Telemedicine for Type II Diabetes Mellitus

Telemedicine for Type II Diabetes Mellitus Diabetes Mellitus is a common chronic disease that requires lifelong medical care and control as well as constant patient self-management, education and support to prevent severe complications and to reduce the incidence of long-term complication70. Type II diabetes mellitus is increasingly common, mainly because of increase in the prevalence of a sedentary lifestyle and obesity1. This study evaluates and compares whether an intervention using SMS and telephone call would improve plasma blood glucoses levels (HbA1c, FBS, PPBS) for three months in patients with type II diabetes mellitus. Similar study was conducted by Piette et al. (2001) in which patients in a telephone disease management group had a reduction of HbA1c during the one year study period79. Hanauer et al. (2009) used email and SMS reminders to support diabetes management and noted a decrease in SMS use after two to three months74. Mahwi et al. (2013) reported that in their study pharmaceutical care provided by pharmacist to type II diabetes mellitus patients yielded a statistically significant reduction in the glycemic level83. Soriano Marcolino et al. (2013) concluded in their findings that in clinical practice, positive motivation and contact through telemedicine should be intensified over time to increase the impact on glycemia75. This study was conducted at the hospital. A total of 135 type II diabetic patients who visited the outpatient diabetic department of the hospital were included in the study. Out of which 40 patients were assigned into the SMS group, 45 patients into the telephone group and 50 patients into the control group. After duration of 3 months, 27 patients from SMS group, 30 patients from telephone group and 24 patients from control group came for review. The demographic details among the subjects reveals that 29 (34.6%) were males and 52 (65.4%) were females. The percentage of males in SMS, telephone and control group was 37.1, 36.7 and 33.3 respectively and the percentage of females in each of the groups was 62.9, 63.3 and 66.7{Table 1; Figure 1}. The mean age of male among the study population was 50.28Â ±9.05 and that of female was 49.98Â ±10.67 {Table 2; Figure 2}. In SMS group the mean age was found to be 48.85Â ±13.95, the mean age in telephone group was found to be 50.16Â ±8.21 and in control group it was 51.29Â ±11.46 {Table 3; Figure 3}. From a study conducted in Pune, India, it was found that the prevalence of type II diabetes was 4.6% with equal prevalence in both the sex. Greater prevalence in male was found in the age group of > 60 years while in females it was 51-60 years (Patil et al., 2013)30. Valliyot et al. (2013) reported that those above 50 years of age have five times more chance to get diabetes when compare d with those in the 20-30 age groups. Gender did not show any statistical significant relationship with diabetes31. A study done by Deepthi et al. (2013) showed an increase in the prevalence of diabetes with increase in age irrespective of the gender73. From the literacy distribution 53.0% of the patients are in the primary level, 23.5% of the patients are in the secondary level, 21.0% have degree and 2.5% are post graduate {Table 4; Figure 4}. Some studies reported that there is a relationship between literacy and health outcomes. For example DeWalt et al. (2004) confirmed that low literacy is linked with a series of adverse health outcomes61. Agardh et al. (2011) reported that educational level was most consistently associated with increased possibility of type II diabetes62. From all the three groups 50.6% of the patients were housewives, 16.0% of the patients were doing business, 13.6% were professionals, 10.0% were labour, 4.9% were retired and 4.9% were jobless {Table 5; Figure 5}. In women, high job stress and low work social support had a higher risk of type II diabetes compared to those not exposed to work stress, according to (Heraclides et al., 2009)44. It was also found that work stress and shift work contributed to the development of type II diabetes in women. In men, the risk was decreased by high work demands, high strain, and an active job (Eriksson et al., 2013)45. Patient’s data were collected for their smoking habits and 13.6% were found to be smokers. Alcohol history of the study population was collected, out of this 1.2% were found to be alcoholics and 6.2% were found to have both the habits {Table 6; Figure 6}. Majgi et al. (2012) in their study reported that there is no relationship between smoking and alcohol consumption with diabetes38. Kokiwar et al. (2007) concluded that abnormal glucose tolerance was more prevalent among males, physically inactive persons and alcohol consumers39. Distribution of patients with activity and those without activity were 30.9% and 69.1% respectively {Table 7; Figure 7}. Jeon et al. (2007) in their findings stated that those who are regularly engaged in physical activity of moderate intensity had 30% lower risk of type II diabetes as compared with inactive individuals. They also stated that physical activities such as brisk walking can considerably reduce the risk of type 2 diabetes55. Bacchi et al. (2013) did a systemic review and concluded that regular work out improves insulin sensitivity and blood sugar control in individuals with type 2 diabetes and is considered a chief factor in the management of this situation54. Concerned with the duration of diabetes, 7 (8.6%) had an experience of >1 year, 50 (61.7%) had 1-5 years, 20 (24.7%) had 6-10 years, 2 (2.5%) had 11-16 years and 2 (2.5%) had more than 16 years of experience {Table 8; Figure 8}. On considering the complications 17.2% had heart related problems, 20.9% had thyroid disorders, 18.5% had other problems and 44.0% had no complications {Table 9; Figure 9}. Duration of diabetes is often known to be associated with complications of diabetes. Song (2008) reported that type II diabetes may be an aggressive disease phenotype to develop cardiovascular complications37. Several studies had found that in cardiovascular disease, adherence to medications is low. Over 50% of patients do not take medications as prescribed. Similar study was reported by Granger et al. (2011)34. There was no significant difference in age, gender, duration of diabetes, activity, literacy, occupation and social habits between the three groups. The mean difference between the baseline and review values of HbA1c, FBS and PPBS in each group of the study population i.e. SMS, telephone and control were measured and the significant difference produced were compared by paired student t test. HbA1c reflects the average blood glucose levels of the previous six weeks. Glycosylated haemoglobin has developed into a standard measurement of glycaemia and a standard component of diabetes supervision20. The baseline value of HbA1c in these three study group were found to be respectively 8.25Â ±1.84, 7.84Â ±1.68 and 7.87Â ±1.85. The review values of HbA1c in these three groups were found to be 7.70Â ±1.50, 7.16Â ±1.01 and 7.35Â ±1.48 {Table 10; Figure 10}. There was a significant percentage change in HbA1c for the SMS (p = 0.023) and telephone group (p = 0.001). But no significant percentage change in HbA1c for the control group (p = 0.130) was found {Table 15}. In this study, HbA1C levels decreased 6.7% in SMS group, 8.7 % in telephone group and 6.6% in the control group after twelve weeks compared with baseline {Table 15}. HbA1C did differ significantly with telephone and control group (p = 0.037) {Table 19}. Previous studies showed the following results: Zolfaghari et al. (2012) reported that after the three month follow up examination, HbA1c level in diabetic patients in SMS and nurse led telephone groups decrease to 1.01% points and 0.93% points respectively20. Seung Kim et al. (2006) in their study revealed that SMS and telephone intervention by a nurse improved HbA1c in type II diabetes patients after twelve weeks, with a decrease of 1.1% and 1.2% respectively6. Goodzari et al. (2012) concluded that HbA1c levels decreased in experimental group greater than control group after three months compared with two baseline (p = 0/24)19. Seung Kim et al. (2007) revealed that internet based intervention by a nurse in patients with type 2 diabet es resulted in a decline of 1.15% points of HbA1c at three months and 1.05% points at six months33. The baseline value of fasting blood sugar in three groups of patients was found to be 154.29Â ±59.00, 129.73Â ±52.20 and 131.80Â ±49.02. The review values in each group of patients were found to be131.59Â ±44.26, 111.60Â ±25.69 and 121.20Â ±39.24 {Table 11; Figure 11}. Fasting blood sugar did differ significantly with telephone and control group (p = 0.011) as well as SMS and telephone group (p = 0.040) {Table 19}. There was a significant percentage change in FBS for the SMS (p = 0.016) and telephone group (p = 0.017). However, there was no significant percentage change found in the control group (p = 0.078). In the telephone, SMS and control group a decrease of 14.7%, 14.0% and 8.0% points were noted respectively, at three months compared with baseline {Table 16}. Ferror Roca et al. (2004) in their experiment recommended that SMS may provide a easy, quick and efficient accessory to manage diabetes76. The present study adds that an educational interventional program using telep hone call and SMS improves levels of glycosylated hemoglobin and fasting blood sugar for three months in patients with type II diabetes. The baseline values of PPBS in the three groups of patients were found to be 222.03Â ±93.20, 226.56Â ±99.90 and 219.09Â ±85.84. The review values in each study group were found to be 206.10Â ±77.00, 187.86Â ±34.30 and 199.18Â ±63.50 {Table 12; Figure 12}. Patients in the telephone group had a decrease of post prandial blood sugar of 17.5% mg/dl at three months compared with baseline in this study. In the SMS group it decreased 6.9% mg/dl and 9.0% mg/dl in the control group {Table 17}. Although PPBS level of the telephone group decreased after intervention, it was still above the target PPBS level. Ilknur Cinar et al. (2010) revealed that a nurse led telephone intervention may improve glycaemic parameters including HbA1c, FBS, PPBS, diet, exercise, medication adherence in patients with type II diabetes mellitus after twelve weeks64. In this study, PPBS did differ significantly with telephone and control group (p = 0.047) but did not differ significantly with SMS and telephone gr oup (p = 0.245) as well as SMS and control group (p = 0.480) {Table 19}. There was no significant mean change in PPBS for the SMS group (p = 0.337) and control group (p = 0.704) but a significant percentage change in telephone group was found (p = 0.030) {Table 17}. This study evaluated patients medication adherence behaviour and satisfaction with and demand for SMS and telephone call service after the intervention. The effect of intervention on medication adherence in the three groups found that there was significant difference between the baseline and review values of the SMS (p = 0.005) and telephone groups (p = 0.002). However, the control group was not found to be significant (p = 0.119). It was observed that there was a mean percentage change of medication adherence in SMS, telephone and control groups and found 5.8, 11.2, 2.5% increase after three months from baseline {Table 18}. It was suggested that beside telephone follow-up, increased disease awareness, positive lifestyle modifications (diet, exercise and drug) could be the reason for improvements in glycaemic parameters35. In several studies like Ling Huang et al. (2013) 88.1% of diabetic patients according to the pre-test reported as frequent missing of medication in the control group, compared with 88.5% of patients in the intervention group. The percentage of patients who earlier missed a dose was 43.7% in the control group and 46.1% in the intervention group, respectively29. Samir Patel et al. (2013) reported that a mobile phone based automated medication reminder system shows promise in improving medication adherence and blood pressure in high cardiovascular risk individuals46. Fenerty et al. (2012) in their study reported that reminder based interventions improved adherence to daily medications. Meta analysis showed a statistically significant rise in adherence in the intervention groups receiving a reminder compared to controls78. In a study about 85% of patients reported that they were pleased with the ATDM intervention and 76% of patient’s reported that they would prefer to receive such calls in the future (Piette et al., 2000)84. According to the questionnaire determining the patient satisfaction in this study, it was found that all patients in the SMS group were satisfied with short service message and 93.3% of the patients in the telephone group were satisfied with telephone call {Table 14}. Ramachandran et al. (2013) stated that their study showed mobile phone messaging is acceptable to the recipients, potentially scalable, could be delivered at low cost and is a part of an alternative strategy7. Samith Shetty et al. (2011) concluded that frequent communication for one year through SMS was satisfactory to patients with diabetes and it helped to improve the health outcome43. At the end of the study, a statistically significant reduction was observed in the HbA1c and FBS levels of patients in the telephone and SMS group while a small reduction, which is statistically not significant, was detected in the control group. This result confirms that the use of telemedicine approaches has a positive impact on patient’s glycemic control.

Providing visual support Essay

Nancy is 24 year old women and a house wife by profession. She is disabled by birth and totally dependant on wheelchair. She stays with her husband, who is software professional and busy most of the time. Being a housewife, Nancy has vey little technology knowledge and finds it difficult to use technology spontaneously. Nancy doesn’t want her disability to become her weakness and wants to work like a normal housewife, like cooking for her husband, washing utensils etc. She wants a kitchen which is universally designed and where she should be able to work effectively like a normal person with ease of use and learning being her first priority. How should an interior designer design a universally designed kitchen keeping in mind people like Nancy? †¢ Making the height of the kitchen cabinet, Cook top, Microwave stand accessible by wheelchair. †¢ Having an adjustable-height cabinets, can help all users to use them effectively. Also customizable design which can be changed based on user preferences also makes design effective and more usable. †¢ Having a removable sink and drying rack will give sufficient space for food preparation. This can again be re-fitted as and when required. Thus giving flexibility to people like Nancy or old aged people, who can’t stand and cook. †¢ Foldable cabinet doors under cooktop, providing sufficient knee space. †¢ Providing visual support can also help users to use kitchen more easily and effectively. †¢ Voice based support in kitchen can also be a good idea, thus making design accessible for people with low vision. †¢ Automated dishwasher or microwave system can help them easily placing dish without much effort. Let’s see some examples of universally designed kitchens Persona 3. He is a retired professional and stays alone in his 2 bedroom apartment which is on the 10th floor. He finds it difficult to walk and climb stairs and also have sight problem. Rodney has very little technology knowledge and finds it difficult to remember things, due to his growing age. He depends on electronic wheelchair most of the time. He needs an elevator system in his apartment which can accommodate his wheelchair also, making his life easy at this age. How can we make a universally designed elevator? †¢ Increasing the width of the elevator hence giving ample space to use wheelchairs and thus making it approachable †¢ Big display screen, which displays the floor details big and clear, thus accommodating people like Rodney to use it with ease †¢ Voice based support system, which informs the user which floor the user is in, can also help the disabled user to use them effectively. Let’s see example of a universally designed elevator Conclusion: Irrespective of age, ability or disability and situations, every has the right to effectively use any products or services, hence designers should always be conscious about this fact and implement their design ideas to serve one and everyone. This is what universal design means. Bibliography http://idea.ap.buffalo.edu/ http://www. design. ncsu. edu/cud/about_ud/udprincipleshtmlformat. html#top Frascara J. , (1997), User-Centred Graphic Design: Mass Communication and Social Change, Taylor Francis, London

Columbia Journalism School Essay Samples at a Glance

Columbia Journalism School Essay Samples at a Glance Using Columbia Journalism School Essay Samples The folks who will in fact be teaching you'll make an immense difference in how much you escape from your education. Therefore, before you settle on journalism school, consider your financial circumstance. A much more effective means to compose the essay is to speak about all 3 subjects within one coherent essay. The ideal way to avoid offending victims and readers and to steer clear of damaging your reputation for a reporter, in the event of unreliable sources is to refrain from broaching the topic altogether. Columbia Journalism School Essay Samples - the Conspiracy These sources are normally trustworthy for information, but might call for more investigation. Though a report could be factual, it doesn't mean it doesn't have any bias. Twitter's new List features for instance can truly be helpful to journalists as it can help organize the stream of information. In the very first stage, a lot of the contents from the main publication are simply repurposed. In fact, it frequently acts as a veil for media outlets to mask their biases, even in the event the biases aren't consciously recognized. Rather, it provides you the lessons and tools you have to be a good journalist. Journalists and news professionals have a tendency to be enthusiastic about the options of drone journalism. It's tough to be a neighborhood journalist in an age of endless info. Critics of comedic journalism often argue that it shouldn't be defined as journalism in any respect, owing to its subjective nature. Satire, as an example, can be difficult to distinguish from both real and fake news. The typical online page visit lasts less than 1 minute. As international students, you might locate your search overwhelming. The list isn't supposed to be all-inclusive or objective. It's updated and expanded from my preceding list. Columbia Journalism School Essay Samples Options If you do decide journalism school is best for you, there are a lot of programs you're able to enter. Therefore they don't get the advantage of all of the fantastic learning out there in the area. JiC isn't part of CalPress. Finally, Northwestern hosts one of the greatest graduate journalism programs in the nation along with a magnificent creative writing program. Collaboration is the solution. It can be a simple thing, Jon noted. Residing in a hub like Boston opens up lots of professional opportunities. Networking is the type of assistance that will land you jobs. Social networks are extremely great at this. Lies You've Been Told About Columbia Journalism School Essay Samples All samples ought to be in English. These micropayments would reward authors for attracting loyal audiences and enable publications to break from advertising-dependent models which often arrive with conditions with regard to what content can and can't be published. When choosing stories, it can help to obey your audience. You'll also be trained in internet print and digital media. Gossip, Deception and Columbia Journalism School Essay Samples Just take a peek at what you will want to do before you apply. You should also be eager to put in passion and work. Another benefit of J-School is the fact that it offers you on-the-job experience that's tricky to get anywhere else. The most significant thing is that you find opportuniti es to get expert experience. Using Columbia Journalism School Essay Samples Whether anyone wants such a dashboard or if they simply want other people to use it's a different question. After all, you will never know where the upcoming major story could be hiding. However, I think sort of closing people off isn't helping this trust problem that we've in media. Indeed, for a newspaper to be productive, it should be circulated. To be competitive in the marketplace, newspapers in China need to appeal to the readers, not only the party officials. The newspaper that's not read ceases to be an influence locally. Comedic news sources often do nothing but that. Browsing through the net, you will discover many extraordinary photos and videos taken by drones. Which then confirm the information from the sources before distributing the information to numerous consumers. For the near future, advertising will continue be a significant part of the regional media business model but no website should try and make this its only revenue stream. The New Angle On Columbia Journalism School Essay Samples Just Released You will likely should work with designers, developers, photographers and other collaborators, therefore it's fantastic to have a whole plan for coordinating teams together with more traditional editorial abilities. The thought of responsibility extends further than simply the journalistic sphere. Depending on the sort of the drone, these jobs will be carried out by one or more persons. The campaigns weren't straightforward but the benefits went well past the dollars raised.

Aristophanes’ Clouds a Satyr Play Written in 419 BCE

Aristophanes’ Clouds, if read hastily, can be interpreted as a mindless satyr play written in 419 BCE. Yet the chorus warns the reader not to expect the play to have farcical ploys like â€Å"a hanging phallus stitched on† the actors to evoke a laugh, but to take note of underlying seriousness as â€Å"she [the play] comes in trusting only her words† (Clouds 538-44). Even if the play does use some low devices, the play’s message is sophisticated and can be read as a warning to Socrates. Aristophanes is a â€Å"friendly critic† of Socrates and warns Socrates to change his ways for Athens and for the good of himself (Whidden). Plato’s Symposium and especially his Apology of Socrates does not discount the claims made in Clouds about the dangers of†¦show more content†¦Socrates counters Meletus’s weaker claim by asserting that he believes in Diamonic matters, so â€Å"then there is also a great necessity that I [Socrates] bel ieve in diamonia† (Apology 27c). Diamons are not exactly defined. Scholars have debated this point, and one interpretation would be that they seem to be â€Å"a being half-divine and half-human† (Apology footnote 37). Socrates uses them as an example of gods that he believes in, but he refers to them as a separate entity later in this same speech. They are referred to as a â€Å"voice† that Socrates hears, not unlike a conscience, that â€Å"turns me [Socrates] away from whatever I am about to do, but never turns me forward† (Apology 31d). Socrates uses that as the reason why he never got into politics, as the majority rule is usually against his own code of morals (31d). Socrates is not exactly godless or immoral for he would not condemn a group of prisoners without trying them separately. His â€Å"whole care is to commit no unjust or impious deed† (32d). Socrates may have moral standards, but perhaps his followers would not. This leads i nto the charge that he corrupts the youth, for if Socrates can question the gods, they can too. Athenians acted out of fear of heavenly retribution, not morals (Whidden). Those youth found it acceptable to do whatever they wanted because of the apparent lack of gods and thunderbolts coming down from the heavens to smite those who deserve justice. Clouds’ Socrates argues, â€Å"If in fact heShow MoreRelatedSocrates’ Speech in Apology975 Words   |  4 PagesAristophanes’ Clouds, if read hastily, can be interpreted as a mindless satyr play written in 419 BCE. Yet the chorus warns the reader not to expect the play to have farcical ploys like â€Å"a hanging phallus stitched on† the actors to evoke a laugh, but has underlying seriousness as â€Å"she [the play] comes in trusting only her words† (Clouds 538-44). Even if the play does use some low devices, the play’s message is sophisticated and can be read as a warning to Socrates. Aristop hanes is a â€Å"friendly

Pros and Cons of Spanking - 996 Words

The theory of discipline has been debated for decades. Arguments over how it should be carried out and how harsh it should be has been discussed. One aspect of discipline has been shoved into the dark, the effect on the child. No matter how much it is spoken of children remember what happened to them in their childhood. Whether they were pleasant or not can lead to problems later in life. One debate that shall soon be settled deals with the spanking of children. Some will agree that there is nothing wrong with spanking a child, but some argue that it is wrong. There have been countless arguments over it leading to extreme aggression or emotional troubles. From a psychological stand point there are a few ways to look at it. In modern†¦show more content†¦In most cases the child will generalized and believe all hitting is good. They think that when someone does something they do not want to happed, hitting is the solution. The adult spanks the child and then the child will beg in to spank or hit others. In the theory of observational learning spanking will lead to aggression, so it is not a great method of changing behavior. All three of these theories do not entirely agree with the idea of spanking to change behavior. Classical conditioning says that if the child is spanked when the get older it will have a negative outcome of how they react to adults or some corresponding stimuli. There was a similar correlation between the ideas of classical conditioning and observational learning. They both said that if spanking occurs the child will have behavior issues in the future. The observation of hitting or spanking will lead to the use of hitting or spanking to solve problems. On the other hand operant conditioning or learning from consequences suggested that maybe it is a viable for of discipline. The only limit to that is over doing it. If the parent is overly aggressive or displays the spanking or punishment too often the child will be harm physically or e motionally. The position of operant learning is that it could go either way depending on the parent. With all of these opinions in mind, the consensus that has been reach is that spanking your child is a badShow MoreRelatedCorporal Punishment Is A Discipline Method1650 Words   |  7 Pagescriminal law, â€Å"Spanking, also called corporal punishment, is a discipline method in which a person inflicts pain on a child without inflicting injury and with the intent to modify the child’s behavior. Forms of corporal punishment include hitting a child’s bottom, slapping, grabbing, shoving, or hitting a child with a belt or paddle† (Mince-Didier). Supposedly people against spanking define it broadly so that it can be easily be connected to child abuse. People who support spanking tend to uses definitionsRead MoreChildren ´s Discipline and Spanking1294 Words   |  6 Pagesfrom the Bible, Proverbs 22:15, which states: Foolishness is bound in the heart of a child; but the rod of correction shall drive it far from him. The chapters 22 and 23 of Proverbs speak of how the rod should be used and when. It also tells parents spanking the child will not kill him. Many researchers and parents would argue these facts and state is does cause harm but if they could understand the limitations of the teachings, incorporate communication, and set boundaries the use of a rod would instillRead MoreShould Parents Be Allowed to Spank Their Children1456 Words   |  6 Pagescorrelation between corporal punishments, abuse and its effectiveness and thus the question arises whether corporal punishment is a degrading form of punishment. Also, children also tend to retaliate towards their parents in anger, and may take a spanking or a beating in the completely opposite way it is intended with. Hence, the idea of using corporal punishment as an effective method of disciplining performs the complete opposite action of what it was actually intended to do. Another argumentRead MoreIs Corporal Punishment A Common Parenting Approach?887 Words   |  4 Pageswere the speaker’s primary talking points? (Describe at least three major ideas that the speaker focused on in his/her talk?) Primarily, Holden focused on discrediting the traditional parenting approach by speaking on unsearched, negative effects of spanking children, considering the approach to be parent-based, and using negative connotations with words such a slapping and physical-abuse. Secondly, he spoke on the â€Å"revolution of positive parenting†. He considers this approach to be empowering forRead MoreForms of Discipline: Punishment is too Aggressive805 Words   |  4 Pagesadulthood? If it fails to do anything beneficial, obviously, unforeseen consequences will be the result. Spanking children is not effective as a punishment and should be replaced with different methods to punish with lesser negative effects on young children. Everyone has heard the phrase â€Å"monkey see, monkey do†, and children are definitely victims of copying what their parents do (Ogilvie). Spanking does not teach right from wrong, unless a parent feels the need to let their children become aggressiveRead MoreShould The Death Penalty Be A Type Of Corporal Punishment?844 Words   |  4 Pageswith a spanking in order to ensure that it does not happen again. When children grow up and become adults, instead of being punished for committing worse actions, they are instead given a slap on the hand and sent to a cell in an institution that provides not only food, but television as well. In order to prevent criminals from believing that committing a serious crime has no severe punishment, the nation should adopt a type of corporal punishment. As adults, we have grown out of spankings from ourRead MoreThe Effects Of Corporal Punishment On Children953 Words   |  4 Pagespunishment can have its pros and cons when it comes to the development of children. Corporal punishment or spanking is said to be ineffective and that it does not change negative behaviors in children. It is said that punishing a child physically will send the child the wrong message and will ultimately only reinforce the behaviors a parent is trying to eliminate. It is also said that corporal punishment leads to aggressive behavior because that is what you are teaching them. Spanking is also associatedRead MoreShould Spanking Be Considered a Form of Disciplinary Punishment?2047 Words   |  9 PagesAnnotated Bibliography Issue: Should Spanking Be Considered A Form Of Disciplinary Punishment? Book: Kazdin, Alan E. and Corina Benjet. â€Å"Spanking Children: Evidence and Issues.† Yale University School Of Medicine. Child Study Center. 2003. Web. 27 Oct. 2011. This site is an online article clip from a book published by The American Psychological Society. Within this article are the discussion of different views on spanking, key conclusions about its effects, and the methodological limitationsRead MoreEssay on Parenting Styles1718 Words   |  7 Pages Reflection  Paper. Mr.  and  Mrs.  Harsh ­Heart  believe  in  the  importance  of  stern  discipline  and  impose  strict  rules that  they  expect  their  children  to  obey  without  question.  They  penalize  behavior  harshly,  frequently  with spanking.  Mr.  and  Mrs.  Easygoing  do  not  use  punishment  to  enforce  their  rules  and  believe  in  natural consequences  teaching  lessons  and  setting  limits  on  behavior.  They  have  regular  family  meetings  with their  children  to  discuss  household  rules  and  their  importance  to  the  family  dynamicsRead MoreCorporal Punishment Should Be Banned1459 Words   |  6 Pagesbeen live also in pubic, with popular magazines, newspapers, and websites continuing to publish whitepapers and articles about the merits and demerits of using corporal punishment to discipline children. However, the available literature on the pros and cons of corporal punishment lacks a common consensus and therefore, it is necessary to add a research paper that gives a firm, evidence backed ground on the issue. In this paper, I will analyze and cite six specific sources to prove that corporal punishment

Feasibility Report for a Fast Food Restaurant Free Essays

string(112) " in Lagos play host to people who live in Lagos City, and also provide a conducive environment for businessmen\." FEASIBILITY REPORT FOR A FAST FOOD RESTAURANT PREAMBLE: We have taken out time to write this report for several reasons among which are: [pic] This project serves as part of the â€Å"private-sector participation initiative† drive embarked by our company [pic] Our desire to make you reconsider your present stand about not wanting to invest in the Nigerian economy, for now [pic] Our belief that this report can form a base for an enlarged feasibility report, which we hope you, would commission us to carry out [pic] Our desire to make you see the financial viability of this project [pic] Our desire to make you see the potentials of the Nigerian market [pic] Our desire to bring viable investments into this country [pic] Our desire to portray the true image of Nigeria to the outside world [pic] Our desire to see your company operational in Nigeria It is therefore our firm belief that after reading through this report, there will be a burning desire to reap the benefits of investing in Africa’s biggest market, and partnering with us in its quest to touch hearts through the McDonald’s heritage. TABLE OF CONTENT 1. DATA GATHERING 2. We will write a custom essay sample on Feasibility Report for a Fast Food Restaurant or any similar topic only for you Order Now CONCEPT DEVELOPMENT 3. SITE ANALYSIS 4. COMPETITOR ANALYSIS 5. FINANCIAL STATEMENT [pic] DATA GATHERING [pic]BASIC FACTS ABOUT NIGERIA: AFRICA’s BIGGEST DEMOCRACY AND MARKET. FEDERAL CAPITAL: ABUJA COMMERCIAL CAPITAL: LAGOS POPULATION Nigeria with a population of 113,828,587 (July 1999 EST. ) is the most populous country in Africa. It has a Population Growth rate: 2. 92% (1999 EST. ) AGE STRUCTURE 0-14 YEARS: 45% (MALE 25,613,974; FEMALE 25,397,166) 15-64 YEARS: 52% (MALE 30,272,539; FEMALE 29,197,611) 65 YEARS AND OVER: 3% (MALE 1,678,732; FEMALE 1,668,565) (1999 EST. ) [pic]MARKET AREA We intend that McDonald’s setup its first restaurant, in Lagos State. It has also pinned down any of these locations for its first restaurant, namely Broad and Marina Streets in Lagos Island, Awolowo Road in Ikoyi, and Akin Adesola and Ahmadu Bello Way, in Victoria Island. There is a school of thought that says that the Market in Lagos is bigger than the Market in other countries of West Africa put together. For people conversant with Lagos, these locations are prime locations, as they boast of the presence of Nigeria’s high rise buildings, Nigeria’s most successful shops and companies, with their attendant management and senior staff, who invariably are Nigeria’s creme de la creme. These locations can also be regarded as Nigeria’s Jugular vein in commerce. They also presently boast of hosting the best Fast Food Restaurants in Lagos. We are already looking forward to a healthy competition between you and them. Another feature of these locations is that they can be accessed within 5-10minutes of each other. It is therefore usual to see people working in Victoria Island moving over to a restaurant in Ikoyi, or Lagos Island, and vice versa. [pic]DEMOGRAPHY OF POTENTIAL CONSUMERS: Age: Infant – 60 and above (some fast food restaurants have playing pens for infants) Sex: Male: Female (55%: 45%) Income: $300/year and above Usage Rate: Worst Case Scenario: 500 consumers/day Average Case Scenario: 1200 consumers/day Best Case Scenario: 2000 consumers/day With McDonald’s we expect figures to get as high as 1,500, 2,200 and 2,700 respectively. User Status: Ranges from first time users, Regular users and Occasional Users. For an average day in the 1ST year of operations: First Time Users: approx. 10% Regular Users: approx. 50% Occasional Users: approx. 40% Loyalty Status: Indifferent (None) 42% Medium: 35% Strong: 20% Absolute: 3% We are however confident that with McDonald’s, consumers can be pulled from the indifferent categories, to being strong and absolute consumers with McDonald’s. Occupation: Predominantly white collar workers, businessmen also form a sizable proportion of consumers. During weekends and evenings, the majority of consumers are whole families, couples, lovers etc. Educational Qualification: Secondary (High) school certificate holders to PHD holders. Religion: Predominantly Christian and liberal Muslims. This therefore means, a willingness/freedom to associate with people, including the opposite sex in public. Provisions for Takeaway snacks also allow the recluse patronize Fast Food Restaurants. Social Status: 80% of all classes of society BENEFITS: These are related to some kind of advantages looked for in patronizing any business. In the case of Fast Food Restaurants, the following parameters have been used to assess patronage: Economical Nature of Investment: Medium Rating Convenience: High Rating Prestige: High Rating Hangout Venue: High Rating LOCAL TRAFFIC PATTERNS: Lagos has a high traffic pattern. On a busy weekday afternoon in Lagos, traffic density is approx. 000 cars/sq. kilometers. [pic] CONCEPT DEVELOPMENT Concept development means making decisions about the components of the fast food restaurant concept, including theme, menu, service style, hours of operations. Since this feasibility is for the setting up of an already established name, its concept would basically be c entered upon what is presently obtainable. It is however important to make some recommendations, as the data from the population in the market area would help in evaluating a fast food restaurant’s concept that fits the area’s needs and preferences. Lagos Island and its sister island, Victoria Island, form what is called Lagos City or EKO. It is a city with a high rate of hustle and bustle. In some parts of this city, the lights never go out. It is a city in which 70 percent of its work force comes from smaller towns (3-70 kilometers) from within and outside Lagos State, on a daily basis. This scenario automatically creates needs in the minds of some migrants to Lagos City, which must be met, such as: 1. Where do we eat breakfast, considering that we might have to wake up very early so as to avoid the early morning rush, which results in traffic jams? 2. Where do we eat lunch, considering the fact the demands of work and the distance between workplace and home will prevent us from going home? 3. Where do we eat dinner, considering that we might need to allow the traffic jam caused by motorists leaving Lagos City, subside? Apart from these variables, fast food restaurants in Lagos play host to people who live in Lagos City, and also provide a conducive environment for businessmen. You read "Feasibility Report for a Fast Food Restaurant" in category "Essay examples" We would therefore recommend that hours of operation span from 6. 45am to 9. 45pm daily. [pic] SITE ANALYSIS Specifically, we would like to narrow down our site search to Akin Adesola Street, in Victoria Island. This road is directly linked to the bridge that connects Lagos Island at the Ikoyi and Old Ikoyi end of Lagos Island: a drive of less than 5 minutes. It is important to note that Old Ikoyi is the most expensive residential area in Lagos State, and it is followed closely by Victoria Island, which also houses the most expensive office apartments in Lagos State. What this means is that McDonald’s would be neighboring the rich and tasteful people resident in Lagos State. Akin Adesola Street, which spans about 1. 1Km is directly linked to the major streets in Victoria Island such as Ahmadu Bello way, Ozumba Mbadiwe, Adeyemo Alakija, Adeola Odeku, Sanusi Fafunwa, Karimu Kotun and Bishop Oluwole Streets. It traffic density is not too high as the road is dualised. At the other end of this street is the famous Bar beach; with Kuramo beach around the corner. McDonald’s would therefore benefit from people coming to the beach who require Take-away. The presence of the beach also guarantees a constant supply of fresh air. Presently, only one major fast food restaurant operator has an outlet on this major road. Around Victoria Island there are presently about six fast food restaurants and based on the potentials of this area of Lagos State it would be an understatement to say that that Akin Adesola Street, would comfortably house another restaurant, most especially the first McDonald’s restaurant in Nigeria. It is important to note that apart from Lagos City, other towns in Lagos State, such as Ikeja and Apapa can comfortably host a McDonald’s restaurant. [pic] COMPETITOR ANALYSIS Fast foods in Nigeria are as old as Nigeria itself. From the time of Nigeria’s independence fast food shops have been opened in the major towns of Nigeria. It was however not until 1986 that United African Company of Nigeria (UACN) in a diversification bid opened the first real fast food chain of restaurants in Nigeria. Since then a number of other operators have graced the fast food restaurant industry stage. Presently, it is one of the fastest growing sectors of the Nigerian economy and it would not be out of place to say that there is already a fast food craze in Nigeria, and this is just the beginning. In financial term, the fast food industry is approximately a $40 million dollar market, with over 83% of this market in Lagos State alone. In doing a proper competitor analysis, it will be appropriate to first identify the major competitors whose presence will bring out the best of McDonald’s. The major players are MR. Bigg’s (a fast food restaurant operated by UACN), Tantalizers, Tastees Fried Chicken, Sweet Sensations, Munchies, Favorites, Friends Eatery, Kas Chicken, Fingers (a fast food restaurant operated by United Trading Company), St. Elmo’s (a South African Franchise). For this analysis, only the three major fast food joints will be discussed. MR. BIGG’S This is a subsidiary of the big conglomerate, United African Company of Nigeria (UACN). It started operations in 1986, and is noted for being the first real operator of fast food restaurants in Nigeria. Presently, there are thirty-seven outlets spread all over Nigeria, with a massive twenty-two in Lagos State. Plans are on the ground to increase the total number of restaurants to fifty-seven by the end of the year. An estimated 1200 people visit an average Mr. Bigg’s outlet per day. STRENGHTS †¢ Biggest financial muscle †¢ Brand Name recognition †¢ Good Knowledge of the Nigerian market †¢ Complete support of the UACN conglomerate as it is rumored to be the only subsidiary presently making a profit †¢ Strong emphasis on family and catching the young †¢ Formation of alliances with companies providing complementary goods †¢ Good use of the electronic and print media †¢ Starts operations as early as 6. 5am, with the intention of attending to people who want a good meal breakfast before working hours commence WEAKNESSES †¢ Its strength fizzles out at the arrival of the other major fast food operators to the neighborhood †¢ It is pr esently not noted for its excellent food, as it places emphasis on its snacks †¢ The initial excitement that heralded its entrance to the market seems to have been lost, as there seems to be â€Å"an out of fashion†, cover on it with the presence of the new entrants. This feeling is however peculiar to Lagos, as the opening of any Mr. Bigg’s restaurant outside Lagos gives a feeling â€Å"at long last†, to the residents of these towns TANTALIZERS One of the most promising fast food restaurants in Nigeria. They began operations in the Festac area of Lagos State in 1995, and within the space of about six years have opened seven other outlets. The management of Tantalizers can be regarded as very aggressive marketers. Their marketing strategy seems to be directly aimed at their competitors. In the last four outlets they have opened, they have set up shops almost directly opposite or at best, a little close to their competitors in the process of drawing customers to their outlets. STRENGTHS: †¢ Effective Marketing Strategy †¢ Improving Brand Name Recognition †¢ Commendable Customer Service †¢ Vastly improving financial muscle †¢ Marketing emphasis is on catching couples and lovers WEAKNESS: Increasing complaint about the quality of their food †¢ Diversification into Africa Meals may be their undoing as they would be dividing their effort between the Fast food restaurant and the new African food restaurant †¢ There seems to be an emerging class distinctio n within the fast food industry, and the feeling is that Tantalizers falls within the middle class category. In other words, for serious minded businessmen and the upper-class, Tantalizers would naturally not come as their first choice of a fast food restaurant TASTEE FRIED CHICKEN It is one of the most promising fast food restaurants in Nigeria. It began operations in Surulere, Lagos State. It is attributed to be the second new generation fast food restaurant, after Mr. Bigg’s. At the time of this report they have only three restaurants. When one considers the time they have spent in the fast food industry in Nigeria, and the fact that they only have three restaurants to show for it, one would want to mistakenly write them off as underachievers. Doing this will however be at ones peril as they seem to be carving a niche among the business and upper classes. STRENGTHS: †¢ Improving Brand Name Recognition †¢ Commendable Customer Service †¢ High taste and consumer conducive environment †¢ Regarded as having the best food in the industry Marketing emphasis seems to be on, catching the business class WEAKNESS: †¢ Ineffective class distinction. Class distinction which they claim to be their marketing strategy for luring the business and upper classes, has not seen them charging higher prices for their service with the belief that consumers who value their products and service will be willing to pay for it. In other words, even though it may seem that they are providing better products and service, it has not accrued to relatively bigger profit, as it seems that their expenses are relatively higher than their competitors, while the profit, which should be proportional to expenditure, is lower. †¢ Marketing is not aggressive [pic] FINANCIAL STATEMENT Financial Analysis will be based on the demography of potential consumers of McDonald’s as arrived at in the demographic studies (USAGE RATE) on page 4 of this report. According to the survey carried out on existing fast food restaurants, Usage Rate: Worst Case Scenario: 500 consumers/day Average Case Scenario: 1,200 consumers/day Best Case Scenario: 2,000 consumers/day With McDonald’s we expect figures to get as high as 1,500, 2,200 and 2,700 respectively per restaurant. Using these figures, assuming an average consumer spends $1. 5/visit/day, expected income: For Worst Case Scenario: 1,500 X $1. 5 X 360 days per year = $810,000 per year For Average Case Scenario: 2,200 X $1. 5 X 360 days per year = $1,188,000 per year For Best Case Scenario: 2,700 X $1. 5 X 360 days per year = $1,458,000 per year In reality, consumers presently spend between $0. 4 – $5 per visit, making our estimated income analysis of $1. 50 per visit very conservative. CONCLUSION: The nature of this report has made us only able to do extensive work on areas such as Data Gathering, Concept Development and Site Analysis. It has only been able to peripherally touch areas such as Competitor Analysis and Financial Statement. A proper analysis on areas such as Competitor Analysis and Financial Statement which form an integral part of any Feasibility work, will only be possible if the company for which this report has been done and sent to, finds it necessary to commission us on a more extensive feasibility study. How to cite Feasibility Report for a Fast Food Restaurant, Essay examples

Antigone Creons Tone Essay free essay sample

Antigone is an ancient Greek tragedy, in which, Creon is the tragic hero. A comparison of Creon’s two famous speeches, the state of the union address and his closing remarks, show the shift in tone from unfolding and prideful to weary and accepting, which transcends throughout the story. Creon’s use of literary devices effectively illustrates his tone shift between these fore-mentioned speeches, dramatically showing his tragic hero status. During Creon’s state of the union speech, he is trying to show his authority as the new King of Thebes by using an imperial and almighty tone. Syntax plays a role in creating the tone of this selection through the use of declarative sentences. By doing Creon is leaving no room for the people of Thebes to question his authority as King. It also shows his steadiness and lack of compassion for those who go against him. The use of diction also helps enforce this idea. We will write a custom essay sample on Antigone Creons Tone Essay or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Creon uses words and phrases, such as â€Å"full power†, â€Å"governor†, â€Å"my country†, and â€Å"command†, to help contribute to the tone he is creating in his speech. By using words such as the ones quoted above Creon is forcing us to feel the power that he is trying to impose upon his people and show the fact that he is now the sole ruler of Thebes. In his closing remarks Creon’s tone has become gloomy and depressing due to the deaths of everyone he has cared about. Imagery like â€Å"Surely a god has crushed me beneath the hugest weight of heaven† plays a role in showing how low he feels after he realizes that he caused the deaths of his family and that it was all avoidable. Diction plays a role in creating this shift in tone by developing a picture of sadness and weariness through using words and phrases such as, â€Å"angle of evil†, â€Å"death†, and â€Å"darkness†. The character’s actions and words have left the reader as sullen and dejected as the lead character himself. The shift in tone from the beginning of the play to the end leaves two different versions of Creon, a proud and unyielding one compared to a depressed and dejected version. Without the tone shift the tragedy would lack the dramatic elements of the rise and fall of Creon. From his first day in office as a unwavering leader until his plummet to as a childless, widower