Tuesday, November 26, 2019

The One

The One Janie Johnson, now Jennie Spring, never thought anything like this would ever happen. She was kidnapped, and now she is going back to live with her real parents. Janie's "new" family are strangers to her. To make it even worse, she is not allowed to talk to her "other" parents. How can she make it through all this pressure? Jenny's sister gets lost in New York, or when Jenny pushes her real dad away. That was very shocking Premise: It's every parent's worst nightmare. Beth Cappadora loses her young son Ben in a bustling hotel lobby. Emotion intensifies with very hour that passes without his return. Hours turn into days. Days into weeks. Weeks into months. And months into yearsnine to be exact. Then one day, Beth goes to the door of her new home in Chicago and is met by a sweet neighbor boy who offers his lawn-mowing services.English: Temple Beth Zion Sign

Saturday, November 23, 2019

How-To Essay Topics for a Process Essay

How-To Essay Topics for a Process Essay Your first challenge in writing a how-to essay is deciding on a topic. If youre like many students, you might feel as though you dont know anything well enough to teach others. But thats not true! All people have something that they can do so well that they dont even think about how to do it anymore- they just do it. Choosing the Right Topic When you read over the list below you will realize that you do know many things in depth, well enough to teach. Typically, your inspiration will be based on lateral thinking. For example, from the list below, you may decide to write an essay on how to cook a Scottish egg after you see Crack an egg in the list. Or you may decide to write about how to make an Excel spreadsheet with all of your homework listed, after seeing Organize your homework on the list.   Narrow your choices to a few topics, and then brainstorm for a few minutes about each topic. Determine which one has the most potential because it can be divided into five to 10 clear paragraphs that you can explain well. Writing Tips Some topics are easier than others to explain. Straightforward processes versus ones with lots of contingencies will be much less complicated to write out, for instance. If you find that youve chosen a topic thats just too broad, pick one portion of it to explain. Remember, you want your reader to be able to follow your instructions to successfully complete the process. In your drafting, err on the side of too much detail and description rather than too little. (Its easier to cut material that you dont need than to add in it later.) If youre not allowed to use images with your instructions, choosing a topic that is aided by visuals makes writing the instructional process much more challenging, so take your assignment parameters into consideration as you choose what to write about. If you know your topic so well that it comes naturally to you, it may be tough to write instructions for a beginner who has no knowledge of the topic, because you forget how much you didnt know when you first started. Have a partner try out your instructions during the drafting or revision phase (or both) to see what youve left out or what isnt explained clearly enough. How-To Topics for a Process Essay   Raccoon-proof your campsiteMake an obstacle course for squirrelsSet a tableMake a pet costumeEarn $100Start a bandMake a pià ±ataMake an omeletMilk a cowStart beekeepingRead palmsMake a quiltWash a carDecorate a bedroomMake a podcastBurn a CDStart a recycling programCollect stampsClean a bedroomMake a pizzaMake a volcanoOrganize your homeworkPlay the guitarMake a sock puppetMake a doll dressWrite a letter to the editorWrite a complaintPlan a partyPlant a treeCreate a cartoon characterImprove your spellingBake a layer cakeChange a tireDrive a stick shiftMake a Christmas stockingLearn to dancePlay chessDo a magic trickGo bird watchingMake a music videoMake a candleMake soapPaint a pictureCreate art with crayonsCreate a web pageStay safe on the InternetWrite a songWrite a poemMake a handbagTie a scarfMow the lawnMake a hamburgerMake pancakesMake a pillowPlay footballMake a sculptureMake a lampMake shadow puppetsMake a boxCare for petsBuild a tree housePlay tagPlay hide and seekPaint fi ngernails Make homemade slippersTie macramà © knotsMake a sandwichMake chocolate milkMake hot chocolateMake a pot of coffeeMake a milkshakeBraid hairSell old toysSkateboardEat crab legsBecome a vegetarianMake a saladDesign a jack-o-lanternRide a horseRace turtlesCatch lightning bugsMake a wildflower bouquetCut paper dollsEat an ice cream coneChange a diaperMake fruit punchMake a campaign posterFrame artMake a fake tattooInterview a celebrityCatch a fishMake a snowmanMake an iglooMake a fanWrite a newsletterCrack an eggMake a necklaceTie a necktieRide the subwayWalk like a modelRide a motorcyclePitch a tentFind something youve lostCurl your hairSaddle a horseMake a sandcastleBob for applesGo hikingApply for a jobDraw stick figuresOpen a bank accountLearn a new languageAsk for a later curfewBehave at a fancy dinnerAsk somebody outPose for a pictureWake up in a good moodSend Morse code messagesMake a kiteHem your jeansPitch a fastballBe a ghost hunterMake string artFly aloneShaveMop a floorPeel an apple String popcornRemix a songWalk a tightropeStand on your headFind the Big DipperWrap a giftRoast a marshmallowClean a windowMake a campfireHave a yard saleCreate a carnival in your yardMake balloon animalsPlan a surprise partyWear eye makeupInvent a secret codeRecognize animal tracksTrain a dog to shake handsMake a paper airplaneSwat fliesPull a toothCreate playlistsPlay rock, paper, scissorsHula danceFloss your teeth

Thursday, November 21, 2019

National Security and Science and Technology policy Essay

National Security and Science and Technology policy - Essay Example This exceedingly complex mission requires a focused effort from our entire society if we are to be successful. To this end, one primary reason for the establishment of the Department of Homeland Security was to provide the unifying core for the vast national network of organizations and institutions involved in efforts to secure our nation." (http://www.dhs.gov/dhspublic/theme_home5.jsp, para 2) United States history tells that war prompted the creation of most U.S. government science agencies. The integration of an applied Research and Development programs were essential elements in addressing and supporting the agencies' missions. Elements of fundamental science allows breakthrough of these unlimited opportunities. (http://www.issues.org/18.2/ bonvillian.html, para 18) Thus, R&D, as an integral part in the science and technology policy, has become a major factor in attaining the US national security. The role of science and technology in the nation's security was launched when Thomas Jefferson was commissioned to Lewis and Clark two centuries. Since then, territorial expansion and the industrial revolution continued to drive U.S. science and technology policy throughout the 19th century. The country's unforgettable experiences in the two World Wars and their aftermaths were the primary factors that influenced the government's realization of science and technology in the 20th century which soon became the turning point that lead to the revolution of science and technology and the importance of its research and development programs. (Marburger, 2005) The birth of the National Science Foundation in 1950 was the result of the country's attitudes towards the government's role in science and technology. Larger and more advanced Department of Energy laboratories were existed and established under the Atomic Energy Commission. Military services were at the same time provided with an official research office in 1951. At that time National Institute for Health (NIH) had existed for twenty years, wherein National Aeronautics and Space Administration (NASA) and Defense Advanced Research Projects Agency (DARPA) were established eight years later. Some reorganizations occurred after 1960, notably the metamorphosis of the AEC into the Department of Energy and more recently the creation of the Department of Homeland Security, but since 1960 the federal framework has evolved very little. (Marburger, 2005) Presidential science advisors were appointed by the government to take the responsibility in overseeing adherence to a presidential policy that insists on competent, objective, balanced, and open advice. Their roles moreover involves in creating strategies on implementation and enforcement of these policies. (Branscomb, 2005) Some of the most significant roles of science advisors in the US federal government involved national security. During the war they linked the President and top

Tuesday, November 19, 2019

Covenant & treaty Essay Example | Topics and Well Written Essays - 250 words

Covenant & treaty - Essay Example The following is a list of these covenants. Man was made superior over all creations as he was the only being made in God’s image. God asks Adam and Eve to fill the earth and subdue it, and promises to give to them all seed bearing plants and trees. In the book of Genesis 9, God made a covenant with Noah. The covenant came right after the great flood that wiped out all the creators from the face of the earth leaving only Noah and his family together with the a couple of each animal species. God promised never again will He destroyed the world with rain and a rainbow became a sign of God’s reconciliation with mankind (Harris and Platzner 142). The rainbow is a reminder of what humanity faced and signifies the promise. The covenant with Abraham signifies a beginning of a creation of a new nation that was promised by God. In this covenant, God asks Abraham to leave his country and family for a new place. He promises Abraham will be made into a great nation and all the mankind will be blessed through him. Abraham absolutely trusts in God and does as asked (Harris and Platzner 144). The covenant marks the history of the Israelites and shows the redemption of these people. It is a conditional covenant by God to Moses which depended on the response of the people. Therefore, it meant that there would be blessings for obedience, but judgment for disobedience (Ex. 15:26; 19:3-8). Moses was promised that the Israelites will be God’s chosen treasured people. The laws that made the covenant, revealed Gods desire for the nation to be set apart from all other nations. David is promised an everlasting lineage and kingdom (Harris and Platzner 222). The covenant was made to re-create the relationship that was broken between God and the people. The promise was finally fulfilled in the New Testament as Jesus ruled over the nation. The covenant is made by God to all mankind. He promises to forgive and grant a universal knowledge of

Sunday, November 17, 2019

Pluto Paper Essay Example for Free

Pluto Paper Essay Ever since grade school you were taught that our solar system has nine planets. Sadly that is no longer the case; in 2006 astronomers have decided that Pluto no longer qualifies as a planet. Pluto is now considered a â€Å"Dwarf Planet† and has caused a lot of controversy among astronomers. A dwarf planet is not even considered to be a planet, and there are projected to be hundreds of them in our galaxy. Pluto is being demoted to what amounts as a third class citizen in our galaxy. Thousands of textbooks will have to be revised and changed in our schools just because of this one change they made to our solar system. According to the new definition for a planet, a full-fledged planet is an object that orbits the sun and is large enough to have become round due to the force of its own gravity. In addition, a planet has to dominate the neighborhood around its orbit. The definition is flawed, relating to â€Å"clear the neighborhood†. Every 228 years Pluto crosses inside of the orbit of Neptune, so technically speaking, it does not clear its neighborhood. But that also means that Neptune does not clear its own neighborhood. Mars and Jupiter don’t clear their neighborhoods as they â€Å"interfere† with the Asteroids, and the Earth actually orbits the Sun with thousands of Asteroids. So the Earth doesn’t clear its own neighborhood either. So if we use the new definition, Pluto, Neptune, Jupiter, Mars, and the Earth, are not planets! Otherwise Pluto fits the definition for a planet; it is from a faulty definition that Pluto is no longer allowed to be a planet. Also, a body’s difficulty in clearing its orbit or the volume of space that it must clear increases dramatically its distance from the sun increases. Clearing is most difficult for Pluto, the furthest â€Å"planet† from the sun. Furthermore, why aren’t â€Å"Dwarf Planets† known as planets? Dwarf Stars are still stars, and Dwarf Galaxies are still galaxies. If it has the word â€Å"planet† in it why is it not a planet? One of the biggest problems with how Pluto got demoted from being a planet was the voting process. Although there are over 10,000 Astronomers in the International Astronomical Union, only 237 of them voted and approved this definition. Only 4% of the astronomer population voted, many of them felt they should have been able to vote electronically. Therefore, there was NOT a majority consensus of what a planet is. If people had to be at only one specific spot every time they voted for something I’m sure even our presidential votes would have changed because no one would want to vote. Hundreds of Astronomers around the world have signed petitions to ignore the new definition and still refer to Pluto as the ninth planet in our Solar System. They believe the definition of a planet is sloppy and needs to be drastically revised. If so many astronomers don’t agree with the decision, what gave them the right to change the definition and make Pluto no longer a planet? The demotion of Pluto is also going to hurt its research funding. No one wants to study it if it’s not important enough to be a planet. Discovered in 1930, Pluto orbits the Sun, has three moons, has an atmosphere, has weather, and even polar caps. It is not that much different than any of the other planets. It has been known as a planet for more than 75 years, and to change its status with a poor definition and process is bad science. Pluto has earned the right to be a planet; it has been for years and for a few men to say it’s not based on a bad definition is wrong. Pluto needs to be considered a planet again, who knows what they might try to change in our solar system next.

Thursday, November 14, 2019

Essay --

Name: Salma Atef ID: 116741 Module Title: Comparative Politics Module Leader: Dr. Gamal Selim Research Paper Topic: The role of military in non-democratic/ authoritarian systems Due Date: 19th of December, 2013 The Role of military in Non-Democratic States The role of military extensively varies from one country to another in light of the country’s military institution. In addition, it is characterized by its various fundamental duties, which is: firstly, to enhance the means of protection of the country’s borders from both, external and internal (domestic) threats which can possibly put the country in an ominous situation, and secondly, to meddle in urgent political affairs. In other words, to intervene in politics and take a step in to help redeem the situation, to some extent this can be held for a period of time or for a lifetime. In light of the military’s intervention which occurred in Turkey for several years, it is in fact in the interest of Egypt to be ruled under a military rule for the sake of stability and achieving the state’s goals yet it cannot be guaranteed. This paper will examine the role of military in two countries. The two case studies used are Egypt and Turkey (being used as a role mod el). Chiefly, the paper will be divided into three sections: the first section will assiduously define the principle of military interventions in general as well as mention its importance and under what conditions is it necessary to intervene. Whereas the second section will comprehensibly discuss and inspect the approach (methods) that Turkey had taken to result in such a democratic development after the coup d’Ã ©tat (1980); this was the third coup on Turkey, and thus it had several negative effects on its economy. ... ...ary and the Egyptian Revolution. Retrieved from: http://www.academia.edu/3303395/The_Military_and_the_Egyptian_Revolution_Resistance_to_Reform Roberts, H. (2012). What Happened to Democracy in Turkey? A Beacon of hope in the Middle East is plunging into twilight. Retrieved from: http://www.independent.co.uk/voices/comment/what-happened-to-democracy-in-turkey-a-beacon-of-hope-in-the-middle-east-is-plunging-into-twilight-8399325.html Schwartz, D. (2013). Egypt’s ‘Dangerous precedent’ and Turkey’s history of Coups. Retrieved from: http://www.cbc.ca/m/touch/canada/story/1.1356899 Surtees, J. (2011). ‘Turkey is not a free Country’. Retrieved from: http://www.theguardian.com/commentisfree/2011/may/01/turkey-free-democratic-reform-youth Tachau, F. & Heper, M. (1983). The state, politics, and the military in Turkey. Comparative Politics, Vol. 16 (No.1), pp., 17-33.

Tuesday, November 12, 2019

Ethics Game Dilemma Essay

The Ethics Game simulations of The Mysterious Rose and The Cold Feet Dilemmas address the following ethical issues: The first ethical concern is regarding a company employee by the name of Gayle Dornier. Gayle has received unwanted flowers from an unknown person, multiple times per week, and to this day Gayle has no idea who is sender of the flowers. Receiving a large quantity of flowers has begun to make her feel uncomfortable. Therefore Gayle is taking the proper Chain of Command to find a possible solution to the problem. After speaking to Rian Brown who is the company’s Ethics Officer, I decided that the most important issue was to maximize complete confidentially during my meeting with Gayle, because her issue seemed to be a very important to her. I also had to figure out key shareholders who were directly involved in this case, as well as who’s directly affected. Decision making steps involved in addressing this issue were mainly to figure out what the issues actually are and to break it down into small parts ensuring proper investigation, as well as proper facts regarding the case were identified. The main issue is to determine if a Sexual Harassment issue is present or not. The Ethical Lens used in addressing this issue was Rights/Responsibilities and the Results Lens. The Rights and Responsibilities Lens is based on the duties that everyone in our community has towards each other, and how we live by certain principles of integrity, for example, treat other the way you would like to be treated. The Results Lens is based on the actual results that we want to accomplished, and create the greatest good for the greatest number of people. Ensuring that the company’s reputation is not affected, as well as the well being of all parties involved should be the best outcome. The Ethical Lens is very important in the determination of my final decision; I was fully aware of the individual feelings of all parties involved. The Ethical Lens also helped to with the proper final determination was made on fairness and facts. As Gayle’s Immediate Supervisor, I feel it is my responsibility all employees have useful information about processes to protect themselves in any situations of potential harassment. The Cold Feet simulation of Ethics Game Dilemma involved company researchers Phillip Waters and Nikolai Zubanov. Who both submitted reports, but two different results were given to me. Nevertheless Phillip Waters have suppressed information causing elimination of adverse information enclosed in the reports, the ethical issue in this case deals with integrity and submission of fraudulent information. There is a decision to make in regards to what should be done if it is declared an employee has falsified a document. The Ethical Lens used was Relationship and Reputation. The Relationship Lens is centered on processing the systems for an ethical organization. It protects the basic liberties of all people. Everyone is entitled to their rights; regardless of income status everyone is deserving of fair process. The Reputation Lens is focused on exhibiting the virtues which are valued in the community for people who are in roles. These ethical lenses affected my decision making it ensured that I was open and honest in all facets of the concern. The ethical perspective is not always making everyone happy, because it is virtually impossible to make everyone happy. Ethical perspective focus on making the best decision for the good of all individuals involved as well as setting the standard in future situations. These ethical lenses helped to influence my decisions based on the information that was provided. It allowed me to be fair towards all individual concerns as well as a guide provide me with the proper steps to handle the issue. The concepts of this simulation relates to my personal workplace. Since the conception of my new office six months ago we have went without set standards practices for employees to follow. People became frustrated and overwhelm and decided to leave. Lucky, a strong Senior Management Team is currently being developed to help my office transition into new define standards practice. I believe there should be standard practices in the workplaces by using proper ethics, and treat all individuals fairly. Treating people the same way that you would like you would like to be treated will usually ensure that the proper ethics are used in all situations.

Saturday, November 9, 2019

KRISPY KREME Essay

1. What can the historical income statements (case Exhibit 1) and balance sheets (case Exhibit 2) tell you about the financial health and current condition of Krispy Kreme Doughnuts, Inc.? The historical financial statements can tell us a lot about the financial health and condition about Krispy Kreme or any other company. By utilizing some key financial ratios we can determine how the company compares year over year as well as against competitors in many ?different dimensions. These dimensions include short term solvency, or its ability to meet its immediate obligations, long term solvency, or its ability to manage debt leverage, asset management, or its ability to utilize company assets to make profit, profitability, or its ability to generate a favorable bottom line, and market valuation measurement, or its overall company value in the market compared to book value or earnings. 2. How can financial ratios extend your understanding of financial statements? What questions do the time series of ratios in case Exhibit 7 raise? What questions do the ratios on peer firms in case Exhibits 8 and 9 raise? As mentioned above financial ratios can really give an analyst a look into how effective, efficient, and profitable a company is and has been in the past. In exhibit 7, different ratios bring up different questions. The trend of the current ratio is a bit puzzling to me and begs the question, why does it continue to grow? Krispy Kreme has by far the highest current ratio in the industry, and it appears as though some of the biggest competitors have current ratios at or below 1. Although it is good to have short term solvency, too high of a ratio could be a sign of missed opportunities for investment. What else could Krispy Kreme be doing with its liquid assets that might garner increase profitability that seemingly others in the industry are acting on? The next ratio that interests us is the asset to equity ratio, or the equity multiplier. This ratio is an indicator of how the company manages leverage. The higher the ratio, the more of a percentage of operations is funded by equity. Krispy Kreme’s equity multiplier has been relatively consistent since 2001, but is just below par with most of its competitors. What this means to us is that Krispy Kreme is not as effective in utilizing leverage to benefit the company as some of its competitors which doubles up on the previous question asked. What else should Krispy Kreme be doing, or investing in to improve efficiency and performance. Total asset turnover is an important ratio to look at because it is an indicator of how well a company utilizes its assets to generate sales. The first thing that we noticed is that Krispy Kreme’s total asset turnover ratio decreased every year from 2000-2004. This speaks to an increase in inefficiency in the use of asset to generate sales. It should however be noted that it is typical that as companies grow, it is difficult to maintain a higher total asset turnover ratio. That notation is exemplified when you look at the competitor ratios. The biggest competitors like McDonalds and Wendy’s have similar if not lower ratios. Our overall concern is that none of the other competitors had ratios that low and we did not feel that Krispy Kreme was or is anywhere near the size of McDonalds or Wendy’s. This raises the concern that even though the company is expanding and acquiring new assets, it is not effective in translating the growth into sales. Finally, and perhaps most importantly, we took a look at ROE, or return on equity. This ratio gives an idea of the profitability of the company as well as a return that an investor would expect on his or her investment. Although Krispy Kreme has benefited from stable ROE over the period of 2000-2004, it is sub-par compared to its competitors. What would make Krispy Kreme more attractive to investors, if its ROE is below average in its own industry? To look a little further into some of the statements and ratios, we did a DuPont analysis for Krispy Kreme and several of its competitors. Each of  the individual components have been previously discussed, but it is interesting to compare them together to see how three of the most important aspects of the business have changed over time. Specifically it is worth noting that Profit Margin has increased significantly every year since 2000. What this means is that Krispy Kreme has gotten better every year at turning each sale dollar into net income. 3. Is Krispy Kreme financially healthy at year-end 2004 When looking at the 2004 DuPont analysis, you see that not only has profit margin increased every year, but it is more than 2% better than the industry average. That being said, Krispy Kreme does not utilize its assets as efficiently as its competitors. This potentially troubling because of the fact that they have gone through aggressive growth in stores recently. Is this an indication that these stores are not generating the sales necessary to justify the investment, or at least as well as its competitors might be able to? Finally the equity multiplier comes in below the industry average. To us this means that Krispy Kreme does not utilize its leverage as effectively as the competition. Perhaps it would be to Krispy Kreme’s benefit to increase leverage and invest in order to increase growth and earnings in a similar manner to its competition. Overall, we believe that Krispy Kreme is moderately financially healthy as of the year end 2004. The profitability of the company is we ll above industry average, and the asset turnover and equity multiplier ratios are not drastically different from industry averages. 4. In light of your answer to question 3, what accounts for the firm’s recent share price decline? There was a decline in the share price because, firstly, the company said to expect fewer earnings because of the low-carbohydrate diet trend and also they had close down few underperforming shops, which was a result of their aggressive store expansion. The main cause of the recent share price decline is when the financial scandals became public. As a result, investors lost confidence in the company. 5. What is the source of intrinsic investment value in this company? Does this source appear on the financial statements?

Thursday, November 7, 2019

Edward Taylors Huswifery Essay Example

Edward Taylors Huswifery Essay Example Edward Taylors Huswifery Paper Edward Taylors Huswifery Paper Essay Topic: Poetry Who was Edward Taylor? A Puritan, who fled to the American colonies because of religious persecution (1642-1729). What poem did he write? Huswifery. What does huswifery mean? Care and management of a household. What is this poem about? The poem is about trying to be closer with God, and being used by God. How does Taylor show what the poem is about? Taylor uses extravagant comparisons, intellectual wit, and subtle arguments. What is the rhyme scheme of this poem? A B A B C C What metaphor is used in the first stanza? The spinning wheel. What does conceit mean? Strained metaphors that compare the connotations of two wildly different entities What is an example of conceit in this poem? Make me, O Lord, Thy spinning wheel complete. What does the spinning wheel, distaff, flyers, spool, reel, and yarn have to do with Edwards background? They are all found in a Puritan home. They are what gave the poem its title.

Tuesday, November 5, 2019

What is the Cost of a Professional Author Website

What is the Cost of a Professional Author Website What is the Cost of a Professional Author Website? If you’ve spent any amount of time on Reedsy, you will have hopefully heard us talk about the importance of having an author website. And, ideally, you will already know how self-publishing authors need a site that’s more sophisticated than a Tumblr page - which is why many of them will, at some point, work with professional web designers. But the big question is: how much does this cost? Find out the average cost of professional web design services for authors! Since the summer of 2017, Reedsy has connected hundreds of authors with professional website designers - many of whom have worked for the world’s largest publishers (and some of their biggest authors) to create awesome-looking sites. Based on the data we’ve pulled from all those collaborations, we can now reveal the average cost of working with a professional web designer on your author site.How much does web design cost on Reedsy?The following represents the cost of web design projects on the Reedsy marketplace since mid-2017. The values are given in US dollars.10 Tips on How to Make an Author Website (+ Bonus Checklist) Read post 59% included some degree of branding or design. This means adapting visual assets from the author’s press materials (usually the cover design, etc) and working to create a cohesive author brand across the site.51% included a newsletter sign-up and lead magnet. We would perhaps expect this to be higher. In our opinion, this is the most important feature of an author website.52% involved Search Engine Optimization (SEO) work. The trouble with a lot of DIY website services is that they often let the site owner make rudimentary mistakes which will affect people’s ability to find them online.34% involved updating an existing website. In most of these cases, the author has drafted in a pro to help them add features (such as the lead magnet), optimize the SEO, and/or provide a more polished design.So what can you learn from this? If we were to leave you with one piece of advice it would be to consider what you want from your site before you send a request to designers. Take in spiration from other authors’ sites and if you’re still not sure, simply ask the web designers for their advice. They’d much rather help you meet your needs than oversell you on something you don’t need. With their help, you can create a site that’s not only beautiful and easy-to-use but will help you grow your writing career.To connect with the best freelance author site designers, head to the Reedsy Marketplace and sign up for a free account.

Sunday, November 3, 2019

Medication Adherence in Elders Research Proposal

Medication Adherence in Elders - Research Proposal Example Medical adherence has been defined by Osterberg & Blaschke, (2005) as â€Å"the extent to which patients take medications as prescribed by their health care providers†. It has been reported as a crucial factor determining the health and well being of elderly population by the World Health Organization (Chung et al., 2008). The issue has been reported to have high prevalence varying from 8-71%, 13-93% during various studies. It has been estimated to result in huge economic burden as well as high mortality (Unni, 2008). Recent evidences indicate that only 50% of the prescribed doses are actually taken by individuals diagnosed with chronic diseases. Of these patients approximately 22% take medication in quantities lesser than the amount recommended, 12% do not fill their prescription and 12% buy the medication but forego them entirely. Though race, ethnicity and age have not been reported to be a risk factor for medication non-adherence, the issue is rendered critical among elder ly patients due to the high vulnerability of this age group to chronic illnesses (Kocureck, 2009). In the light of above discussion the importance of research investigating the various aspects of the medication adherence in elderly population is highlighted. The current research aims to examine the prevalence rates of medication adherence in elderly population. Literature Review High prevalence and large economic burden of medical non adherence has led to extensive studies and investigations enabling an understanding of the issue and devising adherence strategies. However despite the prolific research conducted during the last three decades an optimal strategy is lacking and hence the prevalence rates for non adherence are still on a rise. An estimated 100 billion dollar remains the annual cost of dealing with complications such as hospitalization, disability, disease aggravation mortality etc resulting as a consequence of non adherence (Wertheimer & Santella, 2003). On the basis of causes of non-adherence two types of medication non-adherence have been identified: intentional and unintentional. While the latter has been attributed to forgetfulness or incidental causes; the former is usually reported in patients who have been taking medications but discontinue upon feeling better or worse. However later research has shown that patient’s belief is an important contributor to forgetfulness in taking medication rendering ‘forgetting to take medication’ not a purely unintentional type of non-adherence (Unni, 2008). The major obstacles to medication resulting in non-adherence include forgetfulness, different priorities, deliberate omission of doses, information deficit and certain psychological factors. While the aforementioned factors are at least partially under the control of patients, certain factors such as cost, patient lifestyle inconsistent with medication timing and complex medication regime are important contributing factors attributed to the health care provider (Osterberg & Blaschke, 2005). Six patterns of medication adherence have been identified in patients with chronic diseases. First group adheres to the prescribed doses and timings fully, second is characterized by delays but with complete doses, third miss a single doses occasionally and also are inconsistent with