The Dancer, By Ahmad Tohari And The Memoir - 1375 Words

The novel â€Å"The Dancer†, by Ahmad Tohari and the memoir â€Å"Across Three Wildernesses†, by Ken McCullough, are first hand accounts of what it was like to be living during the cold war era in Southeast Asia. Although, both the novel and the memoir exam the treatment of the people on the local level they also examine the effects of the struggle between communism and capitalism on the larger global level. While the memoir is based in the country of Cambodia and the novel is based in the country of Indonesia, they both have astronomical similarities. For starters, both of the writings begin by following one man throughout his life and ends with their place in the cold war era predicament. For example, in the memoir â€Å"Across Three Wildernesses†, the author is telling his life story of how he grew up as a young boy and traveled to America to have a better education. Upon his return home, some eight years later, the quiet life in Cambodia he once knew changed very quickly. He, along with his wife, son, and mother-in-law were forced out of their homes and into a concentration camp. This was a time when one country was trying to force its beliefs on another country. In this memoir, the Khmer Rouge began to enforce their communist beliefs on Cambodia. The Cambodians were forced out of their homes and into the mountainside of Cambodia . The people were then forced into concentration camps where they were essentially slaves. They worked long hours doing strenuous work for no pay. The work

A critique of the “NCHRP Synthesis 397 Bridge Management...

During the period after the collapse of the I-35W BRIDGE in Minnesota, the National Cooperative Highway Reset Program(NCHRP) published a synthesis about bridge management system and decision making that need to be applied across the country. The collapse has awakened public and private agencies in charge so that they begun a new era characterized by paying much attention on their career. A synthesis made by The National Cooperative Highway Reset Program (NCHRP) and lead by Markow and Hyman showed programs and system that need to be put in place in order to reshape bridges management for the sake of program performance. The point at issue is to see why it were important to implement those programs and also analyze its content in order to†¦show more content†¦Engineers need to make sure that skills and attitudes listed above are part of their work. For example, according to the report, costly researches on bridge condition are undertaken whenever necessary but sometimes the ir result are overlooked and never given their due consideration. Unfortunately, the report failed to show clearly attitudes engineers need to develop in order to make their work successful and avoid failures. This analysis was professionally powerful because it would help engineers to recognize and understand systematic errors that can lead to failures. Understanding what engineering is and what engineering can do is to know how failures can happen (Petroski). Among the main causes of this collapse was the lack of accurate inspection because the investigation conducted before were claiming that the bridge was still in good shape as shown by the National transportation Board (NTSB). This shows that in investigating causes of failure and identifying the parties responsible, engineers will not only check strength and stability of their design but also try to investigate business and practices that may be hidden behind the failure. The report put emphasize on preventing failures but never shows how to get the best out of failures because it did not take into consideration the previous failures. And this would make the report a bit poor. According

Development and Globalisation Free Essays

string(208) " been outsourcing of service operations, such as call centres, Mumbai, this extends the influence on a global scale also the employment costs are a lot lower even though there is a highly educated workforce\." Development and Globalisation Development A process of social and economic advancement in terms of the quality of human life. Development can involve can involve economic, demographic, social political and cultural changes. Development is a term that can be used in many different contexts whether it is social, economical, political etc. We will write a custom essay sample on Development and Globalisation or any similar topic only for you Order Now However generally development refers to an improvement in certain areas: †¢ Economic o An increase in the country’s economy with a shift from secondary to tertiary industry which becomes less dependent on FDI. †¢ Demographic An increase in population and a more ageing population as standard of living increases. Birth rates and death rates drop as life expectancy increases. †¢ Social o An increase in the range of services, increased land prices and a more multicultural society. Greater access to education, health care and communication †¢ Political o More democratic and more influence on the ‘global stage’. Stable government, no dictatorship. †¢ Cultural development o Greater equality for women and better race relations in multicultural societies. Measuring Development Associated essay: Political Parties Are The Pillars of Democracy GDP- Gross Domestic Product – the value of all the goods and services produced in a country in a year, in $US, usually expressed as â€Å"per capita† (per person). PPP (purchasing power parity)* figures are more useful. *Adjusted for loss of living GNP- The total value of goods and services produced by one country in a year, plus all net income earned from overseas sources, in $US. HDI- Human Development Index: It is a summary composite index that measures a country’s average achievements in three basic aspects of human development: health, knowledge, and a decent standard of living. Life Expectancy †¢ Literacy Rate †¢ Standard of Living (measured in GDP per capita) It gives a more complete picture of development of a country than GDP alone as it considers social factors and not just economic factors. Development Continuum Originally there were three groupings that made up the development continuum, they were: †¢ First World (those developed countr ies that had a democratic government and a strong economy) †¢ Second World (communist countries) †¢ Third World (UN developed countries) However as time has gone on newer economies have started to develop caused by different development patterns and speeds. The Development gap †¢ The gap between rich and poor countries †¢ Most commonly, the gap is thought of in terms of income/economics †¢ It also social, environmental and even political aspects There was a suggested North/South divide originating from the Brandt report in 1980, where the north accounted for 80% of GDP but only 20% of the population; however this too requires some artistic licence and is a very general way of dividing countries. There are more accurate ways of grouping countries as listed below and as countries move through the development continuum countries pass from one category to another: †¢ Developed (MDC’s – the most well developed countries eg. UK) †¢ Developing (Countries which are undergoing development – arguably they all are. Eg. Malaysia) †¢ LDC’s (Least Developed Countries – eg. Ethiopia) †¢ NIC’s (Newly Industrialised Countries – Have just finished development (10 years or so) Eg. China) †¢ RIC’s (Recently Industrialised Countries – Further behind than the NIC’s eg. Dubai) Centrally Planned Economies (The few remaining communist countries eg. North Korea) †¢ Oil Rich Countries (Countries rich in oil eg. Saudi Arabia) Causes for the Development Gap †¢ Colonialisation – colonial powers took resources from poorer countries †¢ Price of commodities is often controlled by TNCs ensurin g high profits for MEDC firms and low prices paid to LEDC producers – Fair trade set up in reaction to this. †¢ LEDCs are now primary producers – producing low cost commodities, e. g. bananas †¢ Primary commodities have fallen in price, or stayed steady, while commodities they need has increased, e. . oil What is preventing the Development gap from closing? †¢ Many LEDCs main industry is as primary producers – generally low profit †¢ Internatnioal trade dominated by TNCs †¢ Rapid The Asian Tigers Who or what are the Asian Tigers? Asian economies that have progressed economically at such substantial rates that have come to rival the earning capacity and quality of living of those being first-world countries – Taiwan, Hong Kong, Singapore and South Korea. Globalisation Globalisation: The increased inter-connection in the world’s economic, cultural and political systems. Positives |Negatives | |Allowed the movement of people more easily |Uncontrolled migration | |Increased foreign trade |Inequality in wealth | |More access to food, services, healthcare etc. ll over the world |Heavy environmental cost | | |Loss of countries individual cultures, global cutters | †¢ Globalisation began in the 19th century as there was the beginning of movement of people and goods; †¢ Increase in independence †¢ Increase in trade as well as the spread of industry †¢ Beginning of Trans National Corporations. Globalisation continued in the 20th century and was shaped by a number of factors including: 1. Emergence of free markets (capitalist economy) 2. Deregulation of world financial markets 3. The establishment of the General Agreements of Tariffs and Trade (GATT) –the WTO which sought to lower trade barriers. 4. The emergence of trade blocs 5. The establishment of the IMF and the World Bank 6. Development of global marketing and the continuing rise of TNCs. Flows †¢ Capital o ICT allows cheap, reliable and almost instantaneous communication o Allows sharing information o Allows transfer of capital o Allows Marketing around the world †¢ Labour o Improved transport for people Size of air craft o Low cost airlines o High speed rail links o Specialised workers- doctors, ICT etc. o Unskilled workers †¢ Products and services o Integrated networks o Goods handling o Computing logistics o Container revolution o Improved transport for goods o Global marketing, the world as one market and create products that fit various regional market places e. g. coca-cola and McDon alds Patterns of production, distribution and consumption Manufacturing has gone from developed countries to lower wage economies. This is known as the GLOBAL SHIFT, which is brought about by FDI by TNCs. Many LEDC’S have benefited from the transfer of technology which has meant these countries can raise their productivity without raising their wages to the level of the developed countries. This has lead to the de-industrialisation of richer countries and the focus on tertiary and quaternary industry. There has also been outsourcing of service operations, such as call centres, Mumbai, this extends the influence on a global scale also the employment costs are a lot lower even though there is a highly educated workforce. You read "Development and Globalisation" in category "Essay examples" Positive and negatives of the global shift Positives for MEDCs |Negatives for MEDCs | |Movement of polluting industries away from their country |Could lead to wide spread unemployment | |Growth in LEDC’s may lead to demand for exports from MEDCs |Loss of skills | |Cheaper imports can keep the cost of living down benefiting the retail |Negative multiplier effect | |sector |Large gap betwe en skilled and unskilled workers who may experience | |Labour market flexibility and efficiency |extreme redeployment differences | |Development of new technologies leading to investment |deindustrialisation of some areas, such as the North | |Help to reduce inflation | | |Positives for LEDC’s and NIC’s |Negatives for LEDC’s | |Development of new industries Rapid urbanisation and rural-urban migration | |Increased employment |Westernised approach to economy | |Helps to reduce development gap |Increased environmental damage die to polluting industries | |Increased FDI and investment which can lead to improved services such as |Exploitation of labour | |infrastructure, health care and education |Disruptive social impacts | |Increased exports helps BoPs, and increases income and GDP |Over-dependant on one industry | |New technologies |Destabilises food supplies, less agriculture | | |Health and safety issues because of tax legislation | Patterns of production and processes In manufacturing there has been a global shift of marketing from MDC’s to LDC’s. This leads to Foreign Direct Investment (FDI) by the TNC’s. This has led to the de-industrialization of MDC’s but means that they can also be more productive due to the transfer of technology. Newly Industrialised Countries (NIC’s) First Phase †¢ Asian Tigers (Taiwan, South Korea, Hong Kong and Singapore) started to appear in the 1960’s, as developed countries looked at their less developed neighbours †¢ Rapid industrialisation due to the increased spread of TNC’s. †¢ They share similar characteristics which allowed for such industrialisation: – Large populations – Well educated populations – Culture – work ethic – Less rigid laws on health and safety – Government support through loans and grants Rely less on foreign support and set up their own businesses such as the Chaebols in South Korea, comprising of companies such as Samsung, LG and Hyundai †¢ This has now become a multinational an d located in several different countries. Second Phase †¢ As wage prices increased in the primary TNC’s (The Asian Tigers) †¢ Countries that could offer lower wage prices such as Malaysia, Indonesia, The Philippines and Thailand, Mexico and Brazil Third Phase †¢ China and India, Turkey, South Africa and the Philippines †¢ China has seen the fastest rate of economic growth of any country †¢ India’s industry is heavily based around services – which accounted for 50% of its total GDP. †¢ New TNCs are now being set up in Indian such as Infosys, Bangalore. Positives of India |Constraints of India | |Large English speaking population |Other countries are beginning to compete | |Costs 37% lower than China |Negative reaction in MEDCs | |Costs 17% lower than Malaysia |Rising wage rates | |Professional salaries ? of UK and USA |High cost of training | |Low telecommunication costs |Negative impacts on quality | |24 hour working to fit with time differences |Corruption and bankruptcy | |Huge labor force for labor intensive jobs e. g. all centers |Command economy, governemtn speding on subsidies rather than investment | |IT college graduates, 2 million/year |Infrastructure beyond major cities is poor | | |Literacy only 61% | Growth in the 21st Century Emerging Economies account for 70% of the global population, countries including the BRICs (Brazil, Russia India and China) as well as countries such as the UAE and South Africa. The increase has been due to: †¢ Raise living standards †¢ Increase opportunities for the population †¢ Increase FDI †¢ Become more of a world player with market to an international standard Countries at very low levels of economic development LDCs †¢ The countries were outlined by the United Nations and of the top 50 33 are in Sub-Saharan Africa. They are defined by the following: – Low incomes ($800 GDP per capita over 3 years) Human resource weakness, nutrition , health, education and literacy – Economic vulnerability shown by signs of dependency on one industry †¢ Many of them suffer from widespread conflict, disease, geographical disadvantages, urbanisation and fast urban growth (demographically speaking). Quality of Life †¢ Most of the population cannot afford basic immunities †¢ Resources of such countries are not evenly distributed. †¢ Attempts to reduce poverty †¢ High population growth rate means that numbers living in extreme poverty are increasing. †¢ Many of these countries depend on FDI Debt †¢ From the 1970’s onwards some countries found themselves in a debt crisis because the borrowed large amounts from the developed world. For many countries at low levels of economic development that breaking free of poverty can only ever be a vision. †¢ There are certain policies being put in place by the IMF and the World Bank to help free the HIPCs †¢ They have provided debt relief and interest free loans. †¢ SAPs Structural adjustment programmes o Government spending cutbacks to fund debt repayments o Mexico was the first country o 3 main aims:- ? Promote exports- integration and liberalisation ? Reduce government spending- privatisation and cutting costs ? Encourage foreign investment o Both intermediate and poor countries have had SAPs applied o Some success but SAPs could make matters worse especially for the poorest people because:- Loss of credit and subsidies from the government ? Food production falling ? Devaluation of currency leads to dramatic rises in prices ? Less spending on health and education by government †¢ Another scheme, the Multilateral Debt Relief Initiative (MDRI) †¢ Aimed to cancel the debt of the HIPCs †¢ per capita income US$380 a year or less would be eligible for MDRI debt relief from the IMF’s resources Social Problems †¢ Lack of income, healthcare, education, sanitation etc. †¢ The Millennium Development Goals were set up specifically to help countries out of the cycle of poverty however they don’t look well to be completed in 2015 (the original target). Global, Social and Economic Groupings Trade Bloc is a group of nations who have joined to stimulate trade and benefit from economic cooperation. The countries involved agree to free trade between them but impose tariffs on goods from countries outside the bloc. Made for a variety of reasons: †¢ To further socio-economic development †¢ To increase alliances and trade †¢ To allow free movement †¢ To prevent war Types of groupings include:- †¢ Free trade areas- tariffs and quotas are reduced on goods between members and restrictions are put in place for goods coming in to the area e. g. NAFTA †¢ Customs unions- tariff on imports from outside the group e. g. Mercosur †¢ Common Markets- like customs unions but with greater freedom of movement of labour and capital, e. g. previously EU, current example East African Common Market †¢ Economic Unions-all of the above as well as member states are also required to adopt common polices in areas such as agriculture (CAP) fisheries, transport, pollution (Kyoto agreement), industry, energy and regional development e. g. EU Positives and negatives of trade blocs |Positives |Negatives | |Greater chance of peace between member nations. Having to share economic resources | |Faster and smoother economic development |Many countries will have to pay a large sum of money regularly to be in a | |Trade barriers removed |trade bloc | |Higher standard of living. |Elites can hold a disproportionate amount of power. | |Certain areas of a national economy can be supported – eg. Agriculture |If one courty falls in to ecomic crisis the rest of the member states are | |through the CAP. |effected | |People seeking work can move between member states– EU. Non-member states badly affected, lack of trade | |Possibility of a common currency- Euro |Loss of sovereignty | |Greater political influence |Loss of some finacail controls e. g. European central bank | |If countries become indebted member states can help bail out, Greece, | | |Ireland. | | Aspects of globalisation TNCs Transnational Corporations are companies that operate in over two countries – usually having their research and headquarters in the country of origin and locating the manufacturing plants overseas. As an organisation becomes more global, regional RD and headquarters will develop. TNCs can be split in to three different groups according to what industry they are:- †¢ Resource extraction o Mining, gas extraction and oil producing o ExxonMobil, Royal Dutch Shell and BP †¢ Manufacturing o High-tech ? Computers, microelectronics, pharmaceuticals ? Hewlett Packard, GlaxoSmithKline and AstraZeneca o Consumer goods ? Motor vehicles, televisions and other electrical goods Many of these are assembly industries ? Ford, General Motors, BMW, Sony o Mass produced consumer goods ? Cigarettes, drinks, breakfast cereals, cosmetics and toiletries ? Coca-Cola, Kelloggs, Unilever, Heinz †¢ Service operations o Banking/insurance, advertising, freight transport, hotel chains, fast fo od outlets, retailers o Barclays, AXA, McDonalds and Tesco Growth of TNCs Why do TNCs expand to different countries? †¢ Larger populations with cheaper Labour Costs †¢ Better government policies such as grants, lower taxes and subsidies †¢ Less stringent rules on employment and pollution †¢ Fewer restrictions due to trade barriers †¢ Greater supply of raw materials To take advantage of trade within trade blocs †¢ Allowing them to grow thereby achieving economies of scale, reducing costs, finance new investment and compete in global markets †¢ Allow them to set up in markets that they want to sell in †¢ To acquire geographical flexibility so that they can shift resources and production between locations to maximise profits To serve a global market, TNCs may globalise production by:- †¢ Produce for the market in which the plant is situated †¢ Use one plant to produce for a number of countries †¢ Use integrated production †¢ S ource parts in places where they assemble their products close to the market, GLOCALISATION Impacts of TNCs on a host country Positive Impacts |Negative Impacts | |Employment |Competition | |Injection of capital into the economy |Adverse effects on local companies which might not be as efficient | |More disposable income will create a demand for more |Environmental concerns | |housing, transport and local services |Less stringent pollution laws so more pollution allowed | |Multiplier Effect |Labour exploitation | |Investment by a TNC can trigger more employment by |Exploit cheap, flexiable, non-unionised labour forces in developing countries | |cumulative causation bringing greater wealth to the |Minimum age | |area |Urbanisation | |New working methods |Factories built in major urban centres leads to younger workers migration to the area | |Transfer of technology will create a more skilled |Negative effects on the rural areas | |workforce. |Removal of capital | |JIT developed |P rofit back to country of origin | |Escape Tariffs/trade barriers e. g. Nissan in |Outside decision making | |Sunderland |Plans effecting the development of plants are made in host country to boost profitability | |To take advantage of government incentives, subsides,|Little consiereation for local people | |EPZs (export processing zones) etc. |Dependancy on TNC | |Lower costs – especially labor |More westerniese approach to life | |To reach foreign markets more effectively | | |To exploit mineral and other resources | | Development Issues within the world Trade vs Aid Trade is deemed as the more sustainable path out of the two to economic development as it helps to promote the growth in the volume and value of goods, leading to jobs and greater incomes, some of this income will help to generate domestic demand leading to investment and the multiplier effect. This will also lead to rising living standards and gaining of skills by local people However it relies on three factors: †¢ Adoption of capitalism †¢ Economic growth to ‘trickle don’ so everyone benefits †¢ Promotion of free trade This is a similar path that was taken by the MDC’s and more recently the NIC’s. However many of these NIC’s had largely stable governments, a well educated workforce and they employed protectionist policies to stimulate growth e. g. tariffs and import quotas. However there are still problems with trade for a variety of reasons: They cannot be competitive in world markets as they need to invest in equipment, technology and training to make business productive and then infrastructure etc. †¢ Schemes like the CAP undercut mainly agriculturally based LDCs †¢ Wealth does not always trickle down to those who need it, like aid. †¢ Debts mean they would have to make millions before they made profit and due to the cuts imposed by the World Bank and IMF it often means there are public spending cuts especially on health care and education Aid can be either: 1. Bilateral – from government to government. 2. Multilateral – Where collective governments donate to an organisation (such as the World bank) who the distributes it to suffering countries. 3. Voluntary – Where small NGOs send workers to help. NGOs such as Oxfam Aid is not always in the form of money sometimes it is in the form of goods or technical assistance. There are also several ways aid can be delivered †¢ Tied aid o Will limit the power of nations and may eventually cause resentment †¢ Short-term aid o Usually following an emergency such as earthquakes or tsunamis o This can be help with rescue operations o Medical supplies, shelter, food and water †¢ Long-term development projects o Improving food availability and farming methods o Helping to provide improved shelter o Health care and education o Developing better livelihoods and improving income o CAFOD, Catholic Agency For Overseas Development †¢ Top down aid Throwing’ money at a country and allowing them to get on with it. o It usually focuses on large scale, expensive projects which are unsuitable for the local community. , such as HEP projects e. g. Nepal o It often doesn’t go to the people who need it most o Usually tied †¢ Bottom up o Mor e helpful to the local community however still bring their problems. o Small scale o Treat the individuals as individuals with creativity and intelligence o They work with people to create what the community most needs and supply the materials o They can undercut local business. However aid is not perfect and may critics say:- †¢ Aid does not reach those who need it the most, it is kept at the top by the government Aid is often used ineffectively on large scale, expensive projects which are often left uncompleted †¢ Sometimes countries don’t even have the correct infrastructure to use the aid effectively †¢ Dependency can be created which is often not sustainable is aid is a large proportion of national income †¢ Tied aid comes with strings attached, in some cases with every dollar given in aid $7 is given in return Economic vs. Environmental Sustainability ‘Development that meets the needs of today without compromising the needs of tomorrow’ This would be achieved by †¢ Human potential being improved †¢ The environment is used and managed to supply people on a long-term basis †¢ Implies social justice as well as long term environmental sustainability The capacity of the environment to provide resources and absorb increasing levels of pollution is the critical threshold controlling how far population can increase and economies expand sustainably The Rio Earth summit set out the following points for each aspect of sustainability. Environmental Principles: †¢ People should be at the centre of concerns †¢ States have the right to exploit their own environment but should not damage that of others †¢ Protecting the environment is integral to development †¢ People should be informed of projections for the future as well as the current environmental situation †¢ There should be environmental legislation and standards within states †¢ Laws should be enacted regarding liability for pol lution †¢ The movement of substances that are harmful to others should be restricted States should warn neighbours of any environmental unease †¢ EIAs (Environmental Impact Assessments) should be carried out on all major plans Economic Principles: †¢ The right to development must be fulfilled so as to meet development and environmental needs of present and future generations †¢ States should work together to eradicate poverty in order to decrease disparities in living standards †¢ The needs of the poorest countries should be put first †¢ Unsustainable production and consumption patterns should be eliminated †¢ States should cooperate to restore the earth’s ecosystem †¢ Scientific information and innovative technologies should be transferred to improve understanding States should support an open economic system, with few trade barriers and tariffs †¢ National authorities should endeavour to promote the internationalism of environmen tal costs, taking into account that the polluter should pay For anything to be effective it must strike the right balance between the three core principles – economic, social and environmental. Sustainable tourism myth or reality? As tourism is an increasingly expanding, billion dollar industry, it has increasingly been looked at to become more sustainable. Up until now it has followed this pattern: †¢ The environment attracts tourists for its attractions †¢ The money spent should help to maintain these features However as tourist flows increase it starts to do more harm than good, particularly to small areas which can’t deal with the massive influx, this can lead to the destruction of farm land to golf courses, and destroying natural habitats such as coral reefs, destroyed by water sports ,e. g. Philippines . Sustainable tourism ‘seeks not to destroy what it sets out to explore’ It attempts to make sure that: †¢ It preserves natural resources for future generations. †¢ The local communities and their culture are recognised as the most important in the tourist sector †¢ Economic benefits of tourism must partly go to those who are local to the area †¢ Everything is guided by the wishes of local people and communities At the Rio Earth Summit an environmental checklist was drawn up to show how the tourism industry could become more sustainable, these included: †¢ Waste minimisation, land use, re-use and recycling Energy efficiency, conservation and m anagement †¢ Transport †¢ Water (freshwater and waste) †¢ Land use planning and management †¢ Involvement of all stakeholders in the planning †¢ Involvement of staff, customers and communities in environmental issues Sustainable tourism is an industry committed to making a low impact on the natural environment and local culture, while helping to generate income and employment for local people. Tourist can help by: †¢ Being informed of the local culture, politics and economy †¢ Respecting local cultures †¢ Contributing to local cultures and tolerance †¢ Supporting local businesses and traditional values †¢ Use the least amount of local resources Ecotourism Is one of the fastest growing sectors within tourism †¢ An economic process by which rare and beautiful ecosystems and cultural attractions are marketed internationally to attract tourists †¢ Planning and management is an important factor o Capacity is managed o Encourages conservation, by educating local people and tourists o Focuses on the environment †¢ Criticised for being ‘egotourism’ in some cases. Sustainable ecotourism must : o Have a limit to the number of visitors to sustain the environment o Set up and run in cooperation with local people Case Studies Measuring Development- HDI HDI = 1/3 (life expectancy index) + 1/3 (education index)+ 1/3 (GDP index) Advantages |Disadvantages | |Political competitiveness |Does not take into account poverty | |More factors and reliable ones |PPP values change very quickly, inaccurate or misleading. | |Easy and cheap to collect data |Little sense of income distribution | |Sign of welfare in the future, improving health and education, |Quality of life does not seem to be that closely linked | |supply-side policies which can indicate the long-term patterns of AS |Doesn’t take account like war or political oppression. | |curve |Based on normative economics. |The success of government p olicy |Other measures such as access to internet might be more important. | |Easily comparable to other countries |Changes over time – ceteris paribus | Comparing 2 countries, Nepal and the UK |Measure |UK |Nepal | |HDI |28/187 |157/187 | |Life expectancy |80. |68. 8 | |Expected years of schooling |16. 1 |8. 8 | |GNI per capita, PPP adjusted |33,296 |1,160 | |Pop. Living on $1. 25 per day % |0 |78. 1 | |Population with at least secondary education , female : |1. 015 |0. 48 | |male | | | |Sustainability, Change in forest area (%) |9. 8 |-24. 5 | |% of population living in urban areas |79. 8 |19. 2 | Sub Saharan Africa – A country at low levels of economic development †¢ Sub Saharan Africa contains many countries with the lowest HDI ranking in the world. †¢ Many hold backs from development including war, disease, famine, debt, lack of infrastructure etc. They need large amounts of FDI that will not leave them in a worse situation than when they started. â € ¢ HDI, lowest ranked are Mali, Sierra Leone and Niger (all with an average of 0. 33) †¢ The top, ranked 119th and 120th in the world were Gabon and South Africa. TNC-Barbie in Taiwan -global shift of manufacturing †¢ Barbie, an American company Mattel , was produced a Japan in 1959 †¢ Has seen a global shift in manufacturing since it started. †¢ They moved to Taiwan in the 1960’s to take advantage of cheap labour costs and increased scale of production. †¢ At its peak Taiwan alone made more than 50% of all Barbie dolls in the world. †¢ Within 20 years Taiwan’s incomes began to rise which then led to Barbie moving somewhere else Mattel opened its first factory in China in 1987, wage prices were much lower and gradually production was mover there. †¢ Today Mattel produces Barbie’s in China, Indonesia and Malaysia – taking advantage of the second stage of NICs, the Tiger Cubs. Taiwan has further benefited from globalisa tion, as it is now home to companies that manufacture most computers and MP3 players such as BenQ TNC-Coca Cola – Global Marketing †¢ A company with a single product in which minor elements are tweaked for a different market. †¢ The company uses the same formulas, one with sugar and one with Corn Syrup for different markets. †¢ The bottle design is the same and is regulated depending on different countries standards. The only countries in the world that do not sell Coca Cola are Iceland, North Korea, and Antarctica. †¢ It is not sold in Iceland because all bottles must be the same shape as there is a large recycling project and coca cola refuse to change the shape of their bottle as it is part of their brand †¢ Labour costs may be lower in some countries, especially LEDC countries. Low labour costs = higher profits †¢ Legislation on working conditions, workers’ rights, health and safety, and the environment may be less strict in some count ries. Relaxed legislation = lower overheads = more profit. †¢ Some countries may try to encourage multinationals to invest in their countries by offering lower tax rates and financial incentives. More favourable taxation = lower overheads = more profits. Unilever †¢ Unilever is a very widespread (branches in 90 countries) – include most countries in N S America, Europe, Australasia, Russia, China, India, a number of African countries = MEDCs, NICs and some LEDCs †¢ Sales also very widespread: A lot of African countries (many LEDCs and LLEDCs), Greenland, some countries which were part of the old Soviet Union (Kazakhstan, Uzbekistan, Turkmenistan, Tajikstan) †¢ Very few countries where Unilever has no presence Asian Tiger- South Korea †¢ 13th largest economy †¢ Strong government †¢ Highly skilled and motivated workforce †¢ Large amounts of trade with a positive BoP Problems †¢ Move to democracy takes time †¢ Large aging population †¢ Unequal pay for women and poor working conditions for 52 hours a week †¢ Pollution with poor construction in infrastructure, roads and sewage BRIC economies It is said that these countries will be dominant by 2050, these brick economies, don’t just rely on export industries like the 1st generation NIC’s. Brazil emerging economy †¢ President Lula, who began in 2003 took the economy out of dept and is now a stable country †¢ Generates $1. 5 trillion GDP/year †¢ Reliable power, with sustainable sources, such as hydro electric power, sugar cane, bio fuels, sustainable in own Tupi oil fields FDI is the 4th largest in the world, $45 billion each year †¢ Very easy to communicate with †¢ Emerging middle class †¢ Good highly skilled work force However there are some areas where Brazil will need to improve if its development is to continue being sustainable:- â € ¢ Will become a increasingly aging population †¢ Destruction of the rainforest †¢ Increasing cost of manufacturing †¢ Poor infrastructure †¢ Unequal society †¢ Slow national growth †¢ Increased crime and corruption †¢ 25% of the population live in poverty, favelas, Sao Paulo China – Third Stage of NIC Development †¢ In 1978 China began to follow the path of development of the Asian Tigers through an export driven road to development. Communist control was relaxed to allow this to do so. †¢ Foreign investment and joint ventures was encouraged. †¢ The internationalisation of the Chinese economy is also called the GUANXI NETWORK referring to the connections that exist between Chinese people and companies scattered all around the world †¢ In order to attract foreign industry in SE China, 14 ‘open’ coastal cities and 5 Special Economic Zones were set up. †¢ They allow tax grants which would give more prof it and were in favourable locations, geographically, to work. †¢ Labour was 80% cheaper in these areas †¢ There was a large amount of FDI for the bulk of the 21st Century †¢ Receiving up to $50 million per year. In 2006 they received $63 billion, their highest recorded figure. †¢ Sustained growth of up to 10% – one of the highest in the world. †¢ China became part of the WTO meaning that trade went from just over $250 billion to just under $1 trillion, almost quadrupling as they got greater access to global markets. Problems: †¢ Dramatic gap between rich and poor †¢ Huge rural/urban migration has left thousands in the countryside isolated as well as a decrease in agriculture meaning that poverty and famine has spread. †¢ Deterioration of environment and use of natural resources †¢ Dependent on the economy of the buyer †¢ Putting other populations before their own †¢ Development of two Chinas, east and west Chongqing –largest urban industrial city in the south-western part of china, 32 million people – A major focus on migration and of the western development policy – South of the Gorges Dam – Population grows by 500,000 people a year – Chicago of china – Heavy industry dominates – Large pollution problems, air sewage – 2000 tonnes of waste a day India – NIC driven by services Many people think that the Indian service sector is driven by call centres; however its involvement in the service sector it accounts for 50% of GDP as there is a high population of skilled workers. Software and IT companies have been attracted to India because:- †¢ Second-largest English speaking human resource in the world Investment friendly and supportive government politics †¢ Good infrastructure for power, transport and data communication †¢ World’s third largest brain bank †¢ Stable democratic with over 50 year of inde pendence †¢ Large market size †¢ Investment and tax incentives for exports in certain sectors such as electronics, telecom, software and R The UK and USA has fuelled the service sector in India as Indians migrated to gain skills which they would take back to their home country. Such skills were used to set up companies like Infosys which is now a TNC based in Bangalore. Bangalore has become the centre of ICT because:- †¢ First state to set up engineering collages First t set up a technology university †¢ Grants and tax incentives for the IT industry †¢ 1991 software technology park was built †¢ Now over 6 technology parks Infosys one of the largest software companies in India †¢ Founded in 1981 and had first foreign clients by 1987 †¢ Overseas offices in Boston and in MK †¢ 455 of workforce based in Bangalore Growth in the 21st century Dubai – An RIC †¢ Dubai is located in the United Arab Emirates †¢ Globally central as i t is half way between London and Sigapore †¢ Fastest growing economy †¢ Its economy boomed upon the discovery of oil in the 1960’s. †¢ There was a growth of 300% between 1968 and 1975. †¢ There was rapid immigration. To make itself less dependent on oil, Dubai invested in new infrastructure which attracted FDI and now Dubai’s economy is heavily based around tourism as well as banking †¢ Oil and Gas currently occupy less than 5%. †¢ Borrowed money to fund many projects †¢ One of the country’s most effected by 2008 market crash, massive inflation problems †¢ Chinese and Indian banks brought a lot of Dubai’s debts Social problems †¢ Vast numbers of immigrants †¢ Poor working conditions, 20 hour day in some cases, because people took out loans to get to Dubai, and now due to little work they have to work all hours to get as much money as they can †¢ Live in poor conditions in tent cities out of the actual city †¢ Passports are taken by employers on arrival Environmental problems †¢ High electricity cost and rising carbon emissions Sewage because there is not enough water, as the city is in a desert, water is more expensive than oil †¢ Nuclear waste †¢ Adu Dhabi, must look to help out by providing solar energy Countries facing low levels of economic development Nepal– †¢ One of the poorest countries in the world – 157/177 in HDI †¢ Its GDP per capita is also one of the lowest at $1,049 †¢ Shortage of energy, supplies †¢ Little money to spend on development †¢ Due to relief little transport infrastructure, remote communities †¢ Mainly subsistence farming and tourism †¢ 78. 1% of the population live on less than $1. 25 a day †¢ Little education and health care provisions HIPC- Tanzania †¢ 40% of the population live below the poverty line †¢ HDI is ranked 152 Life expectancy is 58. 2 †¢ Annual GDP p er capita is $800 †¢ 75% of employment is based on agriculture †¢ Literacy rate is 64% Reasons for poverty †¢ Topography and climatic conditions – limit cultivated crops to only 4% of the land area †¢ Industry- mainly limited to agricultural products and light consumer goods †¢ Dependant on agriculture which accounts for half of GDP †¢ Products include coffee, cotton, tea, tobacco, cashews and sisal which are highly competitive and have falling prices †¢ Tourism is booming especially in the National Parks Attempts to help †¢ Government: a national poverty eradicated strategy- to reduce abject poverty 50% by 2010 The World Bank, IMF and bilateral donors have provided funds to rehabilitate Tanzania’s deteriorated economic infrastructure †¢ Structural Adjustment Policies, SAP’s, poverty reduction strategy papers †¢ â€Å"Vision 2025† programme set the goals of a high quality of livelihood by year 2025; peace, stability and unity; a well educated society and a competitive economy based on sustainable growth and equity †¢ UN MDGs The results of attempts to help Tanzania †¢ Not improved quality of life †¢ Income and welfare indicators fell †¢ Even more dependent on foreign aid †¢ Increased environmental damage †¢ Pick up in industrial practice including gold and natural gas †¢ Increase private sector growth Recent debt relief in Tanzania One of the poorest countries in Africa even though it had some of its international debt written off †¢ $3 billion will be discounted over the next 20 years †¢ Tanzania’s total international borrowings of more than $7 billion Socio-Economic Groupings NAFTA †¢ USA, Canada, Mexico †¢ Set up in 1994 †¢ Aims – To eliminate trade tariffs between the three countries, pushed by the establishment of other socio-economic groupings like the EU. Mexico saw it as the best option as it had built up debt in previous years. |Pros |Cons | |Trade between member countries tripled in the first 13 years. Canada has been affected by the US increase | |Increased employment in the USA as manufacturing grew |Some US jobs have been lost as the plants have moved to Mexico | |Mexico got increased FDI as other countries wanted to locate inside |Dumping in Mexico | |NAFTA. |Mexico is being exploited because o less rigid pollution laws which | | |affects surrounding countries | EU 27 member states, set up in 1957 as the European Economic Community Aims – †¢ Promote social and economic progress amongst member states †¢ Have more government influence †¢ Introduce EU citizenship †¢ Prevent war †¢ Create better laws Positive impacts |Negative impacts | |Group activity on waste, pollution control and climate change |Loss of sovereignty over some decisions | |Common currency |Greece and Spain situation | |Large labour market due to ease of movement |Sharing fish ing grounds | |CAP support |Power of elite | |Peace in EU |Small areas fell isolated | Unilever– TNC †¢ Set up in 1890 by William Hesker Lever, who owned a soap company which revolutionised Victorian hygiene †¢ Unilever was formed by the merger of the Dutch margarine producer ‘Margarine Unie’ as they had the common raw material palm oil †¢ In 1937 Lipton tea was acquired and in 1957 birds eye joined Colworth House facility near Sharnbrook continued research efforts in food preservation, animal nutrition and health problems associated with toothpaste, shampoo and other personal products. It is one of several R D centres †¢ In 2008, the companies had over 300 manufacturing sites in more than 100 countries across every continent †¢ Unilever employs over 170,000 people and has annual company revenue of over $50 billion in 2007. †¢ Unilever has had problems with animal testing, child labour and deforestation due to the use of palm oil CA FOD- long term and short term aid Aims are to promote long-term development; respond to emergencies; raise public awareness of the causes of poverty; speak out on behalf of poor communities; and promote social justice Long-term aid †¢ Improving food availability and farming methods †¢ Helping to provide improved shelter †¢ Health care and education †¢ Developing better livelihoods and improving income Short-term aid †¢ Provide aid to disaster stricken countries †¢ Set up temporary shelters for those left homeless Democratic Republic of Congo (Kinshasa Goma), Ethiopia, Kenya Swaziland – top Down Aid †¢ Top down development is usually difficult as often hundreds of thousands of people’s needs need to be ‘catered for’ and it is difficult to satisfy everyone. †¢ The ideal goal is a communist state with a ‘one size fits all’ approach. †¢ Swaziland is in Southern Africa. It is ranked very low in the world for human development. †¢ Many individual concerns to deal with which weakened the country, AID’s, famine and drought. †¢ The number of orphans was increasing as the death rate did correspondingly. â € ¢ Several branches of the United Nations which were trying to help them such as the UN food programme, and a many NGO’s. †¢ They were distributing imported food to hundreds of thousands of people which was ultimately a good thing. †¢ However, the farmers of the local area were not able to sell the produce that they grew †¢ Therefore not able to take advantage of the wet season that blessed them. †¢ There was also a state of dependency Difficult to draw the line between those who should receive aid and those who did not. Other top down aid include large scale projects such as building dams and HEP stations like those proposed in Nepal, this can lead to the loss of valuable farm land and can limit the water downstream, leading to widespread droughts. Nepal, FoST – Bottom Up Aid †¢ Foundation of sustainable technologies †¢ Treats people as individuals with ideas and creativity. †¢ Due to the lack of energy in Nepal and the reliance o n wood, leading to deforestation and help problems in the home due to the amounts of smoke †¢ Subsides the purchase of products including solar cookers and no-smoke indoor cookers Educates people on how to make briquettes, which produce no smoke from waste, to prevent deforestation †¢ However there are limited resources to make the solar cookers and there for they are limited and rely on donations †¢ Not every community has the money to buy the equipment or has access to finding out about products †¢ Not sustainable in the long run if the donations stop Overall top down and bottom up development are both ways of narrowing the development gap, the gap between rich and poor countries. Both, like anything in life have pros and cons however the possible way forward is through micro-credit loans which give people the credit and respect that they deserve. This creates a successful and sustainable way of life and helps to lift individuals out of poverty. Economic vs. Environmental Sustainability Holes bay |Economic |Environmental | |High unemployment especially in Hamworthy gate |Ramsar and SSSI sites rare birds and invertebrates | |30 Ha of unused land, power station site |2nd largest natural harbor in the world | |Poor access to Poole town centre | | The construction of the twin sails bridge Environment:- direct flow around the support pillars of the bridge causing deposition behind the pillars, †¢ May affect the tidal flats within holes bay, and Poole harbour †¢ Sediment becoming trapped within Holes bay building up the marshes †¢ Tidal salt marshes, to the build up of humus causing the build up of peat rising the level of the and creating fresh water marshes within Holes bay †¢ Poole harbours marshes could decrease in size †¢ Destroying many habitats for bird’s invertebrates and plants alike. Econo mic:- †¢ Greatly over budget with its total cost coming in at over ? 37m †¢ Engineers spotted a large crack in the surface of the bridge making it unsuitable for use The development of the power station site will also cause an increase drain on local recourses such as schools and the area might not be able to cope, †¢ Increase the flow of traffic over the bridges. †¢ Not enough jobs generated in the area †¢ Increased population density and increased unemployment. †¢ Increased crime Brazil- Curitiba †¢ 2 million people in the population †¢ city wide service to recycle products †¢ Recycling and garbage system prevent waste issues, organic and nonorganic, with two different trucks for different types of rubbish †¢ The rubbish is sorted and distributed and reused this means that 2/3 of rubbish is recycled †¢ It also creates more jobs to help reduce unemployment Jaime Lerner, was an architect and later became mayor and designed the c urrent layout of Curitiba †¢ The city has changed from being an agricultural area to a more industrial city †¢ Flood problems have also been solved by building the parks on the flood plains and making artificial river banks around them this also prevents squatting and slums appearing in the parks †¢ Is home to many multinational industries, such as Nissan, Renault, Volkswagen, Audi, Volvo, HSBC, Siemens, ExxonMobil, Electrolux and Kraft Foods †¢ The per capita income for the city is $ 17,977 Sustainable tourism Nepal – concentrated in certain areas such as Khumbu, Chitwan National Park, Annapurna National Park and the Sagarmartha National Park, The number of tourists increasing from 526,705 in 2007 to 710,547 in 2011, – Actions must be taken in order to preserve Nepal. – Problems with air pollution from the transport of tourists and fires getting trapped in the valleys due to the high mountains – Increased demand for water and food sup plies, taking away goods from the locals – The same tracks are used by all of the tourists, erosion and destabilises the soil – Increased the risk of landslides. – Some tourists are also not respectful of people’s culture and the wildlife – Poor sewage disposal – Khumbu region problem with the amount of waste generated by trekking teams – 500kg per team all waste must be taken down the mountain rubbish there have been clean up operations carried out during training and acclimatisation time of people who wish to climb Mt. Everest †¢ for people to pay the Sherpa’s to carry down peoples rubbish †¢ Nepalese Government has begun charging deposits on tourists and are only returned if groups bring down their own rubbish †¢ Nepalese Government that they should limit the number of tourists †¢ Dismissed as it has been concluded that this will bring more harm than good, by limiting one of the country’s biggest i ndustries they could face increased widespread poverty. Kenya, Kigio Tourism is the 2nd largest contributor of GNP after agriculture. One example of where agriculture has been replaced by tourism is Kigio. Kigio Wildlife Conservancy is a 3,500-acre protected Conservancy †¢ 2 hours drive from Nairobi. †¢ Originally a cattle ranch, sold by the family to the local community who after a few years decided to forgo cattle ranching in favour of wildlife conservation. †¢ The community now receives a regular income †¢ Conservancy fee each guest pays helps towards the maintenance of the conservancy. †¢ Wide ranging habitats †¢ Many wild animals, honey badger, and over 200 bird species †¢ Protecting nearly 100 species of indigenous plant species which are being destroyed outside the conservancy. †¢ The Conservancy is at the forefront of ecotourism in the Rift Valley lakes area. Guests are encouraged to participate in low impact activities – o guided nature/bird walks, o cycling, fishing o Day or night game drives are conducted in open-sided 4Ãâ€"4 vehicles †¢ Lodges work closely with the local community and support several enterprises, schools and an orphanage. †¢ Guests can visit a group of widows that craft sisal baskets, a group that makes jewellery from recycled paper and a rug weaving factory. †¢ The lodges only sell what is made by the community and pay a fair price. †¢ A large percentage of the price is donated to the community fund. †¢ Every year, children from the local community and schools are invited to participate in ecotourism workshops †¢ To protect and improve their environment. How to cite Development and Globalisation, Essay examples

Burden of Stroke in Australia for Diabetes Mellitus- myassignmenthelp

Question: Discuss about theBurden of Stroke in Australia for Diabetes Mellitus. Answer: Introduction Stroke denotes a condition in which the flow of blood to the brain is poor which results in cell death. In existence, it manifests itself in two distinct ways, that is, either due to insufficient blood also called ischemic or as a result of hemorrhagic that is often referred to as hemorrhagic. Both types of strokes make the brain not to function properly thus affecting various parts of the body and activities that the brain controls. In addition to that, for one to notice or identify whether a person is suffering from stroke, there are various symptoms that one looks at, such as severe head ache and loss of bladder control. Nowadays, stroke is becoming a burden in Australia, for many reasons, least of which is that it is affecting old people at an alarming rate (Feigin et al., 2014). Diabetes mellitus, obesity, and high blood pressure are attributed to be one of the risk factors that have the potential to cause a stroke. However, of importance in this paper is the management of strok e in elderly people. In doing so, the paper aims to come up with specific objectives, that is, the identification and application of the best management programs for the elderly. Aim of the management of stroke on the elderly and specific objectives The aim of this task is analyzing the burden of stroke in Australia is to identify and apply the best management practices that medics can use for elderly patients. In doing this, one has to come up with smart objectives that can be used to stay put in achieving the aim. The first smart objective is to increase the number of patients that are discharged from hospital by fifty percent in a period of two years. In addition to that, the other objective is to encourage three-quarter of health care practitioners working with the aged people on the best management practices for stroke patients in a period of one year. Lastly, is to use the latest scientific information that spans for less than five years to all medics managing or administering management practices to the aged suffering from a stroke. In regards to the issue at hand, the SMART objectives will relate to the aim of addressing the burden of stroke in Australia and more especially, to the old age population. Below is the templa te: Aim: To identify and apply the best management practices that medics can use for elderly patients. Objectives Strategies Actions Outcome measures Outcome indicators By who Timeline To increase the number of patients that are discharged from hospital by fifty percent in a period of six-months Ensure that there are competent health care practitioners working for aged group. All medics to have a mentor before starting practicing on their own in management of stroke. Survey whether there is an increase in the patients discharged with satisfaction of management of stroke. Patients satisfied with the services rendered by medics in management of their stroke. Take a survey. Medics, health care heads, patients of stroke 2 years. To educate three quarter of health care practitioners working with the aged on the best management practices in a period of one year. Medics to continue learning on the best management practices of stroke. Partner with the government to fund medics in training. Receipts of financial assistance from the government. Post program survey. Increase in the number of health care practitioners who have undergone further training on management practices. Government, medics 1 year. To use of scientific information in the latest five years by all medics in the management of stroke in the aged for the next two years. Avail the latest information to medics and patients. Get the latest information from scientific research and studies. Survey the practices used by medics. Change of management practices, that is, past and present. Practices in line with those being advocated in recent studies. Questionnaire. Medics, patients. 2 years. Strategies Applicable The first strategy is to provide information to the carers. Information is key to knowledge and without information; it is very difficult for one to carry out specific tasks diligently. However, studies reveal that unlike the general misconception of the importance of formal information, written and verbal information may at times be more essential than the former (Emberson et al., 2014). In addition to that, information is not only limited to carers but patients who are in need of management of stroke as well. In one study conducted on old people, about 77 percent were eager to know the best way that can make them manage the current state of stroke that they were facing. In addition to that, a study conducted in the United Kingdom to determine the usefulness of information established that 61 percent of patients do not see the need for a patient-held record (Meretoja et al., 2012). Thus, it is an indication of encouraging health care professionals to offer the best management practi ces. In addition to that, offering training is another strategy that can be used to encourage or rather promote the ability of medics to practice the best management practices on patients of old age. It is no longer a secret that for any professional to become competent, he or she must undergo continuance training on various specialties (Thrift et al., 2014). Additionally, training can also be in the form of having a mentor that act as a teacher for inexperienced medics before becoming seasoned. In so doing, medics will gain the necessary skills and knowledge in managing and offering guidance on the management program of stroke among the old. On the other hand, training will help medics learn new ways of management (Feigin et al., 2016). Many new management practices may not be well versed with all medics. Thus, inculcating new practices is essential in curbing stroke as far as a management practice is concerned. On the other hand, looking into the modern literature on management practices is another approach that can be used to manage patients properly. It is essential especially for old people that do not need preventive measures but the management of stroke. According to a study conducted on 2014, beta blockers, nitric oxide donors, and calcium channels blockers are known to lower blood pressure to the level that is recommended for old age patients with stroke (Lu et al., 2014). In addition to that, in situations that need an increase in blood pressure, phenylephrine can be used while dexamphetamine is associated with elevating blood pressure faster than the other. On the other hand, Nimodipine is an agent or rather drug that when used, has shown to have negative effects on decreasing diastolic blood pressure but does not give the same effect on systolic blood pressure. Still concerning blood pressure, Lisinopril tends to be safer when given in acute phase (Powers et al., 2015). However, i t has not been documented to have any significant clinical benefit. These are some of the best management strategies that can be identified and applied to the old people in managing blood pressure if they happen to be affected by stroke. About management of blood glucose, the best practice, it is not always advisable to use insulin substance to manage blood glucose especially and more particularly for patients that have registered moderate hyperglycemia. In this group of patients, the best way to manage them is to formally assess them to exclude or even ascertain a diagnosis of diabetes (Menon et al., 2015). The best way to correct hypoglycemia is through local protocols. Additionally, old age stroke patients need to be managed in line with local protocols. Another thing that poses a threat to old age patients that experience stroke is feeding. More often than not, oropharyngeal dysphagia is a condition that manifests in many groups of old age people suffering from the stroke. This condition leads to swallowing difficulties which may be a precipitate to dehydration, under nutrition and aspiration pneumonia. There are clear guidelines that medics can use to monitor patients that are under this condition (Khatri et al., 2014). For instance, it is advisable for medics to provide nutrition through nasogastric tube for stroke patients that have the problem with ingesting food or taking oral medication as a result of low consciousness or rather the existence of dysphagia as one of their characteristics (Party, 2012). The best approach here is that application of nasogastric feeding tube ought to be carried on patients who appear to be unable to have an oral intake. Additionally, it is not a good management practice to have a regular nutrition al supplement. Another recommended management practice that needs to be inculcated by medics or carers for the old age patients of stroke is about pyrexia. Old age patients suffering from stroke often experience increased body temperature which is linked to poor outcome and its source ought to be properly determined (Adams et al., 2012). Although antipyretic drugs are often used to reduce body temperature, studies reveal that they do not have any significant effect in the reduction of body temperature. Rather, 6000mg daily intake of paracetamol can have that desired effect of reducing the temperature. Also, lifestyle changes are essential for old age suffering from a stroke. One of the causes of stroke is embracing a lifestyle that brings about lifestyle diseases. Also, when an old person experiences a stroke, the best way to facilitate recovery is through a total transformation of lifestyle that predisposes one to the dangers of diabetes, high blood pressure, and excessive cholesterol (Jauch et al., 2013). Another aspect closely related to lifestyle is physical activity, this important in the sense that old age stroke patients who exercise regularly have been shown to register improvement in the disease condition unlike those that either does not follow or assume exercising (Ciccone et al., 2013). In the early stages of stroke, the medics can assist one in coming up with the best way to manage him such that there will be no progression of the same. There is the need for medics to attend seminars and other educational programs to sharpen their skills. Moreover, the treatment that old age patients obtain must not be similar to that of other age groups. In relation to the management of stroke, the old age ought to be treated with utmost respect, while medics are conforming with all the principles of ethics and professional code of conduct, such that there is no disrespect or treating a patient without him or her giving consent for the same (TrialistsCollaboration, 2013). In creating the approach that can best serve the old age, in managing their stroke, a time frame must be put in place to measure the progress that health care professional has made so far. One way of determining this is by looking at the number of patients that feel safe and are discharged from hospital based on improvement in health conditions (Sun, Tan, Yu, 2014). Additionally, other factors that can determine whether the method is working is measuring the degree of competency of medics that come from training. On the other hand, whether the health facility applies outdated methods or the latest ones is another aspect that can tell the suitability of the objectives in achieving its intended purpose. Survey to determine the suitability of each method can be carried out so that one can determine what to correct or amend (Network, 2008). Additionally, old age patients can be given questioners to answers on whether as a result of training, there has been any significant change in thei r stroke condition or how the medics treat them. Another way to measure the outcome of the specific objectives is to look at to take statistics on the number of old age stroke patients that have the information on management of their condition in relation or then compare with data from previous years. It is also prudent to take note of the number of outpatients who continue with their programs of treatment and management way before or after they visit health centers (Wu, Grotta, 2013). It will indicate how serious or enlightened old age patients can become or the other way round. Health care centers must ask for the government to ask them about funding or put up policies that not only ensure that stroke is a health issue that raises a lot of concern but one that supports professional to gain more knowledge and skills through training. The contribution of the government and other agencies cannot be overemphasized (Katzenellenbogen et al., 2011). Questionnaires and evaluation ought to be carried out periodically to determine the changes that stroke patients needs. In old people who have terminal illnesses, palliative care may be incorporated with other skills of stroke management as this will be more beneficial to the old man or woman at this stage and point of life more than the stroke management process. Lastly, all the objectives and strategies ought to be given a timeline. This is for many reasons; firstly, it helps in self-evaluation. Secondly, it is good in making necessary changes and lastly, noting positive changes can serve as a motivation for even mor e success. Conclusion It is evident that stroke is an important disease that can be fatal if not well maintained. There are many causes of stroke; however, old people need good care and management as far as stroke is concerned. In Australia, like in many other countries, stroke has been attributed to be a burden for many reasons which include but are not limited to lack of information to the public to fight for the disease. For healthcare professionals, management of stroke in older people is of paramount importance, and it is, therefore, crucial for them to come up with objectives that will see old age receives the best management that is attainable based on current scientific literature. In the discussion above, it is evident that various management program exists that can be implemented by healthcare professionals to solve the problem of stroke. Some of the ways that medics can be made better in delivering their services to old age include, through training, finding a mentor, that is, gaining experienc e from someone. These are some of the measures that medics need to prepare themselves in regards to skills essential in the management of stroke in old people. Lastly, medics need to apply latest scientific practices in the management of stroke patients. References Adams, T., Stacey, E., Stacey, S., Martin, D. (2012). Exertional heat stroke.British Journal of Hospital Medicine (17508460),73(2). Ciccone, A., Valvassori, L., Nichelatti, M., Sgoifo, A., Ponzio, M., Sterzi, R., Boccardi, E. (2013). Endovascular treatment for acute ischemic stroke.New England Journal of Medicine,368(10), 904-913. Emberson, J., Lees, K. R., Lyden, P., Blackwell, L., Albers, G., Bluhmki, E., ... Grotta, J. (2014). Effect of treatment delay, age, and stroke severity on the effects of intravenous thrombolysis with alteplase for acute ischaemic stroke: a meta-analysis of individual patient data from randomised trials.The Lancet,384(9958), 1929-1935. Feigin, V. L., Forouzanfar, M. H., Krishnamurthi, R., Mensah, G. A., Connor, M., Bennett, D. A., ... O'Donnell, M. (2014). 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(2008). Management of patients with stroke or TIA: assessment, investigation, immediate management and secondary prevention.Edinburgh: Scottish Intercollegiate Guidelines Network. Party, I. S. W. (2012). National clinical guideline for stroke. Powers, W. J., Derdeyn, C. P., Biller, J., Coffey, C. S., Hoh, B. L., Jauch, E. C., ... Meschia, J. F. (2015). 2015 American Heart Association/American Stroke Association focused update of the 2013 guidelines for the early management of patients with acute ischemic stroke regarding endovascular treatment.Stroke,46(10), 3020-3035. Sun, J. H., Tan, L., Yu, J. T. (2014). Post-stroke cognitive impairment: epidemiology, mechanisms and management.Annals of translational medicine,2(8). Thrift, A. G., Cadilhac, D. A., Thayabaranathan, T., Howard, G., Howard, V. J., Rothwell, P. M., Donnan, G. A. (2014). Global stroke statistics.International Journal of Stroke,9(1), 6-18. TrialistsCollaboration, S. U. (2013). Organised inpatient (stroke unit) care for stroke.Cochrane Database Syst Rev,9(9). Wu, T. C., Grotta, J. C. (2013). Hypothermia for acute ischaemic stroke.The Lancet Neurology,12(3), 275-284.