Friday, June 7, 2019

Learning Team Industry Averages and Financial Ratios Essay Example for Free

L sort outing Team Industry Averages and financial balances EssayWatch the Industry Averages and Financial proportionalitys video and use the industry classification from the financial services website to locate the companys SIC code on the U.S. Department of Labors website.Find the industry proportionalitys for the company victimization the Dun Bradstreet Key Business Ratios link in the Week 2 Electronic Reserve Readings. If your companys SIC code does not appear in the dropdown menu, distinguish another company.Assume the inventory ratio is based on a traditional inventory system, but globalized markets and the supply chain make it critical to relieve lean principles to create a more efficient system. Calculate the 14 ratios (show your calculations) for the company using the ii well-nigh recent annual financial statements form on the financial information website you used earlier. Be c beful not to use quarterly information, and include ratios for both age.Note. You can access a downloadable Ratio Guide PDF by clicking the Help Guide link in the upper-right of the Dun Bradstreet Key Business Ratios window.Compare the ratios for the company you strikeed with the appropriate industry ratios including profit competency, solvency, and efficiency ratios shown on the Dun Bradstreet report.Write a 350-word response about how the company you selected performed compared with the industry.Instructor Notes Also upload the followingFormula and calculations of your companys financial ratios for most recent two years (Excel) Dun Bradstreet financial ratios for your companys SIC code (exported to Excel) (Please delete the text in yellow-highlight above)Industry Averages and Financial Ratios PaperThe purpose of this analysis is for our team to crumple how Amazon.com Inc. performed compared with the industry based on financial ratios. In attachment 1, our team provides the industry ratios for the company using the Dun Bradstreet Key Business Ratios. In At tachment 2, we provide the Balance Sheet and Income Statement information for the companys most recent two years. In Attachment 3, our team calculates the companys 14 financial ratios. In Attachment 4, we compare the financial ratios with appropriate industry ratios including profitability, solvency, and efficiency ratios. Analysis of Companys Financial Ratios Compared to Industrys Financial Ratios XxxxProvide an analysis of the selected companys 14 financial ratios compared to the industrys financial ratios. Compare the most recent two years from DB industry average to the same two years from your calculated financial ratios. Use the Median from the DB industry averageRemember to select financial ratios related to profitability, solvency, andefficiency ratios. Note the analysis includes interpreting the importance of the companys vs. the industrys financial ratios. 3 points out of 3 possible points (please do not delete these lines with point scoring)ConclusionReferencesInsert refe rences here.Attachment 1Industrys ratios from Dun Bradstreet Key Business RatiosSolvency Ratios Solvency ratios cadency the financial soundness of a demarcation and how well a company can satisfy its short- and long-term obligations. DB uses six key financial backup ratios to measure a companys solvency Quick Ratio, also c bothed acid test or liquid ratio, considers only cash, marketable securities and accounts receivable because they are considered to be the most liquids forms of current assets. A Quick Ratio less that 1.0 implies dependency on inventory and other current assets to liquidate short-term debt. Cash + Accounts Receivable genuine Liabilities Current Ratio is a comparison of current assets to current liabilities, commonly used as a measure of short-run solvency, i.e., the immediate ability of a business to pay its current debts as they come due. Potential creditors use this ratio to measure a companys liquidity or ability to pay off short-term debts. Current Ass ets Current Liabilities Current Liabilities to Net value Ratio forecasts the amount due creditors within a year as a percentage of the owners or stockholders investment. The smaller the net worth and the larger the liabilities, the less security for creditors. Normally a business starts to have trouble when this birth exceeds 80%. Current Liabilities Net Worth Current Liabilities to Inventory Ratio shows, as a percentage, the reliance on available inventory for payment of debt (how a good deal a company relies on funds from disposal of unsold inventories to meet its current debt). Current Liabilities Inventory fare Liabilities to New Worth Ratio shows how all of a companys debt relates to the equity of the owners or stockholders.The higher this ratio, the less protection there is for the creditors of the business. Total Liabilities Net Worth Fixed Assets to Newt Worth Ratio shows the percentage of assts centered in fixed assets compared to total equity. Generally the high er this percentage is over 75%, the more vulnerable a business becomes to unexpected hazards and climate changes. Fixed Assets Net Worth Efficiency Ratios Efficiency ratios measure the quality of a business receivables and how efficiently it uses and controls its assets, how effectively the firm is salaried suppliers and whether the business is overtrading or undertrading on its equity. DB uses five key financial business ratios to measure a companys efficiency Collection period Ratio is helpful in analyzing the collectability of accounts receivable or how fast a business can increase its cash supply. Accounts Receivable Sales x 365 days Sales to Inventory Ratio provides a yardstick for comparing stock-to-gross revenue ratios of a business with others in the same industry. A high ratio may delegate that sales are being lost because of low inventory and/or customers are buying elsewhere. A low ratio may indicate that inventories are obsolete or stagnant. Annual Net Sale Inven tory Assets to Sales Ratio shows how efficiently a business is usingits assets to generate revenue. A high ratio may indicate the business is not aggressive or that its assts are not fully used. A low ratio may indicate a company is selling more than can safely fulfilled by its assets. Total Assets Net Sales Sales to Net Working Capital Ratio shows the number of times working capital turns over annually in relation to net sales. A high turnover rate may indicate that the business relies heavily on credit. Sales Net Working Capital Accounts Payable to Sales Ratio shows how a company pays its suppliers in relation to the sales volume being transacted. A low percentage may indicate a healthy ratio. A high percentage may indicate that the business may be using suppliers to help finance its operation. Accounts Payable Net Sales Profitability Ratios Profitability ratios measure how well a company is acting by analyzing how profit was earned relative to sales, total assets and net wo rth. DB uses three key financial business ratios to measure a companys efficiency Return on Sales (Profit Margin) Ratio measures the profits after taxes on the years sales. The higher the ratio, the better prepared the business is to keep downtrends brought on by adverse conditions. Net Profit AfterTaxes Net Sales Return on Assets (ROA) Ratio shows the after tax earnings of assets and is an index number of how profitable a company is. Return on assets ratio is the key indicator of the profitability of a company. It matches net profits after taxes with the assets used to earn such profits. A high percentage rated indicates the company is well run and has a healthy return on assets. Net Profit After Taxes Total Assets Return on Net Worth Ratio measure the ability of a companys management to realize an adequate return on the capital invested by the owners in the company. Net Profit After Taxes Net WorthMedian Median is the value from the midpoint that falls halfway surrounded b y the Upper and Lower Quartiles. Industry Quartiles Industry Quartiles are static values taken directly from the KBR database tables. The value from the midpoint that falls halfway to the top of the itemisation is selected as the Upper Quartile. The value that is halfway between the median and the bottom of the list is selected as the Lower Quartile.

Thursday, June 6, 2019

Compare the two nineteenth century horror stories Essay Example for Free

Comp atomic number 18 the deuce nineteenth snow horror stories EssayCompare the two nineteenth century horror stories, The blackamoor Cat and The Tell-Tale Heart by Edgar all toldan Poe, showing how Poe uses a range of techniques to make his stories spectacular and effective.The dull Cat and The Tell-Tale Heart are two of the earliest horror stories ever written they were written in the 1840s by the American author Edgar Allan Poe. Poe was born in Boston Massachu impersonatets in 1809. He tragically died in 1849 following a life of alcohol and drugs.The menacing Cat tells us about a human race who is in a condemned cell. He is on death row and reflecting on his life and the reason behind the situation he is in. He tells the reader about his love for animals and how he get married early in life. His married woman allowed him to buy a black cat who never left his masters side. However, the narrator tells how he became an alcoholic and started to mistreat his wife and pets. On returning home one nighttime he seized the cat and in fright the cat had bitten him. This made him angry and therefore he turn off out one of the cats look. A few days later he took the cat, slipped a noose around its neck and hung it from a limb of a tree. That night the house burnt passel and engraved on the wall was the figure of a cat.Later on in the story the narrator tells us of how he found a cat that closely resembled the one he had killed. The cat would never leave his side which started to make him hate the creature. He was walking down the steps of the cellar one day with his wife when the cat followed and sent him headlong down the steps. In fury he picked up an axe and aimed a blow at the cat. His wife tried to stop him so he buried the axe into her brain. He buried the body in the wall of the cellar. The patrol found the body as the man become cocky and tapped on the wall where he had buried his wife, there was a wailing unspoiled and the law uncovered the b ody with the cat on the corpses head.The Tell-Tale Heart tells us about a man who has been incriminate of being mad. He looked after an old man who had a vulture eye. His eye was a pale blue and had a film over it. Whenever the eye fell upon the narrator, it made his blood run cold. so he decided to kill the old man. In the week before he killed him the narrator tells us about how he crept into the old mans get laidroom every night at midnight, trying to find the right moment to kill him. On the eighth night the old man became aware that someone was in his room. The narrator says how he could hear the mans heart beating in his chest and was frightened that the neighbours would hear it.He ran into the room seized the man out of his bed and pulled the bed on top of him. He then took the planks from the flooring of the bedroom and placed the body there. Once he had replaced the floorboards the police arrived saying that a neighbour had comprehend a shriek and they wished to search the property. He led them towards the old mans bedroom and placed some chairs out for them on the exact spot of the body. He began to make regular chat with the officers but could hear the heart of the old man beating louder and louder until it drew the narrator mad and he confessed to the murder.Both stories have typical features of a modern horror story blood, murder, the murders conscience and supernatural aspects. However, the structure of the stories differ. The drear Cat is a longer story and is more detailed. It embarrasss more emphasise description.I was especially fond of animals, and was indulged by my parents with a great variety of pets.This quote shows that The Black Cat tells us about the background of the narrator since he was a young boy.The Tell-Tale Heart is more concise and includes some very detailed sections but less background.Presently, I heart a slight groan, and I knew it was the groan of mortal terror. It was not a groan of pain or of grief Oh no It w as a low stifled sound that arises from the bottom of the nous when overcharged with awe.This quote shows that The Tell-Tale Heart has some very detailed sections as the narrator goes into depth about the noise that the old man made.The two narrators have miscellaneous things in common they both tell the story in first person and use eyes as an important feature in the story. In the opening paragraph both narrators excessively say that they have been accused of madness but deny the accusation.Mad indeed would I be to attend it, In a case where my very senses reject their own evidence. Yet, mad am I not.This quote from The Black Cat supports my point that the narrator has been accused of being mad but denies it.But why WILL you say that I am mad?This quote from The Tell-Tale Heart also supports my point as it is from the opening paragraph of the story and the narrator is asking why he is being accused of being mad.The significant differences between the two narrators are The Blac k Cat gives a more in-depth background about his life before the present day whereas The Tell-Tale Heart goes straight into the present. The Black Cat is also set in different rooms of the house and other areas where as The Tell-Tale Heart is set in just one room. The relationship between the readier is also different. The Black Cat is wrote as if the narrator is writing a letter whereas The Tell-Tale Heart is wrote as if the narrator is actually speaking to the reader.For the most wild, yet most plain narrative which I am about to pen.These words suggest to me that The Black Cat tells the story as if he is writing a letter.How then am I mad?This rhetorical question shows that the narrator tells the story as if he is actually talking to the reader.The two narrators in the story get caught as they become too over confident about the hiding place of their victims. They both lead the police to the place that the bodies are buried. Sound is also a major part in the reason for the two n arrators getting caught.Poe uses a range of visual and sound techniques to make the stories dramatic and effectible. In both stories sound plays a major part in the narrators getting caught.Then quickly swelling into one long, loud and continuous scream, utterly anomalous and inhuman.This quote from The Black Cat suggests to me that the points I have made are correct. The sound makes the story more dramatic and suspicious. It also leads the police to the corpse.But the beating of the heart grew louder, LOUDER I thought the heart must burst.This quote also suggests to me that the beating of the heart made the murderer go mad and confess. It also adds an eerie effect to the story.Poe also uses visual description in the stories.The corpse, already greatly decayed and clotted with gore, stood erect before the eyes of the spectators. Upon its head, with red extended mouth and solitary eyes of fireThis phrase of writing from The Black Cat goes into great visual detail about the corpse whi ch makes it a lot easier to picture the story in your head. The amount of description sets the scene very effectively and makes the reader feel like there telling the story from their own personal experience. The use of mephistophelean words such as greatly decayed and clotted with gore also emphasise the fear and terror of the story.Poe uses a range of imagery in the stories including alliteration, similes, metaphors, onomatopoeias, and rhetorical questions. These all make the stories dramatic and keep the reader interested.In The Tell-Tale Heart Edgar Allan Poe uses a lot of onomatopoeia and metaphors.my blood ran coldThis quote proves the point that Poe uses metaphors in this story.Like the thread of a spider This also proves that Poe uses Similes in this story. Both of these enhance the story as they make it more dramatic and effective.In The Black Cat Edgar Allan Poe uses a lot of alliteration, metaphors and personification.My tenderness of heartThis quote is particularly impo rtant as later on in the story the narrators heart is the gross(a) opposite from tender.Grew with my growth This quote from the story shows alliteration.By using both of these quotes the writer is making the story more effective as he is making it more interesting to read. He is also encourage interpretation from the reader and helping them to feel the emotion of the characters.Poe also uses language devices to make the stories dramatic and effective. These include cadence, repetition, and rhetorical questions.In The Tell-Tale Heart. Edgar Allan Poe uses a large amount of rhetorical questions.How then am I mad?This is effective in the story as it involves the reader. It does so by encouraging the reader to reflect upon the question and therefore get involved more with the story.Poe also uses repetition.He had found all in vain. All in vain because Death, in approaching him.The repetitive phrase all in vain, tells us of the narrators joy at the old mans terror. He also uses a capit al D in death. This infers he is using death as a name, suggesting that the old man is death.In The Black Cat Poe uses plenty of rhythm and repetition.Have terrified Have hagridden Have destroyed me.In this quote Edgar Allan Poe has repeated the word have. He has used a rhythm by pausing at the end of each word and the dashes indicate an intensity of emotions. He has also used evil words such a terrified and tortured which again emphasise the fear and terror of the story. This makes the story more dramatic.In both stories Poe also uses capital letters to emphasise words this gives an immediate dramatic impact.In conclusion, Poe uses a range of techniques to make his stories dramatic and effective, many of these are still used by horror writers today. Although The Black Cat and The Tell-Tale Heart are similar in numerous ways, Poe uses different techniques in each one to make the stories effective in their own particular way.

Wednesday, June 5, 2019

Analysis Coke And Pepsi Learn To Compete In India Business Essay

Analysis Coke And Pepsi Learn To Compete In India Business EssayThe semipolitical environment in India has proven to be critical to follow performance for both(prenominal) Pepsi co and coca-cola India. What specific aspects of the political environment concord played key roles? Could these effects defy been anticipated prior to merchandise light-emitting diodeger accession? If not, could developments in the political arena have been handled better by each company?In order to understand what coca pot and Pepsi had to hatch with in India, it is essential to grasp the full meaning of what politics includes. Politics is not merely the political ideology the country has and thus the g overnance of the state including presidency policies and the role he plays in the country but likewise on a micro level it deals with small associations and unions and thus likewise with division of power.India was seen for umpteen years as being unfriendly to external investors. In fact the Principle of Indigenous Availability law specified that if an item could be obtained local anesthetic anestheticly, imports of a similar product were forbidden. Following the showtime Gulf War in 1991, measures were taken to liberalize the Indian economy introducing the New Industrial Policy to lapse barriers much(prenominal) as bureaucracy and regulation to foreign direct investment. Despite this, protectionism was still evident in India.Pepsi entered the Indian beverage grocery store in July 1986 i.e. forrader the liberalization of Indias government, while coca plant boob followed for the second conviction ( afterward a presence between 1958 and 1977) in 1993. Despite this, both of them received alien precondition upon entry in the Indian commercialise. The two corporations were required to follow government policies designed to shut down foreign business. Sales of Pepsis soft drink concentrate to local bottlers could not exceed 25% of total sales while fruits and vegeta bles by Pepsi Foods Ltd. had to be processed. coca Cola on the other hand had to agree to plow 49% of its fairness as a condition of get in and buying out an Indian company (Parle).Moreover, check to Indian law it was forbidden to enkindle products under foreign marque leans if sold within India and thus Pepsi became Lehar Pepsi and coca Cola became Coca Cola India.The Indian government acted as a regulator imposing sets of laws and rules that restrained the way the companies do business. According to Dr. Ashok Rao, (Head of Net motion Project, CEDT, Indian Institute of Science in Bangalore) (2006), India has a truly confused, diverse and standing(prenominal) political system. The amount of political parties present in India and the power regional political parties have, act as big barriers to businesses. Unlike Western democracies, power is centralized and top politicians dictate what happens thus businesses will have to work through and through many much layers to par take to somebody who potful actually take a finis.The micro environment in India mainly sign onure groups also affected heavily Coca Cola and Pepsi. Their political power in India was substantial at the time. To name a few, there was the All-India Anti-Imperialist Forum which called for a boycott of all American and British goods after the attacks on Iraq and the Centre for Science and Environment (CSE) led by Ms. Sunita Narain who issued a report stating that drinks make by Coca Cola and PepsiCo were found to contain pesticide residue far higher than the limits suggested by governments Bureau of Indian Standards (BIS). Both of them led to decline in sales however, the damage d iodine to sales through government action was less important than the bad promotion received.All the above highlight the political power and instability present in India. Government situations in India were driving and incommensurable mainly because government laws and policies were unreadable and not b ased on strong foundations (Ash Rao, 2006). Because of this inconsistency in the legal environment, there was a greater importance played on lobbying the politicians. Lack of unharmed institutions gave way to decadency. In fact, as Li Chain, (Ex-member, Planning Commission and Political Reformer in Bangalor) utter years later (Ashok Rao et al, 2006), India ranks high on the corruption index. We have not yet found a way of containing corruption in our bureaucracy and political system.Being such(prenominal) a dynamic and inconsistent environment, Coca Cola and Pepsi could not predict virtually of the issues raised beforehand. However, just by looking at the unstable, conf use and dynamic political environment both companies should have been prepared to deal with similar issues.Coca Colas agreement to sell 49% of its equity to Indian partners within two years is a campaign in point. plot of ground lobbying was out of the question due to an oversight of the Foreign Investment Pro motion Board (FIPB), some other option would have been that of not investment further through a articulationt venture with Parle until solid foundations were built. During the time, investment rules were constantly changing and unclear and thus Coca Cola should have cognise better and not expect an equal treatment (other foreign companies such as Philips and Carrier were allowed to buy back well-nigh of their outstanding contends) considering that as stated by market analysts, there was no apparent logic behind India government policies.PepsiCo was quite quick in every situation to abide with the changing policies however both companies lacked pro-activeness. With specific measures in place, both companies could have avoided all the bad publicity on their brand names.Timing of entry into the Indian market brought antithetical results for PepsiCo and Coca-Cola India. What benefits or disadvantages accrued as a result of earlier or later entry?Timing of entry in a foreign mark et is a critical decision. Although the premier entrant in the market would have better chances of gaining market share, both frontmost and following entrants have their advantages and disadvantages.The political and legal environment in India does not present a clear cut line which amongst PepsiCo and Coca Cola India had the most advantages in terms of time of entry. PepsiCo was the first to enter the market in 1986, although in actual fact Coca Cola had already had a presence in India between 1958 and 1977. The decision to leave was taken when Indias government tried to force Coca-Cola to share their recipe and trim its equity stake down to 40%. Coca Cola re-entered the market in 1993.PepsiCos timing was impeccable. During that period the carbonated soft drink market experienced substantial growth in India. Pepsi were able to ensure their place and snap up a good share amount of the soft drink sales managing in fact to gain 29% market share by 1993.Moreover, according to Srivas tava M. (2010) Pepsi became this catch-all for anything that was bottled, fizzy and from abroad. The word Pepsi became part of everyday vocabulary in India referring to soft drinks in general and not only PepsiCo soft drinks.However, PepsiCo also suffered from a total disadvantages because of its timing. The Indian Government only approved its application to trade in the Indian market after agreeing to the threshold of total sales not transcend 25% and that of changing name to Lehar Pepsi. PepsiCo also struggled to fight off the smaller Indian soft drink brands in its venture to gain market share.Coca Cola India, on the other hand, entered the market 6 years after PepsiCo. During this timeframe legislations were amended to facilitate foreign investment including the elimination of the clause forcing foreign companies to join forces with Indian companies in order to be able to enter the market.In fact, Coca Cola entered the Indian market as Coca-Cola India in 1993. However, wanting to lard its investments, Coca Cola India create a joint venture with industry leader, Parle, in 1996, buying out four of its bottling plants together with its stellar(a) brands Thums Up, Limca, Citra, Gold lieu and Mazaa. For Coca-Cola India to do this, however, it had to sign an agreement with the Indian government agreeing to sell 49% of its equity to Indian Partners.The Indian market is enormous in terms of universe and geography. How have the two companies responded to the sheer scale of operations in India in terms of i. product policies, ii. promotional activities, iii. pricing policies and iv. distribution arrangements.A population of over 1 billion people ( as of 2010 census) and being the 7th largest country in the world, makes India whizz of the largest markets in the current economy. Both Pepsi and Coke had to adapt to such enormity, and they did so throughout several areas.Product PoliciesBoth companies carefully catered for the Indian tastes. They entered the mar ket with products close to those already available in India such as calx hydrate beverages, fruit drinks as well as water.They carefully waited until they had a secure position in the market and had established their core products thus introduced American- type drinks. matchless particular example is the introduction of Sprite, a beverage forming part of the Coca- Cola family.They also introduced new products. Coke was the first to start producing bottled water under the name of Kinley while Pepsi Foods introduced Aquafina.Promotional ActivitiesThe Navrartri Festival is the second highest season for soft-drink consumption. Pepsi and Coke made full use of this festival and saw it as a promotional opportunity.Coca-Cola India It gave out 20,000 passes to the festival star for every purchase of a Thums Up. They also introduced a buy one get one free scheme and held lucky draws where one could win a trip to Goa.PepsiCo It sponsored dance competitions on a large scale and had many promotional offers such as a free kilogram of Basmati rice with every refill of a case of 300ml of Pepsi as well as free kit-kat with every 1.5 l bottle and free Polo with every 500ml bottle.The part of unalike areas of India allowed for the differentiation and division of rural and urban Indian youth into categories, India A and India B respectively. Doing so they were able to advertise and promote their products differently so as to target and appeal to these markets individually.Coke made use of Bollywood stars to endorse its products, featuring them in their adverts and campaigns while Pepsi preferred to use sporting events and famous athletes such as cricket players and sponsored events such as the Cricket World Series of 2003.Pricing PoliciesPepsiCo It included an aggressive pricing policy on their one litre bottles which created different reactions between their competition.Coc Cola India In 2003, it slashed its prices of softdrinks by 15-25% as an attempt to encourage cons umption and enhance affordability. It also made sure the soft drinks were made available to consumers so as to make it a regular purchase.PepsiCo was forced to match these price cuts in order to keep up.Distribution ArrangementIn terms of distribution arrangements both PepsiCo and Coca-Cola India had production plants and bottling centers all throughout India located strategically in the largest cities including Bombay/Mumbai and Delhi. More plants were added when demand increased and when the product range grew.Moreover, having formed partnerships with local companies, both Coca Cola and Pepsi were able to get initial access into the market.Global Localisation is a policy both companies have apply successfully. Give examples for each company from the case.By definition, the term glocal refers to the organization (in this case corporations such as Coca Cola India and PepsiCo) and the community which is willing and able to calculate globally and act locally.Both firms have identifi ed this uphill trend as the key element to surviving in the Indian Market. They adapted their products to the localization and culture they marketed them in.PepsiCoPepsiCos first signs of glocalisation were apparent from the moment it attempted to enter the Indian market as it did so as a joint venture with another two locally based companies, Voltas and Punjab Agro. Together they formed PepsiFoods Ltd.In 1990 PepsiCo then proceeded to changing its name as well as the name of its other products to Pepsi Lehar so as to conform with the imposed government regulations. This name also helped them to integrate further with the Indian culture.PepsiCo also launched Lehar 7UP so as to cater for the local tastes and lime culture and placed this in the clear lemon beverage category.PepsiCo vigorously sponsored cricket players as well as cricket and other sporting tournaments such as soccer. It also sponsored for the whole event those cricket players in the Indian Cricket Team who participate d in the 2003 Cricket World Cup in southbound Africa. Moreover, it took advantage of the World Cup Fever by organising local tournaments and featuring football heroes during this period in their campaigns. PepsiCo also chose its campaigns to tie in with imporant sporting events such as the Keep it Cool 7UP Summer Campaign which coincided with India Zimbabwe One Day Cricket Series.The endorsement of popular Bollywood actors such Amitabh Bachchcans endorsement of Mirinda was also used.As mentioned in the anterior question, PepsiCo also made use of the Navrartri Festival by creating promotional offers. In the year 2000, it teamed up with Guarjarati TV to telecast the festival throughout the 9 nights.Coca-Cola IndiaCoca-Cola India also started off as a joint venture with Brittania Industries India Ltd. In 1993 it went on to form a joint venture with Parle, purchasing its 4 major bottling plants and leading brands including Thums up which in 2002 ranked second nationwide in terms of s oftdrink consumption. This allowed it to integrate a national drink under the Coca Cola brand so as to boost Coca Colas image and credibility.Glocalisation is part of Coca Colas think global act local business plan.Coca Cola also made use of the Navrartri Festival in order to integrate themselves with local culture. In 2002 they gave out 20, 000 free passes to the fast dance happening during this festival one for every bottle of Thums Up bought.Coca Cola India also carried out lifestyle advertising and its main strategy was to build a connect using the relevant local idioms. They made use of adverts featuring famous directors such as A.R. Rahman, unison director of Slumdog Millionaire, and made sure to use popular local music such as the gaana. Coca Cola India also made use of Bollywood stars to attract consumers targeted especially to the rural and urban youth catered for in different segments. famous stars include Aishwarya Rai and Vivek Oberoi.Some analysts consider that Coca -Cola India made mistakes in planning and managing its return to India. Do you agree? If not, what or who do you think was responsible for any mistakes?Coca Cola first entered the Indian market in 1958, however withdrawn in 1977 after facing many problems from the government, such as cutting its equity stake to 40 percent and being asked to hand over its secret formula for the syrup. Coca Cola managed to re-enter the market in 1993 after the first application in May 1990 was rejected.Pepsis application to enter the Indian market was probably a trigger for Coca Cola to do the same. This could have been Coca Colas first mistake haste. Wanting to be part of this growing and developing market, it entered the market soon after PepsiCo despite knowing that although sixteen years had passed from its first attempt in the market, the political environment was still very unstable and thus very risky.Doing heavy research before entering such a risky (politically, economically and also cultural ly) market, is vital. Still, there was a lot of which Coca Cola did not know about the Indian market, especially in confronting the abundant political risks. Although Coca Cola has its faults, blaming Coca Cola entirely would be wrong. The Indian government and other authorities had a lot of power on businesses, as explained in Question 1, making it very hard to predict certain situations. Nonetheless, if Coca Cola India had been a smirch more knowledgeable and careful in planning and implementing its corporate and business strategies, it could have avoided certain managing mistakes. However, staying out of this attractive market would have been a shame.Although it is fair to say that its market entry was not made easy due to government application rejections and other imposed rules Coca Cola India could have tried negotiating with the government a fight more before entering the market). During its first years in the market, Coca Cola India was also very slow in realizing certain key issues such as the ideal price point for its soft drinks. Having more than 50% of the population under poverty line, a reduction in prices (which actually occurred then in 2003), would have increased consumption and thus increasing profits.All in all, Coca Cola India was quite successful in its choice of strategy, considering it has rough one million retail outlets around India selling Coca Cola. Few of its best communication strategies were those of including stars from Bollywood in its advertising and the Buy one Get one free promotion. Despite this however, as mentioned before, understanding the Indian population a bit more could have helped.In conclusion, what Coca Cola India needed most were safer and more solid grounds to compete on. While there were a lot of external factors and hidden risks which were out of Coca Colas control, better management of these situations would have lead to better results (as discussed in question 1).Although its clear that Coca Cola made mis takes in its market entry stage it was also a bit unlucky maybe due to its hasty decision in entering the market.How can Pepsi and Coke confront the issues of water use in the manufacture of their products? How can they defuse further boycotts or demonstrations against their products? How effective are activist groups like the one that launched the campaign in California? Should Coke address the group instantly or just let the furor subside, as it surely will?The Coca Cola Company used 290 billion liters of water in 2006 alone, complete to meet the entire worlds drinking water needs for 10 days (Amit Srivastava, July 30, 2007). This fresh water was mainly used to clean their equipment in the production process, round two thirds of this water into waste water. One must note that this is done in a country where water shortage is a meagre problem. indeed both multi-national must take the bull by the horn and change the way they do certain procedures without hiding but being sincere . More in effect(p) ways of cleaning must be found to waste less water and be more responsible towards the Indian nation. Coca-Cola has lately announced a partnership of US $20 billion over three years between them and the world wildlife fund on water conservation. This will help in rebuilding the organized religion with the Indian population so as to succeed in the Indian market. An element of corporate social responsibility is important for companies to work better within foreign market.Bad publicity can damage a companys reputation definitely. This was clearly experienced by both PepsiCo and Coca Cola India. Although advisory boards were created and purity tests were conducted in order to avoid further boycotts or demonstrations against their products, this was not enough. Better use of Public Relations would have been a first step. Having conducted purity tests, the next step would be that of communicating the results in an effective way. Choosing to deny the accusations and t hen presenting these tests could have been felt as a pique. The use of press releases and open days at the factories showing the process for example would have made both the government and the general public more participant. Moreover, trying to deal with the government by emphasizing on corporate social responsibility could have gained governments trust and thus earn a safer position in exchange. fling a percentage of their profits to help in building schools or hospitals in India could have been an idea.Activist groups, like the one in California, are very powerful. They can be great allies but also worst enemies for a company. Their influence on the general Coke consumer is great as they reach the consumer directly through various activities and in turn these consumers force manufacturers/ suppliers etc to take action. In fact, the campaigns in California led to several bottling plants closing down as well as the discontinuation of contracts with Coca Cola.Coke should address the group directly avoiding accusations of trying to hide its activities and actions. In this way it would defend itself and would also be able to regain its credibility and continue building its image by being proactive. Another reason why it should do so is to gain trust of customers since it claims it has nothing to hide by being truthful and giving an answer instead of waiting for the rumors, accusations and scandal to subside.Which of the 2 companies do you think has better want term prospects for success in India?The two companies in question are strong multinationals which are widespread around the world. Some might argue that on world terms Coca-Cola is the strongest brand out of the two. However after analyzing the case in hand it is evident that both companies could have handled situations different leading to different results.The success or lack of it in the first years in a foreign country can be very helpful in predicting the future of the company. Pepsi on the one hand has already a great market share and sustainable brand recognition. On the other hand, Coca Colas conflicts with the Indian government are not very promising. Having a good relationship with authorities is vital for growth.Both multi-nationals have been successful in developing marketing strategies aimed at increasing the consumption of carbonated soft drinks. Moreover, they were both very successful in glocalization as seen earlier. Some argue that PepsiCo was most successful through the use of Basmati rice (considered a luxury type of rice) in its sales promotions while others consider Coca Colas depiction of Bollywood stars its advertising campaigns as being impeccable.Moreover, Coca Cola India was ceaselessly the initiator of the new ventures/strategies, but failed to follow through. PepsiCo followed Coca Colas initial ideas, going that step further. In fact, PepsiCo was more successful in attractive the local people with its brand.Statistically, Pepsi has had constant growth during its occupancy in a stable pattern. Long term investors seem to prefer Pepsi Co due to its foretell of future expansion. If a company invests in Pepsi Co today, PepsiCo is promising a rise of almost 100 more points by 2015. Coca Cola India seems to be attracting more those who believe in fixed income, as its investments seem to be fluctuating less.Regarding direct competition, Coca-Cola still trails behind Pepsi in terms of market share which could signify that Pepsi has a better overall strategy for success. Coca Cola seems to be struggling more to survive in such a dynamic and growing market. All in all, the current situation does point more towards Pepsi as being more successful than Coca Cola in the Indian market.What lessons can each company draw from its Indian experience as it contemplates entry into other Big Emerging Markets?It seems that prior market research was most overlooked by both companies. Deep market research including all the PESTLE elements is vital in o rder to understand how to do business in the foreign country. As stated in the text In many ways, Coke and Pepsi managers got to learn the hard way that what works here does not always work there. Moreover, on-going environmental scanning is important in order to be able to anticipate matters rather than being re-active to situations. With specific measures in place, both companies could have avoided all the bad publicity on their brand names.Both companies should also have focused more on education of their products. Most probably, many emerging countries lack knowledge of their brands and also lack certain infrastructures and standards of living present in other developed countries.PepsiCo lessons learntPepsi realized how important it is to understand and keep with local tastes thus focusing on the clear lemon category which was a great hit in India. It is also beneficial to pay attention to market trends in order to position your product accordingly. A very important point for Pe psi in India was the pricing policy and bottle sizes.Adapting your communication mix as well as distribution methods to the market is also a key point. Local celebrity appeals made for exceptional advertising for PepsiCo.Coca Cola India lessons learntWhile also realizing the importance of paying attention to market trends Coca Cola surely realizes the importance of place in local products. While not investing in Thums Up brand for the first couple of years, decreasing market share from 60% of total carbonated beverage sales to 15%, after a substantial investment, Thums Up ranked second nationwide within a year.The importance of timing of entry should not be overlooked. Coca Cola entered the market at a poor time because they had to agree to abide by all of the Foreign Investment Laws of that yearDefining your target audiences more specifically than what Coca Cola did in India could have helped for better targeting/positioning and thus advertising of products. Coca Cola separated it s markets as India A and India B without any further differentiation through for example age, gender, language, interests, location.Establishing a good business relationship with the host countrys government and/or any other political or non-governmental groups present in the country is also vital as these could act either as a source of advantage or could impede your success. Coca Cola made a mistake in trying to get out of its promises. It had already made a mistake by entering the contract they did. By continuing to apply for extensions and attempting to deny voting rights for the Indian stake, Coca Cola India was only tarnishing its public image and destroying its relationship with the government.Finally, as Venkatesh Mysore, (Managing Director, MetLife India insurance Company Pvt. Ltd. In Bangalore) said It is extremely important for MNCs to follow the laws of the land, and not look for short-cuts (Ashok Rao et al. 2006).

Tuesday, June 4, 2019

Method of Doubt by Descartes

Method of Doubt by DescartesRen Descartes, the father of modern philosophy, adopted the system of doubt to bear upon the truth. Descartes philosophical attitude started in his youth when he realized that he had been accepting many false opinions for true. He wanted to chafe rid of all the opinions that he had accumulated over the years. Descartes wanted to build a foundation on which all further intellectual enquiries could be built. He felt reason should follow and arrive at certain philosophical truths. There should be no further doubts left after this, which meant that the foundation had to be straits. This approach was known as the Method of Doubt but his rationale and approach has been a subject of controversy for years.He believed never to accept anything as the truth, which he could not accept as obviously true. Everything should be so clearly presented to the mind that there argon no doubts left at all. Anything that canful be doubted has to be rejected. Reasons to belie ve something should be ample. The second step is to divide the subject into as many divisions as possible or whatever would economic aid him to say it conk out. The third step involved directing his thoughts, taking one step at a time, to reach the underlying complex knowledge. At the pole of this, his reviews were so comprehensive, his enumerations so complete, that nothing was left to doubt.The three steps adopted by Descartes is what is adopted in mathematics. He wanted to use this method to reach the truth in philosophy. S V Keeling argues that his method as above rests on three mental operations intuition, deduction, and enumeration (cited by Burnham, 2006). These operations are found on human reason, on the ability to disseminate information, analyze, and review. Since it is based on the capability of human mind, there is a risk of error due to faulty memory.In the Meditations on First Philosophy Descartes proves the existence of divinity and the immortality of the so ul. He also brings out the real distinction between the mind and the body. He starts this by asserting the need to demolish everything completely and start again right from the foundations (AT 717). Although the first step was termed as skeptical his skepticism was not for the sake of doubting. He wanted to arrive at the truth through systematic analysis and discarding the untruth. Descartes defines knowledge in terms of doubtI separate the two as follows there is conviction when there remains some reason, which might lead us to doubt, but knowledge is conviction based on a reason so strong that it can never be shaken by any stronger reason (cited by Norman, 2005).Descartes skeptical approach is based on the principle that there is a distinction between belief and truth (Bellotti, n.d.). It was this conviction that gave rise to the Method of Doubt. After making a shape of tea one may leave it to brew on the kitchen table under the belief that it is ready to be poured and consumed. The truth may be various from the belief, in the sense, someone could have poured the tea and taken it in the meantime. The pot may be empty by this time. The Method of Doubt removes all ambivalent beliefs and single beliefs that are true beliefs remain. Descartes applied this theory to a group of beliefs so that beliefs need not be dealt man-to-manly. A common characteristic could be determined but this concept again leads one to believe that doubts would be on the entire group or class of beliefs. Here Descartes uses the malicious fanatic thought experiment.Gassendi criticized this theory saying that Descartes could just have regarded the previous knowledge as uncertain (cited by Norman) instead of demolishing everything. It is not necessary to picture everything as false. He felt that such an approach convinces the human mind that there is a devil who tricks us. It is simpler to admit the weakness of human temper. Gassendi pointed out the popular and inflated nature of the Method of Doubt. Descartes argues that it is not possible to free ourselves of all the errors that the human mind has been soaked in. He firmly believes that universal and hyperbolic nature is necessary for the Method of Doubt to succeed.Descartes in his argument to demolish everything and start afresh applies the universal character and gives the analogy of a basket full of apples. To remove and retain the good ones and discard the bad ones, it is wiser to empty the basket, then select the good ones and keep them in the basket. He feels this is a better and simpler way than plectrum out the rotten ones from the basket full of apples. He believes in first rejecting all beliefs as if they were false and then after careful analysis, adopt lone(prenominal) the ones, which are true. One bad apple can rot the whole basket so if we were to pick out the bad ones, there is every first step of overlooking one bad apple. On the other hand, if the whole basket is first emptied and the n the good ones set(p) back, we can be sure of only adopting the truth. Descartes method of doubt, as foundation of knowledge does seem more effective than what has been suggested by Gassendi. When the basket is totally empty, it can be cleaned and then fresh, good apples picked and placed in the basket. It is a much faster process than negating the bad. Secondly, when the basket is empty, the stains left behind by the rotten apples can be seen and cleaned, which is not possible when the bad apples are picked out from the lot.His argument to discard everything as false relies on his argument that the mind believes on whatever it perceives through the physical eye. He did not believe that anything should be left to imagination. This has a sound basis, as the mind cannot imagine what it has not seen. In order to support that all prior beliefs are wrong, he discussed three stages the sense, dreams and the evil demon hypothesis. Descartes asserts that these do not have the power to fal sify what we seem to perceive. What we see through the sense mislead us. We cannot bug out with doubt. Descartes even goes to the extent of affirming that even the external innovation that we perceive is an illusion, a dream and hence false. The enquiry has to start after eliminating all such perceptions.The beside argument that arises is whether the escape from hyperbolic provides a satisfactory foundation for knowledge? This can be explained by an analogy of a building, which requires the use of a dozer to demolish it. A light bulldozer would make the ground appear immovable. Hence, a bigger bulldozer is more effective, which means the more hyperbolic the doubt, the better it is. According to Descartes, the Evil dash Doubt is the most powerful doubt. This evil genius makes us believe the false as true. For instance, the transparent truths like 2+3=5 or that a square has only four sides, are knowable. For people to know, understand, and accept these truths, they have to be firml y grounded in the heart of the most powerful doubts. The evil genius tries to shake even such hyperbolic doubts. People also firmly deny the existence of graven image. Descartes believes that the Evil hotshot Doubt is just one of the factors that can motivate the hyperbolic doubt. The basic doubt is that the human mind is flawed, and the mind is aware that it has been distorted despite God having given a nature to turn to him. The human mind keeps remembering all the past incidents and visions, and gives them the right to occupy the mind. It is not easy to accept that the world we see everyday is an illusion. It is only through deep introspection and a strong will that a person can accept the truth that God exists and all else is false. He has to be fixed in this belief and arrive at the knowledge of truth. He has to arouse himself from the deep slumber of falsehood. The more hyperbolic the doubt, the mind is activated better.Hence, the best approach is to discard everything as f alse and start afresh. Descartes philosophical approach through the Method of Doubt is a sound method. It is in fact the best approach to investigation. It is an investigation of the self by the self to reach the self or the truth. To reach the truth, through the Method of Doubt, an individual has to negate the external world around him. If he feels this world to be true or feels a part of this illusionary world, he can understand or realize the existence of God. The program of demolition is not only hyperbolic but also universal in nature. To face the Evil Genius there has to be an equally powerful doubt. Escape from hyperbolic cannot provide a satisfactory foundation for knowledge.ReferencesBellotti T (n.d.), Descartes Mehod of Doubt, 01 April 2006Burnham D (2006), The Internet encyclopedia of Philosophy, 01 April 2006Newman, Lex, Descartes Epistemology, The Stanford Encyclopedia of Philosophy (Summer 2005 Edition), Edward N. Zalta (ed.), URL 01 April 2006

Monday, June 3, 2019

Equity of Access in the Australian Healthcare System

Equity of Access in the Australian wellness plow governanceThe Concept of Equity of Access in the Australian wellnesscargon SystemThe Australian wellness charge system is founded on the concept of blondness of Access. Discuss this Statement with relation to the concepts of potence and capacity and any interrelation that may exist.IntroductionAs Stated in guinea pig Health Reform Agreement-Equity of Access is the fundamental base of the Australian Health condole with System (DHA. 2013a). Effectiveness, which foc drug ab enforces on ratio of outputs to outcomes and efficiency, which defines as achieving maximum outputs with available inputs or resources, these be other divisorary comp unrivallednt of the Australian Health C be System. Equity, persuasiveness and efficiency these represents warning health bid system, which tends be effective and efficient and able to achieve the efficacy (specified outcomes) in a way that maximize access (distribution) productiveness (o utput) and outcomes within the resource provided (NHHRC. 2009. P.4). Responsibilities like funding, delivery regulation is shared by the national state government of Australia makes the Australian Health Care system universally accessible within the passel (AIHW, 2000). Public hospitals community care funding is joined effort of common wealth (i.e. federal government), states territories where common wealth use its revenue and tax to fund most of hospital medical service health research (Common wealth Department of Health age care, 2000). Since 1990s content State health Minister worked alongside of some(prenominal) health care professional to develop a certain Universal framework to assessing the Australian health system (NHPC, 2000). A new framework for measurement of Australian health performance was inspired from Canadian Health information Roadmap Initiative Indicator framework, which was commenced by NHPC (NHPC, 2001).EquityEquity in health and health care with conte xt of social objective can be defined in many antithetic ways. As Amarty sen argued, when we talk equity we forget to ask on fundamental question equity of what? (Sen, A.,1992). But for the context of our knowledge and study we base our judgment on the definition of culyer wagstaff, the appropriate positive criteria for mormative judgement regarding equity in distribution of health and health care is equivalence of health status and health care access (Culyer, A.J., Wagstaff, A., 1993). By adding the reachity in the process of equity gives the sense of clear fairness to the consumer. But equality is not equity equality is just simply depict as similarity of status, capacity and opportunity. Equity is an ethical evaluate. A unequal opportunity of being healthy associated by people in socially less privileged groups such as poor people, different racial people to others native land, religious ethnic group, women and rural resident is reduced by equity in health ( Braverman, P. Gruskin, S., 2003). Further Braverman et.al stated that the equity in health pursued by eliminating disparities of health that are committed with certain social disadvantage or marginalized or disfranchised community and group within, but may not be limited to the poor.This definition argues for deprivation for the health care services by individuals which is completely result of both of their medical condition and their social condition. As we know the problem of health care system is not only related to the inequity in health. According to Mathews, social, cultural and educational and more or less classical medical causes are related to the poor health of the indigenous Australian (Mathews, C., 2003).Equity of AccessEquity in health has been spoken and written frequently by many economist but they never tends to do or continue to do more consistently, clearly passionately. As Gavin Mooney stated, equity means equal access to equal care for equal needs, (Gavin, M., 2003). Sin ce 1960s quest for equity in health has been major issue and concern to Australian health care system. The introduction of Medibank in 1975 and reinstatement as Medicare in 1984 was the most portentous development in term of equity of access after the access of financial restriction (Scotton, R. B., Macdonald, C. R., 1993). The equity of health service and the consultation time frame for consumer of lower socio-economic status and consumer of high socio-economic status doesnt shorten by breaking and disappearance of financial barrier (Furler, J.S., et.al 2002). The result in context of other property of equity is not good. Access of health care (both primary and hospital care) in term of geographic equity is significantly different between urban and rural area. Fewer doctors per 1000 population in rural Australia relative to urban area is the best example to describe the complex nature of geographic equity in simple. Rural communities considered access of specialist service, ac cess to hospital service to be a problem due to traveling of significant distance to gain and access those service.Equity of OutcomeEnvironmental factor and the quality of health care provided evenly affects the result of equity of outcomes. Major Policy attention is needed by the appalling health status of our Aboriginal Torres strait Islander population is one of the best example is equity of outcomes. By action in health sector will not remedied the factor Affecting health status, issue of dignity, individuality and justice should be the strategy for the improvement of the health status of Aboriginal Torres Strait Islander. Reconciliation is one of the key elements required for progress further (Jackson, L.R., Ward, J.E., 1999). forceWhat is efficiency? According to Farrell efficiency is production of maximum amount of outputs from condition amount of input or alternatively minimum input quantities producing a given amount of output (Farrell, M.J. 1957). It is referred as to a concrete goal oriented index indicating how well socially desirable health system is achieved desirable. Health assist efficiency is also considered to be great important dimension of quality health because service affordability is affected by it with the context of limited available resources in health care. Efficient service means providing optimal service and care to forbearing and community rather than maximum care to patient and community it is intimately providing greatest benefit with available resource (Brown, L.D., et.al 1992). One of the key criteria for evaluating the health care system is efficiency. According to the economic point of view, efficiency divided into devil key elements allocative efficiency and skillful efficiency.Allocative efficiencyTo provide best outcomes health care system dependent on distribution and allocation of resources technical efficiency, force and precedence are involved in the process of best outcomes. The optimized ratio of output s to outcomes, which is also known as potentiality is the second key element of allocative efficiency. The priority setting in term of boilersuit ratio of inputs to outcomes is the third and last element of allocative efficiency.Technical efficiencyFlexibility and alterability to change and innovation of health care system as a whole and as its constituent elements, is known as technical efficiency. Development of casemix measure for hospital services by palmer was a unique contribution both nationally and internationally (Palmer, G.R., et al, 1986 Palmer, G.R., 1991). Over last decades significant improvement in allocative efficiency was achieved after introduction of casemix funding in Victoria in 1993 (Duckett, S.J., 1995). There bring on been constantly adaptations of new technologies (like drugs, surgical instrument, surgical technique and diagnostic instrument technique) since the development of Australian Health Care system. Over the decades of increase in publication and citation, Australia has been able to build up strong and dynamic medical research system (Butler, L., 2001). Comprise of allocative efficiency technical efficiency gives overall efficiency, firm can operate on cost or revenue frontier if its able to achieve overall efficiency.EffectivenessIt acts as a key dimension for achieving desirable outcomes with correct provision of evidence based health care service to all who couldnt benefit, but not to those who would not benefit (Aran, O.A., et.al 2003 WHO, 2000). Donabedian argued then effectiveness is the extent to which attainable improvements in health are in fact attained (Donabedian, A., 2002 Donabedian, A., 1982). In same way Juran Godfrey argued effectiveness to be the degree to the process which result in in demand(p) outcomes without any error (Juran, J. Godfrey, A.B., 1999). The ratio of output to outcome is optimized by effectiveness. Out of number of elements, efficacy act as one of key component to the certain extent of which health care sector output leads to the ideal outcomes under best ideal condition (Cochrane, A.L., 1972). The major objective is to ensure the actual effectiveness (in term of ratio of outputs to actual outcomes) which helps to move closer to objective. Effectiveness is the dimension of Australian Health Care which explicitly includes time element, so we can evaluate whether the health intervention are primarily achieve the desired and appropriate outcome within the time frame. The interventions are the care must be provided to people most needed is advocated and supported by effectiveness framework. premature detection and prevention performance within a population area is the indicators for the effectiveness. Effectiveness conceptualize framework of health care system as dimension of performance where care/intervention/action achieves the desired result in an appropriate time frame (NHPC, 2001). Norms and specification at central level defines effectiveness to be an importa nt dimension of quality. Effectiveness issue should be handle in local level too, where manager implement norms and work on how to adapt them to local condition.Actual outcomes (effectiveness) for an intervention or system is affected by numerous factor like the care system design, surrounding environment of repose patient, safety of device manufactured pharmaceuticals used and care quality. Proof of evidence of significant level of preventable adverse events occurring in hospital leading to forceful outcomes can be provided by the quality in Australian health care study (Wilson, R.M.et al., 1995). As stated by McDermott, it is suggested that large number of conclusion related to detriment can be preventable or potentially are preventable, which is has be documented after analysis of care following trauma (McDermott, F.T.et al., 1996). These study shows that there are important effectiveness issues in Australian healthcare system with respect to quality of care and it can be de scribed as inability to provide high-quality care.Interaction between equity, efficiency and effectivenessThe concept of equity, effectiveness and efficiency in term of health input and its outcomes are internationally tackle by WHO and OECD (Organization for Economic Co-operation and Development) to reflect an economic way of thinking. Due to growing concern about safety, service delivery and quality of patient care there have been interesting trends of implicit and explicit link between the concept of equity, efficiency and effectiveness, which is understandable (Berwick, D.M., 1998). As we know second element of allocative efficiency is optimized ration of outputs to outcomes which is also known as effectiveness. Which shows that efficiency and effectiveness are linked and interacted? After the implementation of equity, sick individuals who seek help have their need meet. The value of treatment provided by health service organization is equally distributed to the people in need. With the equity you are not judge or treated and cared on the basis of your fame, fortune, you ability to pay. When the resource is equally distributes between the need of people then equity taken an affect and when there is the equity then we can evaluate the efficiency and effectiveness of the health care service of that organization or of any country.ConclusionHealth policy where attributes and value plays prominent role, ideological driven problem related to it are inevitable as part of the policy. Perception of problem is affected by attributes and value which plays significant role in policy academics so as to attempt to shape public debate for do rational and reality based perception. There are many problem identified in the context of equity of access in the Australian healthcare system based on efficiency and effectiveness by many writers like Palmer, Wilson, McDermott, Jackson wards, Farrell and many more even the solution to that problem have been presented by them but we havent to date identify the problem and adopted the solution presented by them. But important aspect is that progress are being made and hopefully health care system will experience continuous improvement in near future.References Australian Institute of Health and Welfare (2000). Australias Health 2000. CanberraAustralian Institute of Health and Welfare (2008). Australias Health 2008, CanberraArah, O. A., Klazinga, N. S., Delnoij, D. M. J., Ten Asbroek, A. H. A., Custers, T. (2003). Conceptual frameworks for health systems performance a quest for effectiveness, quality, and improvement.International daybook for Quality in Health Care,15(5), 377-398.Berwick, D. M. (1998). Developing and testing changes in delivery of care.Annals of Internal Medicine,128(8), 651-656.Braveman, P., Gruskin, S. (2003). Poverty, equity, human rights and health. Bulletin of the World Health organization,81(7), 539-545Brown, L. D., Franco, L. M., Rafeh, N., Hatzell, T. (1992).Quality assurance of h ealth care in maturation countries. Quality assurance project.Butler, L. (2001).Monitoring Australias Scientific Research Partial indicators of Australias research performance. Australian Academy of Science. CanberraCochrane, A. L. (1972). Effectiveness and Efficiency (Rock Carling Fellowship, 1971).Nuffield Provincial Hospitals Trust.Commonwealth Department of Health and Aged Care, (2000). Australian Health Care Agreements Annual Performance Reports 19981999. Canberra Common Wealth of Australia.Culyer, A. J., Wagstaff, A. (1993). Equity and equality in health and health care.Journal of health economics,12(4), 431-457.Department of Health (DHA) (2013). National Health Reform Agreement.Donabedian, A. (1982). Explorations in quality assessment and monitoring. Vol. 2. The criteria and standards of quality.Ann Arbor, MI Health Administration Press.Donabedian, A. (2002).An introduction to quality assurance in health care. Oxford University Press.Duckett, S. J. (1995). Hospital payment arrangements to encourage efficiency the case of Victoria, Australia.Health Policy,34(2), 113-134.Farrell, M. J. (1957). The measurement of productive efficiency.Journal of the Royal Statistical Society. Series A (General), 253-290.Furler, J. S., Harris, E., Chondros, P., Davies, P. P., Harris, M. F., Young, D. Y. (2002). The inverse care lawfulness revisited impact of disadvantaged location on accessing longer GP consultation times.Medical Journal of Australia,177(2), 80-83.Jackson, L. R., Ward, J. E. (1999). Aboriginal health why is reconciliation necessary?.The Medical Journal of Australia,170(9), 437-440.Juran, J., Godfrey, A. B. (1999). Quality Handbook.Republished McGraw-Hill.Matthews, C. (2003). Caught in a vicious cycle.Australian Medicine,15(12),16.McDermott, F. T., Cordner, S. M., Tremayne, A. B. (1996). Evaluation of the medical management and preventability of death in 137 road traffic fatalities in Victoria, Australia an overview.Journal of Trauma-Injury, Infection , and Critical Care,40(4), 520-535.Mooney, G. H. (2003).Economics, medicine and health care. 3rd ed. London Pearson Education.National Health and Hospitals Reform Commission. (2009). A healthier future for all Australians Final report of the national health and hospitals reform commission.National Health Performance Committee (NHPC) (2000). Fourth National Report on Health Sector Performance Indicators A Report to the Australian Health Ministers Conference. Sydney upstart South Wales Health DepartmentNational Health Performance Committee (NHPC) (2001). National Health Performance FrameWork Report. Brisbane Queensland Health.Palmer, G. R., Aisbett, C., Reid, B., Jayawardena, Y. (1986). The validity of Diagnosis Related Groups for use in Victorian public hospitals report to the Department of Health, and of Management and the Budget.Victoria, Kensington, University of New South Wales.Palmer, G. R. (1991). The use of DRGs in the management and planning of hospital services.Australian Economic Review,24(1), 62-70.Scotton, R. B., Macdonald, C. R. (1993).The making of Medibank(No. 76). School of Health Services Management, University of New South Wales.Sen, A. (1992).Inequality reexamined. Oxford University Press.Wilson, R. M., Runciman, W. B., Gibberd, R. W., Harrison, B. T., Newby, L., Hamilton, J. D. (1995). The quality in Australian health care study.Medical Journal of Australia,163(9), 458-471.World Health Organization. (2000).The world health report 2000 health systems improving performance. World Health Organization.

Sunday, June 2, 2019

Alzheimers Disease and Downs Syndrome Essay -- Downs Syndrome Triso

Alzheimer and Downs SyndromeDown?s Syndrome, Trisomy 21, or Mongolism is one of the most common causes of mental retardation. The majority of Down?s Syndrome patients have a moderate retardation although it can range from mild to severe. Trisomy 21 occurs in about 1 in 800 live births. This incidence increases markedly as the age of the mother increases over 35. The prevalence in children born to young mothers is 1 in 1000, while it increases to almost 1 in 40 in children born to mothers over 40. Most individuals with Down?s Syndrome have characteristic features such as upward slanted eyes, broad flattened face, misfortunate neck, and a prominent tongue. Muscle coordination is often impaired in these individuals, resulting in uncoordinated posture and balance. Congenital heart disease is found in 40 percent of these individuals, along with a near twenty fold increase in the risk of kidney malformation, thyroid abnormalities, diabetes, leukemia. Neurological retardation and impaired immune systems demo these individuals more susceptible to infection and disease. In the early l900s, Downs Syndrome patients rarely lived to reach the age of twenty, as they only had a life expectancy of about 10 years. With the advances of modern health care, most individuals, excluding those with irreparable heart damage, live to reach adulthood. Although it is still shorter than normal adults, their life expectancy has increased to about fifty-five. The disorder was ab initio described as Mongolism by British physician John Langdon Down. Many theories for the etiology of this condition surfaced, including racial regression, endocrine gland dysfunction, and uterine exhaustion. It was not until the 1930s that Adrian Bleyer hypothesized tha... ...e of ALZ-50 reactive neurons and the formation of senile plaques. Journal of the Neurological Sciences, 1992, 109 593-598. Raghavan, R. Detection of Lewy Bodies in Trisomy 21. Can. J. Neurol. Sci., 1993, 2048-51. Goodison. Neuronal and Glial Gene Expression in neopallium of Down?s Syndrome and Alzheimer Disease. Journal of Neurol. and Exp. Neurol., 1993, 52 (3) 192-198. Hyman, B. T. Down Syndrome and Alzheimer disease. Prog. Clin. Biol. Res., 1992, 379 123-42. Silverman W. Alzheimer neuropathology in mentally retarded. Acta Neuropathol. Berl., 1993, 85(3)260-6. Beyreuther, K. Regulation and expression of the Alzheimer?s Beta amyloid protein in Down?s Syndrome. Ann. N.Y. Acad. Sci., 1993, 695 91-102. Murata, T. In vivo proton magnetic resonance spectroscopy study on premature aging in Down?s Syndrome. Biol. Psychiatry, 1993, 34(5) 290-7.

Saturday, June 1, 2019

Discrete Choice Experiment :: Analysis, Random Utility Theory

The CE is founded on neoclassical micro-economic consumer theory. It assumes that consumers are highly sagacious determination makers who seek to optimize their utility by selecting the best option among the available alternatives, subject to constraints much(prenominal) as time and income (Ben-Akiva & Lerman 1985). So, a consumer makes a decision by evaluating the costs and benefits of the given alternatives, and selects among them which yields the highest utility to him/her (benefits-cost). In the CE, the choice is discrete in nature (Hanemann 1984), that is, only one alternative from the given choice rank can be selected. Therefore, it is also known as discrete choice experiment (DCE). The alternative j pass on be chosen everyplace more or less option g, if expected utility for individual, i , (Uij) exceeds the expected utility (Uig) for all alternatives. This implies that the probability of selecting an option is likely to increase with utility from the option and probabil ity (P) that individual, I, will choose option j over other options g in a complete choice stigmatise R, is given byP (jC) = P (Uij Uig, s.t. g R, and j g) (2)Usually, in non-market valuation studies using CE model, respondents are given a choice card containing three alternatives including status-quo (current situation) to select. These alternatives in the choice set are outcomes of policies or programs related to the problem being investigated and distinguished by different levels. The levels could be either qualitative or numerical. The effects of the alternatives are set forth based on the Lancasters characteristics theory of value (Lancaster 1966). The theory states that an individual derives utility from the attributes possessed by the goods rather than the goods per se. The choices therefore, are considered as a fly the coop of the attributes that the given alternatives hold. Including the outcomes of policies or programs related to mitigate the damaged caused by invas ive plant species, Mikania in particular, a monetary value is included as one of the attributes as the policy cost to the respondent. Since, the alternatives are evaluated indirectly through their characteristics it may be possible that consumers may have preference ordering over the attributes included (Lancaster 1966). It is widely accepted that an increase in a level of the preferred attributes or positive externalities such as biodiversity, forest products and income generating activities, will result, ceteris paribus, in high utility from the goods or services to respondents. On the other hand, the utility from the goods or services decreases with increasing the level of the unwanted attributes or negative externalities such as abundance of invasive plants, pollution and in most cases monetary value.