Friday, January 31, 2020

Emerging Business Themes Essay Example for Free

Emerging Business Themes Essay A- QUESTION 1 1- Definition Business ethics is a form of professional ethics that examines ethical principles and moral or ethical problems that arise in a business environment. The definition of Ethical stance defined by Johnson and Scholes as: ‘the extent to which an organization will exceed it minimum obligations to stakeholders and society at large. There are four possible ethical stances existing and are stereotypes for any organization.(1) The first ethical stance is short-term shareholder interests; a company who stick very close to laws and regulations which are in place. They give and do only what they are obliged to, this usually causes problems with long-term financial decisions. The second stance is longer-term shareholder interests a company who are very focused on building and maintaining reputation in relation to its financial success. They take into consideration all stakeholders and how they can affect the organization in the future. The third stance is multiple stakeholder obligations relating to a company taking wide consultation with all stakeholders. This is a very slow process and not a good stance for a fast moving and growing company. The last stance is shaper of society companies who focus on communities and want to build them up; this stance puts the financial interest second and is usually related to charitable organizations. 2- Ethical Dimension to Corporate Decision Making Ford Motor Company is one of the competitive motor companies in the world. In 1970s, the compact car Ford pinto, became a famous for its tendency in rear-end collisions to leak fuel and explode into flames. More than 20 people were killed or injured before the Ford Motor company issued a recall to correct the problem. The decision process behind the Pinto’s launch revealed that under intense competition from Volkswagen and other small car manufacturers, Ford has rushed the Pinto into production. Ford’s engineers had discovered the potential danger of ruptured fuel tanks in crash tests, but the assembly line was ready and Ford’s leaders decided to proceed. This is an evidence of greed, callousness and unethicality. (2) Looking to their decision, it take into account a growing understanding on how cognitive biases distort ethical decision making, and come to a different conclusion. In our mind, the executives involved in the Pinto decision, were making an unethical choice. It is because they thought of it is as purely a business decision rather than an ethical one. The problems are already highlighted to Ford’s leaders, but, in those days, safety was not popular in Ford. Problem meant delay on a Pinto. Production must go to achieve sale target. We don’t believe that Ford’s leaders or executive in charge were consciously unethical or intentionally sanctioned unethical behavior by people further down the chain of command. After decades, the Ford Pinto case has allowed us to dissect Ford’s decision-making process and apply the latest behavioral ethics theory to it. The pattern of evident continues to recur in organizations. It is diverted the Ford’s Executives’ attention from the ethical dimension of problem, and executives today are swayed by similar forces. (2) To overcome all the problems, Ford Motor Company has a program to guide compliance with Ford Policies and Directives. Ford compliance program is reviewed by a senior management compliance committee and the Audit Committee of the Board of Directors. The program raises awareness of the Companys commitment to defines corporate practices through Policies and Directives, ethical practices, ensure an infrastructure that allows for the reporting of Policy violations or business-related legal violations through a number of avenues worldwide, conducts risk assessments, oversees the investigation of such reports and education on key legal and provides training and ethical risk areas. The Handbook outlines requirements for its employees and those working on behalf of the Company and provides background resources for a wide range of business-related situations, including: (3) 1- Workplace environment 2- Gifts, favors and conflicts of interest 3- Use of Company assets and data safeguarding 4- Integrity of financial records 5- Product quality, safety and environmental matters 6- Intellectual property 7- Working with governments (political activities) 8- Competition and antitrust laws 9- International business practices References: 1-Wikipedia- http://en.wikipedia.org./wiki/Business_practices 2- Max H. Baseman And Ann E. Tenbrunsel – Harvard Business Review April 2011- http://hbr.org/2011/04/ethical-breakdowns/ar 3- Ford Motor Company- Fordmotorcompany.com -report 2008/2009 – http://corporate.ford.com/microsites/sustainability-report-2008-09/governance -sustainability-ethical B- QUESTION 2 1-Climate Change – Ford Motor Company. In 21st century, climate change is the most important global political and business issues. It will have a huge impact of the world and threaten livelihood of millions of people in the world. Every years, average temperature in artic have risen twice, increasing emissions of greenhouse gases. Climate change is the result of an increase in heat-trapping (greenhouse) gases in the atmosphere. Carbon dioxide (CO2) is the major long-lived greenhouse gas (GHG). The burning of fossil fuels (to provide electricity, heat and transportation, and to support industry and agriculture), as well as deforestation, leads to net emissions of CO2 and increased levels of atmospheric CO2. The atmospheric concentration of CO2 has increased from a preindustrial level of 270–280 parts per million (ppm) to a level of approximately 392 ppm in 2012. (4) Ford Motor Company have a holistic view of climate change and have addressed non-CO2 long-term greenhouse gases such as hydrofluorocarbons (HFCs), perfluorocarbons (PFCs), nitrous oxide (N2O) and sulfur hexafluoride (SF6). Through its Restricted Substance Management Standard they have prohibited SF6 in tires in magnesium casting. They were continuing their scientific research to determine the relative contribution of a wide range of long-lived greenhouse gases to radiative forcing of climate change. (4) 2-Ford’s Greenhouse Gas Emissions Ford has estimated that their total CO2 emissions are in the range of 350–400 million metric tons (Mmt) per year, varying over time with fluctuations in vehicle production and sales, on-road fleet size and vehicle miles traveled. The estimate includes emissions from its facilities, emissions from current-year vehicles and emissions from all Ford vehicles on the road. (4) 3-Climate Change Risk and Opportunities In 21st century, concerns about climate change, the energy security and price of fuel, along with the global recession, have changed the automotive business. This creates substantial risks for automakers but also opportunities for innovation that enable growth and expansion. Below, the general trends driving change in Ford’s markets and take a closer look at several key markets. Also discuss the physical and supply chain risks to its business posed by climate change. (4) Ford’s Markets Price of fuel, consumer interest in smaller and more fuel-efficient vehicles and energy security concerns are also a driver of fuel economy regulation and alternative fuel development. All of Ford’s major markets are increasingly shaped by government actions to regulate fuel economy and carbon dioxide emissions, provide incentives to shift consumer and introduce low-carbon fuels and business behavior. Some of governments are also actively involved in development, promoting the research, battery technologies and purchase of new vehicle. Greater concern from Investors about climate change as a material risk. Providing climate-change-relevant information to investors and shaping its business strategy with climate change in mind are important elements of maintaining access to capital. Product globalization strategy – respond to changing markets, regional preferences, opportunities and the risks presented by the climate change issue. Ford has created global vehicle platforms that offer superior fuel economy, safety, quality and customer features. (4) 4-Physical Risks Climate change raises the potential for shifting patterns of extreme weather and other risk to Ford’s facilities. For insurance, Ford assesses the risks each of their facilities faces at least once a year. This risk assessment is updated and takes into account the risk of exposure to storms, hurricanes, earthquakes and flooding. (4) 5-Supply Chain Risk Ford suppliers located in more than 60 countries, regulatory and physical risks as a result of GHG regulation and the impacts of climate change. These risks could affect their competitiveness or ability to operate, creating the potential for disruptions to the flow of supplies to Ford. (4) 6-Ford Climate Change Strategy Ford’s long-term strategy is to contribute to climate stabilization by: †¢ Continuously reducing the greenhouse gas (GHG) emissions and energy usage. †¢ Working with industry partners, energy companies, consumer groups and policy makers to establish an effective and predictable market, policy and technological framework for reducing GHG emissions. †¢ Develop the flexibility and capability to market lower-GHG-emission products. (4) 7-Product Sustainability Process -Science – Stabilization approach Technology plan -Government – regulatory trendsproduct CO2 strategy Policy position -Consumer- market trends Cycle plan -Competitive- industry trends Marketing and Communication plan 4- Ford Motor Company – http://corporate.ford.com/microsites/sustainability-report-2011-12/environment-climate-risks C- QUESTION 3 In 21st century business challenge and difficult global trading conditions, good relationship with several groups of stakeholders such as employees, customers, dealers, suppliers, investors and communities are very important. 1- Ford Motor Company Stakeholders. Through internal analysis and developing sustainability programs, Ford has interdependent relationship with a few categories of stakeholders such as employees, customers, dealers, suppliers, investors and communities, also its relationship to ‘society’ which includes government agency, NGOs and academia. (5) 2- Employees Employees are the most valuable resource. In 2011, Ford employed more than 164,000 individuals at 73 plants, 41 distribution warehouses, 106 sales offices worldwide and 57 engineering research/development facilities. All of the hourly employees in its automotive operations in the U.S. and also its subsidiary outside U.S. are represented by unions and covered by collective bargaining agreements. Unions are key partners with Ford in providing a productive, safe and respectful workplace. Ford faces workplace health and safety challenges such as; establishing and reinforcing high, common expectations for the safety of their employees worldwide. Most of their manufacturing facilities have joint union/management safety committees that guide the development and implementation of safety programs. (5) ONE Ford plan aligns its efforts toward a common definition of success: having ONE Team, ONE Plan and ONE Goal for an exciting, viable Ford that delivers profitable growth for all. (5) †¢ F: Foster Functional and Technical Excellence(5) †¢ O: Own Working Together(5) †¢ R: Role Model Ford Values(5) †¢ D: Deliver Results(5) 3- Customers Ford Motor Company serves more than 5.5 million customers worldwide. Ford’s customers are the most important stakeholder. Their major regional markets include South America, North America, Eastern Europe, Western Europe, Russia, Australia and Asia. In some regions, Ford serve 3 types of customers- individual retail consumers, small business customers and large commercial fleet customers. It will continue to expand products and services for these existing customers while working simultaneously to gain new customers in emerging markets. In North America and Asia, they are focusing on increasing their offerings of smaller and more fuel-efficient vehicles. (5) 4- Dealers Dealers are the face of Ford to its customers and communities, the key employers and contributors to local economies. Dealer sustainability program has launched in 2010, a voluntary sustainability initiative for dealers to reduce their carbon footprints and improve the energy-efficiency of their dealerships. The goal of the â€Å"Go Green† Dealer Sustainability Program is to collaborate with dealers to implement cost-effective ways to improve the energy-efficiency of their facilities. It partnered with the Rocky Mountain Institute, a leading energy-efficiency organization, to pilot new technologies and architectural design principles. (5) 5- Suppliers Ford relies on more than 1,400 production suppliers to provide parts that are assembled into Ford vehicles. 9,000 supplier companies provide a wide range of nonproduction goods and services, from industrial materials to computers to advertising. Ford and its suppliers work jointly to deliver great products, have a strong business and make a better future. In today’s economic environment, achieving lower costs and improving quality require an unprecedented level of cooperation with suppliers and the maintenance of strong supplier relationships. (5) 6- Investors The success of Ford as a company directly affects its 162,000 investors, and they have been focused on improving Ford’s financial health. Provide information and interact regularly with investors through corporate website, annual report and regulatory filings and annual meeting. They also engage with socially responsible investment organizations that are seeking information to use to evaluate its sustainability performance. These interactions help Ford stay abreast of and respond to investor concerns. (5) 7- Communities Ford Motor Company impacts the communities in numerous ways, provide the employment, the taxes, the environmental and safety performance and support and participate in civic life. The communities are composed of a range of groups and individuals, include its customers, employees, business partners, government regulators, community organizations and members of civil society, and individuals who live and work around its facilities. Ford has been supporting community more than 100 years ago. This includes helping feed hungry people, providing mentors in classrooms and teaching teenagers to drive more safely. Changing of Fundamental have been happening including increased competition globally and changing markets for its products, with future sales growth expected to occur in emerging economies. Ford is expanding sourcing in these lower-cost emerging markets, as a way to serve both local markets and the global supply chain. Ford seeks to respect and make a positive contribution to its host communities. (5) 5- Ford Motor Company – http://corporate.ford.com/microsites/sustainability-report-2010-11/society-stakeholders D- BIBILIOGRAPHY 1-Wikipedia- http://en.wikipedia.org./wiki/Business_practices 2- Max H. Baseman And Ann E. Tenbrunsel – Harvard Business Review April 2011- http://hbr.org/2011/04/ethical-breakdowns/ar 3- Ford Motor Company- Fordmotorcompany.com -report 2008/2009 – http://corporate.ford.com/microsites/sustainability-report-2008-09/governance-sustainability-ethical 4- Ford Motor Company – http://corporate.ford.com/microsites/sustainability-report-2011-12/environment-climate-risks 5- Ford Motor Company – http://corporate.ford.com/microsites/sustainability-report-2010-11/society-stakeholders

Wednesday, January 22, 2020

Bop Music in the 1950s Essay -- Music

The Bop Beat The bebop revolution coincided with the birth of the Beat Generation. In a slightly unbalanced relationship, Beat writers often molded their poetics and style after the playing of such jazz music. "Jazz writers," such as Jack Kerouac and Allen Ginsberg, upheld their poetic ideals to the techniques of jazz musicians, such as rhythm, improvisation, and call and response. The structure of creative writing underwent a change, as the importance of form equaled that of theme. Swing, the predecessor of bop, was big, sweet, and hot. The performers were big bands, fronted by a charismatic bandleader, yet the success of a piece depended mostly on the unity of the ensemble as a whole, rather than on the showcasing of prodigious individuals. The requisite instrument was the saxophone, which was often smooth and mellifluous. Songs were old favorites, or simple jazz standards, that had been arranged to suit a large ensemble. Swing bands played in large venues, such as ballrooms, and to large audiences, who seized the opportunity to not just tap their toes, but to "jump, jive, and wail." The swing era became the most popular form of jazz, as it catered to audiences as a form of social and interactive entertainment. So, bop can be seen as a reaction to the eventual sterilization and ubiquity of swing music. The first bop records were made by in 1944 by Coleman Hawkins experimenting with his swing band. Several individuals were instrumental in the propagation of this new form, such as Charlie "Bird" Parker (alto sax), Dizzy Gillespie (trumpet), Thelonious Monk (piano), Bud Powell (piano), Miles Davis (trumpet), and Charles Mingus (bass). The standard ensemble became a quintet, consisting of piano, bass, drums, reed instrument... ...ndiana University Press, 1991. Ginsberg, Allen. Howl and other poems. San Francisco: City Lights Books, 1997. _____________. Composed on the Tongue. Bolinas, Cal: Grey Fox Press, 1980. Jones, Morley. Jazz. New York: Simon and Schuster, 1980. Kerouac, Jack. Book of Blues. New York: Penguin Books, 1995. ___________. On the Road. New York: Penguin Books, 1975. ___________. "The Essentials of Spontaneous Prose." Casebook on the Beat. Thomas Parkinson, ed. New York: Thomas Y. Cromwell Company, 1961. 65-67. Podhoretz, Norman. "The Know-Nothing Bohemians." Casebook on the Beat. Thomas Parkinson, ed. New York: Thomas Y. Cromwell Company, 1961. 204. Tallman, Warren. "Kerouac's Sound." Casebook on the Beat. Thomas Parkinson, ed. New York: Thomas Y. Cromwell Company, 1961. 220-221. Waters, Kristen. "Pandering to Publishers." Sequel. Vol. 10 (1998): 61.

Bop Music in the 1950s Essay -- Music

The Bop Beat The bebop revolution coincided with the birth of the Beat Generation. In a slightly unbalanced relationship, Beat writers often molded their poetics and style after the playing of such jazz music. "Jazz writers," such as Jack Kerouac and Allen Ginsberg, upheld their poetic ideals to the techniques of jazz musicians, such as rhythm, improvisation, and call and response. The structure of creative writing underwent a change, as the importance of form equaled that of theme. Swing, the predecessor of bop, was big, sweet, and hot. The performers were big bands, fronted by a charismatic bandleader, yet the success of a piece depended mostly on the unity of the ensemble as a whole, rather than on the showcasing of prodigious individuals. The requisite instrument was the saxophone, which was often smooth and mellifluous. Songs were old favorites, or simple jazz standards, that had been arranged to suit a large ensemble. Swing bands played in large venues, such as ballrooms, and to large audiences, who seized the opportunity to not just tap their toes, but to "jump, jive, and wail." The swing era became the most popular form of jazz, as it catered to audiences as a form of social and interactive entertainment. So, bop can be seen as a reaction to the eventual sterilization and ubiquity of swing music. The first bop records were made by in 1944 by Coleman Hawkins experimenting with his swing band. Several individuals were instrumental in the propagation of this new form, such as Charlie "Bird" Parker (alto sax), Dizzy Gillespie (trumpet), Thelonious Monk (piano), Bud Powell (piano), Miles Davis (trumpet), and Charles Mingus (bass). The standard ensemble became a quintet, consisting of piano, bass, drums, reed instrument... ...ndiana University Press, 1991. Ginsberg, Allen. Howl and other poems. San Francisco: City Lights Books, 1997. _____________. Composed on the Tongue. Bolinas, Cal: Grey Fox Press, 1980. Jones, Morley. Jazz. New York: Simon and Schuster, 1980. Kerouac, Jack. Book of Blues. New York: Penguin Books, 1995. ___________. On the Road. New York: Penguin Books, 1975. ___________. "The Essentials of Spontaneous Prose." Casebook on the Beat. Thomas Parkinson, ed. New York: Thomas Y. Cromwell Company, 1961. 65-67. Podhoretz, Norman. "The Know-Nothing Bohemians." Casebook on the Beat. Thomas Parkinson, ed. New York: Thomas Y. Cromwell Company, 1961. 204. Tallman, Warren. "Kerouac's Sound." Casebook on the Beat. Thomas Parkinson, ed. New York: Thomas Y. Cromwell Company, 1961. 220-221. Waters, Kristen. "Pandering to Publishers." Sequel. Vol. 10 (1998): 61.

Bop Music in the 1950s Essay -- Music

The Bop Beat The bebop revolution coincided with the birth of the Beat Generation. In a slightly unbalanced relationship, Beat writers often molded their poetics and style after the playing of such jazz music. "Jazz writers," such as Jack Kerouac and Allen Ginsberg, upheld their poetic ideals to the techniques of jazz musicians, such as rhythm, improvisation, and call and response. The structure of creative writing underwent a change, as the importance of form equaled that of theme. Swing, the predecessor of bop, was big, sweet, and hot. The performers were big bands, fronted by a charismatic bandleader, yet the success of a piece depended mostly on the unity of the ensemble as a whole, rather than on the showcasing of prodigious individuals. The requisite instrument was the saxophone, which was often smooth and mellifluous. Songs were old favorites, or simple jazz standards, that had been arranged to suit a large ensemble. Swing bands played in large venues, such as ballrooms, and to large audiences, who seized the opportunity to not just tap their toes, but to "jump, jive, and wail." The swing era became the most popular form of jazz, as it catered to audiences as a form of social and interactive entertainment. So, bop can be seen as a reaction to the eventual sterilization and ubiquity of swing music. The first bop records were made by in 1944 by Coleman Hawkins experimenting with his swing band. Several individuals were instrumental in the propagation of this new form, such as Charlie "Bird" Parker (alto sax), Dizzy Gillespie (trumpet), Thelonious Monk (piano), Bud Powell (piano), Miles Davis (trumpet), and Charles Mingus (bass). The standard ensemble became a quintet, consisting of piano, bass, drums, reed instrument... ...ndiana University Press, 1991. Ginsberg, Allen. Howl and other poems. San Francisco: City Lights Books, 1997. _____________. Composed on the Tongue. Bolinas, Cal: Grey Fox Press, 1980. Jones, Morley. Jazz. New York: Simon and Schuster, 1980. Kerouac, Jack. Book of Blues. New York: Penguin Books, 1995. ___________. On the Road. New York: Penguin Books, 1975. ___________. "The Essentials of Spontaneous Prose." Casebook on the Beat. Thomas Parkinson, ed. New York: Thomas Y. Cromwell Company, 1961. 65-67. Podhoretz, Norman. "The Know-Nothing Bohemians." Casebook on the Beat. Thomas Parkinson, ed. New York: Thomas Y. Cromwell Company, 1961. 204. Tallman, Warren. "Kerouac's Sound." Casebook on the Beat. Thomas Parkinson, ed. New York: Thomas Y. Cromwell Company, 1961. 220-221. Waters, Kristen. "Pandering to Publishers." Sequel. Vol. 10 (1998): 61.

Tuesday, January 14, 2020

Chlamydia Trachomatis Infection Health And Social Care Essay

This chapter provides the background treatment of sexually transmitted infections ( STIs ) concentrating on Chlamydia trachomatis infection since the survey is positioned within this country taking down to the specific research inquiry and aims. In add-on, sexual wellness bar and control schemes have been explored. Health has been defined by the World Health Organization ( WHO ) as â€Å" the scientific discipline and art of forestalling disease, protracting life and advancing wellness through organised attempts of society † ( WHO, n.d. ) . Sexual activity is known as an indispensable component of human wellness and well-being contributing to quality of grownup partnerships and a demand for natural creative activity. Yet it poses a batch of hazards to wellness through transmittal of STIs. Although pox, gonorrhea and chancroid are by and large considered as the chief STIs, assorted other pathogens are catching including Herpes Simplex Virus type 2, Chlamydia trachomatis, Human immunodeficiency virus ( HIV ) Herpes Papilloma Virus, and Hepatitis B Virus ( HPA, 2010 ) ( Figure 1 ) . STIs affect people of all ages with the greatest happening amongst those under the age of 25 old ages ( Nicoll, 1999 ; Johnson, 2001 ; NCSP, 2009 ) . In the UK, certain groups of populations are affected more than others therefore making sexual wellness inequalities ( HPA,2010 ; Marmott, 2010 ) . The research has delved into chiefly secondary literature from equal reviewed journal articles, books, wellness bureau or regulating organic structures ‘ studies and articles to show what past research workers have established on CI. Furthermore, sexual wellness bar and control schemes have been explored in order to put CI in a context that engages with appropriate literature.Figure 1: Number of diagnosings of selected STIs and HIV in the UK, females: 2000-20092.2 Chlamydia Infection TrendsChlamydia trachomatis is the most widespread bacterial pathogen transmitted through infected secernments and mucose membranes of urethra, neck, rectum, conjunctivae and pharynx following unprotected sexual contact with an septic spouse. An septic pregnant adult female can infect her babe during vaginal bringing. Genital Chlamydial infection is presently the most common STI in the UK with prevalence ‘s between 2 % and 12 % detected in surveies of adult females go toing general pattern ( Fenton et al. , 2001 ; Creighton et al. , 2003 ; HPA, 2010 ) . Chlamydia infection rates are disproportionately high in under 25s ( Low, 2001 ; HPA, 2010 ) . Rate of infectivity for Chlamydia at national degree for immature people aged 15-24 is one in 10 back uping the degree of sexual activity in that group ( HPA 2010 ; NHS Salford, 2010. In 2001, adult females under 20 old ages of age had reported instances of 36 % of Chlamydia. CI instances rose by 108 % during 1998 to mid-2004 ( Ryan, 2004 ) . As reported by the Department of Health ( DH ) , diagnosing of new Chlamydia and other STI diagnosed instances in the UK such as re-infections made in GUM showed a gradual rise in 1995-2009 ( Figures 2, 3 ) ( HPA, 2010 ) .Figure 2: Number of diagnosings of Chlamydia^ , England: 1995-2009Figure 3: Number of venereal Chlamydia diagnosings by sex and age group, and figure of research labs utilizing nucleic acerb elaboration trials ( NAATs ) : 1999-2008 ( females )STI informations from research lab studies in England, Wales and Scotland and Chlamydia nucleic acid elaboration trial ( NAAT ) information from the UK National External Quality Assurance Scheme ( NEQAS ) . Most people infected with Chlamydia are symptomless ( 70 % females and 50 % males ) until a diagnostic trial is performed ( HPA, 2010 ) . Chlamydia infection is important to adult females ‘s generative wellness jobs since 10-40 % of those untreated septic adult females develop PID ( Garside, 2001 ; Sweet & A ; Gibbs, 2009 ; Pippa et al. , 2010 ) . If efficient and effectual wellness steps are non administered, the disease has the potency of doing important wellness complications to adult females ‘s well-being including relentless pelvic hurting, sterility, ectopic gestation, PID, Chlamydial pneumonia of the newborn, neonatal pinkeye, pre-term labour/delivery and neonatal decease ( Figure 4 ) ( Golden, et Al, 2000 ; Simms et al. , 2000, 2007 ; Garnett, 2008 ; Oakeshott et al. , 2010 ) . There is besides greater hazard in those with repeating and untreated infections to distribute to other generative variety meats ensuing in chronic pelvic strivings ( La Montagne, et Al, 20 07 ; Evans et al. , 2009 ; Hosenfeld et al. , 2009 ) . Sweet & A ; Gibbs ( 2009 ) province that CI can besides ease HIV transmittal adding to the already long-run effects it poses.Figure 4: Chlamydial infection complicationsBeginning: HPA catching diseases surveillance Centre. The figure of diagnosed episodes of Chlamydia infection has been lifting over the past 10 old ages ( Figures 5, 6 ) . Because GUM clinic informations is skewed towards diagnostic patients and Chlamydia is extremely symptomless, prevalence is besides used to depict the epidemiology.Figure 5: Ratess of venereal Chlamydia infection adult females by age group ( 1995 – 2004 )Datas beginnings: KC60 and STISS/ISD ( D ) 5 returns from GUM clinics, United Kingdom ( HPA, London )Figure 6: Chlamydia positiveness rates in screens performed by NCSP, 2007 ( HPA, 2008 )Surveies by Pimenta et Al. ( 2003 ) and Adams et Al. ( 2005 ) support findings of highest prevalence rates of Chlamydia infection in immature adult females aged 16-24. Pimenta et Al ( 2003 ) measured prevalence of Chlamydia infections in 16-24 twelvemonth old females instead than merely reported instances from GUM clinics ( Figure 7 ) . In Portsmouth there was a 9.8 % prevalence of Chlamydia infection in 16-24 twelvemonth old adult females, with the 18-year old adult females holding the highest extremum and Wirral had 11.2 % with the 20-year old adult females holding the highest extremum ( Pimenta et al. , 2003 ) . Most of these persons from both sites would hold been incognizant of their infection and therefore at hazard of developing Chlamydial complications.Figure 7: Prevalence of Chlamydial infections, 16-24 twelvemonth old females, Portsmouth and Wirral, 1999-2000 ( Pimenta, et al. , 2003 ) .Furthermore, the economic impact of Chlamydia infections on the wellness service is tremendous with high cost in the direction of female wellness complications ( Simms, 2006 ; Skinner, 2010 ; Land et al. , 2010 ) . United kingdom costs to NHS are estimated at & gt ; ?100 million per twelvemonth ( HPA, 2010 ) . Because of the impact of CI on the wellness of immature people, it is of import to place and handle septic patients and their spouses and as a consequence cut down the load of the disease on the people and wellness systems ( Appleby et al. , 2007 ; Adams et al. , 2007 ; Low et al. , 2009 ) .2.3 Chlamydia Awareness and KnowledgeChlamydia rates of infection do vary in each part in the UK ( HPA, 2010 ) . This fluctuation may uncover the proviso of diagnostic services every bit much as disease prevalence. Unfortunately, Chlamydia trachomatis infection like most STIs brings about negative public wellness results due to its part or causes to ill-health. In the UK and other parts of the universe, CI pose tremendous challenges for public wellness such as single wellbeing, the load of wellness costs or mental wellness. Chlamydia rate of infectivity at national degree for immature people aged 15-24 is one in 10 back uping the degree of sexual activity in that group. In the UK, certain groups of populations are affected more than others therefore making sexual wellness inequalities with immature people bearing the greatest load by being disproportionately affected by CI ( Figure 8, Table 2-4 ) ( NCSP, 2009 ; Marmott, 2010 ; HPA, 2010 ) .Figure 8: Age-specific distribution of the rate of diagnosed with Chlamydia at STI clinics, England: 2009Beginning: STI informations from GU medical specialty clinics ( HPA, 2010 )Table 2: Number of Chlamydia diagnosings by gender, male sexual orientation, age group and patient state: 2009Beginning: STI informations from GU medical specialty clinics ( HPA, 2010 )Table 3: Number of Chlamydia diagnosings by gender, male sexual orientation, age group and patient SHA: 2009Beginning: STI informations from GU medical specialty clinics ( HPA, 2010 )Table 4: Number of Chlamydia diagnosings by continent of birth: 2009Beginning: STI informations from GU medical specialty clinics ( HPA, 2010 )2.4 Sexual Behaviour: Chlamydia InfectionAlthough sex has become safer to a important extent through the usage of rubbers, Chlamydia rates significantly increased in recent old ages in the UK preponderantly from assorted factors like sexual hazard behaviors and hapless infection control. It has become a major public wellness concern as highlighted in the National Strategy for Sexual Health and HIV ( DH, 2001 ) . The 15-24 twelvemonth age group comprises merely 12 % of the population but has the largest diagnosing of STI instances of about 50 % of freshly acquired infections. Control of Chlamydia infection is complicated since it is symptomless. The sexual behavior of the population is an of import determiner of the rates of STIs. The National Survey of Sexual Attitudes and Lifestyles II identified sexual behavior as the hazard of geting an STI in the immature age groups ( McDowall et al. , 2006 ) . The factors included low age at clip of first sexual intercourse, frequent changing of spouses, increased likeliness of being involved with coincident partnerships, irregular usage of rubbers and the increased opportunities of being involved with a spouse who comes from a portion of the universe other than UK that is regarded every bit high hazard ( Figure 9 ) ( Hughes, 2000 ; Johnson, 2001, Mueller, 2008 ; Waylen, 2009 ; Skinner, 2010 ) . The immature people appear to be the cardinal portion of the hazard of go throughing on the infection to other groups of the population. Thus bar should be largely targeted at this nucleus group which would ensue in economic benefits.Figure 9: Chlamydia prevalence by hazard factors 2003  œ non GUM scenes( Montagne et al. , 2004 ) .A survey by Shiely et Al. ( 2010 ) proved that expedited spouse therapy ( EPT ) offer decreases in hazards of repeating or continual CI in straight persons, and heightening the per centum of those sex spouses who obtain intervention. Thus EPT was revealed as better than standard spouse referral over an extended scope of socio-demographic and behaviourally typical subgroups. Behavioural intercessions might be limited because picks about behavior are controlled by local context and civilization. Smedley and Syme ( 2000 ) province that, â€Å" It is clear that behaviour alteration is a hard and complex challenge. It is unreasonable to anticipate that people will alter their behaviors easy when so many forces in the societal, cultural and physical environment conspire against such alteration. † For illustration, Cohen et Al. ( 2006 ) survey found that when striplings were exposed to arouse instruction categories and parent-child communicating about sex, they intended to pattern safer sex ; nevertheless, this did non really lead to increased rubber usage. Rather, situational properties, including spouse attitudes about, or the handiness of, rubbers played a greater function in behavior. However, the effects of environmental hazards like poorness and favoritism might be moderated by intercessions focused on the person: â€Å" But such attempts do litt le to turn to the broader societal and economic forces that influence these hazards † ( Smedley & A ; Syme, 2000 ) . Bandura ( 1986 ) developed the self-efficacy theoretical account which offers a grade of confidence for working with persons in order to cut down hazardous behavior. Since the adult females are immature, they might non hold the necessary accomplishments to negociate and pull off rubber usage ; Bandura ‘s theoretical account may be specifically suited for them. Bandura suggested that persons beliefs in their competency to carry on certain behaviors impacts on the manner they engage themselves, their self-control when faced with troubles, and their effort in carry oning these behaviors. Foresight direct behavior with respect to peculiarly expected outcomes, though self-control allows for the control of behaviors based on criterions that are internal. Above all, self-reflection Lashkar-e-Taiba persons reflect on and go knowing by larning from their experiences.2.5 Sexual Health Prevention and Control: Chlamydia InfectionPeoples ‘s wellness and the societal and economic succe ss of the UK are highly connected. The related economic and societal costs of CI and other STIs to public wellness are tremendous and surpass UK ‘s hereafter. Two of Marmott ‘s ( 2010 ) six recommendations support the bar and control of STIs in UK ‘s population: â€Å" enabling all kids, immature people and grownups to maximize their capablenesss and have control over their lives † and â€Å" beef uping the function and impact of ill-health first-class wellbeing over their lives † . It is critical that the UK ‘s population is educated on sexual wellness issues so that they are able to do good informed sex determinations that contribute to their wellbeing and cut downing the load caused by STIs. Marmott ‘s study farther emphasised other research work ( Picket & A ; Wilkinson, 2009 ) that â€Å" it is non merely the hapless who suffer from the effects of inequality, but the bulk of the population † . High precedence should hence be given to the integrating of STI control measures into primary wellness attention. The world-wide involvement in and resources committed to forestalling AIDS supply a alone chance for wellness workers to do considerable advancement in commanding CI and other STIs.2.5.1 Chlamydia infection: attacks to bar and controlAlthough Chlamydia is a reportable infective disease, easy treated with antibiotics, and mostly prevented with rubber usage, challenges still exist globally in its bar and control. Public wellness efforts to forestall and command Chlamydia and other bacterial STIs have been applied through surveillance, clinical services, spouse presentment schemes and behavioral intercession schemes. Clinical services are an built-in portion of CI and other STIs bar programmes implemented in all communities. Chlamydia clinical services are available in a assortment of other scenes such as community wellness Centres, household planning clinics, GP surgeries, infirmary exigency suites, and prison scenes. Increasingly, CIs are being diagnosed in scenes other than public wellness clinics. Surveillance is a cardinal public wellness duty which involves monitoring of Chlamydia or its effects, antimicrobic opposition, sexual behavior, testing and healthcare quality and coverage. It is critical in observing and supervising disagreements in Chlamydia and other STIs. It is deficient to follow merely Chlamydia infection case-associated demographics for acquiring penetration into the kineticss of Chlamydia transmittal and its continuity in the affected communities. However, consideration into how and when to use the current schemes or to bring forth new 1s is critical for an efficient lessening in Chlamydia infection rates in the hazard groups. It is merely out of utilizing several surveillance attacks, everyday information analysis and reading, and rating that the load of these complex Chlamydia infections may be comprehended decently. Primary bar attempts include promoting rubber usage and patient instruction about abstention, hold of sexual intercourse, and monogamous sexual behavior. Secondary bar attempts include early and frequent showing, which have shown to cut down the prevalence of the disease ( CDC, 2000 ; HPA, 2010 ) .2.5.1 National chlamydia testing programme and spousesThe National Chlamydia Screening Programme ( NCSP ) was established back in 2003 in the UK to supply timeserving showing trials aiming sexually active adult females and work forces under 25 old ages of age who attend wellness and non-health attention scenes. Systematic showing in the UK is performed merely at GUM clinics. The debut of the NCSP in 2003 and other wellness screens in England, Wales and Northern Ireland and in Scotland in 2005 resulted in an addition of sexual wellness screens from 759,770 to 1,219,308. The programme was rolled out to the remainder of England in 2007 and it aims at testing immature adult females go toing GUM , household planning and expiration of gestation clinics ; foremost cervical vilification, young person clinics, colleges, schools and universities. Pharmacies are besides offering testing trials to immature adult females seeking exigency hormonal contraceptive method ( Brabin et al. , 2009 ) . The HPA was appointed in November 2005 by the DH to administrate the NCSP which is delivered by 152 PCTs in England. However, this was rolled out by the Greater Manchester wellness authorization part in Salford in December 2006 by puting up RUClear programme which works in coaction with NCSP and all registered showing sites. Its spouses include wellness attention suppliers and research labs in supplying high-quality CI surveillance informations required by the wellness protection bureau which is indispensable for placing and supervising CI wellness disparities. RUClear coordinates testing services through easy handiness of testing and intervention services every bit good as happening ways of carrying the immature population to utilize these services ( Appendix B ) . Diagnosis of Chlamydia instances increased by 7 % , 217,570 in 2009 from 203,773 in 2008 ( Table 6 ) ( HPA, 2010 ) . NCSP has national marks for which by 31st March 2010, 25 % of all 15-24 twelvemonth olds were screened a nd from 1st April 2010 to 31st March 2011 the mark was raised to 35 % ( anon. , 2010 ) .Table 6: Entire figure of Chlamydia diagnosings in GU medical specialty clinics and community-based scenes by gender, UK and England, 2008-2009The symptomless nature of CI consequences in important under sensing by instance coverage. Those who are symptomless might non obtain attention and hence are non likely to bring forth a instance study. Furthermore, CI may be distributed otherwise in similar racial or cultural group.Figure 11: NCSP proving locales by sex: England April – December 2010 ( HPA, 2011 ) .The showing and treating of Chlamydia is puting a batch of force per unit area for the Primary Care Trusts ( PCTs ) that have to present in instance the immature people are unwilling to see clinical services. The challenge is to acquire advanced methods that would carry the immature people to take on showing services. The standards for testing Chlamydia, although more loosely applicable, are chiefly for sexually active adult females and work forces aged under 25 old ages. In order for Chlamydia showing to be effectual, HAs should closely supervise attachment to testing standards. For case, when there is grounds of high rates of pregnant adult females accessing healthcare service but testing Numberss are low, so it means the recommended attention is non being received by these adult females. Provision of regular showing services for symptomless immature people-at-risk and prompt diagnosing and accurate intervention for immature people infected with or exposed to CI are critical constituents of effectual clinical CI infection bar and control. Correct designation and appropriate intervention are cardinal elements of CI clinical attention but spouse presentment services and reding are besides critical in hazard decrease. However, even with commercial handiness of good diagnostic trials, effectual medicines, and testing and intervention counsel for forestalling and bring arounding Chlamydia, several challenges restrict the full potency of these tools in supplying quality attention for the immature adult females. Given the reported high incidence rates of CI, the load is much more for immature people ( Figure 12, Table 5 ) ( Fenton et al. , 2005 ) . It is imperative to determine effectual bar programmes. Although heightening entree to Chlamydia testing has been an of import and pressing focal point of Chlamydia consciousness programmes and has led to regenerate attempts to increase entree to Chlamydia testing ( WHO, 2001 ; Santer, 2000, 2003 ; HPA, 2010 ) . As more people including this identified group aged under 25 learn their Chlamydia position, and in acknowledgment of the long latent period of the disease before symptoms prevail, factors related to Chlamydia consciousness remain important to place in order to plan comprehensive Chlamydia direction services that meet the demands of the population at hazard of infection ( Wight, 2000, 2002 ; Low, 2007 ; Brabin et al. , 2009 ) .Figure 12: Proportion of positive instances by age and sex: April – December 2010Table 5: Entire figure of Chlamydia diagnosings by patient Percentage: 2009Beginning: STI informations from GU medical specialty clinics ( HPA, 2010 )2.7 DrumheadIn drumhead, the above reappraisal signifier a background for understanding Chlamydia trachomatis infection and a yardstick for measuring the sexual wellness bar and control schemes whilst carefully considered and acknowledged the reported high incidence rates of infection. This chapter has vindicated many challenges and concerns that public wellness face today. Following is Chapter 3 depicting the adopted research methodological analysis to garnering pertinent research informations.

Monday, January 6, 2020

Math Assignment 1 - 1870 Words

I lost 2 points My mistake was failing to notice that the stems should split at the last digit, meaning the first two digits are separated from the last digit by a stem. Also, each stem must be assigned an equal number of leaf digits. So, zero should be added to the front of the 9 for the score of 96. So, choice (b): 09, 10, 11, 12,13, and 14 is the correct answer, since the stems separate the first two digits from the last digit and include an appropriate range of 09-14, for the numbers from and in between 96-145. Choice (a) would not work out since the lowest score begins with the stem of 09 and the highest score contains the stem of 14, this choice only includes numbers from zero and 10, which none of the values are under. Choice (c)†¦show more content†¦Choice (a) would not fit since stem plots are best used to display fairly small data sets and to see the distribution’s shape, and the appropriate choice, the boxplot, is also included as inappropriate when in actuality this is no t true. Choice (c) is wrong since a bar graph and a pie chart are both used to compare categorical data, which is not being compared in this question. Although in choice (d) it is correct that a dot plot would be inappropriate since there aren’t any observed frequencies with the same scores, using a histogram would be inappropriate instead of appropriate since, it was already proven that using this type of graph is not the best when comparing a large data set as this one. Choice (e) is obviously wrong, since it was proven above that a boxplot is the most appropriate way to display the data, which disagrees with the statement that none of the above are correct. I lost 2 points. 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