or adopt their product and service. Although, persuasion alone doesnt complete the entire function. It is interconnected with other functions to be a success. Tools of Advertising in Pakistan Some important tools for advertising in Pakistan are newspaper, magazine, radio, television, direct mail and mail order, outdoor display and transportation. (Tariq khan, 2001) Print The reading habits of Pakistani society are not healthy as compare to the broadcast medium. Another reason can be of low rate of literacy. Yet, mostly the advertisements are targeting to the audience through newspaper, magazines, pamphlets and many other forms of print. It can also be the reason of flexibility of the coverage aspect. Other than that fresh and new advertising can also be done through newspapers. For instance, Mobilink, a famous cellular company in Pakistan recently launched its testing campaign through print and then finally executed in the newspaper. Magazines are also a source of advertising in Print. They are further divided into many categories. For instance, a fashion magazine covers all the aspects of fashion and advertising what is new and what are the coming trends. They are not as popular for advertising as they are a bit expensive and probably not the feasible medium for people. Broadcast Television is a dynamic force in the advertising field. In Pakistan, advertising is heavily relay upon television.There are various time slots as morning time transmission, noon, prime time and nighttime transmission. Mostly prime time is selected for advertisements. The Viewer ship of this time slot, in comparison with others is high. There is also an aura of glamour and excitement about television, which extends to the products being advertised like newspaper and radio also depends upon advertising. In Pakistan radio is an effective medium of mass communication. It has a wide scope and is capable of nation-wide as well as local presentation. Due to its reach in villages it can also attract agricultural, fertilizer and pesticides advertising. Like television, radio also has a proper time to advertise these products/services. These advertisements are aired when the listeners are not engaged in other activities. Outdoor Outdoor advertising in Pakistan can be tailored to cover a specific area and the whole city as well. In Pakistan, the outdoor advertising enjoys the distinctly visual advantages of color, size and locations. Billboards and chalking on walls are stationary tools of outdoor advertising. Whereas transit is the mobile tool of outdoor advertising Significance and scope of Advertising in Pakistan In Pakistan, advertising is message industry that plays a major role in shaping the content and operation of the mass media. Advertising plays an important role in our culture. It not only shapes our lifestyles but also reflects what our cultural norms are. Furthermore, Pakistan being a developing country does face hurdles in this field. There are certain norms, which should not be violated while designing any advertisement. (Abbas Qamar, 2001). Advertising Done in Pakistan for social cause Before discussing various types of social advertising being done here in Pakistan an overlook on the meaning and importance of the word social has to be comprehended. Further why is it associated with advertising? The word Social comes from Latin language socialis meaning ally, associate. According to dictionary it means involving allies or confederates. In context of the meaning it can be said that social is involving, interacting or conflicting with each other or with the environment. It would be more appropriate if social is taken in terms of society. The meanings given above indicate to involvement. But involvement with whom? Obviously with each other and that is done in any group, which is a semi part of any society. It is understood that social leads in reference to society and in any society many functions need to be sustained. Any society may be comprehensively described as an organized community of people who live and function in a single social medium. Thus, it can be said that society may have many other divisions. Any society can be divided into further divisions such as health, political, educational, legislative, environmental and social. In context of the previous discussion it can be said that society has various divisions and sub divisions. In Pakistani society, the advertising medium is being done in various sectors. Some of them are discussed below. Health Advertising The Ministry of Health in Pakistan has taken measures to promote the message of the institution. For this purpose they have chosen various mediums to promote these issues. A successful example of this may be polio campaigns around Pakistan. The techniques used by them are similar to the advertising techniques. Another example cited here can be HIV/AIDS. Both issues are being highlighted in a very successful manner. There are some donts in making of the later advertisement, which are observed strictly in making of the advertisement. Every medium has different reach and frequency and they are selected on those basis. Political Advertising During elections and other political rallies, advertising of the political parties plays a significant role in promoting good name for them. For this purpose, various techniques are used. There are respective advertising messages done by them. More ever, social advertising in this aspect makes a feasible change in their voting list. In Pakistan, even to-date these rallies and elections use orthodox methods in promoting their message more effectively. Legislative Advertising In Pakistan, the main body is the Legislative body. For the government, the taxes implied for any advertisement is reduced. In addition, government takes measures to advertise in welfare of public as well as for their own interest. Educational Advertising In Pakistan, education is the most talked issue of today. Successful examples were Punjab Educational Program and another example is of National Development Housing in Karachi. The purpose is to create awareness among people about educating their children and giving them best in life. For this objective, advertising techniques are used to promote the cause. Outdoor Social Issues Other than the above-mentioned issues, there are social issues being highlighted in advertising. They are advertised either by any company as their social responsibility, or by any non-governmental organization to promote any social cause. For instance, advertising of women rights through various mediums. Social responsibility Social Advertising has developed tremendously in Pakistan. Companies usually support particular causes or sectors and adopt these through a comprehensive and complicated internal decision making process. For Instance McDonald Pakistan hosted Worldwide Children Day. Moreover, they raised funds for the helpless children. Shell Pakistan Assigns a certain percentage of its net profits to social investment that is unrelated to branding. The five key areas shell supports are: health, education, community welfare, heritage and environment. These are in line with its commitment to sustainable development. The Dalda Campaign aimed at raising fifty hundred thousand rupees for the Shoukat Khanum Memorial Hospital. Dalda placed billboards at prominent locations in the major as well as smaller cities of Pakistan. After sometimes of this campaign, Dalda informed its consumer that about thirty hundred thousand rupees were raised for this purpose. CHAPTER 3: RESEARCH METHODS 3.1 Method of Data Collection Procedure For data collection, I had to go to common people and interview with the respondent. Asking them about their age and giving them the questionnaire. As the sample was mostly the mobile audience, I had to wait with them until they had finished the questionnaire. The sample size for the research was one hundred and one hundred questionnaire was finalized. 3.2 Sampling Technique Convenience sampling technique was used. The sample for conducting this research comprised of both male and female .Mostly they were selected from the public places. 3.3 Sample Size The sample size for this research was 100. Instruments of Data Collection Keeping in view the requirement of the study a questionnaire comprising ten questions was constructed. Mostly close-ended questions were opted in which respondents were asked to select an answer among a list. 3.6 Statistical Technique After data collection, data was designed with the help of SPSS for composing thesis script. Technique of one way ANOVA has been used to test the variables. CHAPTER 4: DATA ANALYSIS 4.1 Findings and Interpretations of the results Technique One way ANOVA Dependent variable = Social Cause (Average of Q 6,7,8,9, 10) Independent variable is found in question no 2, which depends on 5 categories a) AIDS Awareness b) Anti smoking c) Reckless driving e) Health cause d) Drug/Alcohol abuse Test of Homogeneity of Variances Table 4.1 Social. Cause Levine Statistic df1 df2 Sig. 2.166 4 95 .079 Assumption of homogeneity of variance is not violated ANOVA Table 4.2 Social. Cause Sum of Squares df Mean Square F Sig. Between Groups 1.285 4 .321 1.097 .363 Within Groups 27.821 95 .293 Total 29.106 99 Sig value is greater than 0.05 which shows that the mean difference between all categories is not significant. Descriptives Table 4.3 Social. Cause N Mean Std. Deviation Std. Error 95% Confidence Interval for Mean Minimum Maximum Lower Bound Upper Bound AIDS Awareness 24 4.1667 .45556 .09299 3.9743 4.3590 3.40 4.80 Anti smoking 41 3.9171 .50789 .07932 3.7568 4.0774 2.80 5.00 Reckless driving 18 3.8667 .67563 .15925 3.5307 4.2026 2.80 4.80 Health cause 15 4.0267 .59458 .15352 3.6974 4.3559 3.00 4.80 Drug/Alcohol abuse 2 4.1000 .14142 .10000 2.8294 5.3706 4.00 4.20 Total 100 3.9880 .54221 .05422 3.8804 4.0956 2.80 5.00 4.2 Hypotheses Assessment Summary According to this table, the mean value for all social causes is around 4 that reflect the highly significant effect of out door advertisement in creating perception and awareness for social cause. This shows that the hypothesis reflects a positive role of social advertisement in bringing awareness and perception for social cause. The awareness level for all the causes are there. People know the effectiveness of social advertisement. CHAPTER 5: CONCLUSION, DISCUSSION, IMLICATIONS AND FUTURE RESEARCH 5.1 Conclusion According to the research and the research result, the study shows that there is the positive role of outdoor social advertisement for bringing perception and awareness for social causes. People show the outdoor advertisements and create perception for certain causes. For Example in Reckless driving cause, people daily see the road signs of using helmet while driving a motorcycle, we also see a common slogan for reckless driving Speed thrills but kills or the people also see the speed limits while driving. So there is an awareness level build inside the people. 5.2 Discussion The outside screening viewers are mostly portable. The Public take a trip rapidly in automobiles or walk at a quick speed as they execute the movement of everyday life. Accurately measuring the mobile audience is very difficult however, for this research survey method was used. For this purpose the sample selected was 100 (n=100). The sample selected was divided into three age groups that are 20-25, 26-30 and 31-36 respectively. The age groups include male and female both. Awareness levels are not significantly different between men and women regarding outdoor that is seen and remembered by a greater proportion of 16-44 olds. The sample was divided, in three age groups to analyze, the awareness of the social outdoor advertising. The first group was basically: chosen in order to, analyze their awareness regarding social outdoor advertising. The people of this age group are young, and they are probably more inclined towards adopting new trends and change. The second age group was selec ted in general, because these people are heading towards, their practical and professional life and they probably take more practical measures to imply these social message in their life. The people of the third age group are probably more learned and experienced. It has generally been observed that people of this age group are mostly reluctant towards innovation .So, to see if social outdoor advertising has been successful in bringing awareness in their already formed ideas and concepts, this age group has been selected. All the institutions within society have some responsibility for helping to maintain social harmony through proper stewardship of families and companies exercise of honesty and integrity in all relationships, adherence to accept ethical standards, willingness to assist various segments of the society, and the courtesy to respect the privacy of others. Furthermore, media being an integral part of society plays an important role in any society. Outdoor is considered to be one of the oldest advertising mediums, yet technology has provided an opportunity to develop creative, eye-catching messages. The need to convey the social messages to a large number of people at same pace and time has been provided by social outdoor advertising. This research is based on Role of outdoor advertisement in bringing perception and awareness for social cause. Thus, the survey leads me to the conclusion that the hypothesis is correct in empathizing that outdoor advertisement plays a positive role in bringi ng perception and awareness for social cause.

Technology is a Benefit to Our Society Essay -- Argumentative Persuasi

Technology is a Benefit to Our Society Over the last century, our world has evolved so much, because of the growth of the technological field. Although we spend a lot of money in order to gain new information, the reward goes far beyond the cost of money. In this case, the reward is the ability to save the lives of millions of people. In his essay, â€Å"The Technology of Medicine,† Lewis Thomas describes the three levels of technology; Nontechnology, Halfway Technology, and Effective Technology (582-583). â€Å"Nontechnology† has become the therapeutic part of technology, which helps patients through the emotional and mental effects that a disease can have on them. â€Å"Halfway Technology† is the name given to procedures, such as transplants, that prevent deaths of patients from the failure of certain organs of their bodies. However, the most important level is â€Å"Effective Technology† which consists of inventions used to help manage, eliminate or detect certain types of diseases before t hey have a chance to progress to higher levels within patients’ bodies. All these gadgets show that technology can be used as a benefit to humankind, only when used for the correct reasons to avoid such disasters as the cancer caused by bomb testing in Terry Williams’ essay, â€Å"The Clan of One-breasted Women.† Effective technology has not only touched the lives of people living in the United States, but those living all around the world as well. Through the invention of immunizations, we have been able to eliminate many diseases, such as smallpox, that have caused the death of millions of people in past generations. If not for the invention of antibiotics, the time and money that would be spent on treatments for infections would be much greater than ... ...s made in my life; and if it were not for the different inventions that have come out of technology, many of us would not be here today. How has technology made a difference in your life? Maybe you should think about that question before taking your own decision on this subject. Works Cited Gould, Stephen Jay. â€Å"The Terrifying Normalcy of AIDS.† The McGraw-Hill Reader. 8th ed. Ed. Gilbert H. Muller. New York: McGraw-Hill, 2003. 594-597 Selzer, Richard. â€Å"Sarcophagus.† McGraw-Hill Reader. 8th ed. Ed. Gilbert H. Muller. New York: McGraw-Hill, 2003. Thomas, Lewis. â€Å"The Technology of Medicine.† McGraw-Hill Reader. 8th ed. Ed. Gilbert H. Muller. New York: McGraw-Hill, 2003. Williams, Terry Tempest. â€Å"The Clan of One-Breasted Women.† McGraw-Hill Reader. 8th ed. Ed. Gilbert H. Muller. New York: McGraw-Hill, 2003. 598-607 4 Montilus 1

Factors Influencing Family Physicians Prescribing Health And Social Care Essay

Due to turning international concern about the quality of ordering in primary attention, research workers and policy shapers have made interventional schemes to better prescribing. Drug outgos are large load and threaten of wellness attention budgets. It is disputing undertaking to better ordering form in medical pattern. The ordering wont by general practician is a complex activity and depends on the interplay of many factors. In recent decennaries, these factors have been shown to act upon household doctor prescribing form ( 1 ) . ( 1 consequence of advertisement ) Analyzing factors associated with household doctors ‘ prescribing is considered to be of high value since high per centum of drugs are prescribed by primary attention doctors. These factors interact in non additive and unpredictable ways ( 2 ) . ( 2 factors act uponing GP Allan ) . As consequence of assorted influences, ordering wont alterations of the single doctor normally occur easy. ( 3 ) ( drug prescription forms Bjerrum ) . For the range of this reappraisal we classify factors associated with household doctors ‘ ordering into four classs. The first class includes factors related to doctors ; age, sex, old ages of experience, and uninterrupted medical instruction. The 2nd class includes factors related pattern scenes ; size of pattern, figure of patients, guidelines and usage of drug pharmacopeia. The 3rd class includes factors related to drugs: advertizement and cost. The 4th class includes factors related to patients ; age, sex, comorbidity and multiple health care suppliers. Therefore, the purpose of this reappraisal is to place and to measure factors impacting household physician ordering behavior. The research inquiry formulated to province, what are the factors impacting household physician ordering behavior.MethodsIn this literature reappraisal we chose loosely inclusive hunt scheme with two phases. In phase one, a hunt has been conducted utilizing the undermentioned cardinal words: â€Å" prescription † , â€Å" prescribing † , â€Å" prescribing forms † ordering attitudes † , â€Å" ordering factors † , â€Å" ordering indexs † , primary attention ordering † and â€Å" GP prescribing † . In 2nd phase, after calculating out the factors associated with doctors ordering forms based on first phase, a 2nd hunt has been conducted utilizing the undermentioned footings â€Å" guidelines and ordering † , â€Å" drug cost † , â€Å" drug advertisement † , â€Å" drug formulary † , â€Å" polypharmacy † , repetition prescriptions † and â€Å" new drug † . We searched midplane, Pub med and Eric from 1990 to 2009. From articles fulfilling preliminary inclusion standards, the mention lists were reviewed. Based on the initial reappraisal our concluding inclusion and exclusion standards were determined. Study Selection The inclusion standards are: a ) articles assessed ordering in primary attention scene, B ) article recovering information from prescription database. We excluded articles written in linguistic communication other than English, surveies that assessed specific drug group or drugs for specific disease. There were no geographic restrictions.ConsequencesWe found 31 surveies that met our standards. All surveies used a database for informations aggregation, 12 and 13 prospective and retrospective surveies severally ( table 1 ) .Factors related to doctor:It has been found that there is a important relation between certain primary attention physician features and their prescribing behaviour. Younger primary attention doctors have higher rates of new drug use. Female sex and recent graduation i.e. less old ages in pattern are associated with high drug use rates ( 4,5,6,7,8,9 ) ( 1, 4,18, 19,31,32 ) .One survey showed that no influence of physician age or figure of old ages in pattern on polyp harmacy in peculiar ( 6 ) ( 18 ) . High prescribers did non differ significantly from low prescribers in age, figure of old ages in pattern, average pattern size or patient age. ( 9 ) ( 32 ) Gill et Al has found no effects of doctor ‘s ethnicity and topographic point of graduation on ordering forms ( 10 ) . ( 2 ) , However, two surveies demonstrated that doctors who were foreign trained tend to hold high prescribing rates and cost ( 9 ) ( 28,32 ) . Besides medical school found to be a factor associated with higher new drug use ( 7 ) ( 19 ) . Continuous medical instruction ( CME ) has an consequence acceleration of new drug acceptance ( 5 ) ( 4 ) . An educational intercession plans improve ordering forms and may ensue in important clinical benefits ( 11,12 ) ( 3, 25 ) . It is besides noticed that ordering wonts are influenced by scientific documents, specialist recommendations and meetings ( 3 ) ( 14 ) . Financial inducement found to hold a impermanent consequence on altering prescription behaviour ( 13 ) ( 26 ) . One survey showed that guidelines had a small consequence on antihypertensive drug usage. ( 14 ) ( 13 ) Adoption of new drug is of import ordering factor. Among five drugs studied Steffensen et Al found hapless understanding between early, intermediate and late prescribers. Late prescribing was associated with female doctors. ( 5 ) ( 4 )Factors related to patternThere is a additive correlativity between the figure of prescribed drugs and figure of general practicians in the pattern ( 15, 16 ) ( 12, 15 ) . Physicians with big pattern prescribed more drugs than those with little pattern ( 4, 16 ) ( 1, 15 ) . In footings of polypharmacy, one survey showed 56 % of ordering fluctuation between general practicians could be explained by forecasters related to pattern construction, work load, clinical work profile and ordering profile ( 17 ) ( 6 ) . It has been noticed that high work load patterns tend to hold a high prescribing rates. ( 4,18 ) ( 1,27 ) , However in patterns with big figure of listed patients, doctors prescribed fewer drugs per patient compared to patterns with low figure of listed patents. ( 6 ) ( 18 ) McCarthy et Al found a important correlativity between the figure of drugs prescribed and the figure of physician working in the pattern. ( 15 ) ( 12 ) The diffusion clip of new drug after its release is longer in partnership pattern compared to individual handed pattern, the average diffusion times are 41 and 119 yearss for partnership and individual handed patterns severally. ( 5 ) ( 4 ) Fee-for-service type of pattern was considered to be associated with higher rates of new drug use. ( 7 ) ( 19 ) . Doctors practising in rural countries and holding high proportion of aged have lower new drugs use rates than those practising in urban countries. ( 7 ) ( 19 ) . Use of drug formulary and agreed verbal prescribing policy had no important association with the figure of drug prescribed. ( 15 ) ( 12 ) . Computerized reminders have some consequence on physician ordering behaviour. ( 19 ) ( 24 )Factors related to drugsDoctors ‘ interaction with drug industry found to get down every bit early as medical school. ( 20 ) ( 373.26 ) .It has been found that every bit many as 80 % of GP ‘s in both partnership and individual handed patterns had prescribed new drug 6 hebdomads and 21 hebdomads after its release severally. ( 5 ) ( 4 ) Tamblyn et Al addressed that the new drugs have 8 to 17 fold differences in use rate, and were prescribed by 1.3 % -22.3 % of doctors. ( 7 ) ( 19 ) . There is a additive relationship between polypharmacy and underprescribing. The higher the figure of the drugs, the higher the estimated chance of underprescribing is. ( 21 ) ( 23 ) . Provision of drug cost information in a computing machine based patient record system was found to hold no consequence on overall prescription drug cost to patients, nevertheless there was differences in single drug categories. It besides has been found that doctors are unfamiliar with the costs ofA medicines they normally prescribe. ( 22 ) ( 33 ) One survey has indicated that a important proportion in volume and costs is straight affected by hospital-initiated prescriptions. ( 9 ) ( 32 ) Repeat ordering accounted for the huge bulk of all points every bit good as prescribing costs. It accounted for 75 % and 81 % of all points and ordering costs severally. ( 23 ) ( 7 ) Among aged patients, the mean prescription was 99.4 % per 100 general practician contacts ; 72.1 % were repeat prescriptions. ( 24 ) ( 17 ) . Ashly et Al has found that ordering and professional behaviour appear to be affected by the present extent of physician-industry interactions. ( 25 ) ( 29 ) Reducing interactions between doctors and pharmaceutical gross revenues representatives has resulted in improved prescribing. ( 8 ) ( 31 )Factors related to patientsThe drug use rate additions with patient ‘s age. Patient ‘s age has more important consequence on drug use rate compared to patient ‘s sex ( 26, 27 ) ( 11, 16 ) . Repeat prescriptions significantly increase with patient ‘s age. It has been found every bit high as 72 – 90 % for patients aged 85 and over ( 23,24 ) ( 7,17 ) . In footings of patient ‘s sex, female patients were found to be given more drug points but less repetition prescription than male patients ( 27 ) ( 16 ) . In aged population, more than 60 % of perennial prescribing was for female patients. ( 24 ) ( 17 ) . Among patients aged 79 and under, female patients were pre scribed to significantly more times than males ( 28 ) ( 9 ) . Buck et Al found that female sex was associated with potentially inappropriate medicines ( 29 ) ( 22 ) . Patients with greater figure of chronic conditions, multiple health care suppliers and multiple clinic visits have higher hazard of developing polypharmacy and relentless polypharmacy ( 30 ) ( 8 ) . Ordering rates every bit good as costs increase with morbidity. ( 31 ) ( 10 ) .DiscussionIn this literature reappraisal we observed that doctors ordering behaviours are affected linearly or reciprocally by many factors. Doctors A important relation has been found between certain physician features and ordering behaviour. The findings that younger male doctors had higher ordering rate may be related to a causal nexus between some physician features, ordering behaviour and patient results. It is non clearly known why sicker patients would seek immature or male doctors, but these doctors may prefer more aggressive intervention than female doctors and older co-workers. ( 4 ) ( 1 ) Higher rates of drug use among younger doctors may be related the leaning for aggressive intercession, more established ordering behaviour in older doctors or targeted selling patterns. ( 32,33 ) ( 19 — -47,48 ) The determination that male doctor had higher rates of new drug use was supported by other surveies. ( 34 ) ( 19 — -8 ) Female sex, little list size, lower diagnostic activity per patient and restrictive attitude toward pharmacotherapy tantrum into topology of conservative doctors. Supported by some surveies, con servative doctors described as being light users of drugs. ( 35, 36 ) ( 4 — -9,19 ) It is surprising that for those doctors who qualified from different states, their ethnicity had no consequence on their prescribing behaviour. ( 10 ) ( 2 ) This could be related to secondary socialisation which occurs in approximately 5 to 6 old ages. ( 37 ) ( 2 — -2 ) Socialization through graduate student preparation and practicing in group pattern alterations ordering behaviour. ( 38 ) ( 2 — — -3 ) There was no direct nexus between postgraduate preparation degree and ordering behaviour. The degree of postgraduate preparation can be a factor in finding how readily physicians accept commercial beginnings of ordering information. Handouts from pharmaceutical companies were rated as really of import or of import beginnings of CME by significantly fewer certified members than non-certified members of the College of Family Physicians of Canada. ( 39 ) ( presc by can — — 59 ) Interventional CME for intervention of chronic diseases for illustration bronchial asthma resulted in some betterment in ordering behaviour. ( 11 ) ( 3 ) CME and other societal facts have been found gas pedals for new drug acceptance. ( 40, 41 ) ( 4 — -9,19 ) It has been suggested that there is a nexus between increasing age, non-attendance at CME classs, and inappropriate prescribing. ( 42 ) ( presc by can — 24 ) . But there was no adequate information, nevertheless, to research this hypothesis farther. Other surveies do non back up this account. ( 43,44, 45 ) ( presc by can 44-47 ) The intent of the execution of clinical guidelines is to better quality of attention. However, surveies have showed that the US National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure ( JNC ) guidelines apparently had small consequence on the form of antihypertensive drug prescribing. ( 14, 46, 47 ) ( 13, 13 — — 21 ) Two possible grounds, foremost is that doctors may be loath to alter drug therapy because of already good controlled blood force per unit area. Second ground may be that ordering behaviour was influenced by pharmaceutical maker promotional activities. ( 14 ) ( 13 ) Practice Puting Practice puting features have been shown to act upon ordering behaviour. The informations clearly demonstrated a relation between polypharmacy and pattern puting features. Practices with big figure of patients have fewer drugs prescribed per patient compared with patterns with low figure of patients. ( 48, 49 ) ( 18-22,23 ) This determination was consistent with other surveies. ( 6 ) ( 18 ) Busy working doctor were more inclined to order multiple drugs than doctors with low work load. ( 50, 51 ) ( 18 — — 24,25 ) It has been noticed that new drugs have been adopted by partnership patterns faster than unassisted patterns. ( 5 ) ( 4 ) The type of pattern besides influences doctors ‘ usage of drugs. Salaried physicians practising in government-funded community wellness centres had better ordering forms than doctors in fee-for-service group patterns. ( 52 ) ( pres bycan 5 ) Free-for-service patterns were associated with higher rates of new drug use. ( 7 ) ( 19 ) the ma gnitude of this association was non big plenty to anticipate major cost salvaging related to new drug use. ( 53 ) ( 19 — -52 ) . It has been noticed that fee for service patients were more likely to follow JNC guidelines than the patients with wellness care organisation insurance. Therefore, the patients with wellness care organisation insurance had no penchant for promoting their doctors to choose more cost-efficient drugs. In contrast, fee for service patients appeared to hold more penchant for choosing lower cost drugs. ( 14 ) ( 13 ) Although, fiscal inducements represent a non-voluntary scheme to implement alteration in medical pattern, it had a limited, impermanent consequence on the prescribing behaviour. ( 13, 54 ) ( 26, 26 — — -18 ) Working in rural countries influenced ordering behaviour. Lower rates of new drug use among doctors working in rural countries may be due comparative isolation of rural doctors from co-workers who may hold influence in the determination to order new intervention. ( 55 ) ( 19 — — 22 ) Merely one survey concluded that there was no important difference in figure of different drugs prescribed by patterns runing a formulary from that found among patterns with no formulary. This could be due to, that all doctors in those patterns may non follow with the formulary, or pharmacopeias contained a narrow scope of drugs. ( 15 ) ( 12 ) However, this determination was non supported by other surveies. The usage of pharmacopeia has been found to act upon ordering behaviours and cut down costs. ( 56, 57 ) ( 12 — -1,3 ) Drugs There are many factors related to drugs that may act upon physician prescribing behaviour. Early usage of new drugs may non be compatible with appropriate prescribing. Newness should non be seen as a virtuousness in a pharmaceutical merchandise and that it is important that physicians think more carefully before ordering a new drug. ( 58 ) ( presc by can ) Small proportion of doctors prescribed new drugs even for drugs that were known as supplying significant betterment over bing intervention. ( 7,59 ) ( 19, 19 — -8 ) Costss of wellness attention are escalated by increased disbursement and usage of prescription medicines. There was no adequate grounds that physicians ordering behaviors affected by consciousness of drug cost ( 60 ) ( 20 ) . It may be that physician ordering behavior isA insensitive to be information. other factors such as drugA efficaciousness, , patient conformity, side effects and peer recommendationsA may be more of import. ( 61 ) ( 20 — -5 ) Particul arly for chronic attention medicationsA that have proven to be effectual for an single patient, A cost may be a minor factor. However, several studiesA have shownA that instruction of doctors about drug monetary values can alter prescribingA behavior and cut down cost by bettering selectionA of cost-efficient drug intervention. ( 62,63,64 ) ( 33-18,19,20 ) In qualitative surveies drug monetary value was a perennial subject and was mentioned as the chief ground for taking first line intervention. Price was besides mentioned as the ground for drug switch. ( 2 ) ( factors Allan ) It has been noted that when doctors were cognizant that patients would hold to pay out of their ain pockets for prescriptions, or they learned from patients ‘ ailments to them, they modified their prescribing behaviour consequently. ( 58 ) ( pres by can ) At primary attention degree, every bit high as two tierces of all prescriptions were repeated. One possible ground may be the impact of infirmary prescribing in volume was most obvious with repetition prescriptions for patients with chronic upsets. ( 9 ) ( 32 ) Second possible ground is that big proportion of repetition prescription issued during indirect contact. ( 24 ) ( 17 ) In UK survey, it has been found that 23 % of the patients had been having repetition prescriptions for more than a twelvemonth without seeing their household doctors. ( 65 ) ( 17 — -2 ) Practices with high figure of patients on repetition prescriptions were found to hold an increased hazard of polypharmacy. It has been noticed that patterns utilizing a broad scope of different drugs had a high prevalence of polypharmacy. ( 66 ) ( 18 — -31 ) Doctors ‘ beginnings of information about pharmaceutical agents are likely to be a major factor in ordering behaviour. The drug representatives visited doctors on frequent bases utilizing a broad assortment of promotional techniques including drug samples, gifts, and educational stuffs. Accepting drug samples was associated with penchant and prescription of new drug ( 25,67 ) ( 29, 29-40 ) In one survey, it has been found that 85 % of medical pupils believe it is improper for politicians to accept a gift, whereas 46 % found it improper for themselves to accept gift of similar value from a pharmaceutical company. ( 68 ) ( 29 — -9 ) All educational stuffs sponsored by pharmaceutical industries including support for travel or lodging to go to educational symposia, industry-paid Meals, pharmaceutical representative talkers, CME sponsorship and honoraria, research support influenced prescribing. ( 25 ) ( 29 ) The determination that advertising on clinical package had small consequence on ordering behavior was similar to other surveies consequences when analyzing the relationship between ordering and advertising in diary. One survey found no relation between the advertisement and for a drug and the sum and prescribing by doctors. ( 69 ) ( 5 — -11 ) Patients It is sensible that patterns with high proportion of aged patient had high rates of drug use. The observation that some of patterns had sicker patients than others ; this observation may be due to that sicker patients chose specific patterns or physician ordering behavior may hold made their patients sicker. ( 4 ) ( 1 ) It is non clear why sicker patients chose peculiar patterns. One survey has found that patterns with high proportion of aged patients were associated with greater likeliness of prescribing of new drugs, but lower new drug use. It has been suggested that doctors faced patients with coexisting disease. ( 70, 71 ) ( 19-53,54 ) The determination that patients in the distant parts had low prevalence of drug prescribing may hold been because of limited entree to medical services. ( 72 ) ( Quesinable presc ) Females were prescribed more medicines than males. When gender-specific medicines are excluded the differences are less marked. ( 73 ) ( 9-16 ) When female-specific cura tive groupings and interventions are removed, differences still exist between male and female prescribing.DecisionsDoctors ordering behavior appears to be influenced by multiple factors. Majority of surveies in this reappraisal retrieve their informations from wellness database. However, these comprehensive wellness databases have no information on the indicants for drug intervention or ascertainment of comorbidity that may hold affect ordering behaviour. Therefore, properties of the pattern population demand to be considered as possible prejudices. Data is missing on combination of each factor to patient outcomes, this spread in the literature needs to be addressed. Therefore, it is hard to mensurate the rightness of doctors ordering. Physicians ordering behaviour can be improved by execution of easy progressing alterations. Finally, ordering is a clinical determination ; surveies ; of clinical determination devising are about people, behaviour and contexts. They need both quantita tive and qualitative attacks. Davidson et al. , 1995 Canada 336 general patterns Gill et al. , 1997 United kingdom 310 general practicians Denig et al.,1998 Nederlands 181 general practicians Steffenson et al. , 1999 Danmark 95 general practicians Handerson et al. , 2008 Astralia 1336 general practicians Bjerrum et ak. , 2000 Danmark 173 general practicians Harris et al. , 1996 United kingdom 115 general patterns Chon et al. , 2009 Taiwan 11338 prescriptions Mortin et al. , 2002 Newzeland 31 general patterns McGavock et al. , 1988 United kingdom 23 general patterns Fernandez et al. , 2008 Spain 5474274 prescription McCarthy et Al 1992 United kingdom 362 general practioners Guo et al. , 2003 USA 7.3 million prescriptions Bjerrum et al. , 2002 Danmark Bjerrum et al. , 2001 Danmark 173 general practioners Rberts et al. , 1993 United kingdom 90 general patterns Straand et al. , 1999 Norway 1677 prescriptions Bjerrum et al. , 1999 Danmark 173 general patterns Tamblyn et ak. , 2003 Canada 1661 general practicians Omstein etal. , 1999 USA 22883 prescriptions Grimmsmann et al. , 2009 Germany 730 general patterns Buck et al. , 2009 USA 61251 patients Kuijpers et al. , 2008 Nederlands 150 patients Martens et al. , 2007 Nederlands 53 general practicians Straand et al. , 2006 Norway 600 general practicians