Diabetes and Evidence Based Nursing Research Paper

Diabetes and Evidence Based Nursing - Research Paper Example As the discussion highlights dozens of methods exist for keeping staff nurses informed. In order for a nurse to be competent in diabetes nursing in general practice, he/she should have the necessary knowledge and skills required. A competent nurse should be able to identify whether the patient has a blood history of diabetes that has not been controlled by the administration of oral drugs, and or, if the patient’s blood glucose levels were over 300 for the fasting plasma glucose (FPG) test or with the random plasma glucose test . The nurse should measure blood glucose and determine how much insulin is required, administer insulin according to the results of the blood glucose test performed, help patients commencing insulin develop management techniques within guidelines and access secondary care specialist services when needed. The nurse should as well demonstrate clear knowledge of the pathophysiology of diabetes. It is also important for the nurse to be able to monitor patie nt’s progress and management of their condition, appropriately help patients achieve self management of their diabetes condition, make proper clinical referrals within the practice, have enough and appropriate material for patient education, initiate discussion to provide necessary advice to the patient when required to, provide psychological support to patients and their families, have an organized objective approach for the diagnosis of diabetes according to protocols, use results of the diagnosis for the treatment and incorporating patient preferences in the process.

Relations between states Essay Example for Free

Relations between states Essay Winston Churchill famously lamented, â€Å"It may be that we shall by a process of sublime irony have reached a stage in this story where safety will be the sturdy child of terror, and survival the twin brother of annihilation. † In the wake of Hiroshima and Nagasaki, a new nuclear age was ushered in with mushroom clouds and unimaginable destruction. Suddenly, humankind had invented a weapon powerful enough—if used in sufficient quantity—to destroy the Earth’s capacity to sustain human life. For the world, the menace of nuclear winter was terrifying. To social scientists, it was equally frightening, but also presented a new paradigm of international relations. Technology has evolved throughout history, but never before had an advancement in weapons fundamentally shifted anything more than battlefield tactics. Nuclear weapons, on the other hand, brought a tremendous shift in the relations between states. Suddenly, the stakes of war were different; suddenly, war between two states had implications for the planet that wars had never produced before. John Mueller, in his article â€Å"The Irrelevance of Nuclear Weapons,† disputes the idea that nuclear weapons actually fundamentally changed the landscape of international relations. Instead, Mueller argues, the horrors of World Wars I and II already escalated the stakes of warfare to a tipping point level, where the costs were so high that warfare was naturally deterred between stable, developed states. Specifically, Mueller cites the memory of World War II, superpower contentment with the postwar status quo, Soviet ideology, and a fear of escalation as the primary four reasons that nuclear weapons did not fundamentally change the nature of war deterrence. Mueller’s argument, while logically sound, has not held up to the tests of empiricism. Mueller’s first argument—that nuclear deterrence had little impact because all nations were already so horrified by the devastation wrought by World War II that they would never repeat its destruction—is weak. Certainly, World War II is the most tragic and destructive event of the twentieth century and probably is unrivalled in human history for its breadth of brutality and human loss of life. Yet, as Mueller admits, World War I was enough to convince the world of the maxim â€Å"never again,† only to have a similar conflict erupt twenty years after the guns of World War I were silenced. On top of the similarity between World War I and World War II, the wake of World War II was not free from conflict. For the United States, even, the Korean conflict broke out less than a decade after World War II and was quickly followed by Vietnam. Both conflicts brought about staggering casualties. Clearly, World War II was worse, but it was not enough of a deterrent to stop many wars in its aftermath. In other words, Mueller’s argument that nuclear deterrence did not fundamentally shift the landscape because World War II’s horrors took care of doing so, does not stand up to the test of facts; conflicts erupted regardless. More importantly, however, nuclear war would be substantially different than World War II. World War II was immensely devastating because it was fought by enormous armies of many different countries for several years. Nuclear war could not be more different; it could be carried out with little more than a small air force, the right bombs, and could last days. Once the Soviet Union and the United States acquired nuclear weapons, it was a different ballgame. Entire cities could be wiped off the map in a second. For policymakers, that changed the incentive structures. Undertaking a war with the Soviet Union prior to the nuclear age would have enlisted the entire nation’s resources, citizens, and finances. On the other hand, when there was an asymmetry of power—between 1945 and 1949 specifically—the American government could have eliminated a Soviet city from existence with little more than a single jet and a small aircrew. That skewed the playing field heavily in the favor of the United States. But, that changed when the Soviets acquired nuclear capability. Suddenly, both countries faced the same incentives and the same disincentives to go to war; each was assured that a nuclear attack by one would prompt a retaliation—perhaps a disproportionate one—from the other. This created a paradox—without having to deploy armies or finance massive military campaigns, war was much closer; it simply took an order from Washington or Moscow. Yet, the stakes were also higher. With nuclear weapons in play, escalation was simultaneously much closer and much less desirable. The fact that conventional conflicts between states raged on in the post-war era but nuclear conflict has never arisen speaks volumes about the unique power of a nuclear deterrent. Thus, Mueller’s argument about the deterrence of conventional conflict does not hold up to analytical scrutiny given history’s contradiction. Moreover, Mueller’s argument that the superpowers were already unlikely to go to war (with or without nuclear weapons) because they were content with the status quo is equally vacuous. Certainly, the superpowers never engaged directly in combat. But nuclear weapon deterrent theory posits that nuclear weapons impedes escalation to the highest levels because the costs associated are simply unbearable for all involved parties. In other words, if Mueller is correct that the post-war status quo already acted as a sufficient deterrent, then the superpowers should have been peaceful throughout the Cold War. Far from it, they instead engaged in many proxy wars—wars specifically designed to allow low-level conflict as each vied for further control of the globe, but simultaneously to ensure that the conflict would never rage out of control and risk bringing nuclear weapons to the table. Cold War flare ups between communist and capitalist powers prove Mueller’s theory to be false; the post-war status quo was repeatedly altered as the Soviets and Americans each sought to expand their power and gain a strategic advantage over their enemy, without inviting the use of nuclear weapons precisely because of nuclear deterrence. Mueller’s third argument—that Soviet ideology was a sufficient deterrent that is often mis-attributed to the myth of nuclear deterrence—is simply a red herring. Mueller makes a strong case, certainly, but it does not address the fundamentals of nuclear deterrence theory. Simply because the Soviets in particular may have been less likely to engage in a full-out war with another hegemonic power, that does not negate the validity of nuclear deterrence theory. Simply stated, nuclear deterrence theory is an idea that applies to all states, and invoking the Soviet case to disprove the entirety of the rule is a weak attack that falls flat. Mueller’s fourth argument—that a fear of escalation was already in place and did not need nuclear weapons to operate—is equally flawed. Fear of escalation is precisely the heart of nuclear deterrence theory: nuclear weapons prevent war because provoking a nuclear power is likely to yield unspeakable horrors. Mueller suggests that the threat of war alone is horrific enough to produce a similar deterrent and that as a result, nuclear weapons did little to change deterrence dynamics. But empirical research disagrees. According to Robert Rauchhaus of the University of California, Santa Barbara, â€Å"When a nuclear asymmetry exists between two states, there is a greater chance of militarized disputes and war. In contrast, when there is symmetry and both states possess nuclear weapons, then the odds of war precipitously drop. † Rauchhaus’s research, which draws upon many decades of empirical research, quantitatively validates the importance of nuclear weapons. Even though, as Rauchhaus points out, nuclear weapons are not universally positive in their deterrent effects (asymmetrical nuclear capabilities can promote rather than deter war, for example), they inevitably have an impact (and a substantial one at that) on international affairs. This study flies in the face of Mueller’s claim that nuclear weapons are simply tangential deterrents running parallel to a larger deterrent growing out of the desire to avoid large wars. On all four fronts, Mueller’s claims are flimsy. His article is nonetheless important because it challenges the premises of deterrent theory and suggests an alternative viewpoint. In the end, however, it seems that nuclear weapons do make a difference: conventional wars continue at regular intervals, but no nuclear weapon has been dropped in warfare since the horrors of Nagasaki and Hiroshima jolted the world into a stunned realization that nuclear warfare was simply unacceptable and needed to be avoided at all costs.

Samsung Quality Issue Management

Samsung Quality Issue Management Harsh Yadav   REFLECTION SAMSUNG NOTE 7 (QUALITY ISSUE) Introduction Samsung is one of the leading technology giants around the globe encompassing numerous business sectors like electronics, construction, life insurance, etc. in its portfolio. With its headquarters in Seoul, Samsung Electronics, one the various affiliates of Samsung group has been able to retain highest market share (21% 23%) in smartphone business in the past couple years, beating its major competitor Apple by a huge margin of around 9% (International Data Corporation, 2016). On 19th August, 2016, Samsung released its latest smartphone model named Samsung Galaxy Note 7. Considering the success of its previous versions, Note 7 was supposed to be a major competition for its rival iPhone. Unfortunately, within 2 months of its release, Samsung had to discontinue its manufacturing in October 2016 due to some quality issues with its battery, as there were many cases reported where the battery suddenly caught fire. Impact It was a huge blow on Samsungs brand image as its latest smartphone release was facing major quality issues. This not only affected the companys reputation but also raised the fingers on its research and development department, which is known for its innovative designs. Moreover, this issue was putting the safety of the Note 7 customers at a huge risk. According to the United States Consumer Product Safety Commission, around 90 incidents of battery overheating were reported along with 55 incidents of property damage and 26 incidents of burns in the US, all due to Samsung Note 7 (Chen Sang-Hun, 2016). Samsungs next step For damage control, Samsung had to recall its 2.5 million released Note 7 handsets (Mozur Lee, 2016). In its official statement, Samsung requested the customers to get their devices replaced at nearest Samsung store for a safer Note 7 device. As it was the worst quarter of a year for Samsung in past few years, the replacement sets also started facing the same issues and the company had no other choice but to order for the second recall for all the available Note7 devices in the market, including the so called safer replacement devices. The company assigned two separate teams for investigating the root cause of the problem. Ultimately in October, 2016, Samsung officially discontinued producing Note 7 handsets, incurring a loss of around $17 billion in lost sales from its expected sales of around 19 million units (Carlon, 2016). Root Cause After this tremendous mishap, Samsung sent a report to KATS (Korean Agency for Technology and Standards) explaining the reasons for this quality control issue which was originally due to a defect in their Note 7 design (Hollister, 2016). In Lithium ion batteries used in smartphones, there is a thin plastic layer that separates the positive and negative poles which need to be insulated from each other in order to avoid short circuit causing overheating of the battery and eventually fire. The design of the phone was such that it was putting a lot of pressure on the battery which led the plastic layer to get punctured and hence the short circuit. This defect was revealed while revising the assembly process of the phone (Hollister, 2016), which had to be done for Quality Management purpose. This was the reason which didnt allow the companys corrective action of changing the Note 7s batteries and sending them as safer replacements, to succeed. Samsung refunded the customers and learned some lessons from this mistake and also made critical improvements in its quality control process. This had to be done to maintain customer relationship. One of the contributing factors for this quality failure was the time factor from triple constraints, as Samsung was in a rush to beat iPhone 7, which hampered the quality considerations in Note 7s design. This also forced the company to re-evaluate every process in its product development cycle (Kovach, 2016).Also, due to the time constraint only Samsung had to stop Note 7s production and concentrate on it next model, otherwise they could have found out the problem and correct it. References Carlon, K. (2016, October 11). Samsung permanently discontinues the Galaxy Note 7, $17 billion in sales lost. Retrieved February 19, 2017, from www.androidauthority.com: http://www.androidauthority.com/samsung-galaxy-note-7-permanently-discontinued-721283/ Chen, B. X., Sang-Hun, C. (2016, October 11). Why Samsung Abandoned Its Galaxy Note 7 Flagship Phone. Retrieved February 19, 2017, from New York Times: https://www.nytimes.com/2016/10/12/business/international/samsung-galaxy-note7-terminated.html?_r=0 Hollister, S. (2016, October 10). Heres why Samsung Note 7 phones are catching fire. Retrieved February 19, 2017, from CNET: https://www.cnet.com/news/why-is-samsung-galaxy-note-7-exploding-overheating/ International Data Corporation. (2016, November 26). Smartphone Vendor Market Share, 2016 Q3. Retrieved February 19, 2017, from IDC: http://www.idc.com/promo/smartphone-market-share/vendor Kovach, S. (2016, November 5). Samsungs culture needs to change if it wants to survive. Retrieved February 19, 2017, from BusinessInsider: http://www.businessinsider.com/samsung-reaction-to-note-7-recall-2016-11 Mozur, P., Lee, S.-H. (2016, September 2). Samsung to Recall 2.5 Million Galaxy Note 7s Over Battery Fires. Retrieved February 19, 2017, from The New York Times: https://www.nytimes.com/2016/09/03/business/samsung-galaxy-note-battery.html

Lsd :: essays research papers

LSD The use of drugs among Americans is rapidly rising. They can be bought and sold almost anywhere, from the streets to hallways of schools. A drug on the rapid rise from the 70's is LSD. Some people attribute this to the fact it is extremely inexpensive, $2-4 a hit, the wrong belief by users that it is a safer drug than marijuana because it isn't physically addicting. However, LSD is a hallucinogenic drug that is very dangerous, despite popular belief. LSD stands for Lysergic Acid Diethylamide. Lysergic acid is extracted from the fungus Ergot, and then left to crystallize until it is pure. It was first accidentally discovered by Albert Hoffman in 1938 in Switzerland, who was searching for possible therapeutic uses of Ergot. Hoffman continued his experiments, but never came in contact with the crystals until1943. (LSD can be absorbed through the skin.) Hoffman then sent LSD around the world to be tested and investigated to find medical uses. Lysergic acid deviates were found to relieve migraines and control postpartum hemorrhage because it causes veins to contract, but also caused gangrene of the limbs, and so further experimentation with the drug was abandoned. In the late 50's, however, LSD was used by the CIA as an interrogation drug for spies. However, it was proven to be unreliable and was later replaced with other interrogation drugs. LSD comes in the forms of crystals, liquids, tablets, gelatins, or blotting squares. The squares have designs on them such a flowers, dragons, shapes, animals, and cartoon characters to make them more attractive to young children. Often called acid, white lightning, stamps, microdot, and grateful dead, LSD is usually taken orally. There are 4 levels of experience an LSD user will go through. The first takes place within 45 minutes of ingestion. The user begins to feel enhanced senses. Colors are brighter, sounds are more distinct, and a user may feel dizzy. The second level is the plateau. Between hours one and three, the user will "see" sounds and "hear" objects. This experience of a mingling of the senses is called synethesva. Patterns within material such as sweaters and blankets appear. A user may see figures within smoke from incense, or spend extended periods of time examining lines on the palm of their hand. Clock time becomes distorted and slows almost to a stand still, whole minutes seem to pass like hours. Slight hallucinations may appear. The third stage from hours 4-7 is the climax. Colors are greatly magnified, while once familiar shapes distorted beyond recognition. The hallucinations become intense, and total unreal objects may appear.

Knowledge & Understanding questions Essay

1.1 Describe a range of causes of dementia syndrome ANSWER Neurodegenerative diseases is a common cause of dementia which mean that the brain cells known at the neurons either are degenerating therefore the neuron die off quicker which will lead to a more decline in the person mental health such as memory, language and sometimes their physical abilities all depending on which area of the brain is infected. Dementia affects the brain and the loss of function of the brain in such a way that the things we normally take for granted, for example our ability to remember things (time, date, events, to use language all of these things begin to disappear. Also there are more causes of dementia caused by depression, brain tumours, thyroid hormone, and head injuries. Some of these causes of dementia can also be dementia –like conditions which may be treatable or non-progressive. These neurodegenerative diseases are known to us as Alzheimer’s fronto temporal dementia, and Lewy bodies are where over time a build up of abnormal protein deposits in the brain cause the gradual change and damage to the neurons which will cause the shrinkage of the brain. 1.2 Describe the types of memory impairment commonly experienced by individuals with dementia ANSWER Dementia is a collection of symptoms including memory loss, personality change, and impaired intellectual functions resulting from disease or trauma to the brain. These changes are not part of normal ageing and are severe enough to impact daily living skills, independence, and relationships, while Alzheimer’s disease is the most common type of dementia, there are also many other forms, including vascular and mixed dementia. Common signs and symptoms of dementia may include: Memory loss Impaired judgement Difficulties with abstract thinking Faulty reasoning Inappropriate behaviour Loss or communication skills Disorientation to time and place Gait, motor and balance problems Neglect of personal care and safety Hallucinations, paranoia, agitation. The most common forms of mental decline associated with ageing are: Slower thinking and problem solving Decreased attention and concentration Slower recall As the dementia progresses the individual ability to look after themselves from day to day may also become affected. 1.3 Explain the way that individuals process information with reference to the abilities and limitations of individuals with dementia ANSWER The working of the brain are very complex, the human brain is made up of around 100 billion cells, main these cells are called neurons. If the neurons is switched off is resting when it is switched on it fires electrical impulses along its body known as the axon. Some people with dementia often confuse things, this may be very distressing for their family or carers, but can be called as a natural aspect of their memory loss. An individual with dementia may be trying to interpret a world that no longer makes sense to them that because them brain is processing the information incorrectly. An individual with dementia may receive care from a provider who does not maintain a good standard of continuity with their staff, for a person with dementia it is very important as they must become familiar with  the people who care for them to gain trust and familiarity with their daily routine. Communication could not be structured correctly for the person who causes confusion and lack of understanding as they are unable to comprehend what is expected of them. Infections, change of medication, change of environment, pain and stress, social skills, understanding and interaction levels may decrease or fluctuate. However an individual process the information in different ways therefore depending on their abilities will depend on their limitations as suffering with Dementia. 1.4 Explain how other factors can cause changes in an individual’s condition that may not be attributable to dementia ANSWER Change of diet, environment, and medication can cause changes in an individual condition; in spite of the fact experiencing a loss of reduction in memory does not mean always indicate a form of dementia. There are many other conditions which could affect an individual health which can be a difference between dementia, depression and confusional state. Sensory changes due to age related degeneration example macular degeneration and cataracts affecting vision, loss of hearing and increase of tinnitus affecting balance, reduced metabolism causing poor appetite. The part of the brain which was affected will determine how the person will be affected. Some condition that may affect the memory are listed below: Brain injury- which can be caused by an external trauma such as a blow to the head or internal factors such as a result of a stroke or aneurism. Brain tumour – a tumour of the brain can be benign (slow growing, non cancerous) or malignant Medication – some prescription medication can have side effects which can affect somebody’s memory. Diet – some foods can have an effect on a person’s memory. Stress –is the emotional and physical strain caused by individual’s response to pressure from the outside world. Stress can affect an individual’s health in many ways, including memory difficulties. 1.5 Explain why the abilities and needs of an individual with dementia may fluctuate ANSWER Each individual may experience dementia in different ways. There is no definitive direction or path that the condition will follow and there are no exact timescales in which the condition may progress. Somebody with dementia can have â€Å"good days† and â€Å"bad days†. Believed all depends on how we are feeling, how much sleep we have had, and what activity we are doing and how much we want to do that activity. On the other hand changes that may occur in their day to day life, changes of people (changes of carers on a regular basis), therefore not being consistent in a routine programme. 2.1 Describe the impact of early diagnosis and follow up to diagnosis ANSWER Generally speaking for most people receiving the diagnosis of dementia is very distressing, also can be very upsetting for their loves one. Many people in nowadays still, think of dementia as being a condition which causes people to go â€Å"crazy†. When supporting somebody who is exhibiting any signs or symptoms of forgetfulness, confusion or the inability to find the right words when communicating, it is important that they see their GP. In the early stages diagnosis can be difficult to make as the symptoms of dementia can develop slowly, also the symptoms can be similar to symptoms of other health condition. The early diagnosis of dementia is essential in order to: Rule out other conditions that may be treatable Access advice, information and support Allow the person with dementia and their family to plan and make arrangements for the future. Although there is not cure at the present, there are various medications available which can help improve symptoms and possibly to slow down the progression of disease. Following diagnosis, an individual may want to live as independently as they can. In order to aid a person to self look after themselves, the individual could place a list of important telephone numbers by their phone, labels also could be placed on cupboards doors to  remind them of the contents. However the quality of life, fear, feeling lack of control, loss of dignity, loss of identity, invasion of privacy, fear or losing own home, inability to communicate needs and preferences, loss of friends , increased risk of falls, nutrition, personal hygiene all of these factors are playing a huge impact in an individual life diagnosed with dementia. 2.2 Explain the importance of recording possible signs or symptoms of dementia in an individual in line with agreed ways of working ANSWER The recording signs or symptoms of dementia in an individual day by day life can be made, depends of the policies and procedures of the company such as verbal, written, electronic, accurate, timely, and confidential reporting. When monitoring somebody’s condition, it is important to record any findings in line with the organisation’s policies and procedures. The following areas area those which it is very important to monitor and record in the person, as these will show what changes have occurred and over what period: Memory Behaviour Personality Ability to cope with daily living skills Care- giving strategies Activities that person enjoys Any medication that they have taken that day Below are shown some key points in importance of recording: To obtain specific facts about health, personal matters To measure accurately the individual needs To ensure health and safety of all involved To accurately record the action agreed To ensure nutrition needs are accurately met To make sure hygiene needs are met Follow the Smart model( specific, measurable, realistic and time based) to be  sure the individuals family and carers have their needs met. 2.3 Explain the process of reporting possible signs of dementia within agreed ways of working ANSWER The diagnosis of dementia does not always occur from the first visit to GP. Generally there is a process in which the person goes through in order to receive a definitive diagnosis. National Institute for Health and Clinical Excellence has advised guidelines in supporting people with dementia, where the early diagnosis of dementia it is included. The person history A cognitive and mental state examination A physical examination A review of all medication including over the counter remedies To report a concern, the organisation’s guidelines and procedures have to be followed, usually most reports are given to a designated member of staff, this may be line manager, supervisor or manager, always try to avoid by giving the personal opinion. Also agreed ways of working may be: Medical diagnosis Referral pathway Diagnosis tests Profiling Observation Care planning Review Follow up Continuation of care 2.4 Describe the possible impact of receiving a diagnosis of dementia on: A) The individual B) Their family and friends ANSWER The impact on the person and their family receiving a diagnosis of dementia can vary, some may see it as a relief that the cause if their difficulties has been diagnosed while others may be in disbelief, preferring not to acknowledge what they have been told. Impact on the individual: Confusion Shock Frightened Denial of failings Disorientation Trying to construct sense of meaning into the situation Destruction of hope Loss of future goals May have to retire early Financial implications May need to stop driving Loss of socialisation Whatever feeling the diagnosis creates in the person, you should encourage and support them to talk about their feelings. Impact on family and friends: Loss of socialisation Increased stress levels Feeling of guilt Need to balance commitments Anger Loss of financial support/ increased financial needs Fear Feeling embarrassed The individual’s family and friends should respect the wishes of their loved one. 3.1 Compare a person-centred and a non-person-centred approach to dementia care ANSWER When an individual been diagnosed with dementia it is important to bear in mind that people with dementia are individuals first, with their condition of dementia coming second. They may also be mothers, fathers, brothers, sisters, sons or daughters. Person-centred care is a way of providing care with the person at the centre of everything you do, or another way of describing it is individualised care- care that is given to the person according their needs, wishes, beliefs and preferences. Studies have shown that a person-centred approach can help reduce agitation in the person with dementia where the agitation is often causes by the person’s frustration in not being able to express themselves . Recognising individuality Enabling choices Enabling social relationships Valuing the individual Providing the opportunity for stimulation Inclusion Looking at the person a s unified whole Once a person needs have been identified, plans should be made to draw up a support plan which will describe how those needs will be met. Nothing should be planned for the individuals for them without them. A non person-centred approach can be identify such as: Dictating form of care to be used Not recognising the individual’s uniqueness and needs Exclusion Lack of choice Not allowing participation in decision making Not allowing the individual to exercise their rights Responding to behaviour rather than looking at the unified whole Not empowering the individual 3.2 Describe a range of different techniques that can be used to meet the fluctuating abilities and needs of the individual with dementia ANSWER Many people with dementia are able to live in their own homes for most their lives with care being given to them by their families. As a carer or support for those suffering with dementia, must focus on the skills and abilities that the person has, rather those that they have lost. Ensure that they are fully aware of and respect the person’s background, their history, likes and dislikes. Be prepared for changes and adapt flexible approach. Not every day may be the same in supporting people with dementia. By learning about each individual ‘history and background, can be designed the care and the type of support provided around their specific needs. Ensure that individual’s support plan is kept as up to date as possible and shows alternative methods to use for various fluctuations in their support needs, share the information with the rest of the carers., provide a stable environment and suitable surroundings as one of the main triggers resulting in somebody with dementia becoming agitated and confused is a change in their routine. To ensure stability it is important to : Have consistent, regular staff, unfamiliar faces can cause the person great upset Maintain a familiar environment, if there some new decorations needs to be undertaken try to make the new decor similar if not the same as it was previously. Ensure that the individual is in a non stressful, constant and familiar environment Establish a regular routine regular physical activity and adequate exposure to light and improve any sleep disturbances.

Factors behind Economic Growth in Hong Kong and Singapore Essay

There are many similarities between Hong Kong and Singapore. Both countries enjoy high economic growth rates for the past three decades, they are known as â€Å"East Asian Tigers† because they made a transition from poverty to Newly Industrialized Economies (NIE’s) in a very short period of time. Both Hong Kong and Singapore were British colonies with both legal and administrative systems of their former colonial powers. They are the busiest ports in the world in terms of throughputs. They have climbed the industrial ladder and are now important international financial centers because of their reliance on trade since 1960’s (Kim. t al 1994). In addition both cities are densely populated since land is scarce and land together with property prices is very high. These two cities are known for being fee traders with few restrictions on trade and capital flows which many a times are Gross Domestic Product (GDP). In Hong Kong the state owns all the land whereas in Singapore the state owns four fifths of the total land. Consequently both cities capture economic rent primarily by nationalizing land and leasing it out. While the state owns much of the land in Singapore and the sole landowner in Hong Kong, the inefficiencies that could result from state ownership are taken care of through the creation of markets for state, land and property leases. Meanwhile the public leasehold system where the state is the major role player in land use, planning and resource allocation works very well in both cities since the public sector institutions of both are efficient and non-corrupt. These institutions in both countries benefit from adequate checks and balances, merit-based recruitment and pay scales which are high enough to reduce the temptation to corruption. In conclusion, there economies are widely believed to be the most economical free in the world are these economic freedom emanates from the governments â€Å"hands-off policy† which allows for flexibility and renovation of any given industry in a very short time. Both countries also have very little available land and very few natural resources therefore importing most of their food and raw materials equally most of their exports consists of re-exports which are products made outside their territories.