Monday, January 27, 2020

Analysis of Bangladeshs Economy

Analysis of Bangladeshs Economy a) Unemployment An economic condition marked by the fact that individuals actively seeking jobs remain unhired. Unemployment is expressed as a percentage of the total available work force. The level of unemployment varies with economic conditions and other circumstances. Unemployment is defined as by the Bureau of Labor Statistics (BLS) as people who do not have a job, have actively looked for work in the past four weeks, and are currently available for work. Also, people who were temporarily laid off and are waiting to be called back to that job are counted as unemployed. People who are jobless and have not looked for work within the past four weeks are removed from the labor force by the BLS and are no longer counted as unemployed. Most people leave the labor force when they retire, go to school, have a disability that keeps them from working, or have family responsibilities. Others may feel they cant get work, and so stop looking. The BLS calls them discouraged workers. The BLS removes them from both the unemployment statistics and the labor force. However, they are separately reported in the Employment Report. Unemployment is an important statistic used by the government to gauge the health of the economy. If unemployment gets too high, the gover nment will try to stimulate the economy and create jobs with expansionary monetary or fiscal policy. It will also create additional benefits to aid the unemployed until they can find jobs. The BLS measures unemployment through monthly household surveys, called the Current Population Survey (CPS). It has been conducted every month since 1940, as part of the governments response to the Great Depression. It has been modified several times since then, and experienced a major redesign in 1994. This included a revamping of the questionnaire, the use of computer-assisted interviewing, and revisions to some of the labor force concepts. Nationally, unemployment is caused when the economy slows down, and businesses are forced to cut costs by reducing payroll expenses. Unemployment can also be caused by competition in specific industries or companies. Advanced technology, such as computers or robots, cause unemployment by replacing worker tasks with machines. The consequences of unemployment f or the economy are less consumer spending, as workers have less money to spend until they find another job. If high national unemployment continues, it can deepen a recession or even cause a depression. Thats because less consumer spending from unemployed workers reduces business revenue, which forces them to cut more payroll to reduce their costs. References 1. http://www.investorwords.com/5838/unemployment.html 2. http://useconomy.about.com/od/supply/f/unemploy_define.htm b) Two sectors of the economy growing faster then other sectors Agriculture is the single most important sector in Bangladeshs economy. Over 80% of the population (or 70% of the workforce) of Bangladesh is engaged in agriculture. The share of agriculture in GDP has fallen from around 57% in the 1970s to 19% in recent years. Nonetheless, agriculture is still one of the largest economic sectors in Bangladesh. The agriculture sector is also the source of many of the small industrial sectors raw materials, such as jute, and accounts for 10% of Bangladeshs exports. In short, agriculture is the driving force behind economic growth in Bangladesh and, as a result, increasing food and agriculture production have always been major concerns of Bangladeshi policy-makers. Bangladeshs major crops include: rice, jute, tea, wheat, cane, oilseeds, potatoes, pulses, and spices. Rice is by far the largest, with an average 71% share of the gross output value of all crops. As a result, growth in the agricultural sector essentially mirrors the performance of rice production, although the share of livestock and fisheries has increased steadily in recent years to 22% of the value added in agriculture. Bangladesh’s dependence on food imports and, in particular, food aid throughout the years has been a cause for concern. In 2006-07, agri-food imports in Bangladesh represented approximately $1.9 billion (8% of total imports) and were worth about 9% of total export earnings. Natural disasters (floods in particular) may cause abnormal increases in imports to the agribusiness sector. Government legislation for agricultural products changes with the countrys production and import requirements. For example, the government recently allowed the food import with no tariff at all since there is a significant shortage between demand and the level of local production. The Bangladesh Agricultural Research Council (BARC) estimates the future requirement for food grains to be about 45 million tones in 2030 (compared to 25 million tones in 2000).Total Bangladesh/Canada agricultural trade was valued at over $265 million in 2007 (January November), and represented over 32% of total trade between the two countries. Top Canadian agricultural exports to Bangladesh were wheat, valued at $164 million and accounting for over 50% of all agri-food exports, and peas (dried), valued at $70 million or 22% of total agri-food exports. Bangladesh imports large quantities of wheat, as it is a staple of the Bangladeshi diet. Consistent demand in this commodity represents an excellent opportunity for Canadian wheat exporters to increase sales. India is Bangladeshs largest supplier of agri-food, supplying over 18% of Bangladeshs agri-food imports in 2003. Bangladeshs other large agri-food suppliers include Australia and Singapore. Natural disasters pose a constant threa t for Bangladesh. The country is particularly vulnerable to sudden floods, cyclones and even droughts. Agriculture growth in 2008 is likely to moderate because of the serious flooding and devastating cyclone that occurred in 2007. The floods and cyclone caused extensive damages to the agriculture sector by affecting crops, livestock, poultry and aquaculture. Production losses due to flooding are estimated at 1.3 million tons, while the November cyclone was also severely damaging. The effect of this years flooding and cyclone on agriculture sector could be substantial unless the losses are offset by a bumper boro crop. Vulnerability to natural disasters and a heavy reliance on annual rains for the main crop performance are the causes of severe fluctuations in food grain production and prices, as well as erratic GDP growth. Losses of both food and cash crops are common occurrences which seriously disrupt the entire economy by precipitating unanticipated food import requirements. Bangladesh has an agriculture-dependent economy with a growing population and one of the worlds lowest land areas per capita. Not surprisingly, the most important issue in Bangladesh agriculture is to enhance and sustain growth in crop production. The most pressing problem is therefore the current state of stagnating yields and declining productivity in a range of food and non-food crops. Projections of food grain supply and demand are consistent in their conclusions that there is a widening food grain supply gap. With negligible scope for area expansion (as most of the arable lands of Bangladesh are already under cultivatio n) future growth will have to continue to rely on raising productivity per unit of land. For this reason, continuous efforts are being made towards developing new improved seed varieties. It is also felt that the agricultural sector has by no means exploited its full potential for crop production and that there are various opportunities for substantially increasing cropping intensities. Currently only 40 percent of the potential irrigated area is covered by modern varieties and, most importantly, there are wide gaps between the potential and the realized yields for all crops in the country. Market and Sector Challenges (Strengths and Weaknesses) The overriding objective of all agricultural policy and development since independence in Bangladesh has been to achieve self-sufficiency in food grains and, in particular, rice production. In reality, what has actually been sought is a substantial acceleration in the growth rate of domestic food production and a decreased dependence on, or elimination of, food aid in the long term. The emphasis on accelerating food production in Bangladesh stems from the countrys excessive dependence on food imports, its precarious external account situation and its perceived comparative advantage in food production. Although Bangladesh continues to be a net importer of food, importing on average 1.5 million tones of rice annually, it has achieved substantial gains in food grain production during the last two decades. Demand for some agro-based products depends on various climatic factors. Bumper crops may see food imports drop; however, the import of cotton, pulse crops and oilseeds are showing ongoing upward trends. Until the early 1990s, the Trading Corporation of Bangladesh (a government-owned trading house) and the Ministry of Food were the main importers of agro-based commodities. Now, the private sector in Bangladesh has become the largest agro-food importer in Bangladesh. Since 2004-05, the country has achieved an average annual growth rate of around six per cent. Bangladeshi buyers are price-sensitive but are also quality-conscious buyers. Canadian products are well accepted in Bangladesh for their quality. Bangladesh agribusiness opportunities include exporting wheat, oilseeds and pulse s. Yearly consumption of wheat in Bangladesh is about 4 million tones. Canadian Wheat. Canada Western Red Spring is already established in the market due to its price and quality. Major competitors for wheat are from India, Australia, the US and the EC.Local production of most of the oilseeds has either stagnated or declined in recent years due to climatic constraints and increased cultivation of alternative crops such as wheat and rice. The total yearly oilseed crush is approximately 650,000 tones including 250,000 tones of imported rapeseed/canola. Canadian oil seed exports to Bangladesh have significantly increased in recent years. Australia and France are Canadas main competitors.Consumption of pulses has been growing faster than local production and has resulted in an increasing amount of pulse crops imported into the country. Canada is the leading supplier of chickpeas to Bangladesh. Canadian yellow peas are gaining popularity in Bangladesh, competing with its nearest rival, the Australian dun peas. Due to the shortage in local production of agricultural commodit ies, there are no barriers or quotas affecting the import procedure for agro-commodity items in Bangladesh. The importation of any food item to Bangladesh requires a phytosanitary certificate from the Canadian Food Inspection Agency (CFIA) that includes a fumigation certificate. Under current Canadian law fumigation of commodities cant be carried out in Canada. CFIA has already launched a bilateral negotiation with the Bangladesh authorities to solve this issue. In the meantime, authorities in Bangladesh have taken a special measure to physically inspect Canadian exported commodities in port and decide their entry after their examination based on the fact that it is free from pests, insects, larva and others. This is an interim measure which was taken until bilateral negotiation leads to a solution. A radiation certificate is also required with all imports from the Canadian Grain Commission. Pre-shipment inspection through Interdev Testing is mandatory for any export to Bangladesh to certify all Clean Reporting Findings (CRF), except agri-commodities. Local agents/indenters play an important role in the import of agro-commodity products. Both traders and industrial concerns import product through agents. Canadian companies are urged to have local agents handle import facilitation and customer liaison. There are few reputable trading companies in Bangladesh for agro-commodities. In many cases, an agents value relates to their operating in specific areas of the country or their dealings with specific customers. Wheat and pulses are imported in bulk containers which are bagged and sold in 40-50 kilogram bags. There are strong government regulations in terms of international trade. Importing is permitted only through irrevocable letter of credit and certain documentations are needed for doing business under this regulated environment. Large suppliers dominate the import of wheat and pulses as they import in bulk, in vessel. However, import in containers has been increasing in recent years, and consequently small and medium importers have flourished. Bangladesh is a founding member of the World Trade Organization (WTO) in which it actively represents the interests of the least developed countries. Bangladesh is also a member of good standing in the South Asia Preferential Trade agreement (SAPTA). In addition, Bangladesh is a member of the Bay of Bengal Initiative for Multi-Sectoral Technical and Economic Cooperation (BIMSTEC), an organization that seeks to promote economic cooperation between Bangladesh, India, Burma (Myanmar), Sri Lanka, and Thailand. Such agreements tend to facilitate and ease trade amongst these countries and represent connections with all of Bangladeshs largest trading partners. Sub-Sector Identification Agribusiness has achieved limited success in a few areas including poultry, shrimp, fruits, dairy products, vegetables, wheat and bakery products, medicinal plants, animal feed, flowers and orchids. Other commodities and products including rice, tea, sugar, jute and tobacco have been part of the commercial system of production, but have not shown yet the required dynamism for agribusiness. The largest agricultural sub-sector, rice, is still dominated by a large number of farmers producing for household food security or producing for a small marketable surplus. Scope remains, however, to improve milling, packaging and distribution capacity. Potential for interventions can be at the following levels: Commercialization of production through new products and commodities, such as high value crops, livestock, poultry and fisheries; Development of forward linkages through improved services, packaging, processing, storage, transport, removal of marketing constraints and opening up of new markets; and Backward linkages through the provision of inputs (seeds, fertilizers, animal feed and agriculture machinery) * Potential Areas for Exploring Business Opportunity: * Processing of Potato flakes, pulses and spices; * Post harvest storage, processing and packaging of fruits and vegetables; and * Production of organic fertilizer and mixed fertilizer. Reference 3. http://www.ats-sea.agr.gc.ca/asi/4578-eng.htm TASK-2 a) Full employment The first definition of full employment would be the situation where everyone willing to work at the going wage rate is able to get a job. This would imply that unemployment is zero because if you are not willing to work then you should not be counted as unemployed. To be classified as unemployed you would need to be actively seeking work. This does not mean everyone of working age is in employment. Some adults may leave the labor force, for example, women looking after children. Optimal Unemployment Level Another definition of full employment would be the ‘optimal’ level of unemployment. In practice, an economy will never have zero unemployment because there is inevitably some frictional unemployment. This is the unemployment where people take time to find the best job for them. Frictional unemployment is not necessarily a bad thing. It is better people take time to find a job suitable for their skill level, rather than get the first job that comes along. Full Employment and Full Capacity Another way to think of full employment is when the economy is operating at an Output level considered to be at full capacity. I.e. it is not possible to increase real output because all resources are full utilized. This would be a point on a Production possibility frontier. It can also be shown by AD/AS diagram. Diagram of Full Employment In this diagram full employment would be at an output of Y2. Here any increase in AD only causes inflation. In practice it is difficult to know precisely what counts as full employment. Practical reasons make it difficult for every firm to operate at 100% capacity. Optimal capacity may considered to be 85% Full Employment and NAIRU Another related measure of full employment is the level of unemployment when the economy is at the NAIRU rate of inflation. This is the level of unemployment with a non accelerating rate of inflation. This equates to the Monetarist view of the Phillips curve. However, the NAIRU could be quite high due to supply side factors such as frictional and structural unemployment. Reference 4. http://www.economicshelp.org/blog/unemployment/definition-of-full-employment/ b)Three different ways in full employment occur and disadvantages In macroeconomics, full employment is a condition of the national economy, where all or nearly all persons willing and able to work at the prevailing wages and working conditions are able to do so. It is defined either as 0% unemployment, literally, no unemployment (the rate of unemployment is the fraction of the work force unable to find work), as by James Tobin, or as the level of employment rates when there is no cyclical unemployment.[3] It is defined by the majority of mainstream economists as being an acceptable level of natural unemployment above 0%, the discrepancy from 0% being due to non-cyclical types of unemployment. Unemployment above 0% is advocated as necessary to control inflation, which has brought about the concept of the Non-Accelerating Inflation Rate of Unemployment (NAIRU); the majority of mainstream economists mean NAIRU when speaking of full employment. What most neoclassical economists mean by full employment is a rate somewhat less than 100% employment, considering slightly lower levels desirable, others, such as James Tobin, vehemently disagree, considering full employment as 0% unemployment. As a young professor I did a paper where I analyzed the optimal unemployment rate,† said Joseph Stiglitz, a professor at Columbia University in New York, who knew Tobin at Yale. â€Å"Tobin went livid over the idea. To him the optimal unemployment rate was zero. The Conservative belief that there is some law of nature which prevents men from being employed, that it is rash to employ men, and that it is financially sound to maintain a tenth of the population in idleness for an indefinite period, is crazily improbable – the sort of thing which no man could believe who had not had his head fuddled with nonsense for years and years. The objections which are raised are mostly not the objections of experience or of practical men. The y are based on highly abstract theories – venerable, academic inventions, half misunderstood by those who are applying them today, and based on assumptions which are contrary to the facts†¦Our main task, therefore, will be to confirm the reader’s instinct that what seems sensible is sensible, and what seems nonsense is nonsense. 20th century British economist William Beverage stated that an unemployment rate of 3% was full employment. Other economists have provided estimates between 2% and 13%, depending on the country, time period, and the various economists political biases. Before Friedman and Phelps, Abba Lerner (Lerner 1951, Chapter 15) developed a version of the NAIRU. Unlike the current view, he saw a range of full employment unemployment rates. He distinguished between high full employment (the lowest sustainable unemployment under incomes policies) and low full employment (the lowest sustainable unemployment rate without these policies). Ideal unemployment An alternative, more normative, definition (used by some labor economists) would see full employment as the attainment of the ideal unemployment rate, where the types of unemployment that reflect labor-market inefficiency (such as structural unemployment) do not exist. Only some frictional unemployment would exist, where workers are temporarily searching for new jobs. For example, Lord William Beveridge defined full employment as where the number of unemployed workers equaled the number of job vacancies available. He preferred that the economy be kept above that full employment level in order to allow maximum economic production. Long run aggregate supply The concept of full employment has so far been used in conjunction with the long run aggregate supply (LRAS) curve, where long run potential output is also the full employment level of output. Full employment does not mean that there is zero unemployment, but rather that all of the people willing and able to work have jobs at the current wage rate. Full employment is the quantity of labor employed when the labor market is in equilibrium. NAIRU The following should be understood in discussions of NAIRU: Governments that follow it are attempting to keep unemployment at certain levels (usually over four percent, and as high as ten or more percent) by keeping interest rates high. As interest rates increase, more bankruptcies of individuals and businesses occur, meaning less money to hire staff or purchase goods (the making and distributing of which requires workers, which means jobs). It might also be noted that the main cause of inflation is not high employment, but rather the ability of banks to make money with little to no backing with things of value (commodities such as gold and silver are some examples), thus flooding the market with money and decreasing the value of each dollar already issued in the process, assuming the economy has not kept up to this increase in issued loans. Economists such as Milton Friedman and Dr. Ravi Batra have theorized ways that a modern economy could have low inflation and near full employmen t (as in close to 100% of those who are not students and are healthy enough to work, and who wish to work at any given point in time), as of yet these have yet to be widely disseminated through the press or introduced by most governments. Paul Martin former finance minister and past Prime Minister of Canada once held that full employment could be achieved, yet let go of this idea after gaining power. For more on this see the expose Shooting the Hippo by Linda McQuaig, author and former columnist for many of Canadas top newspapers. Friedmans view has prevailed so that in much of modern macroeconomics, full employment means the lowest level of unemployment that can be sustained given the structure of the economy. Using the terminology first introduced by James Tobin (following the lead of Franco Modigliani), this equals the Non-Accelerating Inflation Rate of Unemployment (NAIRU) when the real gross domestic product equals potential output. This concept is identical to the natural rate but reflects the fact that there is nothing natural about an economy. At this level of unemployment, there is no unemployment above the level of the NAIRU. That is, at full employment there is no cyclical or deficient-demand unemployment. If the unemployment rate stays below this natural or inflation threshold level for several years, it is posited that inflation will accelerate, i.e. get worse and worse (in the absence of wage and price controls). Similarly, inflation will get better (decelerate) if unemployment rates exceed the NAIRU for a long time. The theory says that inflation does not rise or fall when the unemployment equals the natural rate. This is where the term NAIRU is derived. The level of the NAIRU thus depends on the degree of supply side unemployment, i.e., joblessness that cant be abolished by high demand. This includes frictional, structural, and classical unemployment. Phillips curve Ideas associated with the Phillips curve questioned the possibility and value of full employment in a society: this theory suggests that full employment—especially as defined normatively—will be associated with positive inflation. The Phillips curve tells us also that there is no single unemployment number that one can single out as the full employment rate. Instead, there is a trade-off between unemployment and inflation: a government might choose to attain a lower unemployment rate but would pay for it with higher inflation rates. In 1968, Milton Friedman, leader of the monetarist school of economics, and Edmund Phelps posited a unique full employment rate of unemployment, what they called the natural rate of unemployment. But this is seen not as a normative choice as much as something we are stuck with, even if it is unknown. Rather than trying to attain full employment, Friedman argues that policy-makers should try to keep prices stable (a low or even a zero inflati on rate). If this policy is sustained, he suggests that the economy will gravitate to the natural rate of unemployment automatically. Structural unemployment Some Economists estimate a range of possible unemployment rates. For example, in 1999, in the United States, the Organization for Economic Co-operation and Development (OECD) gives an estimate of the full-employment unemployment rate of 4 to 6.4%. This is the estimated structural unemployment rate, (the unemployment when there is full employment), plus minus, the standard error of the estimate. (Estimates for other countries are also available from the OECD.) Full employability Full employability indicates an attempt by government to make people employable by both positive means (e.g. training courses) and negative means (e.g. cuts in benefits). It does not necessarily create full employment. References 5. The OECD on measuring the NAIRU Devine, James. 2004. The Natural Rate of Unemployment. In Edward Fallbrook, ed., A Guide to Whats Wrong with Economics, London, UK: Anthem Press, 126-32. 6. http://en.wikipedia.org/wiki/Full_employment Globalization has various aspects which affect the world in several different ways such as: Industrial emergence of worldwide production markets and broader access to a range of foreign products for consumers and companies. Particularly movement of material and goods between and within national boundaries. International trade in manufactured goods increased more than 100 times (from $95 billion to $12 trillion) in the 50 years since 1955. Chinas trade with Africa rose sevenfold during 2000-07 alone. Financial emergence of worldwide financial markets and better access to external financing for borrowers. By the early part of the 21st century more than $1.5 trillion in national currencies were traded daily to support the expanded levels of trade and investment.[39] As these worldwide structures grew more quickly than any transnational regulatory regime, the instability of the global financial infrastructure dramatically increased, as evidenced by the Financial crisis of 2007–2010. Economic realization of a global common market, based on the freedom of exchange of goods and capital.[44] The interconnectedness of these markets, however, meant that an economic collapse in any one given country could not be contained. Almost all notable worldwide IT companies are now present in India. Four Indians were among the worlds top 10 richest in 2008, worth a combined $160 billion. In 2007, China had 415,000 millionaires and India 123,000. Health Policy On the global scale, health becomes a commodity. In developing nations under the demands of Structural Adjustment Programs, health systems are fragmented and privatized. Global health policy makers have shifted during the 1990s from United Nations players to financial institutions. The result of this power transition is an increase in privatization in the health sector. This privatization fragments health policy by crowding it with many players with many private interests. These fragmented policy players emphasize partnerships, specific interventions to combat specific problems (as opposed to comprehensive health strategies). Influenced by global trade and global economy, health policy is directed by technological advances and innovative medical trade. Global priorities, in this situation, are sometimes at odds with national priorities where increased health infrastructure and basic primary care are of more value to the public than privatized care for the wealthy. Political some use globalization to mean the creation of a world government which regulates the relationships among governments and guarantees the rights arising from social and economic globalization.[49] Politically, the United States has enjoyed a position of power among the world powers, in part because of its strong and wealthy economy. With the influence of globalization and with the help of The United States’ own economy, the Peoples Republic of China has experienced some tremendous growth within the past decade. If China continues to grow at the rate projected by the trends, then it is very likely that in the next twenty years, there will be a major reallocation of power among the world leaders. China will have enough wealth, industry, and technology to rival the United States for the position of leading world power. Informational increase in information flows between geographically remote locations. Arguably this is a technological change with the advent of fibre optic communications, satellites, and increased availability of telephone and Internet. Language the most popular language is Mandarin (845 million speakers) followed by Spanish (329 million speakers) and English (328 million speakers). * About 35% of the worlds mail, telexes, and cables are in English. * Approximately 40% of the worlds radio programs are in English. * About 50% of all Internet traffic uses English. Competition Survival in the new global business market calls for improved productivity and increased competition. Due to the market becoming worldwide, companies in various industries have to upgrade their products and use technology skillfully in order to face increased competition. Ecological the advent of global environmental challenges that might be solved with international cooperation, such as climate change, cross-boundary water and air pollution, over-fishing of the ocean, and the spread of invasive species. Since many factories are built in developing countries with less environmental regulation, globalize and free trade may increase pollution. On the other hand, economic development historically required a dirty industrial stage, and it is argued that developing countries should not, via regulation, be prohibited from increasing their standard of living. The construction of continental hotels is a major consequence of globalization process in affiliation with tourism and travel industry, Dariush Grand Hotel, Kish, Iran Cultural growth of cross-cultural contacts; advent of new categories of consciousness and identities which embodies cultural diffusion, the desire to increase ones standard of living and enjoy foreign products and ideas, adopt new technology and practices, and participate in a world culture. Some bemoan the resulting consumerism and loss of languages. Also see Transformation of culture. * Spreading of multiculturalism, and better individual access to cultural diversity (e.g. through the export of Hollywood and, to a lesser extent, Hollywood movies). Some consider such imported culture a danger, since it may supplant the local culture, causing reduction in diversity or even assimilation. Others consider multiculturalism to promote peace and understanding between people. A third position gaining popularity is the notion that multiculturalism to a new form of monoculture in which no distinctions exist and everyone just shift between various lifestyles in terms

Sunday, January 19, 2020

A Systematic Review on the Comparison of Avandia and Actos in Treatment of Type 2 Diabetes Mellitus

Type 2 diabetes mellitus is a condition that is characterized by a chronic rise in the glucose levels of the blood.   It can lead to changes of the blood vessels of the retina, nephron, heart, nerves, etc, causing a lot of complications.Individuals, who suffer from type 2 diabetes, may or may not require insulin (as the condition primarily occurs due to insulin resistance or improper utilization of insulin by the blood cells).   In many cases, people who suffer from type 2 diabetes, are ultimately given insulin, even though the drug is not very effective in control the high blood sugar levels (Ligaray, 2008).Studies conducted in the UK effectively demonstrate that 25 % of the patients who suffer from type II diabetes require insulin within 6 years of initiating therapy with oral hypoglycaemic agents (Edelman, 2005).In clinical practice, type 2 diabetes mellitus is one of the commonest diseases that are seen.   The insulin levels may be low, defective in nature or the very utili sation of insulin by the fat, liver and the muscle cells may be hampered.   The individual may not depend on insulin for bringing back the blood glucose levels back to normal.   Ketosis seldom develops, but is common under stressful conditions (Inzucchi, 2007).Today, in the US, the screening for diabetes is usually performed in elders or high-risk individuals, and as such there may be several members of the general population who may be silently suffering from the disorder.The prevalence of diabetes mellitus in the US is about 7 %, but in individuals above the age of 50 years, the incidence may be about 15 %.   Certain minority groups including the Hispanics, African-Americans, Native Americans, etc, are at a higher risk of developing the disorder.   The mean age of incidence of the disorder in high-risk populations usually occur at a younger age compared to the White American populations.   If we look at the prevalence of diabetes mellitus type 2 throughout the world, the incidence is high in Indians, Polynesians, Micronesians, Latin Americans, etc.In Australians, Africans, Aborigines, Asians, etc, the incidence is relative lower when they live in the native countries.   However, when they migrate to the US, the prevalence of the disorder is relatively higher, owing to the change in lifestyle, poor control over risk factors, etc.A great proportion of diabetic patients die from cardiac diseases such as heart attacks, stroke, etc.   Studies have effectively demonstrated that the risk for cardiac disease raises two-folds in men, and up to four folds in women (Ligaray, 2008).The main pathophysiology of diabetes is the rise in the blood glucose levels (hyperglycaemia) due to the low insulin levels in the blood, improper utilisation of insulin by the cells, defective functioning of the insulin or resistance to insulin.   The pancreatic beta islet cells may not produce sufficient amounts of insulin required by the body or several groups of cells pres ent in the body such as the fat, muscle, liver, etc, may be resistant to the action of insulin.Studies conducted during autopsy have effectively demonstrated that the beta cell mass in type 2 diabetics are reduced to about half the normal size.   The body cells find it seemingly difficult to utilize glucose resulting in lower amount of glucose transportation to the muscles, greater production of glucose by the liver and greater breakdown of fat (Ligaray, 2008).Other causes of diabetes type 2 include production of substance by the body that hamper the action of insulin, glucotoxicity and lipotoxicity.   When the individual consumes carbohydrates, there are chances that the blood glucose level would raise further, as insulin is not available to control (Inzucchi, 2007).The ability of the body to use insulin immediately to control carbohydrate and sugar level following ingestion is difficult (Ligaray, 2008).   Studies may have shown that although the insulin deficiency may be mil d, the ability of the insulin to stop an immediate rise in the blood glucose level would be absent.   When the individual suffers from mild type 2 diabetes during the initial stages, there are chances that the insulin secretion would respond to other secretogogues such as amino acids.However, in severe type 2 diabetes, the condition does not respond to other secretogogues resulting in a severe deficiency of insulin.   In individuals suffering from type 2 diabetes, there may be deposition of an amyeloid-like substance in the beta-cells of the pancreatic islets.   The beta-cells begin to malfunction following the deposition of amyloid (Inzucchi, 2007).In some of the type 2 diabetics the insulin secretion may be defective in nature.   The ability of the cells to respond to insulin is reduced and the normal response is less.The cells may not be able to use the insulin effectively to ensure utilization of glucose by the cells.   In an environment of hyperglycaemia, the cells fi nd it very difficult to utilize the insulin and the glucose.   The body finds it difficult to produce glycogen from glucose in the liver and breakdown of fats, as a result of the decreased sensitivity of the insulin.The exact reason for the poor response of the cells to insulin is not understood clearly, but scientists suggest that it has to do with the defective mitochondrial functioning and the accumulation of free fatty acids in the cells that are usually supposed to respond to insulin.   The insulin receptors in such cells may be normal, but the insulin pathways that are related to the insulin receptors may go haywire.The functioning of the glucose transporting agent GLUT may become abnormal.   Scientists also feel that the defects in insulin use and glucose transportation may be due to a genetic defect.   Obesity also increases the risk of the individual developing resistance to insulin.   The presence of free fatty acids in the body would suggest greater amount of li pid deposition in the liver and the muscles thus playing a major role in developing insulin resistance (Inzucchi, 2007).When the blood glucose levels are high, the sensitivity of the cell to insulin and the ability of the cell to utilize glucose are seriously affected.   Besides, a rise in the lipids in the blood can affect glucose metabolism, causing a raise in hepatic gluconeogenesis, and raising the free fatty acid levels.   The pancreas functions abnormally and the muscles are unable to utilize glucose effectively (Inzucchi, 2007).It may be difficult to assert whether the primary defect in type 2 diabetics is due to insulin insufficiency or insulin resistance.   Studies have demonstrated that in high-risk populations, the initial defect is primarily due to insulin resistance and a decrease in the insulin sensitivity.However, diabetes would not occur only with insulin resistance alone.   Studies have shown that frequently due to the secretory defects, the beta cells seem to get exhausted.   It may also be that chronic stimulation of the beta-cells along with the genetic defects would result in insulin insufficiency (Inzucchi, 2007).Evidence strongly supports that genetics and environmental factors both play a major role in the development of diabetes mellitus type 2 (some even suggest complex genetic factors).   Most of the forms of type 2 diabetes mellitus have been polygenic in nature, whereas maturity-onset diabetes of the young (MODY) has been monogenic in nature.   There is a clear familial linkage seen in diabetes mellitus type 2, but there seems to be no classical Mendelian inheritance (Inzucchi, 2007).Diabetes mellitus patients are at the risk of high mortality in case their condition worsens and complications develop.   Hence, one the keys to ensure a longer lifespan in diabetes patients is effective management using drugs and medications.Studies have clearly demonstrated that diabetes patients require an aggressive, intensive and e arly intervention that would be able to identify a rise in the blood sugar level and ensure that it is brought within normal range.   One of the most difficult complications of diabetes patients would be developing is heart disease.The mortality from heart disease is quite high (70 %) in diabetics.   Besides, the costs of managing a patient suffering from diabetes and heart disease are about three times higher (Unger, 2008).Diabetes mellitus is mainly diagnosed on the basis of the plasma glucose levels.   The fasting blood glucose level should be more than 126 mg per dl of blood.   The post prandial blood glucose level should be greater than 200 mg per dl of blood (typically taken 2 hours after a meal).   The impaired glucose tolerance levels include 140 to 199 post-prandially.In diabetes, a random blood glucose test should demonstrate reading above 200 mg per dl along with the presence of symptoms of diabetes.   For the individual to be classified as diabetic, the blood glucose tests should demonstrate consistent results.   Haemoglobin A-1c is also useful in demonstrating the retrospective glucose levels, but cannot be taken as standard as there are several potential errors that may be associated with this test (Buse, 2008).

Saturday, January 11, 2020

Poetry Allusions of W. B. Yeats and T.S. Eliot

There are many strategies in which a writer can convey his message to his readers. One is allusion, a literary device that lets the readers have a mental image of what the writer is trying to express in his article. The dictionary defines it as an â€Å"indirect reference or citation† to a person, place or something that is presumed to be known already by the reader. Others classify it as an indirect mention of something that the writer may intentionally or unintentionally do so. It is up to the reader to see and grasp the necessary connection. Autobiography of the AuthorsPerhaps two of the most known writers who use allusion are William Butler Yeats and Thomas Stearns Eliot. William Butler Yeats, a renowned Irish poet and dramatist started his career as early as seventeen. He was also a painter but chose to focus more on writing. The Isle of Statues, the Wandering of Oisin, and The Wind among the Reeds were among his famous works, to name a few. Critic Michael Valdez Moses de scribed his works as â€Å"those of radical nationalist, classical liberal, reactionary conservative, and millenarian nihilist† (Inc Wikimedia Foundation). T. S. Eliot, born in St.Louis, Missouri in the year 1888 came from an elite family having him enrolled in one of the most prestigious schools in the community – Harvard. He also had the resembling enthusiasm for travelling, which is taken to fact that his works catered different settings and race. He also had the passion for theater making him a director in an English firm in the year 1965 and had been merited by King George VI as a form of appreciation for his fine works. His collection of poems exerted profound influences on his contemporaries in the arts which also staged on international readers as well.Analysis on Allusion The essence of allusion is its ability on making readers read and at the same time comprehends what they are reading. This literary device which is used in prose and poetry help in visualizin g a mental picture by playing with words alluded. The fragile fact in the usage of such is the level of expectation evoked by the allusion. The style is like â€Å"counting chickens with eggs†. In general, the utilization of allusions by a novelist shows an anticipation that the bookworm is proverbial with the allusion made, otherwise the effect is nowhere to be found in the tentacles of the purpose.On William Butler Yeats Works Yeats’ breathtaking ranges in poetry encompasses the entire arc of his career from writing pieces of myths and legends and lingering passionate meditations on demands set forth by the contemporary society for purposes which indulges the art of love, heroism, nature and a whole sense of unpredictable somber and angry poems which stages the flames of war and a whole lot more of uprising circumstances. His so-called â€Å"religious† pieces gave not only a slight impact on readers, but it made people internalize each and every line of his po ems.It was believed that the purpose of his works is to send subliminal messages to the society. He is a man armed with romanticism which is considered moribund in modern literature. His skill of captivating hearts of readers with his ability to revive legends by placing it into lyrics gave him a towering height of success and respect which is up to date appreciated by literature fanatics. On T. S. Eliot’s Works Unlike Yeats who received mostly admiration on his works, Eliot on the other hand had a lot of criticisms regarding his works.Some said his works were â€Å"not being poetry at all† and that they were just replica of other authors’ creations (Inc. Wikimedia Foundation). Nevertheless, these were not barriers for Eliot to be awarded with a Nobel Prize for Literature, just like Yeats, whom he actually influenced. Among his greatest works were The Waste Land, Ash Wednesday, and Four Quartet which gave him a breakthrough in the limelight and a tank of deliber ate criticisms at that. Given the fact that his works were often questioned, he remained steadfast upon his works and continued writing epics, tragedies, culture and religion.His enthusiasm on â€Å"Metaphysics†, which triggered the rationality of the reading public were ironically given ample respect. He was described as a writer dancing shallow waters, and enables one to judge his works either positively or negatively. It was between: love him, or hate him. Conclusion A writer’s style may differ in form and style. In the amorous field of literature, it is expected that readers may either internalize it as rather discouraging, inspirational or motivational.In the case of Eliot and Yeats, it is then taken to assumption that the style of readers in expressing their ideas or desires in the field of writing is influenced by three factors: environment, family and experiences. The contradictory opinions of readers are taken only for the purpose of sharing and reference. The dominance of allusions in both the authors’ masterpieces perhaps is a way of establishing an exotic sense of trademark. The targets of their collection of literary works are the advanced booklovers, where their â€Å"allusions are counted with argumentative but sentimental appreciation†.

Thursday, January 2, 2020

Essay on Public Speech - 516 Words

Public Speech 1. To give a good speech you must adapt your speech to your audience. There are two steps in the adaptaion process. First, there is preparation before the speech. This is done may times by having your audience fill out an audience analysis form, this will give you the demographics on your audience and allow you to adapt your speech accordingly. The second part of adapting your speech is during the speech. This is done by paying attention to your audience while you are giving the speech. You must adapt your speech so that the audience is able to understand and are convinced by our speech. Also, you need to assess how you think the audience will respond to what you are saying. 2. There are several ways to gauge†¦show more content†¦First you should fall back on all the information you already know. The library and the internet would both be very helpful in researching the topic. In the library one could use encyclopedias, as well as books on the topic of world hunger. It is possible to use periodicals and magazine articles from the library too. The web would also be a good source of information. You could use various search engines to find sites on world hunger, but you must be careful that the sites you visit are viable. An alternative is going to an already established site, such as CNN, and then search those sites for an article about the topic. 4. When using statistics in your speech you should always make sure that you information is accurate. You should also make sure not to use too many statistics, or your work will get too bogged down with numbers. You should also make sure that the statistics you gather are representative of the total number of people in the group. You should always identify the sources of your statistics, to prove to your audience that your information is accurate. It is also a good idea to explain your statistics and why they are important to you specific purpose. 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