Thursday, December 26, 2019

Diabetes The Common Form Of Diabetes - 1637 Words

Introduction Type 2 diabetes is the most common form of diabetes which affects 90% to 95% of the population. In the United States, approximately 1.7 million new cases of diabetes were identified in 2012 and the disease affects 29 million Americans or 9.3 percent of the population. In 2012 the total financial burden of diabetes was estimated to be $245 billion which included $176 billion in direct medical costs and $69 billion in reduced productivity. Those who have type 2 diabetes are unable to control insulin levels resulting in a condition called insulin resistance. In the first stages of the disease your body attempts to compensate for excess blood sugar by making more insulin. As the disease progresses, your body is unable to produce insulin in sufficient quantities to offset blood sugar, which results in destruction to your kidneys and damage to other organs. Additionally, excess blood sugar impairs circulation in small blood vessels which are found in the eyes, kidneys, and heart and may lead to hardening of the arteries. Nerve damage may also occur with diabetes resulting in chronic pain (Harris 1998). Risk Factors A major factor of diabetes is obesity. According to the National Diabetes Information Clearinghouse, minority ethnic groups in the United States that have high rates of obesity are on the rise, especially Hispanic Americans. Additionally, obesity rates are also rising among children and adolescents, especially those who are Hispanic. In the earlyShow MoreRelatedDiabetes : The Common Form Of Diabetes1844 Words   |  8 Pagesnon-insulin-dependent diabetes or adult-onset, type 2 diabetes is the most common form of diabetes that unfortunately many can be diagnose with at any age, even during childhood. In fact this disability has been known to affect 90% to 95% of the 26 million people who have diabetes. Type 2 diabetes is a chronic or lifelong condition that affects the way the body produces, maintains, and consumes glucose (sugar) which is the body’s most important fuel. While having type 2 diabetes the body will eitherRead MoreDiabetes Is The Most Common Form Of Diabetes84 9 Words   |  4 PagesType 2 Diabetes is the most common form of diabetes in adults. It accounts for approximately 90%-95% of diagnosed diabetes in adults in the United States (cdc.gov, n.d.). Newly diagnose cases of diabetes tripled from 1980-2011 in the United States. It is a costly and deadly disease. Because there are many comorbidities and complications associated with uncontrolled diabetes, it is essential to treat diabetes effectively. Clinicians deal with this ongoing problem on a daily basis. Therefore,Read MoreDiabetes Is The Most Common Form Of Diabetes1716 Words   |  7 PagesDiabetes in the United States Introduction Type 2 diabetes is the most common form of diabetes which affects 90% to 95% of the population. In the United States, approximately 1.7 million new cases of diabetes were identified in 2012 and the disease affects 29 million Americans, or 9.3 percent of the population (Statistics About Diabetes, 2014). In 2012, the total financial burden of diabetes was estimated to be $245 billion which included $176 billion in direct medical costs and $69 billion inRead MoreDiabetes Is The Most Common Form Of Diabetes1723 Words   |  7 PagesAugust, 28th, 2014 Diabetes in the United States Introduction Type 2 diabetes is the most common form of diabetes which affects 90% to 95% of the population. In the United States, approximately 1.7 million new cases of diabetes were identified in 2012 and the disease affects 29 million Americans or 9.3 percent of the population (Statistics About Diabetes, 2014). In 2012, the total financial burden of diabetes was estimated to be $245 billion which included $176 billion in direct medical costsRead MoreDiabetes Is The Most Common Form Of Diabetes1095 Words   |  5 PagesDiabetes in general is when there is a problem with your body that causes the blood glucose (sugar) to rise higher than they normally would. This can also be known as Hyperglycemia. Type 2 Diabetes is a chronic condition and will affect the way the body processes the blood sugar (glucose). Type 2 Diabetes can also be known as Adult Onset Diabetes. In 90%-95% of all diabetic cases, Type 2 Diabetes is the most common form of diabetes. A person typically gets diabetes after the a ge of 40, but anyoneRead MoreDiabetes Is The Most Common Form Of Diabetes1774 Words   |  8 PagesDeonta Ridley and many other African Americans are at a greater risk for diabetes. Deonta, an 18-year-old high school senior, lives in the diabetes hot zone — a cluster of predominantly African-American, inner-city neighborhoods where diabetes rates soar to more than double the national average (Wilemon, 2013).. Deonta is overweight, has high cholesterol and blood pressure, which puts him at greater risk for developing diabetes. Living in a low-income neighborhood, being surrounded by much violenceRead MoreDiabetes Type 2 : The Maximum Common Form Of Diabetes1612 Words   |  7 PagesDiabetes type 2 is the maximum common form of diabetes. This is caused by the diminished insulin manufacture by beta cells of the pancreas and an insulin resistance by the exterior tissues (Type 2 diabetes, 2014); it is a disorder in which the body’s fat, muscle and liver cells that do not use insulin successfully. Hence, it causes the high blood glucose levels in the body or hyperglycaemia. Since Diabetics type 2 still maintains the ability to produce some insulin, they do not experience ketoacidosisRead MorePathophysiology Of A Common Form Of Diabetes Mellitus2155 Words   |  9 PagesPathophysiology Diabetes mellitus is broadly described as a chronic, metabolic disorder characterized by abnormalities metabolism resulting from defects in insulin secretion and action. Type 2 diabetes mellitus (T2DM) is a common form of diabetes mellitus that has emerged as one of the biggest health problems today affecting millions of people. The core defects that lead to T2DM are insulin resistance in muscle and adipose tissue, progressive ÃŽ ²-cell dysfunction, and excessive hepatic glucose productionRead MoreType 2 Diabetes : The Most Common Form Of Diabetes Affecting Many Individuals Essay1601 Words   |  7 PagesType 2 diabetes is considered as the most common form of diabetes affecting many individuals. This is a condition that is associated with a high buildup of sugar content in the blood stream. It is accompanied by symptoms such as constant hunger, fatigue, lack of energy and frequent urination. At milder levels, the symptoms become severe and lead to the death of an individual. In the United States, it has been rated as one of the leading causes of death. Importantly, it also increases the rate ofRead MoreMuscular Dystrophy Is The Most Common Form Of Diabetes1935 Words   |  8 Pagesall had the most common and severe form of Muscular Dystrophy, soon to be known as Duchenne Muscular Dystrophy (NIH 2016). Muscular dystrophy refers to a group of more than 30 genetic diseases including Distal MD, Emery-Dreifuss MD, Facioscapulohumeral MD, Limb-girdle MD, Becker MD, Congenital MD, Myotonic MD and Oculopharyngeal MD. This review however will just focus on Duchenne muscular dystrophy. 1.2 Duchenne muscular dystrophy Duchenne Muscular Dystrophy is the most common form of MD that usually

Wednesday, December 18, 2019

Choice And Accountability Claims By Diane Ravitch

Santos 1 TO: Franklin McDuffy, California State Senator FROM: Onassis Santos, Education Policy Researcher at Senator McDuffy’s Office DATE: October 27, 2014 SUBJECT: Choice and Accountability claims by Diane Ravitch The purpose of this memo is to review and analyze the claims made by Diane Ravitch in her book, The Life and Death of the Great American School System, and to justly state if the authors claims are well-researched and based on facts or if her arguments and claims are biased and opinionated. More specifically, this memo will acknowledge the two central ideas of contemporary education reform today: choice and accountability. Advocates of school choice believe that it provides families with alternative options to choose their children’s education that works best for them while encouraging competition to better schools. However, opponents of school choice believe that it will erode the public school system until it is no more. Some argue that accountability is â€Å"the great cure† that will fix schools by testing and placing teachers accountable, this will encourage more effort and in turn promote student achievement. Others believe that too much accountability is the reas on why our schools are failing. Ravitch seems to see choice and accountability as the main obstacles standing in the way of a thriving American school system. After much careful research, I have come to two conclusions. First, choice is not remedy to make education better; all that choice does isShow MoreRelatedEssay on Standardized Testing a Failure in Education1335 Words   |  6 PagesAmerican Public School system. Politicians claim that Accountability is needed. Dylan Wiliam wrote that â€Å"The logic of accountability is deceptively simple†(110) He goes on to say that â€Å"students attending higher quality schools will (by definition) have higher achievement than those attending lower quality schools, so that the differences in quality of schools will result in systematic differences in achievement between schools†(110). Yes indeed accountability is needed. It is needed for those who payRead MoreEducation Policy : Is It, Damned Lies, And Education2759 Words   |  12 Pagespurpose of this essay is to analyze what I have found in my research on how the relationship between school and society, and how it has changed in the United States across the Historical Eras. In this analysis, I relate the changing of reforms to Diane Ravitch’s book, The Death and Life of the Great American School System, along with some other resources used in the Education Policy class. Education can be traced back as far as the time of the pilgrims in America. In 1620 the well-known MayflowerRead MoreLeft Behind Education1542 Words   |  7 Pagescontributor to students becoming suppressed from receiving a proper preparation for college. In the article, â€Å"The Essentials of a Good Education†, the education expert Diane Ravitch argues that students are being scammed from their education and states that â€Å"the U.S. educational system has had an unhealthy focus on testing and accountability — unhealthy because it has driven public policy to concentrate on standardized tests of uneven quality at the expense of the more important goals of education† (112)Read MoreMy Educational Philosophy – A Work in Progress Essay1060 Words   |  5 Pagescommunity involvement (Schultz, 2005).    ​Renowned educational historian Diane Ravitch, speaks with a progressive tone in her book, â€Å"The Death and Life of the Great American School System.† Ravitch attests that today’s society needs to reflect upon the purpose of schooling and that â€Å"schools are responsible for shaping character, developing sound minds in healthy bodies†¦and forming citizens for our democracy...(2010).†   Ravitch claims that American public education needs to be preserved, â€Å"because it isRead MoreThe Current Educational System Of America1919 Words   |  8 Pagesof other political and social agendas. He utilizes a satirical style to address the Americans touched by our education system including, politicians, corporations, and the media alike. Because Moore utilizes little cited evidence to further his claims, compounded by the fact that over a decade has passed since it’s publication, we must examine other outside sources to determine if any credit able evidence exists to further his contentions. Additionally, this is a complex issue that possesses manyRead MoreThe Higher Education System or Lack Thereof Essay1941 Words   |  8 Pagesmore financial support for its citizens (or to control costs in some way). I would take it one step further. There needs to be accountability from a curriculum standpoint. Institutions that welcome students who are expected to struggle must have the resources available to them to help them succeed; and it must be more than window dressing. An institution can claim to be student-centered, but saying it doesn’t make it so. Too often student support services are the first to be cut and are oftenRead MoreNo Child Left Behind Thesis Essay8348 Words   |  34 Pages(Simpson et al.). In her article â€Å"Time to Kill ‘No Child Left Behind’,† Diane Ravitch (2009) explains the consequences if the NCLB requirements are not met: Schools that do not make progress toward the goal of 100% proficiency for every group are subject to increasingly, stringent sanctions. In their second year of failing to make â€Å"adequate yearly progress† for any group, failing schools have their students given the choice of leaving to enroll in a better public school. In the third year of aRead MoreReaction Paper on Waiting for Superman4504 Words   |  19 PagesThe Myth of Charter Schools by Diane Ravitch From The New York Review of Books—November 11, 2010 Waiting for â€Å"Superman† a film directed by Davis Guggenheim Anthony, a fifth-grade student hoping to win a spot at the SEED charter boarding school in Washington, D.C.; from Davis Guggenheim’s documentary Waiting for ‘Superman’ Ordinarily, documentaries about education attract little attention, and seldom, if ever, reach neighborhood movie theaters. Davis Guggenheim’s Waiting for â€Å"Superman†

Tuesday, December 10, 2019

David Bowie free essay sample

David Bowie has been around forever it seems from the psychedelic sound of The man who sold the world to the hard rocking Rock and Roll suicide. Sadly most young people have no idea who this legend of music is with the exception of the three songs you hear on the radio Changes, Watch that Man, and Fame. This is a truly pitiful selection of this mans musical skills. My personal favorites are Young American and Rebel, Rebel but he is really worth looking into if you like a touch of weird in your music. Dont look for a specific style of music with Bowie though he is all over the map so to speak. If you purchase CDs I would advise either the Rise and fall of Ziggy Stardust or Bowie at the Beeb. If download music try The man who sold the World, The Width of a Circle, Sons of the Silent age, and Young American then decide David Bowie Hero or has been. We will write a custom essay sample on David Bowie or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page

Monday, December 2, 2019

Supply Chain Management in Sainsbury

Overview of the Sainsbury and its operations Sainsbury Ltd, which is alternatively referred to as Sainsbury, is one of the largest chains of supermarkets located in the UK (Gilpin 1994, p.9). It has a share of 16.5% for all the UK’s supermarket industry market share (Finch 2007, p.11).Advertising We will write a custom essay sample on Supply Chain Management in Sainsbury specifically for you for only $16.05 $11/page Learn More Established by John James Sainsbury and his spouse, the company opened its first outlet in 1889 and developed immensely over the Victorian period. By 1922, Sainsbury was the leading UK grocery merchant. In the 1980s, the company became the first one to offer retailing self-service. However, the company experienced an immense competition when Tesco (holds 31.5% of the total market share) overtook it to become the market leader in self-retailing service. In 2003, the company faced yet another blow when Asda (holds 16.7% of the market share) took the second position in terms of size thus leaving J Sainsbury to assume the third position in the UK’s supermarket industry. The company holds this position even now. Sainsbury employs an excess of 15,000 people within its more than 1000 outlets within the UK. By May 2011, Lord Sainsbury of Turville was the â€Å"largest family shareholder with 4.99% while Judith Portrait, the trustee of various Sainsbury settlements and charitable trusts, held 3.92%† (Sainsbury 2011, Para.14). Qatar savings power is the single leading general owner of the business since it assumes 25.999% of all the organisation’s shares. Sainsbury also offers financial service through a joint venture with Lloyds banking group. It also provides online purchase and delivery services.Advertising Looking for essay on business economics? Let's see if we can help you! Get your first paper with 15% OFF Learn More The supply chains of the company operate within 13 re gional centres of distribution. Two national supply chains for foods are frozen while two other national supply chains are meant for goods that move slowly (Sainsbury 2011, Para.4). All depots have depot codes, which identify them uniquely. The Procurement Strategy The today’s functions of procurement operate under tight demands because most organizations’ effort to come out of the recession costs control is an incredible strategy for success (Simchi, Kaminsky Levi 2000, 111). For this reason, Sainsbury has invested on a procurement strategy focusing on reducing costs that are associated with procurement such as administrative costs, improvement of the buying efficiency, and ensuring reduction of maverick buying while still ensuring a constant increase in the value of the shareholders. Through the guide of these principles, the supply chain personnel of the company are obliged to work responsibly in the effort to ensure that goods and services offered to over 17 milli on customers who visit the Sainsbury supermarkets weekly are offered at the lowest prices in comparison to the competitors. In fact, Sainsbury has been pursuing the low-cost selling strategy aggressively. The company’s policy demands that procurement personnel should support this strategy while the store development staff looks for alternative strategies for attracting and retaining customers. The company maintains that procurement cannot deliver low buying costs if it does not operate efficiently. For this reason, in 2010, the CEO of the company, Justin King, went ahead to invest about 40 million Euros in the provision of IT resources to farmers. These resources would facilitate efficiency in the supply chain through improvement of the buying infrastructure.Advertising We will write a custom essay sample on Supply Chain Management in Sainsbury specifically for you for only $16.05 $11/page Learn More Through the cost-saving strategies for enhanci ng the efficiency and the effectiveness of the supply chain, Sainsbury believes that it can create an opportunity for streamlining the operations of the organisation. According to Sainsbury (2011), this strategy in turn aids in improvement of â€Å"the customer shopping experience besides making things simpler for colleagues while also making significant cost savings† (Para.5). As a way of minimising costs of supplies, which must be extended to customers through higher prices of goods and services, the organisation embarked on measures of reducing the amount of paper work. A good example of this attempt is the provision of self-scan checkouts across about 700 stores. Furthermore, Sainsbury (2011) informs that the organisation has â€Å"reduced the amount of paper used for store receipts by two fifths, which is equivalent to over 350 tonnes annually, by using double-sided printing† (Para. 5). Over the last three years, the company has also managed to save the amount of energy consumed in every store by about 16 percent. The saved energy can power 90 stores. By capitalising on mechanisms of reducing the direct costs associated with supplies, it implies the organisation is able to distribute its products at much lower costs in comparison to its competitors. Hence, the overall chain supply strategy for Sainsbury is driven by the principle of competitive advantage.Advertising Looking for essay on business economics? Let's see if we can help you! Get your first paper with 15% OFF Learn More Management of Supplier Relationship Suppliers form one of the crucial stakeholders of the Sainsbury. They supply both food and non-food products, which are sold at a profit in the Sainsbury outlets. Consequently, for maintained growth of business of the organisation, Sainsbury must ensure that it maintains positive relations with the large pool of suppliers. In this endeavour, the organisation has strategically focused on suppliers’ engagements at all levels of procurement. Consistent with such a move, Jacoby (2009) argues that, to maintain good relationships with suppliers, an organisation needs to â€Å"work with suppliers to improve sustainability performance through the supply chain and stimulate innovation† (p.36). In this line of thought, Sainsbury has put in place parameters for ensuring that sustainability is measured as an integral element of the key suppliers coupled with other suppliers’ category management processes. Sustainability in supplies is cri tical to the organisation. In 2010, as a way of building positive suppliers’ relationships, Sainsbury offered to give cash bonuses to farmers who adopted good practices of agriculture meaning sustainable and eco-friendly techniques of farming. By doing this effort, the company lest assured that it would not encounter challenges in the supplies to its stores for agricultural products in the near future. The concern above calls for incorporation of the means and processes of assessment of operational risks associated with poor maintenance of suppliers relationships (Shreekant Amol 2012). In this regard, Sainsbury has developed and initiated programs, which are structured to recognise the direct and indirect contributions of suppliers in sustainable growth and development of the organisation. Where the organisation’s policies are found to impair the identified contributions, a consideration is made to review the policies in order to build strong suppliers confidence. Suc h policies are also made in such a way that, in their heart, there rests mechanisms of driving efficiency, supplier risk management, innovation, and increased opportunities. By maintaining positive customer relations, confidence is built in the suppliers of the Sainsbury such that they perceive doing business with the company as less risky. Consequently, the company is able to take advantage of economies of scale. This case happens because a single supplier will be willing to supply large quantities of products and services. In this sense, the company is able to meet its procurement strategy of buying cheaply in order to sell at the lowest prices. Sainsbury believes that maintaining good suppliers’ relationships implies conducting the sourcing activity with integrity. Indeed, integrity is crucial in the sourcing since it enables an organisation to offer great products at the most fair prices to consumers. In the context of Sainsbury, sourcing with integrity means that the org anisation works with all suppliers in the endeavour to ensure that sustainable supply chains are built by taking into perspectives environmental, economic, and even social impacts of the sourcing activities on suppliers. In this regard, Sainsbury asserts that its supplier relationship management strategies aim at bringing value to â€Å"the communities we source our products from, as well as promoting high standards of animal welfare and responsible sourcing† (Sainsbury 2011, Para.4). This measure is consistent with the organisation’s goal of becoming the world leader in sales of foods, which are certified and derived from sustainable resources. Management of supplier development No single approach can be cited as impeccable for enhancing supplier development. Rather, â€Å"purchasing and supply management professionals must select the most appropriate approach to suit their relationship with the supplier that they have selected for development† (Marko, Johnson Choi 2013, p.9). Different supply development approaches suit different markets and different industries. Irrespective of the type of supplier development approach deployed, the concept refers to â€Å"embracing supplier expertise and aligning it to the buying organisation’s business need† (Krause Ellram 1997, p.21). In the case of Sainsbury, the supplier development strategy is organised around the development of the business of the suppliers’ such as aiding them to evaluate coupled with redesigning of the suppliers’ corporate strategy. Suppliers’ development is central to the future anticipated success of the Sainsbury. It is aimed at helping an organisation to reduce costs, enhance the performance of the supplies, resolving quality issues, and in the sourcing of new supply routes (Chopra Meindel 2002: Gokhan Needy 2010 ). Although the organisation endeavours to build strong positive supplier relationships to ensure its stores do not fall sho rt of both fresh and quality supplies, challenges are also encountered. The organisation sources supply from across the UK and in some instances in other places across the world. In the long-term, although building positive customer relationships ensures that the organisation has plenty of supplies, the growing population across the world means that land is exposed to immense pressure. Consequently, the cost of supplies is likely to increase in the long-term. However, by working with suppliers to build relationships with them via initiatives such as development groups, the organisation hopes to address such challenges. The anticipation is to make the company more efficient in managing environmental, social, and ethical issues, which may affect suppliers negatively. Development groups are critical in helping Sainsbury to build good relations with suppliers in the chief supply chains of the agricultural products. The company shares the outstanding practices with this group of supplier s by providing training on various new techniques of farming alongside aiding in the introduction of technology to boost production whenever appropriate. In fact, Sainsbury committed more than 30 million Euros in enhancing these relationships in 2006. This move was strategic in the development of suppliers since it can â€Å"lead to improvements in the total added value from the suppliers in question in terms of product or service offering, business processes, and performance† (Marko, Johnson Choi 2013, p.10). By 2011, the Sainsbury had more than 2000 farmers coupled with growers engaged in the suppliers’ development program through the suppliers’ development groups. The development groups ensure much of the products sold via the organisations labels originate from various supply chains, which are principally dedicated to the organisation, are ethical, environmentally sustainable, and fit well with the future aims and objectives of Sainsbury. The view from the suppliers Any effective supply chain management strategy needs to win the confidence of the suppliers. Despite the values of suppliers’ development programs on the suppliers, â€Å"some suppliers may be resistant to being developed† (Krause Ellram 1997, p.21). Sainsbury encountered such a situation when it initially introduced the development program aimed at empowering its farm products producers. Faced with this challenge, the company embarked on deployment of the interpersonal skills of its supplies relations personnel to counter the reaction. This move made suppliers immensely influenced so that they started seeing the positive aspect of not only the strategies of building supplies relationships but also the benefits accruing from engaging in the development groups. Sainsbury efforts to build positive relationships with the organisation’s suppliers have been received well over the last two years. Through the efforts, Sainsbury’s suppliers have respon ded by availing more fresh products to the supply collection centres. This strategy has culminated into success of the ‘great good initiatives’ and ‘tastes the difference’ campaigns for selling products tagged y the organisation as being offered in the fresh counters. The fact that Sainsbury has managed to maintain a constant and adequate flow of fresh green products at low prices across its counters means that suppliers have welcomed its farming supplies development program. It is adding value to businesses of the suppliers. References Chopra, S Meindel, P 2002, Supply Chain Management: Strategy, Planning, and Operation, Prentice Hall, New Jersey. Finch, J 2007, ‘Sainsbury targeted for Europe’s biggest private equity buyout’, The Guardian, 3 Feb., p.11. Gilpin, K 1994, ‘Sainsbury buys stake in the giant food’, The New York Times, 6 Oct., pp. 9-10. Gokhan, R Needy, N 2010, ‘Development of a Simultaneous Design for Su pply Chain Process for the Optimization of the Product Design and Supply Chain Configuration Problem’, Engineering Management Journal, vol. 22 no.4, pp. 20–30. Jacoby, D 2009, Guide to Supply Chain Management: How Getting it Right Boosts Corporate Performance, Bloomberg Press, London. Krause, D Ellram, L 1997, ‘Critical elements of supplier development – The buying-firm perspective’, European Journal of Purchasing and Supplies’, vol. 3 no.1, pp. 21-31. Marko, B, Johnson, M, Choi, T 2013, ‘Who’s Seeking Whom? Coalition Behaviour of a Weaker Player in Buyer–Supplier Relationships’, Journal Of Supply Chain Management, vol. 49 no. 1, pp. 8-28. Sainsbury, J 2011, Annual report and financial statements 2011. Web. Shreekant, W Amol, P 2012, Supply Chain Analytics with SAP Netweaver Business Warehouse, McGraw-Hill Education, New York. Simchi, D, Kaminsky, P, Levi, E 2000, Designing and Managing the Supply Chain: Concept s, Strategies, and Case Studies, McGraw-Hill, Irwin. This essay on Supply Chain Management in Sainsbury was written and submitted by user Shatterstar to help you with your own studies. You are free to use it for research and reference purposes in order to write your own paper; however, you must cite it accordingly. You can donate your paper here.