Diabetes A Major Public Health Issue Health Essay

Diabetes A Major Public Health Issue Health Essay According to current estimates about 366 million people have diabetes in 2011 all over world. It has been projected that by 2030 this will have risen to 552 million. The number of people with type 2 diabetes is increasing throughout the globe. Among them about 80% of people with diabetes live in low- and middle-income countries. The majority of people with diabetes lie in the age group of 40 to 59 years of age. Almost half of this population, 183 million people (50%) is undiagnosed. Diabetes caused 4.6 million deaths in 2011. 78,000 children develop type 1 diabetes every year. India has become the global capital for both the kinds of disease- Communicable as well as NCD or life-style diseases. There is this double burden of disease. The major diseases in the NCDs are Diabetes, CHD and Hypertension. These three diseases alone cause more than 400 deaths per million population in a year. Among them Diabetes demands the major concern because it is intricately related to the development of the two other factors (increases the risk of) CHD and Hypertension. There is also an increasing trend of obesity world-wide which also adds to the development of Diabetes as a risk factor. It is the fourth or fifth leading cause of death in the most high-income countries and it is taking the form of an epidemic in many developing as well. Diabetes has become one of the most challenging health problems of this century. There have been many studies since the last two decades which confirm that the low and middle income countries are going to face the greatest burden of this disease. The governments and public health planners of many developing countries including India still remain ignorant of this upcoming health evil. The magnitude of this disease has serious implications in terms of its economic burden in its treatment and loss in terms of wage and deteriorated quality of work by people affected by Diabetes. This can drastically influence the growth of a country especially developing countries like India. Global Prevalence of Diabetes and projection till 2030global-diabetes.png Numbers of people with diabetes (in millions) for 2000 and 2010 (top and middle values, respectively), and the percentage increase wed.png Source- Nature | Vol. 414 | 13 December 2001 | www.nature.com There have been reports of increasing cases of Myocardial Infarction even in very young patients among the Juvenile diabetes cases. It is a far more disabling than generally considered, it drastically decreases ones stamina and working capacity. As it is a multisystem disorder it influences other sensory functions as well such as Diabetic retinopathy (hampering vision), Diabetic nephropathy (causing renal disease and failure), Diabetic neuropathy (including diabetic foot) and many other complications. The presentation of classical symptoms of polydypsia, polyphagia, polyuria is not always the picture of diabetes. It is only seen in few classical cases. So, it is often diagnosed during routine test or examination done when patient had presented for some other disease or illness. The lack of awareness among people about this disease is of major concern. Due to this many cases go undetected. India has imitated the Western ways of lifestyle and hence illnesses such as obesity and diabetes are increasing day by day. In 2011, India had 62.4 million people with type 2 diabetes, compared with 50.8 million cases in 2010, according to the International Diabetes Federation (IDF) and the Madras Diabetes Research Foundation. The nationwide prevalence of diabetes in India now tops 9%, and is as high as 20% in the relatively prosperous southern cities. By 2030, the IDF predicts, India will have 100 million people with diabetes. Another matter of great concern is the fact that the onset of type 2 diabetes tends to affect people in the West in their 40s and 50s, whereas the disease strikes Indians at a much younger age. Even young people of 25 years of age are being diagnosed with the disease, a trend that threatens to seriously hamper the countrys economic development. The rise of type 2 diabetes in India was in fact foreseen by some scientists and health experts. Till1980s, the urban prevalence of diabetes was at least double the rural prevalence. But this picture of diabetes has changed significantly over time and has spread out of urban cities into the countryside and majority of rural areas. Type 2 Diabetes constitutes more than 90 % of the whole diabetes cases in any country including India. It has a wide variety of determinants and risk factors associated with it, which need to be known and focused during policy formulation to address Diabetes. Aetiological determinants and risk factors of type 2 diabetes Genetic factors Genetic markers, family history, thrifty gene(s) Demographic characteristics Sex, age, ethnicity Behavioural- and lifestyle-related risk factors Obesity (including distribution of obesity and duration) Physical inactivity Diet Stress Westernization, urbanization, modernization Metabolic determinants and intermediate risk categories of type 2 diabetes Impaired glucose tolerance Insulin resistance Pregnancy-related determinants (parity, gestational diabetes, diabetes in offspring of women with diabetes during pregnancy, intra-uterine mal or over nutrition) Source- Nature | Vol. 414 | 13 December 2001 | Www.Nature.Com Villages in wealthier southern states like Tamil Nadu and Kerala are seeing prevalence hit double digits, which is enormous. If it was confined to affluent India, you could still put a lid on it, but now its rising quickly all over the country. as per Nikhil Tandon, an endocrinologist at the All India Institute of Medical Sciences in New Delhi. There is also a considerable genetic propensity towards Diabetes in the Asian population particularly in India. india diabtes.png AIMS OBJECTIVES Diabetes has yet not been recognized in our country as a major public health issue, although the morbidity and mortality and hence economic burden and loss due to it is much higher than that caused by many other communicable or other diseases such as AIDS or STDs, for which there are well formulated programs. But there are no such programs or targeted approach to tackle this very prominent deterrent of health in our country, Diabetes. There is almost no health care accessibility and availability dedicated in this regard in public scale. They are primarily excluded from government policies and decision making process. Not much work or studies have been conducted on the prevalence of Diabetes in India, especially rural India. There is a need to assess the real magnitude of this urgent problem which demands special concern in form of targeted policies and programs and screening. The aim of my study is to highlight the immediate need of recognition of Diabetes as a major public-health co ncern and formulation of strategies, Policies and programs concerning Diabetes in India. RECOMMENDATIONS (1) Studies need to be conducted to determine the level of awareness and knowledge about diabetes at the community level in different parts of India. As we know IEC is very important for any community or mass scale program to be successful. It is also important in view of the Sickness behavior and the sick role played by the individuals. Creating awareness among the people will make them come up for the screening and a better turn up for treatment in early stage which will significantly reduce the loss due to the disease to the person and state as a whole. (2) More studies and research required to identify the risk factors for diabetes, the relationship between anthropometric measures and diabetes risk and estimate the burden of diabetes in this rural Indian population with an objective to identify target areas for future healthcare planning. (3) Screening programs need to be formulated in the mass scale and many rounds of such screening will be required to assess the real magnitude of the problem in Indian population, so that, resources are used accordingly for planning of policies and programs. These data will be extremely important for planning the public health policies especially the envisaged National Diabetic Control Program. (4) Tracing the exact pattern of the disease in the population and its demographic pattern is essential. Some of the recent studies have identified increasing cases of juvenile diabetes and there is detection of more and more cases in the lower marginalized and poorer section of population (Diabetes was once believed to be disease of elites, those of the rich sections of population associated with over eating, obesity etc). Now the picture of disease is changing which needs to be traced and addressed in the following policies for diabetes control and prevention. Research should also be directed in the direction to identify the most appropriate test for screening purpose, as the results depend on the test employed to a significant degree, especially when employed for mass screening. (5) Clear cut policy outlines to tackle with the complications of Diabetes- The complications due to Diabetes can be even more disabling and in some cases even fatal. So it is very important to make clear cut policy outlines to tackle with the complications of Diabetes and its prevention. Measures should aim at intensive control of blood glucose to prevent the retinal, renal and neuropathic complications of diabetes. There is a concealed burden of Impaired Glucose Tolerance. The possibility of preventing type 2 diabetes by interventions that affect the lifestyles of subjects at high risk for the disease have focused on people with impaired glucose tolerance (IGT). It affects at least 200 million people worldwide. Approximately 40% of subjects progress to diabetes over 5-10 years, but some revert to normal or remain IGT. So, it is very essential to take this group of individuals into consideration. (6) Formation of a separate body under Ministry of Health and Family Welfare as Diabetes Control Organization or so to tackle with Diabetes in an integrated and comprehensive way throughout the country. Formulation of Control and Prevention Programs to be implemented in each state. Prior to this there should be formation of an Expert group to assess the actual prevalence and exact demographic characteristics of Diabetes in different regions of India. (7) Reinforcing legislative changes such as increased taxation of certain unhealthy foods to promote healthy diet. Although it is difficult but such steps may help to a great extent. CONCLUSION A much more integrated approach is needed to have a significant impact on the diabetes epidemic in India. Type 2 diabetes is not merely a disease but reflection of a much bigger problem, that is, the effect of environmental and lifestyle changes on human health. We need well integrated policies for education of the mass through IEC. The major proportion of Diabetes cases in India is Type-2 which is preventable. It is a huge threat to public health and in absence of interventions there would be great loss. Thus prevention of diabetes and its micro- and macro-vascular complications should be an essential component of future public health strategies for all nations. An essential and immediate need is the formation of multidisciplinary national encompassing all parties that can help address and control the underlying socioeconomic causes that have led to the diabetes epidemic. ANNEXURE Recent studies have highlighted the potential for intervention in IGT subjects to reduce progression to type 2 diabetes. One such study is the recently completed Diabetes Prevention Program in the United States. Diabetes education is necessary to control Diabetes. It includes diabetes self-management education (DSME) and diabetes self-management training (DSMT). It helps people to modify their behavior and hence mange the disease. Healthy People 2010 objective regarding diabetes education- At least 60 percent of persons with diabetes should receive formal diabetes education in order to attain considerable level of awareness in the community as per the American Association of Diabetes Educators. List of Stake holders- Govt. of India, Ministry of health and Family Welfare. State Governments. NGOs and other organizations Media for awareness. Family of Diabetic patients.

Private and Public Notes of a Native Son Essay -- James Baldwin

The Private and Public Notes of a Native Son The middle of the twentieth century saw the height of the civil rights struggle of African Americans. Amid this tumultuous era rose up a generation of prominent African American writers, and among them was James Baldwin. In â€Å"Notes of a Native Son,† an essay that he wrote more than a decade after his father died, Baldwin recalls and reflects on his troubled interaction with his father, a man whom he has hated all his life. His vivid narration of his father and his personal encounters around the time his father died reveals the evolution of his view on the racial issues in America. Baldwin extensively draws on his past experience as an embodiment of the public experience shared by many other people to make a strong case for his argument. James Baldwin never fails to express his disgust for his father. Not far into the essay, he reminds the reader of the two race riots in 1943, and he mockingly describes this state of instability and social discontent that coincided his father’s death as â€Å"a corrective for the pride of his eldest son† (63). According to Baldwin, not only did his father always fail to establish contact with people, including his children, he attempted to keep his children from contact with the outside world. He forbid his children to play Louis Armstrong’s records, distrusted all white people, and constantly associated his children’s friends with the devil. Although he had good intentions, he never managed to convert them into pleasing deeds, and he, in Baldwin’s own words, â€Å"treated almost everybody on our block with a most charitable asperity† (67). Baldwin’s mental image of his father is little short than that of a tyrant. This com parison is ... ...hich, in his case, were his dead father and his new born sister. To believe in unimportant things such as skin color will only led to one’s destruction, because, as he comments, â€Å"hatred, which could destroy so much, never failed to destroy the man who hated.† (84). He maintains that accepting things as they are while at the same fighting with one’s full strength against injustice are two conflict ideas that one has to hold in mind. Baldwin does not intend to teach his moral discovery to the reader as an absolute truth. In fact, he concedes that he too has questions that the future will answer. However, supported by his narration and analysis of his private and the public experiences, he makes a strong argument. Works Cited Baldwin, James. â€Å"Notes of a Native Son.† 1995. James Baldwin: Collected Essays. Ed. Toni Morrison. New York: Library of America, 1998. 63-84.

Co-Occurring Disorders Essay

The co-occurring I chose is Schizophrenia and Alcohol Dependence, with the prevalence of Nicotine Dependence. Schizophrenia occurs in people from all cultures and all walks of life, and its characteristic symptoms are well recognized. Those symptoms include extreme oddities in perception, thinking, action, sense of self, and manner of relating to others. However, the hallmark of schizophrenia is a significant loss of contact with reality, referred to as psychosis. Taken from the DSM IV (Association, 2000), (pgs. 153-154) the criteria for schizophrenia are two or more of the following symptoms, present for a significant portion of time during a 1-month period, and lasting for six months are: Delusions. Hallucinations. Disorganized speech. Grossly disorganized or catatonic behavior. Negative symptoms. According to (Butcher & Mineka, 2010) (pg.458), â€Å"the vast majority of cases of schizophrenia begin in late adolescence and early childhood, although schizophrenia is sometimes found in children, such cases are rare. Schizophrenia tends to begin earlier in men than in women, usually between ages 20 and 24. The incidence of schizophrenia in women peaks during the same age period, but the peak is less marked than it is for men. Overall, the average age of onset of schizophrenia is around 25 years for men and around 29 years for women†. Alcohol Dependence is a state, psychic and usually also physical, resulting from alcohol use, and is characterized by behavioral and other responses that always include a compulsion to take alcohol on a continuous or periodic basis in order to experience its psychic effects, and sometimes to avoid the discomfort of its absence, tolerance may or may not be present. According to the DSM IV (Association, 2000), the  criteria for alcohol dependence are a tolerance as defined by: a need for markedly increased amounts of the substance to achieve intoxication or desired effect, and the markedly diminished effect with continued use of the same amount of the substance. The symptoms of alcohol dependence are; Withdrawal syndrome. It is taken in larger amounts or over a longer period than was intended. Unsuccessful efforts to cut down or control substance use. A great deal of time is spent in activities necessary to obtain the substance. Alcohol and nicotine dependence are extremely common among patients with schizophrenia (Drake, 2001), almost half of schizophrenic patients have a substance use disorder during their lifetime. The rate is probably even greater among high-risk groups, such as young men with a history of violence or homelessness, and among patients in acute care settings. Alcohol abuse is correlated with poor concurrent adjustment and predictive of adverse outcomes such as higher rates of homelessness, hospitalization, and incarceration. There is a huge prevalence of nicotine dependence with this co-occurring disorder. Nicotine is the most common form of substance abuse in people with schizophrenia. According to the (National Institute of Health, 2013), people with schizophrenia are driven to smoke. They smoke at three times the rate of the general population. In the general adult population age 18 years or older, the reported rate of nicotine use is 25.9%, with a 12.8% increase within the past year. In people with schizophrenia there is a reported rate of use of nicotine of 60% – 90%, a 28.5% increase within the past year. In the general population the rate of use for alcohol in people age 18 years or older is 2.9% – 17.9%, a 5.1% increase within the past year. In schizophrenic patients alcohol use has gone up from 14 to 22 percent in the 1960’s and 1970’s, to 25 to 50 percent in the 1990’s. Within the past year the reported dependence for alcohol in schizophrenic patients has gone up from 43.1% to 65%. According to (Substance Abuse and Mental Health Services Administration, 2013) assessment issues for this co-occurring disorder are: People wh o are experiencing symptoms of schizophrenia may put up resistance to help because they do not know that something is wrong, when in reality this can be a manifestation of the negative symptoms of schizophrenia. The symptoms of schizophrenia can be  mistaken for an individual being intoxicated. Many individuals with symptoms of schizophrenia isolate themselves from family and friends, and many are homeless, so they are not surrounded by a support system to get them to needed help. If the professional doing the assessment doesn’t have the individual’s previous mental health background, or their family’s mental health background, they won’t be able to properly assess the disorder. The traditional treatment modality for schizophrenia has been strictly focused on psychiatry and psychotropic drugs. However today professionals should be aware that there is evidence of increasing use of alcohol and drugs by persons with schizophrenia, and a dual diagnosis should be expected. Therefore, an accurate understanding of the role of substance use disorders in the client’s psychosis requires a multiple contact, longitudinal assessment. Both psychotic and substance use disorders tend to be chronic disorders with multiple relapses and remissions, supporting the need for long-term treatment. For clients with co-occurring disorders involving psychosis, a long-term integrative approach is imperative. Treatment practices that could be harmful or contradictive for individuals with co-occurring disorders are; Untrained or unqualified staff – (staff members, whether primarily from the substance abuse treatment or mental health fields, should be knowledgeable about both disorders and their treatments. Treating one disorder without treating the other – (mental health and addiction treatment systems often are separated. This situation may result in patients’ being treated at one location for addiction and at another for mental health disorders. Some mental health care facilities do not accept patients in medication-assisted treatment, forcing these patients to choose which disorder to treat. Also co-occurring disorders require individualized treatment approaches. It is usually best to address all of a patient’s disorders simultaneously because each can influence the other. The treatment approach for this co-occurring disorder should be a multi-disciplinary team approach. Special considerations should include an integrated approach, (a team working closely together, social worker, counselor or therapist, psychiatrist or mental health professional, and a medical doctor). There should also be: Available resources for crisis intervention. Treatment for schizophrenia and drug treatment. Rehabilitation (social and vocational training to help people with schizophrenia function better in their communities). Family education (people with schizophrenia are often discharged from the hospital into the care of their families. So it is important that family members know as much as possible about the disorder. With the help of a counselor, family members can learn coping strategies and problem solving skills). CBT (it helps patients with symptoms that don’t go away even when they take medications). Self-help groups (group members comfort and support each other; they know that others are facing the same problems, which can help everyone feel less isolated). Two treatment or community supports that are available in central Ohio are: Dublin Springs Treatment Center 7625 Hospital Drive Dublin, Ohio (614) 717-1800 www.dublinsprings.com Center for Innovative Practices Kent State University Kent, Ohio (330) 672-7917 www-dev.rags.kent.edu/cip Two local service providers that provide treatment for people with this co-occurring disorder are: Southeast Inc. 16 W. Long Street Columbus, Ohio (614) 225-0990 www.southeastinc.com Columbus Area Integrated Health Services 1515 E. Broad Street Columbus, Ohio (614) 252-0711 interventionamerica.org The factors that will increase the likelihood that clients will participate in treatment are: Developing and using a therapeutic alliance to engage the client in treatment. Maintaining a recovery perspective. Managing countertransference. Monitoring psychiatric symptoms. Using supportive and empathic counseling. Employing culturally appropriate methods. Increasing structure and support. Encouraging family support and providing counseling and education. Three potential barriers that could prevent a person from taking advantage of  treatment and/or supports are: Inaccessibility or funding for treatment (some mental health centers do not offer integrated treatment. Because of the lack of insurance and Medicaid cutbacks some people do not have access to funding for treatment. Also Legislators need to re-appropriate funding for treatment. However, agencies that are funded by ADAMH provide 100% funding for treatment. Ex. Southeast Inc.). Homelessness (many individuals who suffer from this disorder isolate themselves from family and friends, so they don’t have a support system to get them to help when their symptoms are presenting. Many are incarcerated and there is no mental health background for them, or they are jailed because the symptoms of schizophrenia are similar to intoxication). Staff who are undertrained in the symptoms of this co-occurring disorder. Involvement of family or significant others are very important in treatment and should be offered counseling to help them with coping strategies and problem-solving skills, they should also be offered education about the disorder. Additional information about this co-occurring disorder pertains to the use of nicotine; (smoking may make anti-psychotic drugs less effective, and quitting smoking is very difficult because nicotine withdrawal may cause these individuals psychotic symptoms to get worse for a while. References Association, A. P. (2000). DSM, IV. In Diagnostic Criteria (pp. 153-154). Arlington: American Psychiatric Association. Butcher, J. N., & Mineka, S. H. (2010). Abnormal Behavior. Boston: Pearson Publishing Co. Drake, R. E. (2001, August 17). Treating Substance Abuse Among Patients With Schizophrenia. Biological Psychiatry, pp. 71-83. National Institute of Health. (2013, October 12). Retrieved from National Institute of Mental Health: www.nimh.nih.gov Substance Abuse and Mental Health Services Administration. (2013, September 15). Retrieved from SAMHSA: www.samhsa.gov

Living and Working in France

Living and Working in France One common trait among people who study French is a desire to live and possibly work in France. Many dreams of this, but not many succeed in actually doing it. Just what is it that makes it so difficult to live in France? First of all, like in other countries, France is concerned about too much immigration. Many people come to France from poorer countries to find work- either legally or illegally. With high unemployment in France, the government is not eager to give jobs to immigrants, they want the available jobs to go to French citizens. In addition, France is worried about the impact of immigrants on social services- there is only so much money to go around, and the government wants citizens to receive it. Finally, France is infamous for its extensive red tape, which can make everything from buying a car to renting an apartment an administrative nightmare. So with these difficulties in mind, lets look at how someone can get permission to live and work in France. Visiting France Its easy for citizens of most countries to visit France- upon arrival, they receive a tourist visa which allows them to stay in France for up to 90 days, but not to work or to receive any social benefits. In theory, when the 90 days are up, these people can travel to a country outside the European Union, have their passports stamped, and then return to France with a new tourist visa. They might be able to do this for a while, but its not really legal. Someone who wants to live in France long term without working or going to school should apply for a visa de long sà ©jour. Among other things, a visa de long sà ©jour requires a financial guarantee (to prove that the applicant will not be a drain on the state), medical insurance, and police clearance. Working in France European Union citizens can legally work in France. Foreigners outside of the EU must do the following, in this order: Find a jobObtain a work permitObtain a visa de long sà ©jourGo to FranceApply for a carte de sà ©jour For anyone who is not from an EU country, finding a job in France is extremely difficult, for the simple reason that France has a very high unemployment rate and will not give a job to a foreigner if a citizen is qualified. Frances membership in the European Union adds another twist to this: France gives first priority for jobs to French citizens, then to EU citizens, and then to the rest of the world. In order for, say, an American to get a job in France, s/he essentially has to prove that s/he is more qualified than anyone in the European Union. Therefore, the people with the best odds of working in France tend to be those in highly specialized fields, as there may not be enough qualified Europeans to fill these types of positions. Receiving permission to work is also difficult. Theoretically, if you are hired by a French company, the company will do the paperwork for your work permit. In reality, its a Catch-22. They all say that you have to have the work permit before they will hire you, but since having a job is a prerequisite for obtaining the work permit, its impossible. Therefore, there are really only two ways to get a work permit: (a) Prove that you are more qualified than anyone in Europe, or (b) Get hired by an international company that has branches in France and get transferred over, because their sponsorship will allow them to obtain the permit for you. Note that they will still have to demonstrate that a French person could not do the job you are being imported to do. Other than the above route, there are basically two ways to get permission to live and work in France. Student visa - If you are accepted to a school in France and meet the financial requirements (a monthly financial guarantee of approximately $600), your chosen school will help you to obtain a student visa. In addition to giving you permission to live in France for the duration of your studies, student visas allow you to apply for temporary work permits, which give you the right to work for a limited number of hours per week. One common job for students is an au pair position.Marry a French citizen - To some extent, marriage will facilitate your efforts to obtain French citizenship, but you will still need to apply for a carte de sà ©jour and deal with abundant paperwork. In other words, marriage will not automatically make you a French citizen. As a last resort, it is possible to find work that pays under the table; however, this is more difficult than it might seem and is, of course, illegal.

The Bet essays

The Bet essays The Bet is a story written by Anton Cheahov. The story is about a man who decides to take this bet. The deal is that the man must stay in prisoner fifteen years and he will receive two million dollars. Well, turns out the man leaves the his prison cell 5 minutes before the time is officially over; in return he losses the bet. The question is if this could really happen and how would it done? I think life and freedom are the most favored things in our great country and for some one to visit give their freedom up for some money would bring about these questions. I would think this would be illegal to be put someone prison for no reason. I could see in a mental hospital were you could check your self in and out, but not in a prison. Another reason I feel that you wouldnt be allowed in a prison is for your safety. You would have to be in a different part of prison because you are in their voluntary and not by force. You would also have the freedom and extra luxurys that other inmates would not have. Also how you would be treated? Would you be treated like a normal person who has the freedom to roam about the prison; or would you be treated like a criminal with no privileges. Why would someone want to do such a thing? Would you be mentally prepared to loose everything in an instead for some money. If the state would let you go through with your bet. Would you be evaluated for you mental health? They should do this test to make sure that you clearly understand what you are doing. Would it be a challenge or an escape from your bad credit or money problems? Most people would think that two million dollars for fifteen years of your life, because it is a lot of money and it would help your future financially. This is you would separate your greed from a challenge. In my conclusion about the story presented in the paragraphs above is that I feel that my reasons above support my theory that this i ...

The effect of the phenomenon of separation of ownership and control Essay

The effect of the phenomenon of separation of ownership and control for modern corporations - Essay Example Corporate Governance Share-holder activism in 1990s stimulated interest on corporate governance. In fact, it became a household name in the United States when a California based company â€Å"California Public Employees Retirement System† (CalPERS) questioned the listed companies in which it had invested the funds of its members, for their practice of buying back their shares at higher prices. This literally resulted in reduction the value of shares held by CalPERS. Contemporary companies all over the world including the U.K. followed suit to safeguard the interests of their widely dispersed shareholders. What started as a means of funds mobilization by an entrepreneur for engaging in large scale activities and to achieving large scale economies, soon became handy for the entrepreneur to exploit the small and widely dispersed investors.1 In the 19th century, even the privately owned large companies who had accumulated wealth overtime had to resort to procurement of funds from the capital market as they had outgrown themselves. Agency theory that explains separation of ownership from control was first discussed by Adolf A Beale and Gardiner C Means2. One can still go backwards to the times Adam Smith who in his â€Å"The Wealth of Nations† 3 has said that company directors would not care for shareholders’ money as their own and this is the problem with agency theory as observed by Letza, Sun and Kirkbride.4 Fame and Jensen 5 argue that separation of decision making (control) and risk-bearing (ownership) become viable because of the need for specialization of management and risk bearing besides the need for controlling agency problems. They cite the nature of an organization as a nexus of contracts both written and oral among the owners of factors of production and customers which are the internal â€Å"rules of the game†. The rights of owners of each factor of production and customers are specified and their performances evaluated. Th ese factors of production are rather stake-holders in the organization. The authors assert survival of a form of an organization depends on its ability to sell their output required by their customers at the lowest price while at the same time fully recovering costs. There are two types of organizations wherein risk-bearing (ownership) and decision (control) functions are separated and wherein the two functions are combined in the same agents. In the contractual nature of organizational forms, the residual claimants are the residual risk bearers having claim over the net cash flows after meeting the contracted payments to the factors of production from out of stochastic inflows of resources. Thus, residual risk is known by the â€Å"difference between stochastic inflows of resources and promised payments to agents.†6 These residual claimants are the ones who bear the most uncertainty and it is considered worthwhile as it reduces costs of monitoring contracts with the rest of the agents. This contributes to the survival value of the organizations as distinct entities. It is mandatory to produce outputs at lesser costs so as to ensure increased net cash flows to safeguard the residual claimants’ interests. Restriction on residual claims differs from each form of organization. For example, large corporations where common stocks are in use have the least restricted residual claims. That is, the shareholders have no role to play in the organizations. Because of this, risk sharing is unrestricted for the

Prove the The Great Flood in the Holy Bible is the truth using science Research Paper

Prove the The Great Flood in the Holy Bible is the truth using science - Research Paper Example According to the Bible, Noah and his three sons survived the flood in a wooden ark, along with hundreds of animals representing every species on earth. All other living beings perished, and the ones surviving today are all descendants of the survivors of the Great flood. Described in great detail in the Book of Genesis (6-9), this event has witnessed ample speculation from all quarters of the world, and scientists and explorers have set out to unveil its mysteries. Through this paper, I intend to prove in light of sound scientific evidence, that the Great flood cited in the Bible is a real event that occurred thousands of years ago, and that Noah and his ark really existed. Keywords: Great flood, Noah's Ark, fossil graveyards, coal beds, Polystrate Fossils, Coconino Sandstones , Genetic pool, Mt Ararat The "Great Flood"- In Light of Scientific Evidence The Holy Bible states that God wished to wipe out all sin from the surface of the earth and that all humans were subjected to Godâ₠¬â„¢s wrath except a few who were righteous. A great flood destroyed every living being on earth, while Noah and his family survived in a huge wooden ark, which he built with God's guidance. A pair of every animal, male and female, was taken to safety in the Ark, while rain lashed on earth for a period of forty days and forty nights. â€Å"In the six hundredth year of Noah's life, in the second month, the seventeenth day of the month, the same day were all the fountains of the great deep broken up, and the windows of heaven were opened. And the rain was upon the earth forty days and forty nights† (Gen. 7:11-12, New International Version). Noah's three sons Shem, Ham and Japheth, along with a few others, survived the flood, and mankind was repopulated from them. The Bible further cites that Noah's ark rested on Mount Ararat after the flood waters subsided. In view of this revelation, innumerable scientific expeditions have explored the Ararat mountain range in Asia Minor, in s earch of Noah's Ark. An object resembling a ship's bow has already been found, jutting out of mud and lava atop the mountains. The Turkish Air Force was the first to notice this object. Porcher Taylor, a professor at the University of Richmond confirmed its presence, after a long period of study through satellite imagery. Surprisingly, the dimensions of this object perfectly correlate to the dimensions of Noah's Ark described in the Bible. Following this discovery, many other expeditions have investigated the area, unearthing wood, anchors made from stone, and other remains of what might have been an ark. No matter how spell bounding such a discovery may seem, it is imperative to decipher the events of the great deluge in light of scientific evidence and data from recent expeditions. In order to prove that the great flood was an actual reality and not just a mythological event inscribed in ancient literature, I wish to put forth the following conditions, which if true, refute all po ssible arguments against the possibility of the great flood: 1. Fossil evidence suggesting fossilization under rapid conditions 2. Geological evidence of a global flood 3. Evidence of abundant water, enough to cover the surface of the Earth 4. Genetic dead-end due to lack of genetic