Elderly Demographics Research Study

Elderly Demographics Research Study Topic Background Health seeking behaviour is becoming more popular in the field of research study at present time. The use of this, somehow, became the window of opportunity to policymakers in delivering a better health system especially in developing countries1. (Shaik, 2015). This is true among the elderly population since a shift in the pattern of morbidity and mortality was observed in recent years. Non-communicable diseases have become the top leading cause of morbidity. Furthermore, the emergence of lifestyle diseases in urban areas also adds up to the list of morbidity causes. This change contributes to the reluctance of elderly in seeking wellness therefore an obstacle to achieving good health. Health seeking behaviour plays a major role in the effect of their health status and not solely attributed to advancing age 2 (Sangmee Ahn Jo, 2007). A review literature 3(Grundy, 2010) indicated contributing factors that affect decisions of elderly on health. An identified hindrance is the preference of alternative or traditional therapies over formal health care which reportedly delay consultations, and in effect, cause delay of treatment accordingly 4-14. Grundy (2010) further emphasized that despite the variation in health seeking behaviour across regions, continuing studies of this aspect in health care is essential to provide a better picture of the disease process outcome. In this study health-seeking behaviour is defined as the following: the use of alternative or traditional therapies, reported delays in consultation and compliance of prescribed medicine among elderly population. Review of Related Literature Even though the growing population in the Philippines was dominated by the young we cannot ignore the needs of the increasing population of the elderly. The elderly were not given as much attention in the government health programs but the incidence of health problems play a part to the economic burden of households15. (Cecilia Santos-Acuin, 2013). In the 2010 national census it was stated that there were about 92.34 million Filipinos and approximately 5.8M (6.8%) of these belongs to the elderly population. Philippine population projected to increase to 142 million by 2045 and a span of 35 years around 50million people will be added16. (PSA:Population Projection Statistics, 2014)World Health Organization defined elderly according to the three main categories namely chronology, change in social role and change in capabilities .To standardized UN agreed a cutoff of 60 years old and above17. (World Health Organization:Health Statistics and information system, 2015). Health-seeking behaviour among elderly patients varies from each country. In the event of non-consultation or delay consultation among elderly it is obvious that the outcome was associated with adverse medical consequences. In one of the study conducted about managing nutrition among the elderly they pointed out the importance of prevention and early intervention because of the difficulty in treating an individual once the disease was already established4. (Damian Flanagan, 2012). This was also supported by cross-sectional study done in Namibia which the outcome resulted in higher treatment delays. In the study they determined the cause and categorized delay in the treatment as longer delay based on older age, urban residence, and longer walking distance to the nearest public facility, and doing a chest x-ray while having HIV seropositive and formal education determined the shorter delays5. (Kingsley Ukwaja, 2013). One significant Malaysian study focusing among elderly which utilized CAM for natural and safer use found out that non-consultation would contribute to the increasing undiagnosed cases of chronic diseases6.(Shahid Mitha, 2013). Further studies for different ways of treatment were done to substitute for complementary and alternative medicine especially common amongst Asians with elderly multiple co morbidities6 (Shahid Mitha, 2013).A study on DM conducted in Uganda showed that the unavailability of medicines prompted the people to use CAM for treatment and consulted a faith healer especially to those failures to manage DM causing an increase in DM related complications7. (Katarina Hjelm, 2011). Moreover, the elderly in the Philippines use medicinal plants before consulting to health professionals because of its availability, cheaper price than Western drugs, and usefulness in the treatment of various illnesses and to alleviate milder form of illnesses8. People who had chronic multiple morbidity took their medicines in a daily basis to survive, to work normally and to fulfil social work or obligations in the family. Taking multiple tablets in a day is a burden to them9. (Anne Townsend, 2003). One of the study conducted in Malaysia showed that the presence of a particular symptom will only start the usage of prescribed medicine. However, once these symptoms are resolve, medication would also be terminated giving them reason not to take drugs religiously. This will just worsen the disease process and later will lead to multiple admittance. Other studies also pointed out that noncompliance of medicine are due to the fear of drug dependency, multiple side effects and interaction with other drugs.(10). Thus, being more cautious and elaborative in giving instructions to patients who are taking multiple drug regimens should be practiced by health practitioners11. (Isacson D, 2002). A house-hold survey done among elderly Nigerian revealed that regardless of age and sex, family consultation is their first choice of treatment for their illnesses. This somehow increases the morbidity among the elderly population since family members know little about the safety and appropriate treatment for them12. (Abdulraheem, 2007) A cohort study in South Korea using AGE found out that the increase level of awareness and concern about the health of elderly women increases health-care consultation thus, resulted to increased risk of morbidity.2 (Sangmee AhnJo, 2007). In Myanmar, a study conducted to elderly women concluded that low-level of education and income play great role in skipping treatment and self-care13. (Soe Moe, 2012). Similarly, in Bangladesh, younger adult and elderly age group were compared in terms of health seeking behaviour (self-care/self-treatment). It showed no significant difference in health-seeking pattern. Both age group opted self-care/self-treatment as the first line of prevention due to poverty which would explain the increase in morbidity pattern of both.14(Syed Masad Ahmed, 2005). The growing trend of non-communicable diseases is the common cause of morbidity in today’s modern world. This lifestyle related disease can be altered in the future by determining the source of it. Also, health seeking behaviour plays a major role in determining the outcome of health status of an individual. No study on health seeking behaviour and factors that influence the behaviour of our elderly in our locality so a research study would be beneficial in gathering new information. Added to that, our elderly may have different factors towards health seeking behaviour and different morbidity pattern than the others. Research Question This study aims to determine what are the demographic and clinical characteristics of elderly patient 60 years old and above of the Davao Regional Hospital FAMED outpatient department that are associated with their health seeking behaviour? Significance of the study Since health care programs to the elderly is not yet well established in Davao Regional Hospital, the outcome of this study will be the basis of the future recommendation of programs for the elderly in the DRH outpatient department. With this study we will be able to deliver better health services to our elderly patients such as: a. Creating a geriatrics club that would exclusively cater the needs of the elderly patient so that they don’t need to line-up with other patients. This would somehow help lessen their delay in consultation at the same time will increase the need to seek consult to a physician as their first choice of health care giver. b. By incorporating a primary giver as a potential treatment partner for the elderly patients that would monitor and check the elderly patients’ compliance to medicine and assure treatment success. C.Enrolling those elderly patient’s ages 70 years and above residing within 5 km of the hospital premises to a family oriented program .This would benefit those elderly patient’s that cannot visit the hospital due to old age, too sick to move and avoiding too much crowd. A home visit from the assign physician will help lessen their delay in consultation, correct the use of alternative medicine and affect their first choice of care giver. Objective of the study This study general objective is to identify the demographic and clinical characteristics of elderly patient 60 years old and above of the Davao Regional Hospital FAMED outpatient department that are associated with their health seeking behaviour. Specific Objectives To determine respondents socio-demographic and clinical profile. To determine the health seeking behaviour among elderly patients in terms of: Delay in consultation of chief complaint Use of alternative and traditional therapies Compliance of prescribed medicine First choice of health care provider To identify the socio-demographic and clinical characteristics of patient that would determine their health seeking behaviour. II. Methodology A. Research Design A cross-sectional study will be conducted among elderly patient of Davao Regional Hospital outpatient department. B. Setting This will be done at Davao Regional Hospital outpatient department of Family Medicine sometime in September 1, 2015 to October 31, 2015. The triaging system of Davao Regional Hospital outpatient department starts with a priority number to all with special considerations to the elderly population. All elderly on the senior citizen lane will be distributed to the different departments based on their chief complaint. In this study all respondents triage to the Family Medicine department will be invited to participate. C. Participants The respondents of this study include elderly patients ages 60 years and above willing to participate in this study. All those who are critically ill will be excluded from the study. D. Sampling Procedure A convenience sampling will be done. E. Interventions and Comparisons: Not applicable F. Randomization: Not applicable G. Data Gathering Approval of the CERC board will be obtained first prior to the collection of data. Data will be collected using a three-part standard questionnaire which will be administered through a one on one interview by the FAMED residents rotating at the outpatient department. Independent Variables Part 1 will consist of information about socio-demographic profile like age, sex, highest educational attainment, place of origin and source of funds. Part 2 will consist of the clinical profile of the respondents which includes presence of concomitant chronic diseases and current chief complaint. Dependent Variables Part 3 will be the information about the respondents’ health seeking behaviour and the outcome to be measured. In this study the following health seeking behaviours are explored. First health seeking behaviour is according to delay in consultation which in this study refer as the time from onset of chief complaint to first consult in Davao Regional Hospital FAMED outpatient department. For this study, a delay of 14 days or more from the time of onset of chief complaint to the time that the patient goes to the hospital will be considered as â€Å"longer delay† and a delay of 7 days to 14 days from the time of onset of chief complaint to the time that the patient goes to the hospital will be considered as â€Å"shorter delay† 18-19(Fact sheet Diarrhoel disease, 2013) (Blanca Ochoa, 2002). The second health seeking behaviour is the use of alternative or traditional therapies which are define in this study as the use of herbal medicines, over the counter drugs, acupu ncture, reflexology, hilot and others not part of the conventional medicine before the initial consult referable to the chief complaint. Another health seeking behaviour is the compliance of prescribed medicine which in this study defines as the correct usage of drugs as to dosage, frequency, duration, and timing as prescribed by licensed physician of Davao Regional Hospital in relation to its chief complaint. Last health seeking behaviour is according to the first choice of health care providers. For this study, the first choice of health care providers in relation to its chief complaint. H. Sample size computation Sample size of this study was computed using the software StatCalc from EpiInfo 7. Calculations were based on the following assumptions: [1] 40% of patients aged 70 years (exposure) consult 2 weeks after onset of their chief complaint (outcome); and, [3] there are as many patients aged >70 years as there are patients aged 60-70 years. In a computation of odds ratios of getting the outcome, carried out at a 5% level of significance, a total sample of 194 patients will have 80% power of rejecting null hypothesis (no significant increase or decrease in odds ratio) if the alternative holds. An interim analysis will be done halfway through the recruitment (97%) in order to recompute the ideal sample size. I.Data handling and analysis Data for the study will be encoded in the Microsoft Excel and analyzed using EpiInfo 7. Categorical data will be summarized as frequencies and percentages, and compared. Continuous data will be summarized as means and standard deviations, and compared. Odds ratios of having particular health seeking behaviours will be computed. Level of significance will be set at 5%. Ethical Consideration Prior to participating in the study, the consent of the participant must be obtained. Ethics Review The proponent of the study will secure an approval from the Cluster Ethics Research Committee of Southern Philippines Medical Center prior to doing the research. Informed Consent: Form A written consent is obtained from the potential participants prior to conducting the study. Informed Consent: Signatory The signature of the participant should appear in the consent form. Informed Consent: Witness No witness will be required in order for the informed consent to be binding. Informed Consent: Proxy Consent There will be no proxy consent aside from that of the participant will be allowed. Informed Consent: Process Prior to signing the consent form, the potential participants are informed about the study rationale and objectives. Informed Consent: Timing and Venue The informed consent will be taken prior to the administration of the questionnaire. It will be done in the assigned area of the participant within DRH premises during office or duty hours. Disclosure of Study Objectives, Risks, Benefits and Procedures The participants will be informed of the study objectives, its purpose, its benefits and what is expected of them. They will also be told that there are no risks involved in the study. Remuneration, Reimbursement and Other Benefits No remuneration or reimbursement will be given to the participants. Privacy and Confidentiality The researchers will not disclose the identities of the participants at any time. Only the main proponent of the study has the personal information of the participants. The researchers will not contact the participants after this one time interview. Investigator’s Responsibility It is the investigator’s responsibility to ensure the confidentiality of any information obtained during the research. Specimen Handling N/A Voluntariness and Alternative Options The respondent’s participation in the study will be entirely voluntary. In case the participants wish to withdraw from this study the researchers will respect that decision and there will be no effect in the present and succeeding consultations. Information on Study Results The participants will have access to their data. After the data has been analysed, the overall results will also be made known to the participants. Extent of Use of Study Data At present there are no intended plans to use the data aside from the objectives stated in the protocol. Authorship and Contributorship Jacqueline N. Nuenay, M.D. is the principal investigator and the main author of the study. Dr. Chrysteler Clet is the co-author. Conflicts of Interest The principal investigator and the co-author declare no conflict of interest. Publication The research may be submitted for national and/or international presentation or publication. Funding The main proponent of the study is using personal funds to conduct the study. Duplicate Copy of the Informed Consent Form A duplicate copy of the informed consent form will be provided to the participants of the study. Additional copies can be made on request. Questions and Concerns Regarding the Study The participants will be encouraged by the principal investigator to voice out concerns about their participation in the study. Contact Details The participants of the study will be provided with the cell phone number of the principal investigator. The principal investigator is also available for questions, comments and concerns about the study.

The Impact of the Iroquois Confederacy on the Creation of the United St

"One arrow is easily broken, but tied together, no man can break the bundle." -Peacemaker This philosophy was at the core of the powerful Iroquois League of Five Nations. The League of Five Nations, or Iroquois Confederacy as it is more commonly called, was a thriving and well-functioning form of government very similar to that of the United States Government. Hundreds of years before "civilized" man arrived in the New World -- historians think as early as 1400 A.D.-- the Iroquois had created a radically new and well-organized form of government unlike any other before it. This new form of government was the idea of two peaceful men named Hiawatha and Deganawida (McClard 47). Hiawatha and Deganawida realized that the five Iroquois tribes were constantly fighting with one another resulting in many innocent deaths and ongoing tribal wars. As a solution to the constant stream of violence between the Iroquois people, they proposed a union between the five tribes that would make the Iroquois nation as a whole stronger and more powerful, while uniting their "brothers" together in friendship. The Iroquois Confederacy was a lasting union between the five Iroquois tribes: the Mohawk, Oneida, Onondaga, Cayuga, and Seneca. This union of five Iroquois tribes would prove to have a great deal of impact on the founding fathers of the United States. The grounding principles of unity, freedom of the people, and democracy that defined the Iroquois Confederacy very much impressed certain men who were charged with designing the new government of the United States. By the time the Europeans arrived in America, the League was already hundreds of years old (McClard 75) and running just as smoothly as when Hiawatha and Deganawida created it so man... ...on, 1988. 2. Fradin, Dennis Brindell. Hiawatha: Messenger of Peace. New York, NY: Maxwell Macmillian International, 1992. 3. Graymont, Barbara. Indians of North America: The Iroquois. New York, NY: Chelsea House Publishers, 1988. 4. Malkus, Alida Sims. There Really was a Hiawatha. New York, NY: Grosset & Dunlap, 1963. 5. McClard, Megan and Ypsilantis, George. Hiawatha and the Iroquois League. Englewood Cliffs, NJ: Silver Burdett Press, 1989. 6. Phillips, Martin. The Constitutional Convention. Morristown, NJ: Silver Burdett Company, 1985. 7. Sneve, Virginia Driving Hawk. The Iroquois. New York, New York: Holiday House, 1995. 8. Yenne, Bill and Garratt, Susan. North American Indians. Secaucus, NJ: Chartwell Books, Incorperated, 1984. 9. Zimmerman, Larry J. and Molyneaux, Brian Leigh. Native North America. Norman, OK: University of Oklahoma Press, 1996. The Impact of the Iroquois Confederacy on the Creation of the United St "One arrow is easily broken, but tied together, no man can break the bundle." -Peacemaker This philosophy was at the core of the powerful Iroquois League of Five Nations. The League of Five Nations, or Iroquois Confederacy as it is more commonly called, was a thriving and well-functioning form of government very similar to that of the United States Government. Hundreds of years before "civilized" man arrived in the New World -- historians think as early as 1400 A.D.-- the Iroquois had created a radically new and well-organized form of government unlike any other before it. This new form of government was the idea of two peaceful men named Hiawatha and Deganawida (McClard 47). Hiawatha and Deganawida realized that the five Iroquois tribes were constantly fighting with one another resulting in many innocent deaths and ongoing tribal wars. As a solution to the constant stream of violence between the Iroquois people, they proposed a union between the five tribes that would make the Iroquois nation as a whole stronger and more powerful, while uniting their "brothers" together in friendship. The Iroquois Confederacy was a lasting union between the five Iroquois tribes: the Mohawk, Oneida, Onondaga, Cayuga, and Seneca. This union of five Iroquois tribes would prove to have a great deal of impact on the founding fathers of the United States. The grounding principles of unity, freedom of the people, and democracy that defined the Iroquois Confederacy very much impressed certain men who were charged with designing the new government of the United States. By the time the Europeans arrived in America, the League was already hundreds of years old (McClard 75) and running just as smoothly as when Hiawatha and Deganawida created it so man... ...on, 1988. 2. Fradin, Dennis Brindell. Hiawatha: Messenger of Peace. New York, NY: Maxwell Macmillian International, 1992. 3. Graymont, Barbara. Indians of North America: The Iroquois. New York, NY: Chelsea House Publishers, 1988. 4. Malkus, Alida Sims. There Really was a Hiawatha. New York, NY: Grosset & Dunlap, 1963. 5. McClard, Megan and Ypsilantis, George. Hiawatha and the Iroquois League. Englewood Cliffs, NJ: Silver Burdett Press, 1989. 6. Phillips, Martin. The Constitutional Convention. Morristown, NJ: Silver Burdett Company, 1985. 7. Sneve, Virginia Driving Hawk. The Iroquois. New York, New York: Holiday House, 1995. 8. Yenne, Bill and Garratt, Susan. North American Indians. Secaucus, NJ: Chartwell Books, Incorperated, 1984. 9. Zimmerman, Larry J. and Molyneaux, Brian Leigh. Native North America. Norman, OK: University of Oklahoma Press, 1996.

La Rotonda Essay -- Architecture Construction Essays

La Rotonda One of the great architects in time was Andrea Palladio, who was made famous for his magnificent Villas built in Italy in the fifteen hundreds. To do so he drew from the Greek and Roman’s architecture, studying many of their finest works, to create his masterful villas. This process would develop into a style of architecture, which became known as Palladianism. This style has inspired buildings which have dominated the landscape for the last four hundred years. These buildings include: English castles, American public buildings, Swiss railroad stations, Spanish libraries, Tuscan villas and Canadian hotels. Many of these buildings are considered to be the great buildings of the world. Andrea Palladio was born in 1508A.D. in Italy. At a very young age he became a stone mason, however his journey into architecture began when he met Gian Giorgio Trissino who immediately saw ability in him and decided to mentor Palladio. Trissino combined a study of classical architecture with architecture of the time, all the while allowing Palladio room to develop a style of his own. In time Palladio was constructing villas through out the country side of Italy, in all he constructed 30 villas, 18 of which are still standing today. Perhaps Palladio’s most famous work was the Villa Rotondra or La Rotondra which was started around 1565 and took approximately 4 years to build and was greatly inspired by the Pantheon in Rome. It is interesting to note that la Rotondra is different from Palladio’s other villas in a number of ways, and it is evident that these differences help distinguish it from the rest. The main differences between Palladio’s Rotondra and his othe r work are, The Rotonda is set on a hilltop, it is located near a... ...to see why many regard Andrea Palladio as one of the most influential architects of all time, he was able to create some of the most stunning, graceful, and awe-inspiring villas in the world. Unfortunately, Palladio died before his masterpiece, La Rotonda, was complete. The project was completed by his protà ©gà © Vincenzo Scamozzi. Work Cited 1.) http://boglewood.com/palladio/life.html, Wednesday September, 28 2.) Mathew McCann Feton, â€Å"Time: Great Buildings of the World†  © 2004, New York, NY. 3.) http://kuleuven.ac.be/bwk/materials/Research/KVB/EDAMM_intro.html, Wednesday September, 28 4.) http://studentwebs.coloradocollege.edu/~A_LIVESAY/palladio.html, Wednesday September, 30 5.) http://www.infoplease.com/ce6/people/A0837370.html, Wednesday September, 28 6.) http://architecture.about.com/b/a/2003_11.htm, Wednesday September, 28

Personal Quality Essay

When there seems the world is all against one, when it seems efforts are not yielding as expected and there is rather no companion to encourage and carry on with a task at hand, a residual doggedness and resilience becomes the most important personal tools necessary to fuel the battle to success. My standard is beyond meeting average, average is rather a stepping stone to my destiny; it is no point to rest laurel and celebrate. We live in a competitive world, as such; it becomes a persona to keep fit with the survival strategy to achieve remarkable impact amidst brilliant minds. Determination is the backbone or central to the passion sustaining my resilience and doggedness when involve in a task. I have got the lots to ensure a living beyond mediocrity. In my understanding, I see no one ever oozing his way out of mediocrity like a lazy slug. Everyone I know who models a high level of excellence has won the battle of the mind and taken the right captivating thoughts. However, with risks, the individuals have chosen to fill the role of an active pen flowing with ink rather than a passive blotter that only sits and soaks what others do; they have decided to get personally involved with life rather than sitting back, frowning and watching life dwindling to a trickle and ultimately stagnating. The power of their mind expounds the basis for determination leading to the evident doggedness and resilience on the path of success. Secondly I cherish team spirit. This is one of the leading qualities of a real-time organization or researching team in institution. A contributing skill requires excellent team spirit at work without lackadaisical attitude to one’s assigned role in a cooperative academic work. The difficulty I have faced when i arrived in this country was language understanding but my intellectual curiosity and personal talent have helped me overcome that barrier tremendously. My personal achievement helped me to discover a sense of individuality and to envision the contributions I might make it to UC Universities. Furthermore, the difficulty i faced when my father was diagnosed with cancer was equally developing after all. Unfortunately i had to work and go to school at the same time that was when my GPA had dropped a bit. But this accomplishment had me persistent to work harder in school and also had me mentally tougher to face the unpredictable challenges in school and life. Now I know that life is not constant and doesn’t stay in one situation for ever. With the excellent involvement in Hospital voluntary groups for two years, I have realized now that I have to take more responsibility in life in order for me to achieve my goal. I have always dreamt of being a doctor and there I strongly believe nothing can stop me from achieving this goal. This has been my life long dream. These experiences in life have helped me grow, learn and emerged my high level of maturity.

Economic Development for Developing Countries Essay

International Undergraduate Program Faculty of Economics University of Indonesia Depok 2013 Larger Rural Populations but Rapid Rural-to-Urban Migration One of the hallmarks of economic development is a shift from agriculture to manufacturing and services. Although modernizing in many regions, rural areas are poorer and tend to suffer from missing markets, limited information, and social stratification. However, a massive population shift is also under way as hundreds of millions of people are moving from rural to urban areas, fueling rapid urbanization, with its own attendant problems. Lower Levels of Industrialization and Manufactured Exports Industrialization is associated with High Productivity and Incomes. It is also a hallmark of modernization and national economic power. Moreover, it is a national priority for many developing countries, including Indonesia. In developed countries, Agriculture only contributes small share to the overall employment and the same goes to Industry, which the share of employment is smaller than the developing countries, since they tend to expand their Service sector. An often suggested but controversial â€Å"Pattern of Development† is that the share of employment in industry is decreasing as the service increases as when developed-country status achieved) Furthermore, developing nations have tended to have a higher dependence on primary exports even though the goods are typically less advanced in skill and technology content. Adverse Geography Geography plays a role in problems of agriculture, public health, and  comparative underdevelopment. In tropical/sub-tropical countries for example, most of them are developing countries. They suffer from pests, diseases such as Malaria, and many others. Another case is in Africa, which most countries are landlocked countries. They tend to have lower incomes than other countries that are Coastal. Not only geographical location, the rising issue of Global Warming might also bring impact especially in African and South East countries. However, geography is not destiny, but the presence of common and often adverse geographic features in comparison to temperate zone countries means it is beneficial to study tropical and subtropical developing countries together for some purposes. Underdeveloped Markets Imperfect market and imperfect information which can be found mainly in developing countries creates the market less efficient. There are aspects that determine Market Underdevelopment. They lack of: 1. a legal system that enforces contracts and validates property rights 2. a stable and trustworthy currency 3. an infrastructure of roads and utilities that results in low transport and communication costs so as to facilitate interregional trade 4. a well-developed and efficiently regulated system of banking and insurance 5. substantial market information for consumers and producers about prices, quantities, and qualities of products and resources as well as the creditworthiness of potential borrowers 6. social norms that facilitate successful long-term business relationships Lingering Colonial Impacts and Unequal International Relations Colonial Legacy Most developing countries were once colonies of Europe or otherwise dominated by European or other foreign powers, and institutions created during the colonial period often had pernicious effects on development that in many cases have persisted to the present day. Both domestically and internationally, developing countries have more often lacked institutions and formal organizations of the type that have benefited the developed world: Domestically, on average, property rights have been less secure, constraints on elites have been weak, and a smaller segment of society has  been able to gain access to and take advantage of economic opportunities. Problems with governance and public administration, as well as poorly performing markets, often stem from poor institutions. Moreover, several decades after independence, the effects of the colonial era linger for many developing nations, particularly the least developed ones. Due to colonialism, there is a high inequality between the people living in ex-colonies countries resulting less movement toward democratic institutions, less investment in public goods, and less widespread investment in human capital (education, skills, and health). The European colonial powers also had a dramatic and long-lasting impact on the economies and political and institutional structures of their African and Asian colonies by their introduction of three powerful and tradition shattering ideas: private property, personal taxation, and the requirement that taxes be paid in money rather than in kind. These innovations were introduced in ways that facilitated elite rule rather than broad-based opportunity. External Dependence Related with the Colonial Legacy, developing countries are less well organized and influential in international relations. They also have weaker bargaining position in international economic relations. Moreover, developing countries are dependent on the developed world for environmental preservation (on which hopes for sustainable development depend). This is called Environmental Dependence. This becomes interesting since Global Warming is more likely to harm the Developing Countries compared to the developed ones. How Low-Income Countries Today Differ from Developed Countries in Their Earlier Stages There are eight significant differences in initial conditions that require a special analysis of the growth prospects and requirements of modern economic development: 1. Physical and human resource endowments 2. Per capita incomes and levels of GDP in relation to the rest of the world 3. Climate 4. Population size, distribution, and growth 5. Historical role of international migration 6. International trade benefits 7. Basic scientific and technological research and development capabilities 8. Efficacy of domestic institutions Physical and Human Resource Endowments Some developing nations are blessed with abundant natural resources, while in Africa the resources are plentiful but yet to be discovered. Huge capital needed to be invested in order or these resources to be explored and exploited. The ability of a country to exploit its natural resources and to initiate and sustain long-term economic growth is dependent on, among other things, the ingenuity and the managerial and technical skills of its people and its access to critical market and product information at minimal cost. The problem with low-income and developing countries nowadays is that their people are less educated, less informed, less experienced, and less skilled compared to their counterparts were in the early days of economic growth in the West. Moreover, there is an ingenuity gap (the ability to apply innovative ideas to solve practical social and technical problems) between the rich and the poor. This did not exist in now developed countries on the eve of industrialization. Relative Levels of Per Capita Income and GDP People in low-income countries have lower level real per capita income than the developed ones in the 19th centuries. Meanwhile, today’s developed nations were economically in advance of the rest of the world. Therefore, they could take advantage of their relativity strong financial position to widen the income gaps between themselves and less fortunate countries in a long period of income divergence. By contrast, today’s developing countries began their growth process at the low end of the international per capita income scale. Climatic Differences The economically most successful countries are usually located in the temperate zone. Even though social inequality and institutional have greater importance, but dichotomy is more than coincidence. Extreme heat and humidity in most poor countries contribute in deteriorating soil quality and the rapid depreciation of many natural goods. Not only that, extreme heat and humidity also contribute to low productivity of certain crops, the weakened regenerative growth of forests, the poor health of animals,  Discomfort workers (weaken their health), and reduce their desire to engage in strenuous physical work which eventually will lower their productivity. In conclusion, tropical geography does pose problem on economic development.

Brita Case Essay

The Brita Products Company began in 1988 under the recommendation of Charlie Couric, a marketing executive with the Clorox Company. Optimistic of its capability to be profitable, Clorox acquired the right to market the home water filtration system. Clorox, citing the overriding long-term benefits of continuous filter sales, initially engaged in deficit spending. Such measures paid off and Clorox not only created a $350 million market, but also captured 70% of the market revenue. Brita enjoyed success in the market by creating a perception of better tasting water. However, as ater purification technology improved and consumer awareness increased, taste alone was no longer enough to sustain its massive market share. Consumers are demanding more in terms of health benefits and Brita needs to respond to their growing needs and wants. The market environment is characterized by fast growth. As consumers are becoming more health-conscious, bottled water and water- filtration systems are becoming a necessity for most, with a Brita pitcher in 1 out of 7 homes – 103 million households. Brita’s competitors were unable to effectively rival Brita in pitcher sales. Brita dominated despite many new entrants to the market. However, a small competitor, PUR, launched a different water filtration product. PUR’s faucet-filter system offered added health and convenience benefits that Brita’s pitcher couldn’t provide. Now suddenly, our competitors came up with the first mover product. Thus Couric is considering allocating resources to launch a faucet-mounted filtration system in response to these emerging competitors. Many think Brita needs to capitalize on this opportunity to gain new consumers while their name still remains synonymous with quality and taste. Thus raising the question, how should Brita attempt to further penetrate the market with their products? Lets take a look at the Pros and Cons of each option: Option 1: Implement the new faucet mount filtration system The Purpose This writing aims to present one possible solution to the dilemma that Clorox Company faces. The Clorox Company was the market leader in water filtration in the USA with the Brita Pitcher (one of the Clorox’s most important product), but in 1999 they faced the threat of a new product ‘ the faucet mounted filter. Clorox already had its own version of this new product ready to launch into the market, so the issue was to decide the best of the following strategies: 1 . Continue selling only the current product; 2. Introduce their new faucet mounted filter in addition to the pitcher into the market 2. The Analysis Market Summary Clorox launched in 1988 the Brita Pitcher and after a decade they were the market leaders of water filtration systems with a market share of 69%. After the Brita pitcher launch, the water quality became a growing concern to consumers. This new attitude about the quality of drinking water allowed the purified water market to grow in both bottled water and filter systems. This growing on the water market, allowed Clorox Has not defined product Market segmentation

Bebop Jazz and its Influence

Bebop was a revolutionary sound that captivated the audience due largely to the new found creative freedom of musical expression allowed by extensive improvisation. According to John Andrews (1998), Bop marked the point at which both the musicians and their audience came widely conscious that Jazz was an art form. Andrews also goes on to mention that bebops mall focus was for people to seriously listen, instead of dancing. After bebop other styles of Jazz developed, such as progressive Jazz, cool jazz, and hard bop. These three styles of Jazz, In the pollen of many people, imparted a substantial influence on current jazz, and will likely impact future generations as well. Bebop is a style of Jazz developed in the early sass as a means to revolt against big band music. Big band music required large groups of players. As a consequence, the musicians were required to follow simpler, highly structured, written arrangements. At the time, many musicians resented the lack of freedom to improvise and the reliance upon written arrangements, so they created bebop, a new style of Jazz. Bebop was vastly deferent than swing band music. It had faster tempos, complex harmonies, elaborate melodies and a rhythm section. According to _Americas Musical Landscape-? a typical bebop combo consisted of a trumpet, saxophone, double bass, piano, and percussion. Due in part to the smaller number of performing Caucasians, bebop music allowed for more freedom of expression and imagination than in big band music.Improvisation was a key feature. While much of big band music was designed to indulge the audiences desire to dance, bebop Jazz is for people who want to sit down and listen to the music. At first, many people enjoyed listening to bebop simply because it was something new and exciting. However, many people, particularly musicians, prefer bebop because of its sophistication and complexity. Some Jazz musicians felt they needed something different and preferred to play bebop Instead of swing Jazz to demonstrate their improvisational skills.Musicians such as saxophonist, Dizzy Gillespie; trumpeter, Charlie Parker; and plants, Theologies Monk; stand out as examples of creative giants who through their virtuosity, were able to achieve an innovative sound that wound into their musical presentations, more important than dancing or chatting ove r simple background music. In a way, bebop was a new genre unto itself, more akin to Jazz than big band music. Because it is essentially the basis for most contemporary Jazz styles, listeners will hear the enduring influence of bebop in most Jazz forms that have followed it.Progressive Jazz, cool Jazz, and hard bop are three styles to have evolved from bebop jazz. It is likely that these three Jazz styles, as well as others, embedded with the underlying roots of bebop will have an ongoing influence on future Jazz musicians. No one can speak for all musicians, many may prefer to play older well-established, classic Jazz, but certainly there are a substantial number of musicians that prefer playing the avian-garden styles, who will carry the flag of bebop for future generations.Bebop was a revolutionary and exciting sound that changed the world of Jazz in the asss and continues to influence Jazz styles today. At its advent, bebop was a way for jazz musicians to break away from the confines of big band music, wh ich did not allow for much improvisation or freedom of musical expression. Bebop pioneers such as Charlie Parker, Dizzy Gillespie, and Theologies Monk helped pave the way for other jazz musicians, allowing them to shed their restrictive chains of structured big band music and to elevate the level of improvisational genius that bebop allows.