Tuesday, October 15, 2019
Hitler and Nationlism Essay Example | Topics and Well Written Essays - 250 words
Hitler and Nationlism - Essay Example In addition, the extremist approach to establishing superiority of Germany in Europe facilitated the interest of conquering the entire Europe under the nation. Irrationality in pursuing national goals is another element of nationalism that aided Hitlerââ¬â¢s application of the nationalism doctrine to facilitate his objectives. Even though some significant forces disagreed with, they still supported his initiatives based on the notion that Hitler was the best person to spearhead the nationââ¬â¢s interest. Nationalism blinded the forces from their individual philosophies and from the wrongs of Hitlerââ¬â¢s goals. Revolutionary aspects of nationalism also facilitated Hitlerââ¬â¢s objective by earning him loyalty from forces. Having suffered from conditions of the Treaty of Versailles and depression, Germans were united in rejecting then Reichstag and the revolutionary force gathered support for Hitlerââ¬â¢s goals of a more superior Germany (Snyder, 2003; Daniel & Kanarek,
The Tourism Industry, in Dubai and Turkey Research Paper
The Tourism Industry, in Dubai and Turkey - Research Paper Example Both Dubai and Turkey depend tremendously on tourism for revenue generation as well as a source of income and employment. Both countries show considerable hospitality towards tourism by using incentives as well as having scrupulous tourist infrastructure and appropriate staff. Government in both Turkey and Dubai provide sufficient funding to the tourism industry. Both regions have also suffered a setback due to stigmatization from the west especially after the September 11 2001 bombing in the United States, which was linked to persons from the Middle East. This greatly affected the tourism industries over the last decade. Dubai and Turkey differ in the type of visitor sites they have preserved. Dubai is one of them most recommended tourist destination in Middle East for tourists mostly from Arab, Asia and European. Visitors are primarily business people or shoppers. The city of Dubai is a lovely site due to the elegant shopping malls as well as outstanding hotels and restaurants. Mos t tourist sites are artificially assembled. There are few and less impressive natural tourist sites. Turkey is endowed with stunning natural sites such as the outstanding coastline, archaeological sites, and the appurtenant climate. Another attraction for tourist in turkey is the long summer (United Arab Emirates Web; Kassam, & Choufany Web). The Dubai tourism sector is as well as the government is extremely accommodating to visitor as they provide excellent guidance for visitors as well as tax-free shopping. The government also offers incredible transport for tourists. Dubai has airline links with almost all countries in the globe. On the other hand, Turkey is linked to Europe by suspension bridges. The airlines are not as extensive as those for Dubai (Organisation for Economic Co-operation and Development 210-212; United Arab Emirates Web) Factors enhancing tourism in Dubai include desirable but cheep tourist hotels, good security, magnificent shopping malls with variable product prices. Dubai is therefore considered to have one of the best catering to tourists. Turkey government, according to (Organisation for Economic Co-operation and Development 209) has ratified a tourism encouragement act to boost tourism development. The act allows for employment of foreigners especially in tourism and airlines sectors as well as provision of land for tourism investment. Turkeyââ¬â¢s culture is a combination of Asian as well as western culture, which makes it accommodative for tourists from Europe, and other regions of the world. Dubai on the other hand follows Asian cultures quite strictly (United Arab Emirates Web; Organisation for Economic Co-operation and Development 210-211). The Target Markets and Different Market Segments Dubai Has Targeted In the Past or Should Target In The Future In Dubai, tourism is a major source of income for the city. The tourism sector in Dubai receives about eight million tourists every year from various parts of the world especially from Europe and some Asian countries. The high number of visitor is due to the great hospitality and use of incentives to encourage tourists. However, the industry hopes to increase this number to about fifteen million tourists by 2015 (Kassam, & Choufany Web). In the past, Dubai has vastly depended on it superb shopping malls and exceptional airline services to entice business people and shoppers. Dubai is attempting to reconstruct the tourism industry to be sustainable. In future, Dubai targets the medical tourist market by improving the health facilities to provide expert medical services, which will attract and encourage visitors to Dubai. They are already advertising
Monday, October 14, 2019
Cultural Identity Essay Example for Free
Cultural Identity Essay Stuart Hall beings his discussion on Cultural Identity and Diaspora with a discussion on the emerging new cinema in the Caribbean which is known as Third Cinema. This new form of cinema is considered as the visual representation of the Afro-Caribbean subjects- ââ¬Å"blacksâ⬠of the diasporas of the west- the new post colonial subjects. Using this discussion as a starting point Hall addresses the issues of identity, cultural practices, and cultural production. There is a new cinema emerging in the Caribbean known as the Third Cinema. It is considered as the visual representation of the Afro-Caribbean in the post colonial context. In this visual medium ââ¬Å"Blacksâ⬠are represented as the new postcolonial subjects. In the context of cultural identity hall questions regarding the identity of this emerging new subjects. From where does he speak? Very often identity is represented as a finished product. Hall argues that instead of considering cultural identity as a finished product we should think of it a production which is never complete and is always in process. He discusses two ways of reflecting on cultural identity. Firstly, identity understood as a collective, shared history among individuals affiliated by race or ethnicity that is considered to be fixed or stable. According to this understanding our cultural identity reflects the common historical experiences and shared cultural codes which provide us as ââ¬Å"one people.â⬠This is known as the oneness of cultural identity, beneath the shifting divisions and changes of our actual history. From the perspective of the Caribbeanââ¬â¢s this would be the Caribbeanness of the black experience. This is the identity the Black diaspora must discover. This understanding did play a crucial role in the Negritude movements. It was a creative mode of representing the true identity of the marginalised people. Indeed this act of rediscovery has played crucial role in the emergence of many of the important social movements of our time like feminist, ani-colonial and anti-racist. Stuart Hall also explores a second form of cultural identity that exist among the Caribbean, this is an identity understood as unstable, metamorphic, and even contradictory which signifies an identity marked by multiple points of similarities as well as differences. This cultural identity refers to ââ¬Å"what they really areâ⬠, or rather ââ¬Å"what they have become.â⬠Without understanding this new identity one cannot speak of Caribbean identity as ââ¬Å"one identity or on experience.â⬠There are ruptures and discontinuities that constitute the Caribbeanââ¬â¢s uniqueness. Based on this second understanding of identity as an unstable Hall discusses Caribbean cultural identity as one of heterogeneous composites. It is this second notion of identity that offers a proper understanding of the traumatic character of the colonial experience of the Caribbean people. To explain the process of identity formation, Hall uses Derridas theory ââ¬Ëdifferanceââ¬â¢ as support, and Hall sees the temporary positioning of identity as strategic and arbitrary. He then uses the three presencesAfrican, European, and Americanin the Caribbean to illustrate the idea of traces in our identity. A Caribbean experiences three kinds of cultural identities. Firstly, the cultural identity of the Africans which is considered as site of the repressed, secondly, the cultural identity of the Europeans which is the site of the colonialist, and thirdly, the cultural identity of the Americans which is a new world- a site of cultural confrontation. Thus the presence of these three cultural identities offers the possibility of creolization and points of new becoming. Finally, he defines the Caribbean identity as diaspora identity.
Impact of teenage pregnancy on children
Impact of teenage pregnancy on children Many children become pregnant while attending school and this has significantly caused them to stop attending school until the child is born and in many instances they forfeit the opportunity in completing their secondary education. The researcher sought to clarify the impact of teenage pregnancy on children between the ages of 13 17 years old by doing an in depth thesis on the statement. This was to check if children are being sensitized at school on sex education and if the parents are helping them to gain better understanding of what will happen to them when they start having sexual intercourse. This study will be carried out on twenty teens at two prominent institutions that host teenage mothers in Kingston and St. Andrew The researcher will seek to gather this information by using instruments such as questionnaires and interview. The data that will be collected will be presented on tables and graphs along with detailed explanation. The researcher will test to see if the impact of teenage pregnancy on children between the ages of 13 17 years old is a factor of low self-esteem for teens and if it limits them from being an important factor in society. Based on the findings, recommendations will be made. Chapter 1 Introduction Pregnancy for a teenager can be a philosophical event with long term implications for the young mother, father, family, and friends.à Pregnancy is the state of being pregnant; the period from conception to birth when a woman carries a developing fetus in her uterus. http://wordnetweb.princeton.edu/perl/webwn?s=pregnancy. Thus, teenage pregnancy is the period between ages 13 to 19 when a teenager gets pregnant. For this research, the researcher will look at children between the ages of 13 to 17 years old, in an effort of heightening awareness on pregnancy. Jamaica, like many other countries has an overwhelming amount of teenage pregnancy. This has caused children to stop attending school until the child is born, and in many instances, they forfeit the opportunity in completing their secondary education. They are more likely to obtain inadequate prenatal care, have inadequate nutrition, increased pregnancy complications, sexually transmitted diseases and higher risk of low birth weight. Santrock (2008) states that teenage pregnancy creates health risks for both the baby and the mother. He went on to say that infants born to teen mothers are more likely to have low birth weights, a prominent factor in infant mortality, as well as neurological problems and childhood illness. They often drop out of school, some of them will resume their education, however, they do not generally catch up economically with women who postpone childbearing until their twenties. The consequences of an early, unplanned pregnancy place the teenage mother at a distinct disadvantage in her attempts to achieve economic security. Based on the Child Care and Protection Act of 2004, a child must attend school and be given an education whether she become pregnant or not. However, social and cultural taboos make it very difficult for a girl to remain in school during her pregnancy. Teens do not always have good support systems, parenting knowledge and skills and coping mechanisms to deal with stress. Teen mothers are less likely to finish high school leading to lower paying jobs and limited job skills; they are more likely to be financially dependent upon family and eventually on assistance programmes that are provided by the government such as the Programme of Advancement Through Health and Education (PATH). Teenage mothers face rejection by family and friends. They face parental anger, ridicule from community members, and abandonment by their childrens fathers. At times, teenage mothers who leave school are not prepared for parenting and as such, poverty often pushes mothers into transactional sexual relationships. Oftentimes, this is carried out with multiple partners to obtain resources necessary to support their children and themselves. This further increases the mothers vulnerability to exploitation and domestic violence as well as child abuse. Statement of the problem Over the years, it has been noted that a lot of children have gotten pregnant during high school education. This has caused them to be out of school for a period of time. From fear of being caught some children tried to hide this from their parents by banning the belly and this has a negative impact on the fetus will affect the child. The teenager is no longer concerned with issues of being a teenager only and there are missed opportunities for self-development and advancement. The potential societal impact of teenage pregnancy is an increase in financial burden on families and the country. It also lends itself to high crime rates, uneducated and unproductive citizens, underdeveloped and unskilled workforce, infant and maternal mortality rates. Teenage pregnancy has negative effects on the victims and their families. They are at times looked down on and depending on their socio-economical background. They may also never regain the opportunity to continue their education, which will impact on their lives and the life of the new born. Not being able to resume their education will also plummet them in taking minimal jobs and at the same time, they might have more children as a result of low self-esteem. Sub-problems The researcher strongly believes that if children are more educated about pregnancy, they are less likely to become parents at an early age. They will be aware that it is best to abstain from sexual activities until they are capable of being responsible parents. Children would know that there are contraceptives that they can obtain to prevent pregnancy and sexually transmitted diseases. Children are affected, physically, socially, economically, sexually and psychologically. Purpose of the study The purpose of the study is to investigate the impact of teenage pregnancy on children between the ages of 13 18 years old. The researcher is aware that because of socio-economic factors such as single parenting, divorce and unemployment, parents might be frustrated and do not talk with their children about sex, as a result children will be informed from their peers and may want to experiment. The children, some of whom are naÃÆ'à ¯ve, and lack basic knowledge and who do not understand may succumb to peer pressure which may result in unwanted pregnancies. The researcher hopes that this research will widen the factual knowledge that is available and that practical steps will not only be recommended but also instigated to address and even eradicate the problem. The present study will seek to explore and identify how the factor relative to the impact of teenage pregnancy can be corrected by having more talks in schools and educational forum so that other children do not get caught in the web of teenage pregnancy. The researcher also hopes that the relevant authorities will review and implement programmes within these schools to assist parents and students who might have gotten pregnant and to help the others from becoming pregnant. Hypothesis The researcher hypothesizes that teenage pregnancy impacts children between the ages of 13 17 years old as this slows down their educational process as they are no longer thinking about themselves but about their child. Basic Research Questions Do you feel that the sex education you received at school was sufficient? At what age did you become sexually active? Definition of Terms The Oxford Concise Dictionary (1999) defines the following key words except number 5. Pregnancy the condition or period of being pregnant Teenager a person aged between 13 19 Teen of or relating to a teenager Sexual Intercourse sexual contact between individuals involving penetration, especially the insertion of a mans erect penis into a womans vagina culminating in orgasm and the ejaculation of semen. Sexually Transmitted Infections (STIs) Infections that are transmitted through sexual contact. Patterson (2008) Impact a marked effect or influence Parenting be or act as a parent toà ¢Ã¢â ¬Ã ¦ Chapter 2 Literature review Parents have a lot to do with whether their child becomes teenage parents. It is important for them to talk to their children about sex and the implications that it will have on them. Apart from getting pregnant, having unprotected sex can let one catch a sexually transmitted disease. Parents should have a close relationship with their child, which will allow the child to talk to them about anything. They should talk to their children about sex as the child will hear it from school and may want to try it out. Parenting styles have an effect on children cognitive development. Cognitive is the thought process, thus it reflects the way we acquire and manipulate knowledge. According to Baumrind (1971), there are four types of parenting styles. These are authoritarian, authoritative, neglectful and indulgent. The authoritarian parent places firm limits and control on the child and allows little verbal exchange. This type of parent may say, you do it my way or else (Santrock, 2006). The authoritarian parent may physically abuse the child frequently, enforce rules without explaining them and show range towards the child. These children are unhappy, fearful, and anxious. They often fail to initiate activity and have poor communication skills Santrock (2006). If you are an authoritarian parent, children will not want to come to you and discuss matters about sex with you as they may fear you will want to bully them. The authoritative parent on the other hand provides children with warmth, attention and autonomy, although they set limits and are demanding. They encourage their child to be independent and individualistic. They also engage them in discussions and explanations over matters of discipline and family decision making. Parents listen patiently to their children point of view as well as provide guidance. According to Santrock (200), authoritative parent will say let us talk about how you can handle the situation better next time. Authoritative parents are effective in shaping how a child thinks and will help guide them in decisions making, this will allow the child to have confidence in their parents and will feel free to talk to them about anything. Santrock, 2001 states that approximately one of every five births is to a teenager; in some urban areas, the figure researchers as high as one in every two births. He further went on to say that infants born to teenagers are often premature. Patterson, 2008 reported that a majority of children in the United States who are sexually active report that they do not use contraception when they are having sexual intercourse. The reason they do not use contraceptive is because it is not readily available to many teenagers. They also state that embarrassment caused them not to use contraceptives. As children are not using contraceptives, there are a high percentage of children getting pregnant and also contracting sexually transmitted diseases. Snowman and Biehler (2003) said that one contributing factors to teenage pregnancies and births is the relatively low frequency of contraceptive. They further went on to say that the relatively high levels of sexual activity and low levels of regular contraception among teens are particularly worrisome because they put teens at risk for contracting sexually transmitted diseases. Gary Collins author of Christian Counselling, states in his book that sexual experimentation, including intercourse, sometimes becomes a way for teens to act like adults and gain peer acceptance. He went on to say that teenagers often feel intense social pressure to experiment sexually. Sometimes sexual behaviour is not an acting out; instead, it becomes an attempt to overcome inhibitions, find meaningful relationships, prove ones virility, bolster self-esteem or escape loneliness, Collins (1988). The increase in teenage pregnancies has become a serious national problem. Not only is their concern for the care and welfare of the babies, but there is clear evidence that, compared to their classmates, teenage parents get less education, earn less money in life, hold lower-prestige jobs, experience less vocational satisfaction and have a higher than average rate of divorce and remarriage, Collins (1988). Chapter 3 Methodological Design This will be both a qualitative and quantitative study. A qualitative study of research focuses on words, observation, stories, visual portrayals, meaningful characterization, and other expressive descriptions. A quantitative study of research is based on collection and analyzing of numeric data. This data will be obtained from questionnaires, and interview questions. The study will be conducted at two prominent institution that host teenage girls in Kingston and St. Andrew between the ages of 13 17 years old. It will seek to gain an awareness of teens that are pregnant and try to get an understanding of how they feel. Suggestions will also be made to assist them in making something of their lives after the baby is born and also to direct them to agencies that will assist them.
Sunday, October 13, 2019
The Effective Advertising And Misleading Consumer Economics Essay
The Effective Advertising And Misleading Consumer Economics Essay Effective Advertising and Misleading Consumer Over the past few decades advertising has been an important marketing strategy. Advertising is always subjected to change because peoples taste, demographic, cultural and socio economic factors change always. Consumers changing response to advertising is essential to develop more effective and efficient marketing strategies. Chanjin (2000) developed a varying-parameter advertising model specifying advertising parameters as a function of advertising strategies and the market environments to explain the varying nature of the advertising responses. The model is applied to New York City fluid milk market and he concludes his findings that advertising strategies and market environment play important role in determining advertising effectiveness and he further concludes that demographic factors are more important than economic factors(Chanjin, 2000). Companies change their advertising strategies time to time to attract customers as well as keep the existing customers with their products. B ut in some developed countries they have their own self regulatory system in order to stave off the government intervention. Harker(2003) states in his published article that despite claims of social and economic benefits, advertising has always had its critics. However, when dealing with unacceptable advertising, advertisers in developed countries usually choose a self-regulatory approach in order to stave off government intervention. The recent breakdown of one of the worlds longest established advertising self-regulatory programmes in Australia has reopened the 20 years old debate concern with enhancing understanding of such regulatory system(Harker, 2003).Though he states like that , even in some developed countries the advertising misleading consumers significantly sometimes very badly. To face to the race of businesses, companies use varies marketing strategies to attract and retain consumers with their products. Advertising is one of the most efficient marketing tools that most widely used in the world. The issue is it has become a main tool or a media where consumers are misled for products or services. Expressing the finding of the result of his research paper, Howard (2005) says over half of the sample viewed most or all mail and telephone advertising as misleading, and that 38 percent of the respondents regarded most or all television advertising as misleading. Also, findings for the Age groups indicate that two out of three respondents regarded most or all advertising directed at children as seriously misleading (Howard, 2005). Advertising has become a powerful emotional promotion method and now there is a trend of sending advertisements via mobile phones even without prior permission. But Melody(2004) points out those consumers generally have negative attitu des toward mobile advertising unless they have specifically consented to it(Melody, 2004). Generally in most countries attitudes toward the quality and information containing in advertisements are not in a good scale. Richard (1993) explains in his paper that a comprehensive model of attitudes toward advertising includes three personal utility factors (product information, social image information, and hedonic amusement) and four socioeconomic factors (good for economy, fostering materialism, corrupting values and falsity/no-sense). He tested these seven factor model on two independent samples and found most respondents exhibited conflict between an appreciation of the personal uses and economic value of advertising and an apprehension of cultural degradation(Richard, 1993). False information in advertisements significantly decreases the credibility of the product. That is why some standard organizations validate their advertisements before broadcast or expose to general public. Ste phen (1998) conducted a study to investigate whether consumers who are exposed to an advertisement containing a deceptive environmental claim have significantly different attitudes about the advertisements than those consumers exposed to a similar non-deceptive advertisement. He conclude the study mentioning that higher levels of perceived deception were associated with lower level of perceived corporate credibility, less favourable attitudes towards the advertisement, less favourable attitudes toward the advertised brand, and decreased purchase intention toward the product in the advertisement(Stephen, 1998). Marketing Pharmaceuticals-Increasing trend Marketing pharmaceuticals are very dynamic and innovative subject especially in this current business arena. Pharmaceutical industry is one of the most profitable businesses in all over the world. Kesic(2008) states that the world pharmaceutical industry has been changing profoundly in the last decade. Intensive globalization, increased competitiveness and the fight for global market shares create new challengers for pharmaceutical companies. Not only in pharmaceutical industry, but also in most of the business entities, profit maximization is a core objective. However, Chandra(1999) points out that pharmaceutical product companies are not like most other companies because most other companies do not deal with a product which directly affect human health. Reinhardt(2004) highlights that it is not clear that the current allocation of the pharmaceutical industrys revenue dollars to marketing and research development is efficient for societys point of view(Reinhardt, 2004).Kesic (2008) concludes that basic research and development(RD), together with marketing and sales activities two of the most important operative and even more strategic priorities of the world pharmaceutical industry. Having analysed these figures he has found that the biggest, inventive world pharmaceutical companies invest, on average, approximately 16% of their sales into RD and even more, about 26% or more into marketing and sales activities(Kesic, 2009). Drug companies really spend ample amount of money for marketing especially for direct-to-consumer advertising. Lisa(2008) says according to the IMS health report in 2006 in America, drug companies has spent nearly 5 billion on direct advertisements to consumers, and 80 percent increase over what they were spending in 2002(Lisa, 2008).Likewise Chiu(2005) explains that according to the National Institute for Health Care Management, U.S consumers spent $154.5 billion on prescription drugs in 2001.This amount to 10% of total health spending, wh ich account for 14.9 % of the U.S GDP as of 2002.In a publication Parker(2003) states that there is a little doubt that the pharmaceutical industry is a major force in todays economy as measured by both over-the-counter(OCT) and prescription drug sales and further more he says that it seems clear that there have been rather dramatic increases in advertising expenditures by pharmaceutical companies in the past few years. It also seems clear that these expenditures have coincided with significant increases in sales of both OTC drugs and prescription drugs(Parker, 2003). Promoting drugs to consumers directly has become a new trend in all over the world and many pharmaceutical companies have experienced it as a very effective way to market their products. Wilkes et al(2000) points out that direct to consumer drug(DTC) advertising of prescription drugs is affecting patients, doctors, and health care organizations in profound but not always predictable ways. Not only have the numbers of drugs advertised increased, but so have the drug companies advertising budgets directed at consumers. Wilkes et al (2000) further state that several news sources had suggested that drug manufactures earnings have directly benefited from this new promotional strategy(Michael, 2000). According to Moynihan et al(2002)theres a lot of money to be made from healthy people they are sick. Some forms of medicalising ordinary life may now be better described as disease mongering: widening the boundaries of treatable illness in order to expand markets for those who sell and deliver treatments(Moynihan, 2002). Director of research and policy at the National Institute for Health Care Management, Findlay(2000) concludes that Advertising works and pharmaceutical companies have successfully promoted their product to doctors for decades. They are now bringing that marketing survey to the consumer market place. The question is whether -over time-the benefits of raising consumers awareness of specific drugs and the conditions the medicines treat will outweigh the danger that consumers will bring to demand and use some medicines inappropriately(Findlay, 2000). Over-The-Counter Drugs and Paracetamol Advertising Over-the-counter drugs can be purchased any amount without a prescription anywhere in the world. But some researchers have pointed out having some sort of mechanism for issuing these drugs to consumers may reduce misuses. Trends towards greater availability are paralleled by increase in its use for both non-fatal overdoses and suicide. Paracetamol related morbidity and mortality seem to be less frequent in France where the quantity of paracetamol in a single purchase is limited. Although non conclusive, these data add to a body of evidence which suggest that restrictions in the quantity of paracetamol available as a single purchase in other countries can reduce suicide and liver failure related to paracetamol(D Gunnell, 1997).Most of these over-the-counter drugs are advertised frequently in mass media to get and keep attention of consumers on those products. Ashish(1999) in his research paper states that manufactures may attempt to familiarize consumers with brand names in hopes that the consumer will purchase product. The consumer may think that he has heard of this product and assume that it is somehow better than competitive product(Ashish, 1999).In his research paper Hawton(2004) clearly states that suicides and hospital admissions due to paracetamol poisoning reduced after change in legislation which is limiting the size of the available pack of the paracetamol for consumers and in his study he concludes that legislation reducing pack size of analgesics in the United Kingdom has been beneficial and further reduction in pack size could prevent more deaths(Hawton, 2004). Over the counter drug usage among children is very common. Allotey(2004) mentions in his recently published paper Research on the medication of preschool-aged children has suggested that the use of OTC medication is substantial. Kogan et al for instant, found that 54% of three year olds in the United States has been given OTC medications in the 30days preceding the study. In a common survey in New York, 22% of children have taken OTC medication in the preceding 3 day period. Studies in United Kingdom also indicated high rate of OTC medication use among children, ie,28% during a 2-week period and 66% during a 4-week period(Allotey, 2004). Wazaify(2005) emphasizes that increasing availability of non prescription medicines may encourage patients to believe that there is a drug treatment for every ailment. Furthermore, he explains the use of such products may delay/mask the diagnosis of serious illness, with increased risks of interactions and adverse reactions and of self treatment being undertaken when medical aid should have been sought. There is also the potential for misuse and abuse of such products(Wazaify, 2005). According to the Sri Lankan context there are many proprietary products under one generic product. Senarathna(2008) in her thesis of master of philosophy points out that there are around forty registered product of paracetamol in Sri Lanka(Senarathna, 2008).Weerasuriya(1993) points out there were 63 registered paracetamol products in the country in 1993 and paracetamol was the commonest drug registered in the OTC category(Weerasuriya, 1993). Ethics of Advertising OTC drugs It is clear there is an increasing trend of usage for OTC drugs in all over the world. Wazaify(2005) states that in recent years there have been an increasing trend in self-medication with non prescription drugs available in pharmacies and retail outlets and in parallel, more product have been deregulated for purchase without a prescription(Wazaify, 2005). At the same time Solhaug(2006) concludes in his recent abstract publication that only half of the information presented in drug advertisements was correct and clinically relevant and relatively few statements were fault, but a considerable proportion of statements gave an excessively positive picture of the product; hence, in general, this kind of information has no value as a source of information(Solhaug, 2006).Among the publications those point out that drug advertisements are not up to the standard especially OTC drug, Ashish(1999)states in his publication that in reality, it has been observed that pharmaceutical product advert isers often promote their products to achieve their own goals at the potential risk of having an adverse effect on the consumers health and this type of advertising is most often seen in OTC drug product advertisements(Ashish, 1999). Wazaify(2005) points out that the deregulation process has been championed by the pharmaceutical industry, the pharmacy profession and government health policy makers and is supported by the view that patients wish to have a greater role in their treatment choices. Almost all countries in the world has not allowed to pharmaceutical companies to advertise their product to consumers directly. Stremersh(2009) states in his research paper that so far only two countries, New Zealand and the United States, allow pharmaceutical marketers to advertise directly to consumers and in the same paper he further explains that due to this reason patient requests are often accommodated by physicians mainly because they affect physician visit satisfaction and show patients that the physician cares(Stremersch, 2009). Drugs are categorized into few groups and essentially there are two categories which are OTC drugs and prescription drugs. What is categorized as OTC varies from country to country and is dependent on the local legislative framework according to (Buckley, 2004). Many researchers have pointed out over-the-counter drugs has become a public health problem due to misuse, disease mongering and drug abuse and wrong, in appropriate or inadequate information given in the promotional program may have an impact of this health issue(Ashish, 1999, Allotey, 2004, Fernando, 2008, Buckley, n.d.). While there are government agencies charged with monitoring the marketing of medicines, typically this is one of many briefs for these agencies and is often only in a reactive fashion. In other words such monitoring as does occur, occurs only in response to complaints, and even then is often very slow and cumbersome'(Buckley, n.d.). Buckley(n.d.) urges that two things should be happen to put this issue in a correct track which are establishing independent monitoring bodies to police marketing codes of practice with real penalties and paying increased attention to the education of the consumers of pharmaceutical advertising, in particular those with prescribing pow ers(Buckley, n.d.).In Sri Lanka also the situation is almost same like most of the countries in the world. The government has imposed rules and regulations for promoting and advertising pharmaceuticals within the country. In a paper published by the Sri Lanka medical associations ethics committee recently says that Advertisement to the general public should help people to make rational decision on the use of drugs which are legally available without a prescription. They should take account of peoples legitimate desire for information regarding their health, but should not take undue advantage of their concern for their health. Drug advertisement should neither portray nor be directed at children. Advertisement may claim that a drug can cure, prevent or relieve an ailment only if this can be substantial. They should also indicate, where applicable, limitations to the use of the drug When lay language is used, the information should be consistent with the scientific data sheet or other legally determined scientific basis for approval. Language, pictures or sounds, which bring about undue fear or distress, should not be used. The following list illustrates the type of information that advertisement to the general public should contain The name of the active ingredient, using either international non-proprietary names or the approved generic name of the drug The brand name Major indication(s) for use Major precautions, contraindications for warning Name and the address of the manufacturer or the distributor Information to the consumer on price should be accurately and honestly portrayed(Committee(SLMAEC), 2003). Though the guidelines are clear, there is a doubt of implementing and practicing the guidelines in many countries including Sri Lanka. There is a big challenge and responsibility for the government authorities and regulatory bodies in terms of providing correct information to the consumers. Techniques, methods and effective advertising Pharmaceutical industry is in a pressure and Kesic(2008) states that fast globalization definitively reinforces the consolidation of the world pharmaceutical industry. There are so many challengers in pharmaceutical industry and drug companies running after many strategic moves to have sustainable competitive advantage. Direct marketing products to consumer have become one of the innovative methods to win the market comparatively. Buckley(n.d.) states that in United States all drugs may be promoted to consumer, but in practice direct to consumer advertising focuses on OTC and common ailment targeted prescription drugs(Buckley, n.d.). But some authors support to this argument and they mention direct to consumer advertising makes consumer better understanding and make more informative for drugs available to them(Leonard, 1999, Weissman, 2003). On the other hand some researchers like Maguire(1999) points out that American physicians are being asked to rubber stamp self diagnoses and sel f-prescriptions by patients. That is how some advertisements have been influenced on consumers. Kesic(2009) reveals in his paper that it is no surprise that the biggest world multinational pharmaceutical companies invest more than 25% of their sales into marketing activities in a goal to get considerable global market shares. Supporting to the argument of Kesic, Michael adds that not only have the number of drugs advertised increased, but so have the drug companies advertising budgets directed at consumers; the advertisements have also become far more sophisticated(Michael, 2000). A paper published in Thailand in 2005 on Radio drug advertisement situation and regulation in Thailand says advertising has a strong influence on the sale volume of any goods. Drug advertising covers media such as television, radio, newspaper, magazines, internet and printed materials. It further says that radio advertisements can easily mislead people in rural areas because of socioeconomic and educational status(Kittisopee, 2005). Allotey(2004) mentions that OTC medications promoted through televisi on, radio and print advertising directly targeted at women, housewives or working mothers, encourage them not only to self medication but also to dispense OTC medications to their children, because it is important to establish a lifelong pattern of sensible (drug)use'(Allotey, 2004), Ashish(1999) explains that all pharmaceutical advertising is not bad but advertisements should be considered what they are promotions. Drug marketers should always try to follow the unwritten rules of marketing ethics and consider what is best for their consumers before developing a particular advertising strategy. Nowadays the issue is consumer can purchase any kind of drug online. Buckley(2004) highlights in his paper that consumers can purchase all kind of prescription drugs online often without need for a proper prescription and he further points out that most internet pharmacies provide poor quality information(Buckley, 2004). Moynihan(2002) expresses that inappropriate medication carries the dangers of unnecessary labelling, poor treatment decisions, iatrogenic illness, and economic waste, as well as the opportunity cost that result when resources are diverted away from treating or preventing more serious disease(Moynihan, 2002). How consumers are misled -Reliability, Relevance and adequacy of Advertisements Many research papers point out that drug advertisements mislead consumers in many ways directly or indirectly (Sidney, 2002, Michael, 2000, Ashish, 1999, Findlay, 2000). Though it is a common phenomena in all over the world, a practical guide on understanding and responding to pharmaceutical promotion published by the world health organization recently explains clearly how information is given to consumers in advertisements in developed and developing countries. It says while advertisements from developed countries typically contain nearly all of the information listed in the box, this is not always the case in developing countries(WHO, n.d.). The table below published by Hawkins(1993)in his research paper support to the above argument strongly and in the discussion he states that indications were mentioned more often than the negative effects of medicines. Important warnings and precautions were missing in half of the advertisements while side effects and contraindications in about forty percent. Price tended to be given only in countries where a social security system pays for the medicines(Herxheimer, 1993). Nowadays there is a trend of promoting drugs through internet. Buckley(n.d.)mentions on his research paper that most of the internet advertisements provide less information or poor quality information. Many pharmaceutical companies mislead consumers in many ways. A United States Food and Drug Administration(FDA) has issued 88 letters accusing drug companies of advertising violations from August 1997 to Aug 2002(Buckley, n.d.). Most of the time drug companies overstated the effectiveness of the promoting drug and they always keep attention not to highlight its risk. Some companies disseminate advertisements misleading advertisements even after they were warned or cited for violations(Gottlieb, 2002). Some drug companies stimulate consumers to buy expensive or new drugs which has high profit margin and it raises the health care cost of consumers as well as of the country ultimately. Some drugs promoted by pharmaceutical companies have limited Medical beneficiaries but those are heavily advertised because of the high profit margin. Rebecca(2010) says its almost impossible for the public to actually parse the ads and come to their own independent conclusions(Rebecca, 2010). But Weissman(2003)states in his research paper that industrys argument is that patients are highly motivated to seek the best available treatment for their condition and they need and deserve more and better information on which to base their judgement(Weissman, 2003). It is true if the pharmaceutical advertisements provide proper, balance and correct information to their consumers. A research done in Thailand, sharing the findings says that 22% radio advertisements have misled consumers and only 7% of the advertisements have recommended an appropriate dose among studied advertisements. Further more a warning message was found in only 3% of the advertisements and name of the manufacturers were present only 20% of the advertisements collected(Kittisopee, 2005).Weil(2009) is really against the trend of this drug advertisements. He says many adv ised drugs are not only ineffective, but have serious side effects that are frequently played down (and occasionally cancelled) by manufactures. Because advertised drugs have such vast profit potentials, political and financial interests collude to speed them to market before they have received sufficient scientific scrutiny(Weil, 2009). Now there is a trend of using popular characters for marketing advertisements of drugs and sometimes they are neither reliable nor relevance. In a paper published by Michael(2000) says that Now advertisements enlist well-known personalities to endorse pharmaceutical products (Michael, 2000). Lot of people imitate and follow famous personalities and it help pharmaceuticals to reach consumer quickly and in a familiar manner. Criticizing this promotional tactics Weil(2009) says in his report that Sally Field is a talented actor, But what qualifies her to promote Boniva, an osteoporosis drug that is of limited benefit, has worrisome side effects, and for which there are natural alternatives that merit careful consideration?.(Weil, 2009) Drug companies are in the process of promoting their product to consumers in many ways. Sometimes they may use health care professionals to reach consumers because they know that consumer believe professionals who have background knowledge about treatments. Wazaify(2005) points out in his recent published paper that The main factor found to influence the publics choice of OTC medicines was pharmacist recommendation. This is reassuring especially with increasing availability of potent medications without prescription and the increased potential for interactions(Wazaify, 2005). It is one of the indirect marketing methods that the pharmaceutical industry uses. On the other hand people have a belief that over the counter drugs like paracetamol do not have serious side effects. Some over the counter drugs have serious side effects when consumer uses it with some other medications. A very good example is Viagra used for erectile dysfunction. If consumer use it while using nitrate as a treatment of blood pressure, it cause severe drop of blood pressure which is difficult to treat. Buckley(n.d.)says it has mentioned on advertisements but in a much smaller font, it is You must not take Viagra if you are using any nitrate medication including amyl(poppers). It may lead to a severe drop of your blood pressure that may be difficulty to treat. As sexual activity may be a strain on your heart your doctor will need to check whether you are fit enough to use Viagra(Buckley, n.d.). Buckley points out the ordinary people do not know what is nitrate medications and they cannot recognize from this statement that the combination of these two drugs will enou gh to kill them more often. Supporting to this argument Wazaify(2005) mentions that consumers generally believe that only safe medicines are permitted to be sold without prescription and OTC medicines do not usually have serious side-effects(Wazaify, 2005). Some giant pharmaceutical companies have their own physicians, independent monitoring committees and analytical groups etc. They make aware public some new drugs which are effective treatment for some diseases which are common among current generation and they suggest through advertisements, that it may be effective to use their drugs or supplementary product to prevent from those diseases. This is another current trend in the world and basically what they do is label healthy people that they are sick. Supporting to this arguments Moynihan(2002) express his view in this paper stating that Within any disease categories informal alliances have emerged, comprising drug company staff, doctors and consumer groups. Ostensibly engaged in raising public awareness about undiagnosed and under treated problem, these alliances tend to promote a view of their particular condition as widespread, serious, and treatable. Because these disease awareness campaigns are commonly linked to companies mark eting strategies , they operate to expand market for new pharmaceutical products(Moynihan, 2002). Extensive advertising and promotion has put on higher price on pharmaceuticals. Consumer has become the victim of those expensive pharmaceuticals. Dave(2010)says Promotion may affect price through two difference processes. First, promotion may increase demand and/or reduce the absolute magnitude of the demand price elasticity (that is, reduce the price responsiveness of purchasers), which may raise price. Second, the increasing operation cost due to high promotional spending may be shifted to purchasers in the form of higher price. Concluding his findings he states that in addition to potential misuse, the cost of direct to consumer advertising result from increased drug price and increased use of expensive drugs in place of equally effective lower-price drugs(Dave, 2010). Effect of Misleading Many researchers have pointed out that misleading consumer due to unprofessional advertisement of the pharmaceutical industry has created considerable issue to the society in many countries(Herxheimer, 1993, Dave, 2010, Leonard, 1999, Ashish, 1999). There is a reasonable doubt whether consumers spend money for their real requirements of treatments. Moynihan(2002) says drug companies earn lot of money form healthy people and it is better to describe as disease mongering. He further says whereas some aspects of medicalisation are the subject of ongoing debate, the mechanics of corporate backed disease mongering, and its impact on public consciousness, medical practice, human health, and national budgets, have attracted limited critical scrutiny(Moynihan, 2002). There are people who count this criticism and say Direct To Consumer Advertisements (DTCA) fosters rapid detection of disease and promote grater compliance with treatment regimes. Further more they suggest that DTCA is simply pa rt of a wider social trend whereby consumers take greater responsibility for their health care(Hoek, 2002). Pharmaceutical industry may grab ample amount of money from consumers through unprofessional promotions and advertising drugs. Most of the time heavily promoted drugs may has less clinically importance considering the price as the generic drug provide almost similar clinical effect at a cheap price. Parker(2003),supporting to this argument says Prescription drugs such as Celebrex and Vioxx are heavily promoted and cost the consumer just over $2per pill, while generic ibuprofen, which cost the consumer pennies per pill, often work just as well(Parker, 2003). Effective and attractive advertisement can attract consumer towards the product some times without considering the quality or the value of the product. Ashish(1999) states in his publication that Advertising is thought to contribute to the economy as well. By effective promoting increase in promotion of goods and services may occur, which in turn can result in increase in sales and the flow of money within society(Ashish, 1999).B ut some researchers expresses a different idea about the relationship between drug price and drug advertisements. They point out when drugs are advertised, the market is more competitive and due to that the price of the particular drug reduces. Research has generally found that advertising tend to reduce price, rather than increase them, primarily because advertising makes markets more competitive(Calfee, 2002). Sometimes drug advertisement give wrong information due to many reasons for consumers and it is affected for less dose or overdose usage of drugs. A general problem associated with drug advertisements is that it is a powerful influence which may motivate consumers to select overly expensive, overrated, or less than optimum medications for their particular needs. More specifically, it is possible to identify numerous individual problems associated with the promotional practice(Ashish, 1999). Our culture very much believes in the More in Better principle and consumers sometimes even hospitalized or suffer from serious long term complications due to this misleading information. Galapatti says it is important that media try and make people aware of the side effects and danger of excessive usage of these
AIDS Prevalence and Awareness in South Africa :: AIDS HIV Disease African Essays
AIDS Prevalence and Awareness in South Africa Johannesburg, the largest metropolitan area in the continent of Africa. The population of the main metropolitan area is 1,907,229 ( WorldBook encycl.130). Johannesburg is also one of the world richest gold fields. Despite these positive aspects, Johannesburg is a city with a dismal future, because it is suffering from one of the world's worst AIDS epidemics. Every Saturday, nearby cemeteries are busy with the arrival of people who have died from AIDS. Funeral directors state that about 30 or 40 people are buried every week, as a result of AIDS. It is said that in South Africa, one of every ten people has AIDS. Some 17 million people in Africa have died representing almost 80% of AIDS deaths world wide. This is the equivalent of the combined populations of New York City and Los Angeles (www.Time/2001/aidsafrica). There is a conspiracy of silence fueling the spread of HIV in South Africa. Johannesburg is the largest city in South Africa, and has one of the fastest growing infection ra tes AIDS is now South Africa's leading cause of death. Last year it accounted for 40% of all deaths between the ages of 15 and 49 (US.news2.yimg.com). By the year 2010, HIV prevalence in adults is projected to reach 25% of the total population. South Africa is projected to have the highest AIDS death rate until 2015. At that point, the population will have decreased to the point that the death rate will no longer be as high as in other areas. South Africa has a population close to 40 million people - an estimated 4.2 million (10.5%) are infected with HIV. Of these, half are women ages 15-49. Over 40% of pregnant women are HIV-positive. The impact of AIDS in South Africa is overwhelming. The disease has orphaned 370,952 children 95,000 children have been infected with AIDS. The adult prevalence rate of HIV is 20%. While there are limits in extrapolating the general population, it is estimated that 4.2 million people were HIV positive in 1999, compared to approximately 3.6 million in 1998. (www.securethefuture.com). Statement of Need: Understanding who is Affected by AIDS Demographics show that those most affected by AIDS are women and children. African women and children have been particularly hard hit by AIDS. There are now 16 million African children who have lost at least one parent to AIDS. Johannesburg medical agencies state in their reports that in the next 10 years, that number will reach 28 million.
Saturday, October 12, 2019
William Faulkners A Rose for Emily and Barn Burning Essay -- essays r
Symbolism in William Faulkner's A Rose for Emily and Barn Burning If we compare William Faulkner's two short stories, 'A Rose for Emily' and 'Barn Burning', he structures the plots of these two stories differently. However, both of the stories note the effect of a fatherà ¡Ã ¦s teaching, and in both the protagonists Miss Emily and Sarty make their own decisions about their lives. The stories present major idea through symbolism that includes strong metaphorical meaning. Both stories affect my thinking of life. Both à ¡Ã §A Rose for Emilyà ¡Ã ¨ and à ¡Ã §Barn Burningà ¡Ã ¨ address the influence of a father, and the protagonists of both stories make their own decisions. Miss Emily lives with her father who prevents her from dating with any young man until she is thirty. Her fatherà ¡Ã ¦s deed enhances her thirst for love and security. After her father died, she finally has the freedom of love. When she meets Homer Barron and thinks that she has found her true love. But opposite of what she wants, Homer is a homosexual: à ¡Ã §Ã ¡Khe liked men, and it was known that he drank with the younger men in the Elksà ¡Ã ¦ Club --- that he was not a marrying manà ¡Ã ¨ (à ¡Ã §A Rose for Emilyà ¡Ã ¨, 126). To keep him with her forever, Miss Emily chooses to murder Homer. à ¡Ã §Then we noticed that in the second pillow was the indentation of a head. One of us lifted something from it, and learning forward, we saw a long strand of iron-gray hairà ¡Ã ¨ (à ¡Ã §A Rose for Emilyà ¡Ã ¨, 130), Faulkner implies that Miss Emily actually sleeps with the corpse. She must love Homer deeply, to endure the rotten smell and appearance of the dead body. She even enjoys being with it. à ¡Ã §The body had apparently once lain in the attitude of an embraceà ¡Ã ¨ (à ¡Ã §A Rose for Emilyà ¡Ã ¨, 130). Although she picks the most ridiculous way to express love, her courage to choose her own way of life compels admiration. In à ¡Ã §Barn Burningà ¡Ã ¨, Sartyà ¡Ã ¦s father enjoys setting fires to burn down othersà ¡Ã ¦ properties. Sarty faces the problem between loyalty and honesty. On one hand, he wants to be loyal to his father; on the other hand, he does not endorse his fatherà ¡Ã ¦s behavior. His father teaches him: à ¡Ã §Youà ¡Ã ¦re getting to be a man. You got to learn. You got to learn to stick to your own blood or you ainà ¡Ã ¦t going to have any blood to stick to youà ¡Ã ¨ (à ¡Ã §Barn Burningà ¡Ã ¨, 8). His father wa... ... sets fire to burn down the barn that belongs to the house, he thoroughly despairs of his father. He not only destroys the barn, but also shatters Sartyà ¡Ã ¦s hope. Sarty decides to leave his family and find his own way of life. The metaphorical meanings of à ¡Ã §A Rose for Emilyà ¡Ã ¨ and à ¡Ã §Barn Burningà ¡Ã ¨ teaches me to view life in a different way. I do not agree with Miss Emilyà ¡Ã ¦s deed, but admire her inflexible love. She reminds me to be careful when choose a beloved. It is important to find someone who suits me. The other protagonist, Sarty shows strong self-awareness. He is young, but he is able to determine right and wrong. He knows that if he continuing stay with his father, he will not be able to live his own life, or do right things. It is pretty courageous that he decide to leave his family. When I make a decision, I should have the same courage. Both storiesà ¡Ã ¦ plots themselves are odd, but the meanings stimulate deep thought. Works Cited Faulkner, William. à ¡Ã §Barn Burning.à ¡Ã ¨ Collected Stories of William Faulkner. New York: à à à à à Random House, 1939. 3-25. Faulkner, William. à ¡Ã §A Rose for Emily.à ¡Ã ¨ Collected Stories of William Faulkner. New à à à à à York: Random House, 1939. 119-30.
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