Thursday, October 31, 2019

Working condition Essay Example | Topics and Well Written Essays - 1250 words

Working condition - Essay Example The OSHA has recorded that these issues generally lead to an affect on the soft tissues and the nerves. The seriousness of these issues is very high and a person could also be crippled by this disorder. Thus it could affect the persons personal as well as their professional life to a great extent. Based on these issues and the government have recommended a number of newer rules and regulations for the employee safety and to ensure complete protection for the workers in the meat and poultry industry. This is a very useful decision made by the government and it is high time that serious steps be taken for these employees as the only ones who are affected by the job are the employees themselves. With the high speed of the production lines and the under – reporting of the injuries in this industry, the effort of the employees has been over looked and to a great extent the employees loose out on their compensations and the anti – retaliation laws (FSIS, 2009). With the new laws set down by the government, the employees will be provided with a mode of ensuring their safety and also their health concerns will not be over – looked. It is essential to realize the problems that the employees working in these firms go through on a daily basis and the amount of risk they have to undertake in relation to their health. As mentioned earlier, the employees working in these firms can end up becoming crippled both in terms of work as well as personal lives. Also since the disorders are cumulative, the employees tend to face more issues, if the tasks remain the same. This is because the particular body part of the employee is subjected to pressure and to strain which can cause irreversible damage. These damages can be devastating and to a great extent they can be completely irreversible (FSIS, 2009). As the government is now taking serious steps

Tuesday, October 29, 2019

Stress in company Essay Example | Topics and Well Written Essays - 2500 words

Stress in company - Essay Example Too often, as noted by Verespej (par. 8-12), executives prefer to ignore stress because acknowledging it might create a negative view of the company. In other cases, CEOs and senior managers simply do not see that a problem exists. If stress is evident, they consider it related to the employee’s personal problems and do not feel responsible for addressing it. A major issue is the stress caused by project deadlines that do not take into consideration unexpected delays and therefore are almost impossible to meet. Employees who are allowed to evaluate a project themselves and set up a plan that takes into consideration possible delays will be able to set their own deadlines, and the project will be accomplished with a minimum of stress. Unfortunately, some managers do not want to give up their autonomy and do not allow the staff to be part of planning a project. Therefore, the staff is presented with a plan in which they have no input and are not able to suggest any changes. The company therefore misses out on any innovative ideas employees might have, and for employees who are imaginative and enthusiastic, their specific talents are suppressed, resulting in stress. Their actions are mechanical rather than creative, and if they are presented with a rigid deadline, they and the project will suffer. At the same time, managers who are expected to fulfill expectations of those above them are put in a precarious and stressful situation. The middleman becomes the scapegoat, and too often takes it out on staff members, leading to increasing frustration and stress at all levels. The ladder of managerial levels in a company tends to start at the bottom and move up, with each level of leadership answerable to the one above it. This discourages open discussion and managers find themselves without the ability to vent their concerns with other managers

Sunday, October 27, 2019

Comparison of Different Ibuprofen Dosage Forms

Comparison of Different Ibuprofen Dosage Forms Both ibuprofen gel and ibuprofen tablet produced similar efficacy in terms of pain relief in their respective groups. However, lower dose was administered in gel dosage form and fewer side effects were observed, in comparison to ibuprofen tablet. Patients consuming ibuprofen oral suspension reached the therapeutic effect at a quicker rate and were in that period for a longer duration compared to the other dosage forms. This suggested that it caused faster pain relief for a longer duration compared to ibuprofen tablets and ibuprofen chewable tablets. Introduction Ibuprofen (Figure 1) is chemically known as iso-butyl-propanoic-phenolic acid. It is a well known drug that belongs to a class of therapeutic agents known as non-steroidal anti inflammatory drug (NSAID). It possesses antipyretic (fever reducing) and anti-inflammatory (reduces inflammation) properties among others (i.e. anti-platelet effect). It is used in the treatment of pain and inflammation in rheumatic disease and other musculoskeletal disorders including minor aches and discomfort 78. A recent report showed ibuprofen had analgesic (pain-relieving) properties. This was shown by testing analgesic properties of ibuprofen on a mouse writhing and an inflamed rat foot. It showed there was similarity of analgesic activity in both species. However, ibuprofen failed to show analgesic activity in the normal foot of the rat or in the mouse hotplate test. Therefore it was established that ibuprofen is not a central, but a peripheral analgesic 13. Ibuprofen has fewer side effects than any other NSAID; however its anti-inflammatory properties are weaker than others. Doses of 1.6-2.4g are required daily for rheumatoid arthritis. It is unsuitable for conditions where inflammation is prominent such as acute group 8. Ibuprofen was discovered by Dr. Stewart Adams and his team (Figure 2) 3 in the 1950s, at Boots Company. The drug was patented in the 1960s and was initially marketed under the name Brufen. Initially the drug was tested on hangover, but the drug was launched for the treatment of rheumatoid arthritis in UK (1969) and USA (1974) 3. The mechanism of action of ibuprofen is not completely understood. However, ibuprofen is known to be a non-selective inhibitor of cyclooxygenase-1 and 2 (COX-1 and COX-2). COX is an enzyme that is involved in the production prostaglandins 8. Prostaglandins have an important role in the production of pain, inflammation and fever 13. Following administration of ibuprofen, it is rapidly absorbed and distributed throughout the whole body. The drug is eliminated through the kidneys 14. Ibuprofen is a derivative of phenylpropionic acid (Figure 3) 4. It contains a chiral centre (Carbon), therefore is non-superposable on its mirror image 2. This gives rise to enantiomers, resulting in two possible structures of ibuprofen. The importance of enantiomers is that all amino acids (apart from glycine) have a chiral centre. Amino acids are the fundamental blocks of enzymes and proteins in all forms of life including humans. Thus suggesting the human body is controlled by chiral molecules and effectively is a chiral environment. This results in different enantiomers having different effect on the body, including metabolism, toxicity to name a few 1. These enatiomers exist as (S) and (R)-enantiomers (Figure 4) 4. It was found that (S)-ibupofen was the active form in, in vitro and in vivo 2. Ibuprofen began to be marketed as a single enantiomer ((S)-isomer) so the selectivity and potency of ibuprofen could be improved. However, further in vivo testing led to the inactive (R)-ibuprofen to rapidly convert to active (S)-ibuprofen. Therefore the single enantiomer was scrapped and ibuprofen was to be marketed as a racemic mixture (50% of each enantiomers) 2, even now it is the same. Another reason was the likeliness of producing pure (S)-ibuprofen was too expensive on a large scale. The difference between both the enantiomers is the way the atoms are arranged and connected to the chiral centre. In the (S)-isomer the CH3 group is in the back, whereas in the (R)-isomer it is at the front. Since being launched it is widely available all over the world as over the counter (OTC), prescription only medicine (POM) and general sale list (GSL) products. In all countries over the world they are available under different names, formulations, strengths etc. In North America (Canada), ibuprofen is known as Motrin and Advil. In South America (Brazil) it is known as Alivium and Advil 5. Different countries have different guidelines and policies regarding selling and prescribing of ibuprofen. People are not just restricted to pharmacies but they can be obtained in supermarkets, general retailers etc. In many parts of the world including Australia and New Zealand, ibuprofen lysine is licensed for the same treatment as ibuprofen. Ibuprofen lysine is the salt form of ibuprofen and is the cationic form. As ibuprofen lysine has a net positive charge, it is more soluble than ibuprofen allowing the drug to be administered intravenously. This makes ibuprofen lysine to have a greater onset time of action than ibuprofen 15. Since 1977, World Health Organisation (WHO) has been producing a model list of essential medicines. This list is updated every 2 years and is known as List of WHO Essential Medicines. Ibuprofen is the only NSAID present in the list among other classes (opoids, antimetabolites etc) 6. It is classed as a core medicine, which means it is an essential drug for basic healthcare. The drugs listed are the most effective, safe and cost effective medicines for conditions that are a priority. This priority conditions are on the basis of present and future public health relevance. The drugs present on the list are recognised throughout the world. Ibuprofen tablets (200mg and 400mg) are present for the treatment of gout and rheumatoid arthritis. Also present is ibuprofen solution, which is used as an injection (5mg/ml). It is used in neonatal care for the treatment of mild to moderate pain 68. Discussion The most important role of a drug delivery system is to get the drug delivered to the site of action in sufficient amount and at the appropriate rate. This can be achieved by a predictable therapeutic response of the drug 11. However it must meet essential requirements, which include physical chemical stability, ability to be economically mass produced in a manner that assures the proper amount of active pharmaceutical ingredient (API) is present in each dosage and patient acceptability 9. It can be seen from Table 1 11, different dosage forms have different time of onset of action. Table 1: Shows the variation in time of onset of action for different dosage forms. It can be seen that intravenous injection is the most superior dosage form in terms of time of onset of action, as it takes seconds to produce an effect. Depot injections and implants take days to produce an effect. Tablets are one of the most popular ways of delivering a drug through the oral route. Tablets are solid preparations each containing a single and accurate dose of active pharmaceutical ingredient(s) (API). They are completed by compressing or compacting uniform volume of particles to a solid dose 10. There are different types of tablets available; they include effervescent/soluble, modified release etc. The aim of the modified release tablet is it enables the biopharmaceutical behaviour of the drug to be controlled. Many tablets are available that have coatings; these include film or sugar coating. All these tablets exist and are formed by the incorporation of different types of excipients 11. They vary in shape, colour, size, design etc 10. Tablets are popular for several reasons including the oral route to be the most safest and convenient route of administration. Compared to other dosage forms such as liquid, they are far superior in terms of chemical and physical stability. The procedure enables accurate and precise dosing of the API 11. These are a few among a large list. Drawbacks include elderly having difficulty swallowing, irritation and harm to the GIT, possibly leading to liver and kidney damage. Examples of ibuprofen tablets include Anadin, Ibuprofen tablets etc. Effervescent formulation is a type of immediate release tablet, as the tablet is dissolved and administered as a solution. This is the most common type of tablet 11. They are used to obtain rapid drug action. Effervescent tablets are placed into a glass of water, where carbon dioxide is liberated. The carbon dioxide is produced by a reaction in the water between a carbonate or bicarbonate and a weak acid. Once liberated, this helps tablet disintegration and drug dissolution. Then the water with the drug is administered. Effervescent formulations of ibuprofen commonly use a carbonate to assist in the liberation of carbon dioxide, such as Anadin LiquiFast 200mg Effervescent Tablets 16. Effervescent formulations can be prepared in two ways: direct compaction or compaction through granulation 11. They are produced in the same manner as conventional tablets; however production must occur in low humidity areas 17. Examples of ibuprofen effervescent tablets include Advil, Ibuprofen losan effervescent tablet etc. Gel is a semi-solid, topical formulation. It is formed by aggregation of particles and interpenetrated by a liquid. The particles are linked together forming a network thus imparting rigidity to the structure. The continuous phase is held together by meshes 11. Gels tend to be epicutaneous, it is directly applied to the skin, and works by diffusing through the skin. There is a liquid phase that may be retained within a three dimensional polymer matrix. Drugs can be suspended in the matrix or dissolved in the liquid phase. They tend to be aqueous gels that is applied to the body surfaces such as skin or used as lubricant. A few advantages of gels include it avoids drug absorption in the gastrointestinal, therefore reducing side effects. It avoids first pass metabolism suggesting more drug is present in the systematic circulation. They are cheap to manufacture and have a localised effect, hence greater pain relief 12. Examples of ibuprofen gels include Ibuleve, Ibugel etc. A suspension is a coarse dispersion of sparingly soluble or insoluble drugs dispersed in a liquid medium; oily or aqueous vehicle. The aqueous solution is a beneficial formulation as it provides administration of poorly soluble or insoluble drug. As the drug is dispersed, it provides a large surface area which ensures high bioavailability for dissolution thus absorption 11. Aqueous suspensions can be used for oral, topical, ophthalmic and parenteral administration of drugs. The rheological properties are affected by the degree of flocculation. This is because the quantity of free continuous phase is decreased as it is entrapped in the diffused follicles 11. From Figure 5 9, the process involved in the formation of suspensions can be seen. The flocculated state (C) can be reached directly or indirectly. The direct method includes wetting and dispersing of hydrophobic particles (A) with a surfactant. The indirect approach includes first wetting and dispersing to form a peptized particle (B) with a surfactant, and then flocculating with a hydrophillic colloid. Flocculated suspensions (C) are considered stable, compared to peptized particles, and they can be re-suspended through agitation. Over-flocculation can be caused through high amount of flocculating agent, which tends to cause agglomeration (E). If the protective colloid agent is not present, the process of crystal growth is indicated by the arrow connecting (A) to (D) 9. Examples of ibuprofen suspensions include Nurofen, Calprofen etc. Chewable tablets, as the name suggests is placed in the mouth and chewed. Thus the tablet is mechanically disintegrated in the mouth. However, the drug is dissolved in the stomach or intestine once swallowed and not in the mouth. This formulation is intended so the drug is immediately released, just like effervescent tablets 11. They also have similar composition to conventional tablets, apart from disintegrant is not present. This formulation can be useful as many patients (e.g. elderly) have difficulties swallowing tablets, therefore this can be an alternative dosage form. It can also be administered without the aid of water. It also complies with patient compliance. Examples of ibuprofen chewable tablets include Motrin, Advil etc. Comparison of conventional tablet and effervescent formulation In a report comparing the antinociceptive effect of both conventional and effervescent tablets, it was discovered that the mean plasma concentration of ibuprofen effervescent formulation was far greater than the conventional tablet 60 minutes after intake. This showed that more API (ibuprofen) is present in the blood, thus more drug is being absorbed by the body in the effervescent formulation than in the conventional tablet. This showed that the effervescent formulation produced a faster pain relief as it had a faster onset of action. The effervescent dosage form also appears to have a more consistent effect on intensity estimates of painful stimuli than tablets 18. The chemo-somatosensory event related potentials were also investigated and it was concluded that after 60 minutes of administration of the ibuprofen tablet, there was a decrease of 20-25% in bioavailability. As there was a large drop (a quarter of the bioavailability), it shows there is 20-25% less ibuprofen present in the blood thus less API is being absorbed. This means a higher dose of ibuprofen tablet (20-25%) is required to have the same effect as initially thought 18. The effervescent formulation is far more effective in terms of chemo-somatosensory. This is because greater amount of carbonate is present; therefore after dissolution a buffered solution is attained. This increases the pH of the stomach resulting in the emptying of the stomach at a rapid rate and the residence time of ibuprofen in the stomach is short. This ensures that ibuprofen-induced gastric irritation and other side effects can be avoided 11. Ibuprofen effervescent tablet is readily absorbed in the small intestine; ensuring fast drug bioavailability 11. In another report, Lange and Schettler showed that effervescent formulations of ibuprofen produced a higher maximum plasma concentration (Cmax) than the conventional tablet in a shorter duration. The same as the previous report 19. In respect to antinociceptive and chemo-somatosensory activity, the effervescent formulation is superior to the conventional tablet. To consume the ibuprofen tablet you require water to administer it. While with the ibuprofen effervescent formulation it requires water so the tablet can disintegrate. Effervescent formulations also have to be manufactured at a low humidity area compared to the conventional tablets. This is to avoid moisture content, light and oxygen and this procedure is more costly than the conventional tablet. Effervescent tablets also have to be packaged in waterproof containers which have aluminium foil present which ensures protection, otherwise in ambient conditions it would degrade and reduce the shelf-life 11. If the shelf-life is reduced this would increase the cost, as more effervescent tablets would have to be manufactured over the same duration. An example of an effervescent tablet is Anadin LiquiFast 200mg Effervescent Tablets (Figure 6) 20 and a conventional tablet is Nurofen Tablets (Figure 7) 21. Figure 6: Shows Anadin Effervescent Tablets Figure 7: Shows Nurofen Tablets Comparison of conventional tablet and a topical gel There was a report comparing the oral (tablet) and topical (gel) ibuprofen for chronic knee pain. Ibuprofen tablets were taken 3 times daily (2400mg total) and the ibuprofen gel 4% was applied 4 times daily (320mg total) over a duration of 2 weeks 22. The aim was to compare the efficacy of both formulations in chronic knee pain. Both the treatment groups were comparable in terms of baseline pain severity and demographic composition, this ensured a fair test. When the patients took their respective ibuprofen medications, they reported side effects. With the administration of the tablets, 7 patients (out of 10) reported side effects which included headache, stomach-ache and constipation. For the application of the gel, 2 patients (out of 9) suffered a side effect which included an acute skin rash and dizziness. This implies that over two-thirds of the patients taking the oral formulation reported a side effect, and for the topical formulation less than third reported a side effect. As a result there were fewer side effects associated with the topical formulation compared to the oral formulation 22. In both treatments, the patients experienced consistent relief and improvements in terms of pain and stiffness. There was no distinguishable difference between both groups in term of improvements. Both the treatment groups were similar and no group was better than the other. However, the oral group ranked their treatment more convenient as it met patient adherence. Comparing the physical function and relief of pain and stiffness, it shows the oral ibuprofen treatment saw notable improvements. In the topical ibuprofen treatment there were significant improvements over the two week duration. However for the oral treatment there was a decline in the improvement of the drug in the second week. Also in the topical treatment, the patients encountered within-group improvements which led to the assumption that it was due to the potential benefits of massaging. The topical ibuprofen was applied to the skin therefore there was less amount of drug was present in the blood compared to ibuprofen tablets. This avoided both the systemic side effects and adverse drug interactions (e.g. aspirin), unlike the oral ibuprofen 22. The total daily dose of the topical ibuprofen was 320mg, which is a small fraction compared to the oral ibuprofen (2400mg). However, similar clinical outcomes were produced using both treatments. Another report concluded a study where the patients were receiving equivalent doses of oral and topical formulations. During the topical application greater concentrations of ibuprofen were found in the subcutaneous tissue, which led to the assumption as more ibuprofen is present in the tissue; it is able to provide greater pain relief 23. In terms of physical function, pain and stiffness relief, the topical formulation is superior to the oral formulation. An advantage of topical ibuprofen over ibuprofen tablets is first pass metabolism is bypassed therefore it avoids risks and unwanted effects. Topical ibuprofen is a transdermal delivery system, which is more efficient than the oral delivery due to having an effect at a localised level. Comparison of conventional tablet, chewable tablet and suspension There was a report comparing the pharmacokinetic parameters of ibuprofen tablets, ibuprofen chewable tablets (Motrin chewable tablets) and ibuprofen suspension (Motrin suspension) on patients with cystic fibrosis. This study is limited as the number of patients taking each formulation is different; suspension (n=22), chewable tablets (n=4) and tablet (n=12). , nor is the strength or concentration given for any of the formulations. However patients took a dose of approximately 20mg/kg. The time to reach the peak concentration (Tmax) was compared for all formulations and it was concluded that the ibuprofen suspension had a shorter Tmax than the ibuprofen tablet, which was expected when liquid forms are compared with solid dosage forms. But with the ibuprofen chewable tablet there was no statistical difference from either the tablet or suspension. This was not expected as it was predicted the chewable tablet would have a greater Tmax to suspension but less than that of tablets. This is because chewing the chewable tablet produces small particles hence larger surface area, which should increase the dissolution of the drug 24. As the Tmax for suspension was shorter than the tablet it can be concluded more drug was present in the body at a quicker rate, hence more drug would be absorbed thus causing faster pain relief. From Figure 8 24 and Table 2 24, it can be concluded that 15 of the patients taking the suspension formulation were present in the desired range of peak concentration (therapeutic range), and this was achieved at a quicker rate of ~0.5 hours compared to the other formulations. For the chewable tablet it can be seen that 2 of the patients consuming it were in the therapeutic range, however it took patients to reach this level between ~1.0-2.0 hours. For the patients who consumed the tablet, 8 patients were in the therapeutic range. However it took between ~0.75-2.0 hours to reach to this level. There was also one anomaly present In the suspension group 5 patients, and 2 patients from the tablet groups exceeded the therapeutic range (>100mg L-1), therefore they are more prone to experience side effects. None of the patients who consumed chewable tablets exceeded the therapeutic range. For all formulations, 2 patients were below the therapeutic range ( It can be concluded statistically tablets were superior in terms of achieving the desired range of peak concentration compared to other formulations. But statistically suspensions were superior in terms of the time taken to reach the therapeutic range compared to both formulations. Figure 8: Shows the relationship between Cmax versus Tmax for suspension, chewable tablet and tablet groups. The plotted points represent blood sampling times when peak ibuprofen concentrations occured. The horizontal dashed lines show the therapeutic range. Table 2: Shows the comparison of Cmax among suspension, chewable tablets and tablet groups. From Figure 9 24, it can be seen patients taking the suspension reached max plasma concentration and at a quicker duration compared to other formulations. It took 0.5 hours to reach a plasma concentration of 70mg L-1, while tablets took 1.0 hour to reach a plasma concentration of 60 mg L-1. The chewable tablet took 1 hour to reach 50mg L-1 (Cmin). Also for the suspension, between 0.5-1.0 hours it remained in the therapeutic range. For the tablet, the period between 0.75-1.0 hours it remained in the therapeutic range. It took the chewable tablets 1 hour before it reached the therapeutic range, before and after this period it had little effect. As the time reaches 6 hours, the suspension had the lowest plasma concentration, while the tablet had the highest concentration. However it was below the therapeutic range therefore at this point all formulations have no effect 24. It can be concluded ibuprofen suspension is the superior formulation in terms of pain relieving as it reached the highest plasma concentration at a quicker duration, and was in the therapeutic range for the longest period. It is closer to Cmax at 70 mg L-1, while the other formulations were below this. Due to these factors it can be seen that the suspension has greater amount of ibuprofen present in the blood, hence more drug is going to be absorbed in the body. Figure 9: Shows the plasma concentration-time curve (meanSEM) for children with cystic fibrosis who received a dose of 20mg/kg ibuprofen suspension (n=22), chewable tablets (n=4) or tablets (n=12). The SEM bars are not included for chewable tablet group. Conclusion Ibuprofen is a derivative of phenylpropionic acid, and is chemically known as iso-butyl-propanoic-phenolic acid. It is a non-steroidal anti inflammatory drug (NSAID), possessing properties such as analgesic, antipyretic and anti inflammatory. It is commonly used in the treatment of pain and rheumatoid arthritis among others. It is the only drug from its therapeutic class present on the List of World Health Organisation Essential Medicines. This list represents the minimum medicine required for a basic healthcare system. It includes drugs that are efficacious, safe and cost effective for conditions that are a priority. These conditions are selected on the foundation of current and future public health relevance. In terms of pain relief, antinociceptive and chemo-somatosensory effect, ibuprofen effervescent tablets are far superior to ibuprofen tablets. They caused faster pain relief at a quicker rate. Both ibuprofen gel and ibuprofen tablet produced similar efficacy in terms of pain relief in their respective groups. However, the dose administered in the gel dosage form was four times less than that of the ibuprofen tablet. Fewer side effects were observed as it avoided gastric irritation, in comparison to ibuprofen tablet. Ibuprofen tablet caused gastric irritation, which can possibly lead to liver and kidney damage. Patients consuming ibuprofen suspension reached the therapeutic effect at a quicker rate and were in that period for a longer duration compared to the other dosage forms. This suggested that it caused faster pain relief for a longer duration compared to ibuprofen tablets and ibuprofen chewable tablets. Ibuprofen chewable tablets reached a maximum concentration of 50mgL-1, so it just reached the base of the therapeutic effect, which suggests it has poor efficacy.

Friday, October 25, 2019

The Importance Of Learning Spanish :: Learning Spanish

As we approach the 21st century and as the idea of a "global village" is fast becoming a reality, it is vital that we enlarge our worldview and reach an understanding of, and appreciation for, the cultures of the other peoples who share the planet with us. As cultural beings, we are raised with an certain way of giving order to the world around us. Very soon, these "cultural filters," which allow us to make sense of reality and shape it, become fixed, invisible and unconscious; they are part of our worldview which - as unique as we might think it is - rests on the shared values of a particular linguistic community. This network of basic assumptions which affects everything in our life (love, family, friendship, child rearing, work, sense of community and of our place within it, view of nature, sense of self, etc.) is never put into question until it is brought to our awareness by the clash with another system, different from our own. Language, which is the bearer of culture par excellence, opens the door to the world of the other and gives us the means to apprehend other ways of viewing our common world and our common humanity. Why study Spanish? Beyond the argument just made for the truly cosmopolitan view, there are, for the US citizen, compelling internal and external reasons. First, one has to consider the rise of the Hispanic community within our midst. The US Census Bureau shows that the Latinos residing in the United States total about 27 million people and make up almost 10% of the population. Projections indicate that, by the year 2050, almost half of the US population could be Spanish speaking. This fact has strong implications for employment, not only in the Southern belt ( from Florida to California ) but also in all major cities of the nation. In the job market, the bilingual employee will increasingly have the edge over other candidates, especially in the service sector. But employment is only part of the picture. The Hispanic community with its pride in its old traditions - native and European - its own cultural diversity, its strong family values, its artistic genius and its rich literature, will make its own unique and distinct contributions to the living cultural tapestry of this nation - today and tomorrow. Learning Spanish is essentially learning to relate to our next door neighbor and, more than ever, this makes sense.

Thursday, October 24, 2019

Law Enforcement Budget Process Essay

The economic downturn of the past several years has been devastating to local economies and, by extension, their local law enforcement agencies. According to a report by the National Institute of Justice, the United States is currently experiencing the 10th economic decline since World War II (Wiseman 2011). The impact of this downturn will result in a change of how law enforcement services are delivered. As has been discussed by the COPS Office Director, Bernard Melekian, in a series of recent articles published in the Community Policing Dispatch, expectations will not be lowered just because an agency now has fewer officers, or because the budget is limited. Simply doing less while waiting for local budgets to recover to pre-2008 levels is not a viable option. Law enforcement leaders are faced with budget contractions that are in need to identified in different ways to deliver police services and, perhaps more importantly, articulate what the new public safety models will look like to their communities (Melekian 2011a). The effects of the economic downturn on law enforcement agencies may be felt for the next 5–10 years, or worse, permanently. These changes could be permanently driven not just by the economy, but by local government officials who determined that allocating 30–50 percent of their general fund budgets for public safety costs is no longer a fiscal possibility (Melekian 2011b). While it appears that the economy is beginning to recover on the national level, most economists agree that local jurisdictions are still in decline and will continue to be so, at least in the short term. Due to the decline of tax revenues because of Foreclosures County and municipal budgets tend lagging behind the general economy, which is one of the main source of funding for local agencies. Agencies are also faced with the budget realities, the current model for service delivery—which has been with us for the last 50 years—is already starting to change, and will be forced to continue to change dramatically and rapidly in the next 3–5 years. Police departments have been one of the affected by the current economic climate. Restricting revenues nationwide have forced local governments to make cuts in spending across the board, which has affected everything to include public safety operating budgets. However, while these budget cuts are threatening law enforcement jobs the responsibility to serve and protect remain. There has been no methodical way of measuring the effect the economic downturn has had on police agencies across our nation. A good example is how Nigeria has been experiencing difficulties in Budget implementation. The objective of the article was to present alternative forms of budgeting and after exposition on them, to recommend one that could mitigate budget implementation problem for Nigeria. Two types of budgeting addressed are incremental and zero-base. Under incremental budgeting, a certain percentage is added or subtracted from previous period’s figures to arrive at new period’s budget. Under zero bases, every program is reevaluated for its merits, as if previous budgets never existed. The starting points are the results hoped to achieve, and every debate about budget implementation is done prior to passage. Zero base budgeting is analogous to marketing concept in terms of information requirement and zeroing in on customized needs. To the extent that zero base budgeting plans, executes and controls, it serves as a management tool. Nigeria’s budgeting has been incremental, overly politicized and not carried out by experts, but merely based on benchmark price and quota of daily oil production. Factors militating against proper budgeting in Nigeria are distortions in fiscal transparency. Budget implementation in Nigeria is a critical problem. Many have blamed our poor socio-economic and infrastructural development on low degree of budget implementation, which is a result of incremental budgeting process. The paper therefore recommends zero based budgeting to Nigeria at all levels (GJSS, 2012). Sometimes inefficiencies result due to poor integration of the finance and strategy. â€Å"Budgeting and performance are typically overseen by the finance department, whereas planning s coordinated by strategy department. Often, the two processes aren’t well integrated, resulting in strategies that are often dictated by the budget process instead of vice versa† (Gary 2003). The reason for this could be that everyone involved may be attempting to accomplish the same goals, but also trying to make sure that the outcome will be beneficial to them, such as a substantial bonus or a reward. A budget cycle refers to the whole process from the commencement of developing a budget to the execution of the final charge on the budget. Since the majority of the budgets are prepared for a one year period, budget cycles cover the costs and expenditures for a period of one year. However, there are budget cycles that run for more than one year period. Government budgets have a budget cycle of at least 18 months from the conception of the various departments’ budgets to the time the appropriation bills are signed into law (Hyde, 2001). The initial steps of the budget cycle take place in the various departments and agencies. The program officers in the various departments compile all information that is necessary in the preparation of the budget. The budget cycle culminates with the president’s budget application to the Congress. This often takes place in February (USDOJ, 2011). A budget refers to a list of premeditated revenues and expenses. It represents a tool for savings and expenditure. A budget can also be defined as an organizational plan that is stated in monetary terms. It is used as a road map for conducting the activities, objectives, assumptions, and strategies of an organization. A budget cycle is comprised of various stages. Budget planning for the new fiscal year marks the first step of the budget cycle, while closing and carry forward activities mark the end of a budget cycle (Hyde, 2001). The steps outlined below are steps of a sample government’s budget cycle: Budget submissions: this entails the submission of the budget plans to the respective Budget Offers in various government departments. The budgets are reviewed and approved. Budget approval: this entails the executive committee approving the budget. The Initial Budget Authorizations are then submitted to the respective supervisors who address the respective cost items. Global Changes: the salaries are adjusted so that they reflect salary increases that are permitted by the Salary Subcommittee and the Human Resources Department. Closing: this entails the closure of the budgets at the end of the fiscal year. Carry forwards: it entails carrying forward all the unspent money to the following fiscal year. This marks the last step in the budget cycle. In most instances, law enforcement management prepares master budget for the coming year. The master budget includes the projected expenses and maintenance which is incorporated in the master budget and other smaller budgets such as training, overtime, marketing, administrative, and departmental budgets. By establishing an operating and financial budget for a future period, management can identify problems in advance. This can be maintained by forecasting for future predictions. A forecast is a reflection of the future. When forecasting is taken into account, two key aspects to consider are cash budgets and expenditure forecast. In most instances, budgets are and should be prepared for a future period such as an oncoming accounting or financial year. They are detailed by quarters or months. Typically, annual budgets are not altered once the year begins. However, budgets should not be rigid so as to prevent timely actions if need arises. Instead, budgets should only act as a guide rather than a restriction. However, there are rare circumstances when an annual budget should be revised such as due to a radical change in the business environment. Budgets are also important for obtaining funding since they portray an organization’s capacity to the lending institutions and financiers. Additionally, budgets are important management tools, they aid in setting milestones that need accountability to achieve, and aid an organization in identifying risks and establishing benchmarks. Thus, budgets facilitate the process of making adjustments to avoid risks, and to measure the benchmarks. Understanding the significance of budgeting marks the first step towards successful financial planning. It plays a significant role in the strategic planning process by an organization. It outlines the future financial goals and needs of an organization such as technological needs, overhead needs, financial requirements, and capital improvements. I have a very strong opinion that budgeting should not be scrapped, rather be modified to meet the current business environment. Organizations would have to restructure compensation programs so that managers no longer have an incentive to favors short-term goals over the longer-term. Budgeting will have to be flexible to be able to be adjusted from time to time to reflect changes in organizational goals and the economic environment. Again, accounting department should be responsible for compiling only budget information; they should not determine the budgeting process. Management, through the planning process should determine the budget, and all departments should be included in the process. Budgeting should be both top down and bottom up; i. e. upper level management and middle level management will both work to finalize a budget. We can streamline the budgeting process by developing a financial model. Financial models can facilitate â€Å"what if† analysis so we can assess decisions before they are made. This can dramatically improve the budgeting process. One of the biggest challenges within financial planning and budgeting is how do we make it value-added. Budgeting requires clear channels of communication, support from upper-level management, participation from various personnel, and predictive characteristics. Budgeting should not strive for accuracy, but should strive to support the decision making process. If we focus too much on accuracy, we will end-up with a budgeting process that incurs time and costs in excess of the benefits derived. The challenge is to make financial planning a value-added activity that helps the organization achieve its strategic goals and objectives. In order for department to compensate for dwindling budget, many law enforcement officer have had to learn how to focus on what can they can sacrifice from their normal lifestyle in order to offset the reduction in available spending. Some of these sacrifices have included families foregoing summer vacations, or shopping in discount stores instead of department stores they are accustomed too. However, today law enforcement agencies are faced with the difficult task of maintaining the same service that their communities expect despite the extreme reduction in available resources. And, in order for them to deliver the same high level of protection and emergency responsiveness that the communities depend on, law enforcement agencies must find new and inventive techniques to address those needs in cost-effective and maintainable way. Agencies must have a good understanding of how budgeting marks the first step towards successful financial planning. Budgeting has a significant role in the strategic planning process by any organization. It provides the framework for future financial goals and the needs of an organization such as technical equipment like laptops, radios, and side arms. It also shows the overhead needs, and departmental financial requirements. It can also outline the costs involved in order to get the resources that are required to meet their financial goals. Developing a budget is an important tool for determining the department’s performance, in motivating the upper-management, other members of staff, and measuring the results towards accomplishing the organization’s financial goal. References Gary, L (2003) Breaking the Budget Impasse. Pg 3, Retrieved September 30, 2013, Idio, U. S. (2012). THE BUDGET AS A MANAGEMENT TOOL: ZERO BASE BUDGETING, PANACEA TO BUDGET IMPLEMENTATION IN NIGERIA. Global Journal of Social Sciences, 11(1), 1-7. Retrieved from http://search. proquest. com/docview/1036581432? accountid=32521 http://www. cops. usdoj. gov/files/RIC/Publications/e101113406_Economic%20Impact. pdf Melekian, B. , (2011a). Director’s Message. Community Policing Dispatch vol. 4, no. 3. http://cops. usdoj. gov/html/dispatch/03-2011/DirectorMessage. asp. Melekian, B. , (2011b). Director’s Column: July 2011. Community Policing Dispatch vol. 4, no. 7. http://cops. usdoj. gov/html/dispatch/07-2011/DirectorMessage. asp. Wiseman, J. , (2011). Strategic Cutback Management: Law Enforcement Leadership for Lean Times. Research for Practice, Washington, D. C. : U. S. Department of Justice, National Institute of Justice, NCJ 232077.

Wednesday, October 23, 2019

Prevention of teen pregnancy Essay

Explain the level of prevention with teen pregnancy (can choose your own level out of the three levels).   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Teenage pregnancy has been a major problem not only in the developed world but also recently in the developing nations.   In the US and Canada, due to the increased awareness amongst teenagers, the prevalence of teenage pregnancies is decreasing.   However, in several developing nations, the incidence of teenage pregnancies is on the rise.   In the year 1999, it was found that about 97 teenagers out of every 1000 between the ages of 15 to 19 years were pregnant and about 80 % of them were not desired.   Before the age of 18 years, 80 % of the teenage girls have sex.   The age of menarche has also dropped to 12 to 13 years (Weiss, 2000).   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Teenage pregnancies may not be intended for social reasons but due to other including medical and psychological.   The chances of the girl to have a miscarriage, abortion, stillborn baby, etc, are reasonable higher.   These girls are usually the ones who belong to the lower socioeconomic groups and the chances of living in poverty are realistically higher.   The financial burden on the woman would also increase, as she would now have to leave her studies and pick up some job in order to support her child.   Children born from a teen mother are frequently underweight and are at a high risk of developing health problems.   Due to a number of causes, it is always preferred that teenage pregnancies are prevented.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   There are three different levels of prevention when it comes to teenage pregnancies.   These include primary prevention, secondary prevention and tertiary prevention.   Primary prevention includes measures to prevent pregnancies through physical or other methods.   These include use of contraceptive pills, condoms, etc.   This helps to reduce minimize the risk of getting pregnant.   Secondary prevention includes checkups, scans, etc, to ensure that the girl does not get pregnant.   This is usually followed if primary prevention is not enabled.   Tertiary prevention of includes taking measures to prevent any further pregnancies after one has already occurred in the teenage girls.   The best level of prevention would be primary prevention (Connelly & Inui, 2004).  Ã‚               How might this specific level of prevention be addressed in a community experiencing an increase in family violence.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   There are several measures which need to be adopted for primary prevention of teenage pregnancies.   These include health education, sex education, school and college based programs, health services, use of condoms, use of contraceptives (birth control pills), etc.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   In the teen pregnancy prevention program several people belonging to the community should be involved including the teenagers, parents, teachers, legislatures, administrators, professionals, media, medical professionals, School authorities, etc.   It is important that the entire community be involved in the program, as teenage pregnancy is a multi-faceted issue.   People are advised to develop responsible health attitudes, behavior and practices regarding teenage pregnancy.  Ã‚   The program should be much more than just offering health services and counselling services.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The program should take place at several places including schools, colleges, health centers, public health centers, community discussions, etc.   The targets of such programs should be more realistic and achievable.   Both the boy and girl should actively take part in such programs.   At all stages, it is very important that the family and the parents are involved.   Besides, resources and materials such as condoms, birth control pills, education material, counselling services, etc, should be provided.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   In the teenage pregnancy prevention program, multiple agencies should be involved.   In the planning and implementation of the program, teenagers themselves should be involved.   The parents should educate and create awareness in their children about sex and pregnancy during the childhood stage itself.   Hence, involvement of the parents is also required.   Mobile services would also help to create awareness in rural and far-flung areas.   The trust should be in creating increased levels of confidence, self-esteem and decision-making amongst teenagers.   Teenagers should also be educated about drug abuse and alcohol abuse.   Drug abuse can affect judgment, which can lead to irresponsible sex behavior. Explain why a comprehensive health program should address all three levels of prevention.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Teenage pregnancy programs need to address all the levels of prevention, as focusing on one single level of prevention and ignoring others would create bias and negative attitudes of the community to those girls who have already become pregnant.   As the rates of teenage pregnancy are reasonable high and a significant number of girls become pregnant during the teenage period, there are high chances that they would lead a miserable life.   This may make it all that more difficult to enable the process of primary prevention.   Several facilities such as health education, medical services for the mother and the child, housing, financial support, nursing homes, counselling, etc, need to be provided.   It is important that teenagers who become pregnant be given all the care and love during the pregnancy period and not be driven out of the house.   Pregnant girls should also be given counselling services as they would not know much of the manner in which their healthcare needs have to be met.   They should be specifically warned about drug abuse and smoking during this period. The focus should be on ensuring that the mother and child are healthy and do not suffer.   During the pregnancy period, the young father should be supportive of the girl.   The young mother should also be educated about the manner in which abuse and neglect need to be tackled. References: Connelly, M. T. & Inui, T. S. (2004). â€Å"Principles of Disease Prevention.† In: Braunwald, E., Fauci, A. S., Kasper, D. L., Hauser, S. L., Longo, D. L. and Jameson, J.L. (Eds) Harrison’s Principles of Internal Medicine, New York: McGraw-Hill. Huberman, B. (2005). â€Å"National Teen Pregnancy Prevention Month (NTPPM) Planning Guidebook.† Retrieved on December 9, 2007, from Advocates of Youth Web site. Ontario’s Maternal, Newborn and Early Child Development Resource Centre and the Sex Information and Education Council of Canada (2007). â€Å"Update report on Teen pregnancy prevention.† Retrieved on December 9, 2007, from OMNECD Web site: SHPPS (2006). â€Å"Pregnancy Prevention.† Retrieved on December 9, 2007, from SHPPS Web site. Weiss, D. (2006). â€Å"Reducing Teenage Pregnancy.† Retrieved on December 9, 2007, from Planned Parenthood Web site: http://www.plannedparenthood.org/news-articles-press/politics-policy-issues/teen-pregnancy-sex-education/teenage-pregnancy-6240.htm