Tuesday, December 24, 2019
Essay on Historical Policy Comparison - 2211 Words
Historical Policy Comparison University of Phoenix CJA 463/Criminal Justice Policy Analysis Historical Policy Comparison In the past fifty years, the American system of criminal justice has undergone a number of critical changes involving policing, the courts and corrections. Landmark Supreme Court rulings, such as Miranda v. Arizona, and Mapp v. Ohio have shaped the way that law enforcement, as well as our courts, deal with individuals accused of committing crimes (Marion and Oliver, 2006). The following information will focus on the evolution of policing, our courts, and corrections system into agencies, which reflect the changing and diverse needs of our current population of primary importance, is the need forâ⬠¦show more contentâ⬠¦The courtââ¬â¢s focus is to restore justice or to make society whole through instituting punishments according to the crime without exhibiting bias (restorative justice). However, as time passed, this approach did more harm than good to society because of the rise in judicial funding which results indirectly from ââ¬Å"theâ⬠hyphen number of people behin d bars. Generally, there is more than one approach to corrections policies that are supported by politicians on all levels of government. So, the courts considered a different approach to punishment after time past to lessen judicial failure and this approach involves less strict punishments and focus instead on rehabilitation programs, such as furlough programs (liberal approach) (Marion amp; Oliver, 2006, p. 1). In just, providing better opportunities for the unlawful to become productive citizens of society under monitored and agreed upon circumstances lessen crime and promote a health society. Surprisingly, despite ââ¬Å"the image of being ââ¬Å"nonpolitical and outside the outside the political arena, the justices serving on the courts and other courtroom personnel are political actors who are involved in the political system in many waysâ⬠(Marion, p. one). In other words, judicial officials are entangled in manyShow MoreRelatedHistorical Policy Comparison3057 Words à |à 13 PagesHistorical Policy Comparison Jermaine Hunt, Jason McFadden, Kendra Williams, Michael Dasher CJA/464 December 10, 2013 Ken Jones Historical Policy Comparison Criminal justice policy over the past 50 has evolved. The key issues of criminal justice policies were gangs, drugs, juvenile, root causes of crime, and gun control. Currently, the key issues are terrorism, illegal immigration, and global organized crime. Traditionally, criminal justice policies were issued by state and local governmentsRead MoreImplementing University Affirmative Action Case Study1180 Words à |à 5 Pageswill be discussing implementing university affirmative action policies - policies that favour members of typically discriminated and disadvantaged groups through easier admission criterion - and justifying them as they not only serve as compensation for historical injustices, but are also beneficial for society as a whole. I will also be rebutting the viewpoint that affirmative action is never justified as compensation for historical injustices due to the non-identity principle. Following theRead MoreJournal on Financial Ratio Analysis1157 Words à |à 5 Pagesto the participants on the limitation of ratio analysis. Important Termss Creative accounting. Accounting Policies. Limitations of Ratios Accounting Information Different Accounting Policies The choices of accounting policies may distort inter company comparisons. Example IAS 16 allows valuation of assets to be based on either revalued amount or at depreciated historical cost. The business may opt not to revalue its asset because by doing so the depreciation charge is going to be highRead MoreInadequacies of Accounting Ratios as Tools of Financial Analysis.1481 Words à |à 6 Pagesof financial analysis. ACCOUNTING POLICIES. It is difficult to use ratios to compare companies, because they very often follow different accounting policies. For example, one company may value stock under the LIFO principle, another may follow the FIFO principle. Similarly, one company may depreciate assets under the straight line method, while its competitors may be using reducing balance method. Also, one company may value their assets using the historical cost rule while another may use theRead MoreCritical Analysis Of The North South Divide In Italy1702 Words à |à 7 Pagesone. Though talks about reforming the system were also trending upwards through the time frame being investigated. He then uses a comparison with Germany, showing how positive feelings for subnational governments seemed to trend upwards over time. This use of comparison for a number of reasons, most primarily because it does not exist elsewhere in the book as a comparison. How the two countries experienced these shifts during different times, and vastly different political situations. And how the bookRead MoreThe United States National Debt Essay823 Words à |à 4 Pagesyears. All but four countries in the world has external debt (ââ¬Å"Country Comparison: Debt Externalâ⬠). Having a debt is almost as common as having a mortgage. Since its establishment, The United States has always been in debt (ââ¬Å"Historical Debt Outstanding ââ¬â Annualâ⬠). The US national debt has had five sharp increases previously in its history. The reasons include civil car and the two World Wars (The committee on Public Debt Policy 3). The reason for all the recently attention is because the US nationalRead MoreComparison and Analysis of Social Justice in the United States and India1266 Words à |à 6 PagesComparison and Analysis of Social Justice in the United States and India Jessica M. Alstad Argosy University Author Note All correspondence pertaining to this work should be directed to: Jessica Alstad, 4305 Grayson Drive, Indianapolis, IN 46228 Abstract Social justice has multiple definitions depending on the country a person resides in. The definition of social justice in the United States differs from that definition in India. Some of these differences can be attributed to historicalRead MoreA Research Study On Human Resource Management1594 Words à |à 7 Pagesculture. There are ten different studies focused to inspect the future of restricting and standardising the global HRM policy in China. The conclusion understood at the end from the studies often negates the possibility in the context of China (Walsh Zhu Y, 2007; Wilson, Chen Erakovic, 2006), in part because there are many complex institutional factors driving the policy measures for China being an Autocratic country. Research Design The research is based on the analysis of previous informationRead MoreThe United States Immigration Policy1596 Words à |à 7 Pagesimmigration policy has never pleased all Americans and probably never will. Throughout the 20th and 21st centuries, politicians have toiled continuously with the broken system. For example, Congress attempted to strengthen the western border by passing the Illegal Immigrant Reform and Immigrant Responsibility Act in 1996 (Historical Overview). Although the proposed increase in Border Patrol agents seemed promising, insufficient funding kept the act from adequate enforcement (Historical Overview)Read MoreA Comparison Of Advocates And Adversaries Of Animal Research1641 Words à |à 7 Pages A Comparison of Advocates and Adversaries of Animal Research Tony Lee April 20, 2015 Dr. Baine Craft Abstract The belligerent perspectives of animal research hold strongly to different goals. Advocates hold the view that animal research is beneficial to science and medicine, which can be applied for humans and animals alike. This is opposite from the perspective of adversaries who value the life of an animal, as well as related lives. History shows the progression of the adversaries
Monday, December 16, 2019
Pharmaceutical Marketing Free Essays
Pharmaceutical Marketing Merck ââ¬Å"Merck has gone beyond developing and selling prescription pharmaceuticals. It formed joint ventures in 1989 with Johnson Johnson to sell over the-counter pharmaceuticals; in 1991 with DuPont to expand basic research, and in 2000 with Scherigng-Plough to develop and market new prescriptions medicines. In 1997, Merck and Rhone-Poulenc S. We will write a custom essay sample on Pharmaceutical Marketing or any similar topic only for you Order Now A. (now Sanofi-Aventis S. A. ) combined animal health and poultry genetics business to form Merial Limited, a fully integrated animal health company. Finally, Merck purchased Medco, a mail ââ¬âorder pharmaceutical distributor, in 2003, and Sirna Therapeutics in 2006â⬠(Kotler Keller, 2012, p. 43-44). ââ¬Å"For branding strategies to be successful and brand value to be created, consumers must be convinced there are meaningful differences among brands in the product or service category. Brand differences often related to attributes or benefits of the product itself . . Merck has lead (its) product categories for decades, due in part to continual innovationâ⬠(Kotler Keller, 2012, p. 243). Merck has donated $100 million or more to charities in a year (Kotler Keller, 2012, p. 632). Mission Statements Ex. Japan Both pharmaceutical and biotech companies are starting to make partnership a core competency (Kotler Keller, 2012, p. 52). Intro: Michael Dawson, author of ââ¬Å"The Consumer Trap,â⬠states that the business of marketing, a trillion-dollar ââ¬âa-year industry, is a social, economical, environmental, and unfriendly cost on Americans today as it ââ¬Å"continues to soak up economic and environmental resources and dominate the personal lives of citizensâ⬠(Dawson, 2005, p. ). Dawson argues that corporate America is fueled by a continuous marketing race that manipulates peopleââ¬â¢s perceptions and actions of goods into thinking the economy is out to serve oneââ¬â¢s pleasures and happiness, when in all reality, is only out to serve the demand of business today (Dawson, 2005, p. 1). ââ¬Å"It is critical that the U. S. government recognizes that intelligently focused nutrition-related efforts are important in helping lead Americans of all ages to lead healthier lifestyles. Marketing Nutrition shows how simple solutions can save lives. ââ¬Å"ââ¬âCongressman Timothy V. Johnson, United States House of Representatives (Wansink, 2007, p. 1). There are enormous economic dividends for health care providers, public health institutions, and commercial food companies if we are successful in doing this. ââ¬Å"ââ¬âDr. David Mela, Expertise Group Leader, Unilever Health Institute(Wansink, 2007, p. 1). Marketing = A mechanism to help pharmacy develop, communicate, and sell future pharmaceutical services to consumers (Grauer, 1981, p. ). Pharmaceutical marketing is an ââ¬Å"element of an information continuum, where research concepts are transformed into practical therapeutic tools and where information is progressively layered and made more useful to the health care systemâ⬠(Levy, 1994, p. 1). Provides an informed choice of carefully characterized agents (Levy, 1994, p. 1). marketing assists physicians in matching drug therapy to individual patient needs (Levy, 1994, p. 1). Pharmaceutical marketing is presently the most organized and comprehensive information system for updating physicians about the availability, safety, efficacy, hazards, and techniques of using medicines (Levy, 1994, p. 1). pharmaceutical marketing strategies can negatively affect both- the end consumers or the patients and the health care profession (Need of New Pharmaceutical Marketing Strategies, 2010, p. 1). Also, the advertising strategies included in the marketing plan of any pharmaceutical company is not ââ¬Ëdirect to consumerââ¬â¢ (Need of New Pharmaceutical Marketing Strategies, 2010, p. ). Any pharmaceutical marketing strategy targets the health care professionals or the Doctors who in turn prescribe the drugs to the patients (end consumers) liable to pay for the products (Need of New Pharmaceutical Marketing Strategies, 2010, p. 1). However, a few countries (till date two countries- New Zealand and United States) allow Direct-to-consumer advertising (DTC advertising) for pharmaceutical products (Need of New Pharmaceutical Marketing Strategies, 2010, p. 1). Pharmaceutical Market Trends 2010. Pharmaceutical Drug Manufacturer Resources. Retrieved from: http://www. pharmaceutical-drug-manufacturers. com/articles/pharmaceutical-market-trends-2010. html The global pharmaceutical is forecasted to make a significant growth of about 4 ââ¬â 6%, exceeding $975 billion, with global pharmaceutical market sales expecting to grow at a 4 ââ¬â 7% compound annual growth rate (CAGR) through 2013, based upon global macroeconomy as well the ââ¬Å"changing combination of innovative and mature products apart from the rising influence of healthcare access and funding on market demandâ⬠(Pharmaceutical Market Trends 2010, p. ). pharmaceutical sales are growing at a fast rate in India, China, Malaysia, South Korea and Indonesia due to the rising disposable income, several health insurance schemes (that ensures the sales of branded drugs), and intense competition among top pharmaceutical companies in the region (that has boosted the availability of low cost drugs). India ââ¬â 3rd Largest Producer of Pharmaceuticals Across the World- is already a US$ 8. 2 Billion pharmaceutical market. The Indian pharmaceutical industry is further expected to grow by 10% in the year 2010. (Pharmaceutical Market Trends 2010, p. 1). The development of infrastructure and rapidly changing regulations in the Middle East are being seen as the cause of its growth. Presently South Africa, Saudi Arabia and Israel dominate the regionââ¬â¢s pharmaceutical industry due to their better infrastructure and regulatory environment. However, The Middle East pharma market depends on imported pharmaceutical drugs and therapeutics. The governments of countries in this region are taking measures to raise their domestic production through heavy investments in the pharmaceutical industry (Pharmaceutical Market Trends 2010, p. 1). Pharmaceutical Drugs Trends of fastest expected growth consist of anti-Diabetic Drugs and those for cardiovascular diseases, due to the changes in demographics and lifestyle with anti-hypertensives drugs will dominate the global cardiovascular market with a market share of nearly 50% (Pharmaceutical Market Trends 2010, p. 1). Strategy: The pharmaceutical companies traditionally adopt four major marketing strategies for promoting their products: Giving drugs as free samples to doctors/ Gifts that hold the company logo or details of one or multiple drugs, providing details of their products through journal articles or opinion leaders; and Sponsoring continuing medical education (Need of New Pharmaceutical Marketing Strategies, 2010, p. 1). Pharmaceutical representatives, also popularly known as medical representatives, are the major pharma marketing strategy for marketing drugs directly to the physicians. Typically, the expense of this sales force of any pharmaceutical company comprises anything ranging from 15-20% of annual product revenues (Need of New Pharmaceutical Marketing Strategies, 2010, p. 1). ââ¬Å"Marketing Nutrition offers a ââ¬Ëwin-winââ¬â¢ proposition for all concerned. Insightful companies, health professionals, and policy makers can lead the way . . . in helping people eat better and enjoy food more. ââ¬Å"ââ¬âDr. James O. Hill, Director of Human Nutrition, University of Colorado Medical School (Wansink, 2007, p. ). Take advantage of future growth opportunities. These growth opportunities will be realized from unmet health-care needs and changing consumer life style trends and values (Grauer, 1981, p. 1). Dispensing and drug-knowledge-distribution pharmaceutical services are reviewed by a product life cycle analysis of sales profits versus time (Grauer, 1981, p. 1). A marketing mix for new pharmaceutical services is developed consisting of service, price, distribution, and promotion strategies. Marketing can encompass those key elements necessary to meet the organizational goals of pharmacy and provide a systematic, disciplined approach for presenting a new service to consumers (Grauer, 1981, p. 1). The costs of pharmaceutical marketing are substantial, but they are typical of high-technology industries that must communicate important and complex information to sophisticated users. These costs are offset by savings resulting from proper use of medicines and from lower drug costs owing to price competition (Levy, 1994, p. 1). oint to the Food and Drug Administration (FDA) and find comfort in the fact that this agency is tasked with regulating drug advertising. ââ¬Å"onlyâ⬠8% of advertisements are in violation of regulations. at least one of the 11 advertisements in the April issue of the ARCHIVES is likely to be misleading and, thus, provide potentially harmful information. In fact, the FDA, according to David A. Kessler, MD, commissioner, spends most of its time deve loping the package insert and not, as asserted by Levy, preapproving advertising. According to Kessler, ââ¬Å"Except under very special circumstances, the agency does not eview or approve advertising and promotional materials before their dissemination by a drug firmâ⬠Furthermore, Kessler states that an ââ¬Å"â⬠¦ enormous potential exists for misleading adverà ¬ tisements to reach the physician and influence prescribing decisions. â⬠(Shaughnessy, Slawson, ; Bennett, 1994, p. 1). Gifts: Giving drugs as free samples to doctors/ Gifts that hold the company logo or details of one or multiple drugs, A study was done in 1995 to gauge the outcome of a patientââ¬â¢s perception of pharmacy marketing regarding physicianââ¬â¢s accepting gifts from the pharmaceutical industry. The objective of this study was to ââ¬Å"examine patient perceptions of professional appropriateness and the potential impact on health care of physician acceptance of gifts from the pharmaceutical industry,â⬠via a random telephone suvey of 649 adjults living in the state of Kentucky. Through the random sampling, the outcome of the survey was that Patient awareness of officeuse gifts (eg, pens, notepads) and personal gifts to physicians from the pharmaceutical industry, patient exposure to office-use gifts, and attitudes toward physician acceptance of both office-use and personal gifts. Mainous, Hueston, ; Rich, 1995, p. 1). Eightytwo percent of the respondents were aware that physicians received office-use gifts, while 32% were aware that physicians received personal gifts. Seventy-five percent reported receiving free samples of medication from their physicians. Compared with office-use gifts, more respondents believed that personal gifts to physicians have a negative effect on both health care cost (42% vs 26%) and quality (23% vs 13%). After controlling for demographic variables, as well as awareness and exposure to physician gifts, individuals with at least a high school education were 2. times as likely to believe that personal gifts have a negative effect on the cost of health care and 2. 3 times as likely to believe that personal gifts would have a negative effect on the quality of health care. (Mainous, Hueston, ; Rich, 1995, p. 1). Conclusions These results suggest that the public is generally uninformed about personal gifts from pharmaceutical companies to physicians. If public perception regarding the objectivity of the medical profession is to serve as a guide, these findings suggest a reevaluation may be in order for guidelines regarding physician acceptance of gifts from the harmaceutical industry (Mainous, Hueston, ; Rich, 1995, p. 1). The World Health Organization, the American Medical Association, the American College of Physicians, and the Pharmaceuticals Manufacturersââ¬â¢ Association have also published guidelines on perks to physicians from the drug industry. The bottom line is that all these guidelines are voluntary, and physicians have continued to vote ââ¬Å"with their feet. â⬠(Shaughnessy, Slawson, Bennett, 1994, p. 1). controversial 1962 FDA amendments. Just before 1962, congress studied and concluded that because of patent protection, heavy promotion by the drug companies, consumer ignorance, and minimal incentives for physicians to be concerned with cost, drugs of dubious quality and unnecessarily high expense were being prescribed by physicians, criticisms that sound remarkably familiar even today. Up to that point, the FDA had only required ââ¬Å"proof of safety,â⬠which dated back to the origins of the modern drug era and the 1938 Food, Drug, and Cosmetic Act (Shaughnessy, Slawson, Bennett, 1994, p. 1). Discussions about the influence of pharmaceutical promotion on physicians often focus on gifts and payments of relatively large economic value. This focus is also evident in ethics guidelines addressing pharmaceutical promotion among many professional medical societies. 1 The underlying assumption is that smaller gifts are unlikely to exert influence on prescribing decisions. (Grande, Frosch, Perkins, Kahn, 2009, p. 1). In contrast, a substantial body of marketing and psychology literature suggests that even trivial items can exert influence irrespective of economic value. For example, adding a small gift such as personalized mailing labels to a solicitation for donations has been shown to significantly increase contributions. 2 In pharmaceutical promotion, small gifts are often tethered to branding efforts, as items such as pens and coffee mugs display logos. Aside from the intrinsic value of promotional items, branded materials strengthen brand awareness and build brand equity through a variety of largely unconscious but powerful mechanisms. 3 Nonverbal information about the brand, such as symbols or logos, is often more influential than verbal cues. Stronger brands have a memory encoding and storage advantage over unknown brands,5 which facilitates the formation of strong positive associations with the brand. Strong branded products are more often in a ââ¬Å"top-of-mindâ⬠set of alternatives for consumers to consider. 6 Strong brand awareness provides a justifiable reason for choosing a particular brand. 7-8 This research suggests that small b randed promotional items should increase favorable attitudes for the brand being promoted. We are unaware of studies that test these effects in a clinical context with health professionals, but many physicians, because they are medical experts, believe they are not susceptible to these influences. 5, 9-10 In one survey, just 8% of physicians believed they were susceptible to influence by marketing items such as branded pens, whereas 31% of patients felt these items could influence physicians. 9 The guidelines of the American Medical Association regarding gifts to physicians from industry reflect this belief of lack of susceptibility by permitting ââ¬Å"gifts of minimal value. ââ¬Å"1 (Grande, Frosch, Perkins, Kahn, 2009, p. ). The study used a randomized experimental design. Participants were third- and fourth-year medical students at the University of Pennsylvania School of Medicine (Penn) and the University of Miami Miller School of Medicine (Miami). We selected these institutions because of their differing policies regarding interactions between trainees and pharmace utical company representatives. The University of Pennsylvania has restrictive policies in place that prohibit most gifts, meals, and samples while Miami continues to permit such marketing practices. (Grande, Frosch, Perkins, Kahn, 2009, p. 1). 007-2008. Study participants were assigned to a control or primed condition based on their day of enrollment. Participants assigned to the ââ¬Å"primedâ⬠condition were exposed to Lipitor (atorvastatin) branded promotional items immediately prior to completing a computer-based study instrument. These exposures included Lipitor logos on a clipboard (used when signing in to the study room) and notepaper (used to provide participants with their study identification number). Participants assigned to the control condition completed the same procedures but with a plain (nonbranded) clipboard and notepaper. Randomization was conducted by day in order to avoid contamination of conditions. (Grande, Frosch, Perkins, Kahn, 2009, p. 1). Participants were told they were enrolling in a study about clinical decision making under varying conditions (Grande, Frosch, Perkins, Kahn, 2009, p. 1). Our study was designed to measure the influence of exposure to branded promotional items on relative attitudes toward 2 lipid-lowering statins. We examined differences in attitudes toward Lipitor and Zocor (simvastatin) in our exposed (Lipitor promotional items) and control groups. Lipitor is among the most promoted brand-name statins in the United States while simvastatin is available generically and considered to be nearly equally effective. The study outcomes included measures of implicit and self-reported (ie, explicit) attitudes. (Grande, Frosch, Perkins, Kahn, 2009, p. 1). Implicit attitudes were evaluated with the Implicit Association Test,11-15 a widely used tool in marketing and psychology research that is thought to be resistant to social desirability bias among research participants. Initial applications of the IAT, for example, demonstrated the persistence of racial and gender stereotypes and prejudices, even in the face of strong conscious beliefs that such attitudes do not exist and strong social norms that dictate they should not exist. 16-17 Results from the IAT are a better predictor of intergroup discrimination (eg, biased behavior against people of other races/ethnicities, gender, and sexual orientation based on existing attitudes and stereotypes) compared with ostensibly similar self-report measures. 13 In recent years, the use of the IAT has been expanded to research focused on branding and marketing. 8-19 Further details regarding application and validity of the IAT have been published elsewhere13-15; a demonstration can be found at the Project Implicit Web site (https://implicit. harvard. edu/implicit). (Grande, Frosch, Perkins, Kahn, 2009, p. 1). Explicit attitudes were assessed by self-report. Following the IAT, participants were asked to compare L ipitor and Zocor in 5 dimensions (superiority, preference, efficacy, safety, and convenience) a follow-up anonymous Internet-based survey that assessed their attitudes toward pharmaceutical marketing. The purpose was to measure differences in attitudes among students at the 2 schools given the differing institutional policies as a possible explanatory factor(Grande, Frosch, Perkins, Kahn, 200 Then there is the pharmaceutical industryââ¬â¢s holy grail of marketing ââ¬â the relationship between their sales representatives and medical doctors. To maintain this relationship, often called ââ¬Å"detailing,â⬠pharmaceutical companies spend a whopping $8,290 per doctor. The average family doctor receives 28 visits each week from drug reps, who provide free samples, explain new findings from company-sponsored drug trials, and demonstrate the latest innovation in their companyââ¬â¢s medical devices. Some doctors, reporters and public health advocates have long decried the pharmaceutical industryââ¬â¢s seemingly endless attempts to buy goodwill among medical professionals. But insidious marketing campaigns seeking to rebrand medical conditions as lifestyle choices, and the patients who suffer from them as consumers, have received little scrutiny. (Ebeling, 2008, p. 1). 9, p. ). providing details of their products through journal articles or opinion leaders; Worse, the trend is seriously undermining the regulatory authority of the FDA. Itââ¬â¢s not surprising that profit-driven, cutting-edge marketing techniques have outstripped the government agency established to guide them. What is surprising is that public health advocates havenââ¬â¢t ma de pharmaceutical rebranding and off-label promotions of drugs and medical devices major issues. In December, the advocacy group Consumers Union sent a letter (PDF) to the FDA requesting tighter DTC advertising regulations on medical devices. Ebeling, 2008, p. 1). The December 2007 issues of the womenââ¬â¢s fashion magazines Allure and Harperââ¬â¢s Bazaar both featured multi-page spreads on non-surgical cosmetic procedures, including the array of injectable wrinkle fillers. The articles outlined the pros and cons of each filler, evaluating injection pain, cost per injection (most run between $500 and $800 per shot), and how long each lasts (Ebeling, 2008, p. 1). Dermatologist and anti-aging cream entrepreneur Dr. Patricia Wexler is featured prominently in the Bazaar story. Her remarks about each injectable reflect the marketing language of the brands themselves. When she is discussing Sculptraà ®, for instance, she describes how the product acts as ââ¬Å"a trellis on which the collagen can growâ⬠ââ¬â a line marketers use to describe how the device works. She also repeatedly suggests what are off-label, unregulated product applications, such as using injectable fillers in the eye area, in the temples, in the jawline, on the cheekbones, and in the fine lines surrounding the mouth. Dr. Wexlerââ¬â¢s injectable filler romotions are especially credible among the target audience. Wexler regularly discusses non-invasive, anti-aging procedures on the ââ¬Å"Oprah Winfrey Show,â⬠the ââ¬Å"Today Show,â⬠and ââ¬Å"Good Morning America,â⬠and in the pages of Vogue and Marie Claire. The big pharma companies that make the injectable fillers likely dream of doctors touting their products and suggesting off-label uses for them in popula r womenââ¬â¢s magazines. As the saying goes, they couldnââ¬â¢t buy such good press ââ¬â but they probably did. (Ebeling, 2008, p. 1). Dr. David J. Triggle, a pharmacologist at the State University of New York at Buffalo who has written about drug advertising, says a doctorââ¬â¢s endorsement should be scrupulously honest (Saul, 2008, p. 2). Dr. Robert Jarvik, known for the artificial heart he pioneered more than a quarter-century ago. began appearing in television ads two years ago for the Pfizer cholesterol drug Lipitor (Saul, 2008, p. 1). Skip to next paragraph The ads have depicted him, among other outdoorsy pursuits, rowing a one-man racing shell swiftly across a mountain lake. When diet and exercise arenââ¬â¢t enough, adding Lipitor significantly lowers cholesterol,â⬠Dr. Jarvik says in the ad. Celebrity advertising endorsements are nothing new, of course. But the Lipitor campaign is a rare instance of a well-known doctorââ¬â¢s endorsing a drug in advertising ââ¬â and it has helped rekindle a smoldering debate over whether it is appropriate to aim ads for prescription drugs directly at consumers. A Congres sional committee, concerned that the Lipitor ads could be misleading, has said it wants to interview Dr. Jarvik about his role as the drugââ¬â¢s pitchman. Some of the questions may involve his credentials. Even though Dr. Jarvik holds a medical degree, for example, he is not a cardiologist and is not licensed to practice medicine. So what, critics ask, qualifies him to recommend Lipitor on television ââ¬â even if, as he says in some of the ads, he takes the drug himself? (Saul, 2008, p. 1). Skip to next paragraphThe House Committee on Energy and Commerce is looking into when and why Dr. Jarvik began taking Lipitor and whether the advertisements give the public a false impression, according to John D. Dingell, the Michigan Democrat who is the committeeââ¬â¢s chairman. ââ¬Å"It seems that Pfizerââ¬â¢s No. 1 priority is to sell lots of Lipitor, by whatever means necessary, including misleading the American people,â⬠Mr. Dingell said. Lipitor, the worldââ¬â¢s single best-selling drug, is Pfizerââ¬â¢s biggest product, generating sales of $12. 7 billion last year. But as it has come under competition from cheaper generic alternatives, Pfizer has used the Jarvik campaign, introduced in early 2006, to help protect its Lipitor franchise. Wherever the Congressional inquiry leads, the controversy risks damaging Dr. Jarvikââ¬â¢s credibility and undermining his real medical mission. The Jarvik campaign was rolled out the same year that Zocor, Lipitorââ¬â¢s chief competitor, became available as a generic drug that is widely considered about as effective as Lipitor but is sold at a fraction of the cost. (Saul, 2008, p. 1). Skip to next paragraph Criticism of consumer advertising of pharmaceuticals flared as an issue back in 2004, when Merck withdrew Vioxx, a heavily advertised painkiller, after a clinical trial showed that it sharply increased the risk of heart attacks and strokes. The pharmaceutical industry adopted voluntary guidelines the next year suggesting that companies delay advertising new products for an unspecified period after they first reach the market (Saul, 2008, p. 1). In early January, the U. S. House Committee on Energy and Commerce began investigating celebrity endorsements in television ads for brand-name drugs. These direct-to-consumer (DTC) ads have been controversial since the Food and Drug Administration (FDA) loosened the rules governing pharmaceutical marketing in 1997. Before Lipitor made headlines, there was Viagra. Pfizerââ¬â¢s ââ¬Å"Viva Viagra! â⬠campaign was criticized by the FDA and organizations including the AIDS Healthcare Foundation, who said the DTC ads encouraged recreational use of the erectile dysfunction drug. One print ad suggested that Viagra be used to ââ¬Å"celebrateâ⬠events such as the Super Bowl or New Yearââ¬â¢s Eve. (Ebeling, 2008, p. 1). While troubling, DTC ads represent only 14 percent of pharmaceutical companiesââ¬â¢ marketing budgets. By the time a 30-second drug commercial airs, the company has conducted months of segmentation studies, held dozens of meetings to define the ââ¬Å"communication targetâ⬠(typically a woman, usually a mother, and of a certain income), and spent millions of dollars to develop the drugââ¬â¢s brand and its market. This strategic marketing, which represents the remaining 86 percent of drug promotion expenses, should receive at least as much attention from regulators and lawmakers as DTC ads. (Ebeling, 2008, p. 1). While DTC ads seek to change patientsââ¬â¢ behavior, pharmaceutical companies are more interested in changing doctorsââ¬â¢ behavior. Drug marketers work hard to persuade doctors to prescribe their branded drug over generics and other competitors, and to change other medical practices that limit company profits. To cultivate medical professionals, drug companies may retain a doctor as a spokesperson, position friendly medical ââ¬Å"thought-leadersâ⬠in the media, or organize free events at posh resorts and expensive hotels to ââ¬Å"educateâ⬠doctors about a new disease state (think Restless Leg Syndrome) or their latest drug. In 2000, the biggest 10 pharmaceutical companies spent $1. 9 billion on promotional events alone (Ebeling, 2008, p. 1). For example, the FDA found that Eli Lillyââ¬â¢s television broadcast advertisement for Strattera (atomoxetine) was false or misleading because it inadequately communicated the indication for the drug (attention-deficitââ¬âhyperactivity disorder) by means of competing visuals, graphics, and music presented concurrently. Similarly, serious risk disclosures were minimized for Strattera, the FDA said, by the distracting visuals and graphics (e. . , erratic camera movement, quick scene changes, and visual changes in point of view). In another case, the FDA said Pfizerââ¬â¢s print advertisement for Zoloft (sertraline) was false or misleading because it omitted important information relating to the risk of suicidality in patients, a risk stated on the productââ¬â¢s label at the time the advertisement ran. (Donohue, Cevasco, Rosenthal, 2007, p. 1). Drugs that are advertised to consumers are predominantly new drugs used to treat chronic conditions. Ten of the top 20 drugs, as ranked by advertising spending, were introduced in 2000 or later. Advertising campaigns generally begin within a year after the introduction of a pharmaceutical product, which raises questions about the extent to which advertising increases the use of drugs with unknown safety profiles. At least one pharmaceutical manufacturer (Bristol-Myers Squibb) recently announced a voluntary moratorium on direct-to-consumer advertising for drugs in the first year after FDA approval. And PhRMA, the industry trade group, has recommended that manufacturers delay such campaigns for new drugs until after health professionals have been sufficiently educated, although no details have been provided on how long a period was deemed necessary. 20 Finally, in a recent study of drug safety, the Institute of Medicine recommended that the FDA restrict advertising for newer prescription drugs. 8 Our data show that a mandatory waiting period on advertising for new drugs would represent a dramatic departure from current industry practices. For example, the FDA found that Eli Lillyââ¬â¢s television broadcast advertisement for Strattera (atomoxetine) was false or misleading because it inadequately communicated the indication for the drug (attention-deficitââ¬âhyperactivity disorder) by means of competing visuals, graphics, and music presented concurrently. Similarly, serious risk disclosures were minimized for Strattera, the FDA said, by the distracting visuals and graphics (e. g. , erratic camera movement, quick scene changes, and visual changes in point of view). In another case, the FDA said Pfizerââ¬â¢s print advertisement for Zoloft (sertraline) was false or misleading because it omitted important information relating to the risk of suicidality in patients, a risk stated on the productââ¬â¢s label at the time the advertisement ran. (Donohue, Cevasco, ; Rosenthal, 2007, p. 1). direct-to-consumer advertising of prescription drugs on television. Such advertising has been criticized for encouraging inappropriate use of medications and driving up drug spending. ,2 Concern that such advertising may lead to increased use of expensive medications was amplified by the introduction of a prescription-drug benefit in Medicare in 2006 (Part D). Studies of the effect of advertising on prescribing practices have shown that such advertising increases classwide sales, helps to avert underuse of medicines to treat chronic conditions, and leads to some overuse of prescription drugs. (Donohue, Cevasco, ; Rosenthal, 2007, p. 1). Direct-to-consumer advert ising has also been controversial in light of postmarketing revelations regarding problems with drug safety. Specifically, clinical trials that are required for drug approval are typically not designed to detect rare but significant adverse effects, and contemporary methods of postmarketing surveillance often fail to connect adverse events that have a high rate of background prevalence with the use of particular drugs. After the market withdrawal of Vioxx (rofecoxib), a drug heavily promoted to consumers,6 critics called for the FDA to place limits on direct-to-consumer advertising, particularly for new drugs,7 a view that was reiterated in a recent report by the Institute of Medicine on the safety of medicines. (Donohue, Cevasco, ; Rosenthal, 2007, p. 1). Sponsoring continuing medical education describes the influence of sponsoring on the results, protocol and quality of drugs studies (Deutsches Aerzteblatt International, 2010, p. 1). The authors conclude that pharmaceutical companies exploit a wide variety of possibilities of manipulating study results. Apart from financing the study, fin ancial links to the authors, such as payments for lectures, may tend to make the results of the study more favourable for the company. Not only the results themselves, but also their interpretation, are significantly more often in accordance with the wishes of the sponsor. (Deutsches Aerzteblatt International, 2010, p. 1). In some publications, the authors detected evidence that sponsors from the pharmaceutical industry had influenced study protocols. For example, placebos were more frequently used in drug studies than was the case with independently financed studies. On the other hand, some favourable effects were linked to financial support from the pharmaceutical industry. The methodological quality of studies with industrial support tended to be better than with independent drug studies(Deutsches Aerzteblatt International, 2010, p. 1). Most physicians must complete accredited continuing medical education (CME) programs to maintain their medical licenses, hospital privileges, and specialty board certifications. Data from the Accreditation Council for Continuing Medical Education (ACCME) show that CME is a $2 billion per year business in the United States that earns less than half its revenue from physician learners themselves. CME is increasingly underwritten by commercial sponsors ââ¬â primarily manufacturers of drugs, biologic therapies, or medical devices ââ¬â that spend more than $1 billion per year in educational grants and other funding to cover more than half the costs for CME activities (Morris ; Taitsman, 2009, p. 1). In recent years, a number of studies have shown that clinical drug trials financed by pharmaceutical companies yield fa vorable results for company products more often than independent trials do. Moreover, pharmaceutical companies have been found to influence drug trials in various ways. Schott, Pachl, Limbach, Gundert-Remy, Ludwig, ; Lieb, 2011, p. 1). Published drug trials that were financed by pharmaceutical companies, or whose authors declared a financial conflict of interest, were found to yield favorable results for the drug manufacturer more frequently than independently financed trials whose authors had no such conflicts. The results were also interpreted favorably more often than in independently financed trials. Furthermore, there was evidence that pharmaceutical companies influenced study protocols in a way that was favorable to themselves. The methodological quality of trials financed by pharmaceutical companies was not found to be any worse than that of trials financed in other ways. Conclusion: Published drug trials that are financed by pharmaceutical companies may present a distorted picture. This cannot be explained by any difference in methodological quality between such trials and trials financed in other ways. (Schott, Pachl, Limbach, Gundert-Remy, Ludwig, ; Lieb, 2011, p. 1). Clinical drug trials funded by pharmaceutical companies yield favorable results for the sponsorââ¬â¢s products more often than independent trials do. This has been demonstrated by a number of studies in recent years Various ways have been described in which pharmaceutical concerns exert influence on the protocol and conduct of drug trials, as well as on the interpretation and publication of their results. This systematic review showed widespread conflicts of interest in the shape of financial connections between scientists, academic institutions, and the pharmaceutical industry. Around one quarter of academic staff and two thirds of academic institutions had financial relationships with industry. Analysis of 8 review articles embracing a total of 1140 original articles (including randomized controlled trials [RCT], economic analyses, and retrospective cohort studies) revealed a statistically significant association between funding by biomedical companies and conclusions favorable to the pharmaceutical industry (summarized odds ratio [OR] 3. 6, 95% confidence interval [CI] 2. 6ââ¬â4. 9). Industry financing was also connected with limitations of publication rights and constraints on access to trial data. Schott, Pachl, Limbach, Gundert-Remy, Ludwig, ; Lieb, 2011, p. 1). In the second review, a systematic analysis of 30 publications, Lexchin et al. showed that drug trials financed by pharmaceutical companies are less likely to be published, but that those published more frequently yield positive results for the sponsorsââ¬â¢ products than do independently funded studies (8). The quality of the methods employed (analyzed in 13 publications) in trials financed by pharmaceut ical companies was not inferior to that in studies with other sources of funding. Schott, Pachl, Limbach, Gundert-Remy, Ludwig, ; Lieb, 2011, p. 1). The authors of the present systematic review set out to assess whether recently published studies reveal a connection between financing of drug trials by pharmaceutical companies and results favorable to these companiesââ¬â¢ products. Part 1 investigates whether and, if so, how the type of funding affects study protocol and quality. Part 2 identifies and depicts the aspects of clinical drug trials that can be influenced by financial support from the pharmaceutical industry. Schott, Pachl, Limbach, Gundert-Remy, Ludwig, ; Lieb, 2011, p. 1). The publications included were primarily studies performed with the expressed goal of comparing clinical trials funded by pharmaceutical companies with clinical trials that had not received financial support from such companies, e. g. , with regard to the results or conclusions. These studies were accompanied by a number of publications that investigated the consequences of financing of a study by pharmaceutical companies. These included, for example, articles in which information from the files of the US licensing authority (Food and Drug Administration, FDA) was compared with data from publications in medical journals, and case studies on individual substances. (Schott, Pachl, Limbach, Gundert-Remy, Ludwig, ; Lieb, 2011, p. 1). Connection between type of funding and results of drug trials Twenty-six of the 57 publications analyzed sought to ascertain whether the results and/or conclusions of drug trials depended on the type of funding or on financial conflicts of interest on the part of the authors (eTable). Schott, Pachl, Limbach, Gundert-Remy, Ludwig, ; Lieb, 2011, p. 1). Altogether, 23 of these 26 studies came to the conclusion that there was a positive correlation between the financing of a study by pharmaceutical companies and/or conflicts of interest on the part of the authors and results or conclusions that were favorable to the sponsor. The statistical significance of this finding was investi gated in 22 cases and confirmed in 20. (Schott, Pachl, Limbach, Gundert-Remy, Ludwig, ; Lieb, 2011, p. ). In 4 cases it was apparent that the findings were interpreted favorably towards the pharmaceutical concern that had funded the study, independent of the results (e5ââ¬âe8). (Schott, Pachl, Limbach, Gundert-Remy, Ludwig, ; Lieb, 2011, p. 1). Another study investigated the connection between the conclusions and the source of financial support in clinical trials that had appeared in 5 influential medical journals over a period of 20 years (e10). Most trials yielded positive results for the drug in question regardless of the funding source, but this study also revealed a trend over the course of time towards more positive findings in industrially financed trials than in trials supported by non-profit organizations (e10). The third study compared the results (but not the interpretations or conclusions) of clinical trials of drugs used in pain management, some of them long available as generics (e9). (Schott, Pachl, Limbach, Gundert-Remy, Ludwig, ; Lieb, 2011, p. ). Five of the 57 studies analyzed investigated whether funding by pharmaceutical companies affected the design of the study protocol (Table 1 gif ppt). The use of placebos was shown to be significantly more common in RCTs of drugs for psoriasis that were financed by such companies than in those with funding from other sources (e12). Moreover, several studies of treatment for premature ejaculation that were sponsored by a pharmaceutical company were found to have disre garded the relevant objective endpoint (e13). In an investigation of inhaled corticosteroids, significant differences in the frequency of adverse drug reactions (ADR) between the probands and the control group occurred only half as often when the study had been funded by the manufacturers (see also Part 2). The differences could be attributed wholly to the study design. For example, studies financed by pharmaceutical companies used lower dosages. (Schott, Pachl, Limbach, Gundert-Remy, Ludwig, ; Lieb, 2011, p. 1). The pharmaceutical company concerned investigated the marketing effect of the study, finding that participating physicians did indeed prescribe rofecoxib significantly more often than non-participants in its first 6 months on the market. (Schott, Pachl, Limbach, Gundert-Remy, Ludwig, ; Lieb, 2011, p. 1). The results of clinical drug trials that are funded by pharmaceutical companies or whose authors have financial conflicts of interest are favorable to the products of the sponsoring company far more frequently than studies whose funding comes from other sources. Furthermore, interpretation of the data in the conclusions of industrially financed trials more often favors the sponsor. This was shown by the present systematic review and analysis of investigations, published between 1 November 2002 and 16 December 2009, into various diseases, study types (e. g. , RCTs and observational studies), and drugs. The results confirm the conclusions of 2 systematic reviews, both published in 2003, conducted with similar intent (7, 8). The principle of equipoise, i. e. , uncertainty which of the alternative approaches benefits the patient most, forms the ethical foundation of clinical studies in which the probands receive various treatments (14). This principle seems to be violated in many studies funded by pharmaceutical companies. (Schott, Pachl, Limbach, Gundert-Remy, Ludwig, ; Lieb, 2011, p. 1). There are numerous reasons why studies financed by pharmaceutical manufacturers more often yield positive results. Four investigations found evidence that pharmaceutical companies influence the study protocol to their advantage (e12ââ¬âe14, e19), e. g. , by more frequent use of placebos in control groups than in independently funded studies (e12). Although the responsible authorities sometimes demand placebo-controlled trials as a condition of licensing, they also request active controls (15). Further factors leading to higher frequency of results favorable to the sponsor in trials funded by pharmaceutical companies are described in Part 2 of this review. Schott, Pachl, Limbach, Gundert-Remy, Ludwig, ; Lieb, 2011, p. 1). Trials financed by pharmaceutical concerns displayed no signs of poorer methodological quality. On the contrary, two studies showed superior quality (e16, e17). It must be taken into account, however, that some factors that serve to assess the quality of the instruments used in a study were not determined, among them the clinical relevance of the target parameters. In oncolog y, for instance, there are currently major defects in the protocols of industrially sponsored clinical trials, e. . , deficiencies in the definition of patient-relevant endpoints and in the selection of suitable substances for the control arm of RCTs (16ââ¬â19). Moreover, clinical trials in oncology are often discontinued after preliminary analysis (20), with the result that only a short time after the licensing of a drug its additional benefits and the safety of new substances can frequently no longer be evaluated, preventing any benefit/risk analysis (21). (Schott, Pachl, Limbach, Gundert-Remy, Ludwig, ; Lieb, 2011, p. 1). Conclusion: Wansink argues that the true challenge in marketing nutrition lies in leveraging new tools of consumer psychology (which he specifically demonstrates) and by applying lessons from other productsââ¬â¢ failures and successes. The same tools and insights that have helped make less nutritious products popular also offer the best opportunity to reintroduce a nutritious lifestyle. The key problem with marketing nutrition remains, after all, marketing. (Wansink, 2007, p. 1). New services must therefore be oriented toward consumers (i. e. , patients, health professionals, and third-party agencies) to gain acceptance (Grauer, 1981, p. ). We encourage family physicians interested in providing the best care for their patients to become educated in the advertising techniques used by the pharmaceutical industry. (Shaughnessy, Slawson, Bennett, 1994, p. 1). | | | | | | | | | | | new challenges as well as opportunities for increasing profitability. If the pharmaceutical companies want to improv e their Return-On-Investment (ROI), they have to adopt new communication technologies (digital media) along with their conventional sales force of medical representatives. They really need to adopt this multi channel marketing strategies for the following reasons: The concept of blockbuster drugs is dying out for big pharmaceutical companies where 2-3 drugs were good enough to pay back the whole investment for a larger number of manufactured drugs. Now the limited prospective for blockbuster drugs (thanks to low investment on RD and patent expiry) makes it essential to focus on more specialized drugs sold in lower volumes. And when there is low volume products, sales driven marketing strategy (with high cost of sales force) is not feasible. As far as small pharma companies are concerned, they already have small sales force. However, with the use of digital media, having a lower investment cost (both for the company and its targeted customer) they can easily get return on investment. Customer behavior (doctors behavior) is rapidly changing. Doctors, who are getting more and more busy with increasing patients, can be hardly seen by the medical representatives. They are more inclined towards Internet for obtaining relevant information. It is the time for pharmaceutical companies to build their marketing strategies around this digital media. Website marketing, online marketing, blogs, social media, forums, chat rooms and any other such media is an influential means to present the companyââ¬â¢s products and offers through opinion leaders (Need of New Pharmaceutical Marketing Strategies, 2010, p. 1). The right marketing strategy for any pharmaceutical company would be to build on proven strategic marketing principles, along with a focus on changing customer behavior. Use of digital media through Internet marketing plan is the best marketing strategy that can provide the basis for a changed business model. However, there should be some planning for using digital media for marketing too. It should be a multi channel marketing strategy but should identify the target audience. Every digital media used for all people can not be called the right marketing strategy. The focus should be on the high value customer segment for pharmaceutical products (Need of New Pharmaceutical Marketing Strategies, 2010, p. 1). How to cite Pharmaceutical Marketing, Papers
Sunday, December 8, 2019
Develop and Use Emotional Intelligence Same Organizations
Question: Develop and Use Emotional Intelligence for Same Organizations. Answer: I will distribute the questionnaire to five people working in the same organization. However, I will make a conscious effort that the questionnaire is distributed to the desired individuals. For that reason, I will focus on the utilization of non-probability sampling technique, as it will ensure that the collected information does not remain biased towards any particular factor. I will utilize email platform for the effective collection of data related to my emotional intelligence. 1 4 out of 5 respondents are working for more than 2 years in the organization. 2 Majority of the respondents have said that I do not lose my temper too often and I am very much focused to meet all the deadlines. On the other hand, respondents have also mentioned that I takes some minor things very seriously that play a great part to enhance my stress level. 3 From the feedback, I have identified that majority of the respondents believe that lack of motivation and satisfaction level is the prime factor that creates adverse impact on my emotional intelligence. 4 Majority of the respondents have mentioned that effective communication is the best possible way to evaluate my emotional state 5 Effective utilization team is the best possible way to address issues related to emotional intelligence. Table 1: Feedback of the respondents Meeting deadlines and not losing temper is my main emotional strengths. In contrast, taking everything very seriously is my prime weakness. Conducting several tasks at a given time is the prime stressor. Thus, I will have to assess identify important tasks of the organization so that it cannot able to create too much stress. I will try to evaluate the feedback to identify the best possible to way for me to handle emotion. In this present stressful business environment, emotional intelligence check is very important. For that reason, I will try to identify 5 people in my team who lose their temper too often to conduct a self-assessment on the emotional intelligence. After the completion of feedback process, I will induce respondents to share their learning. I believe it will help them to identify the major factors that can create impact on the emotional intelligence. Furthermore, it will also help me to understand the strengths and weaknesses of those people in an effective way. I believe teamwork is extremely important for the successful fulfillment of organizational objectives. Therefore, I feel that outlining the emotional intelligence with the team will help to understand the behavioral pattern of the employees. I feel that it will also create positive impact at the time of role segregation that eventually will create positive impact on the operational process. As I have already mentioned that teamwork is necessary for the fulfillment of organizational objectives. Now, as emotional intelligence helps to identify the behavioral pattern of the people, it will create positive impact in reducing the possibility of miscommunication among the team. Therefore, I feel that it will also increase the cohesiveness of the team that eventually helps organization to fulfill all its objectives in an effective manner. I believe I have to utilize different strategies for different employees according to their emotional strengths and weaknesses. For that reason, I believe implementation of unique strategy cannot able to create desired impact on the effectiveness of the team. However, my first step will have to be the identification process of the emotional strengths and weaknesses of the employees. Thereafter, I will have to utilize diversified strategies. Evaluation of emotional intelligence is extremely important for the successful utilization of individuals skill. Furthermore, as emotional intelligence helps organization to reduce the possibility of miscommunication among the employees, it will definitely create positive impact on the effectiveness of the operational process of the team. I believe cohesiveness of the team is positively correlated with its performance level. Therefore, effective evaluation of emotional intelligence will help team to fulfill all the objectives of the organization in an appropriate manner. I have analyzed that majority of the people in the team has the ability to complete a particular task within the given timeframe. Furthermore, I have also identified that apart from 2 or 3 members, majority of the team like to take the pressure of performing several tasks at the given timeframe. Therefore, it has helped me to test the limit of the teams capability so that organization can able to receive maximum profit from team.
Saturday, November 30, 2019
Life In The 1900s Was Depressing And Was An Era Filled With Extremely
Life in the 1900's was depressing and was an era filled with extremely hard and strenous work that didn't offer any future for the average canadian in doing better. If you were an average wage earner you would be virtually stuck in the same job for the rest of your life, while rich maintained their wealth mainly caused by the low taxes. Living conditions were poor for average canadians and even worse for the arriving immigrants. At this time some of the modern convienences were just being invented and even if it were for sale only the extremely rich had the option of purchasing the items. Sports being very new, in the aspect of it being organized was small time compared to present day. Travelling required time and was uncomfortable. Only the rich could have the luxurious accomadations for those long journeys. Many jobs were available to most people but you were under constant scrutiny while working and would have to be willing to do any thing the boss wanted. I believe my friends and I would most likely resent and despise it if we had to live in the 1900's. During the 1900's horses played a significant role in the everyday life. A horse drawn carriage would bring a docter to the house of where a baby would be born. A hearse was pulled by horses to the cemetery when somebody died. Farmers used them to pull their ploughs while town dwellers kept them for transportation around town. Horses puled delivery wagons for businesses such as bakery, dairy, and coal company. Horses pulled fire engines through the streets in a fire emergency. The bicycle was widely accepted by canadians because of its easy maintence compared to a horse. The bike allowed an option of transportation. The bicycle also gave a sense of freedom to virtually anybody willing to learn. Henry Ford revolutionized the world we live in by inventing the "horseless carriage", if it had not been for him, instead of taking the GO bus in the morning we'd be riding a horse named Wanda. Not only did his invention offer a method of transportation to the public, but it helped with our emergency services such as fire engines, police cars, and ambulances. Now we have a large variety of cars to choose from varying in size and price. He also brought a large profitable industry to North America...The car industry. Back then there weren't many problems that they created. Today, we have our deteriorating ozone layer, poisonous chemicals that come from exhaust fumes (CO2)(Carbon Monoxide). Not to mention the traffic accidents, parking problems and traffic jams in downtown Toronto. 11 years previous to WW I Orville and Wilbur Wright made a successful flight in the first airplane at the beach of Kitty Hawk, North Carolina. Although the flight only lasted 12 seconds it would change the way we see the world. The telephone allowed the houseneeds to be satisfied without leaving they're homes. Women received an oppurtunity to work as a a switch board operator. I don't know if I can stress the importance of Marconi's invention enough. But I can say, that without it not only would there be no T.V. or radio there would be a lot of unemployed people right now(even more unemployed than now!!!). The reason for that is radio provides people with jobs such as DJ's, musical programmers etc. Also, radio is a major form of advertising, without it there would not be as many advertising agencies or as many positions in this field. Without T.V., advertising agencies would also face the same consequences. T.V. provides millions of people with employment in commercials, T.V. shows, and movies. Baseball was the most popular sport in the United States where the World Series began in 1903. Tom Longboat was born in Brantford, Ontario and was known for outrunning a horse over a 19 km coarse. He set a record of 2 hours, 24 min and 24 seconds when he ran the Boston Marathon. Jan 22/1901 Queen Victoria died at the age of 63 years. The Queens reign stretched across the globe. With her death came modernization. In the early 1900's horses were being used extensivley for all transportating duties and some manual labor jobs.
Tuesday, November 26, 2019
Free Essays on Reality
If you saw my family sitting together at a restaurant, you would say to yourself,â⬠now there is a nice looking family.â⬠Everyone says so. Although underneath it all is what you really donââ¬â¢t see. I was blind to it myself until it was brought to my attention. Two people that were destined to be together from the start are just falling apart more and more everyday. Walking into my house ten years ago you would smell whatever was cooking on the stove, the fireplace burning in the living room, or Dadsââ¬â¢ cologne when he walks from his bedroom. Now, itââ¬â¢s just a stale smell from an old house. Itââ¬â¢s like no one is even living within the walls of the English tutor home. No love between the two people that made everything what it is today. It was a major change for all of us to move here from New York. It seemed like the ââ¬Å"in thingâ⬠was parents getting a divorce. We felt like a minority moving here because our parents were still together. My sister and I would listen to our friends and how difficult it is for them to be fair and see each parent every other week. All we could think to ourselves was, ââ¬Å"thank God that is never going to happen to us.â⬠Well it wasnââ¬â¢t until the middle of my sophomore year that it was brought to my attention by my dad that things werenââ¬â¢t going all that great, and that in fact they hadnââ¬â¢t been for quit some time now. I remember standing in our hot muggy garage as he was telling me this. Perspiration was melting off both our faces. Iââ¬â¢m not sure if I was angry or scared; but I knew my Dad was trying to hold back his tears. Everything that meant the most that day just went from the top to the bottom of the list. One thing that was different from all of the other families that go through this is that my parents tried very hard to put things back together. They went to counseling and little get-aways. Again, my sister and I thought that things were going good between them. We just wen... Free Essays on Reality Free Essays on Reality If you saw my family sitting together at a restaurant, you would say to yourself,â⬠now there is a nice looking family.â⬠Everyone says so. Although underneath it all is what you really donââ¬â¢t see. I was blind to it myself until it was brought to my attention. Two people that were destined to be together from the start are just falling apart more and more everyday. Walking into my house ten years ago you would smell whatever was cooking on the stove, the fireplace burning in the living room, or Dadsââ¬â¢ cologne when he walks from his bedroom. Now, itââ¬â¢s just a stale smell from an old house. Itââ¬â¢s like no one is even living within the walls of the English tutor home. No love between the two people that made everything what it is today. It was a major change for all of us to move here from New York. It seemed like the ââ¬Å"in thingâ⬠was parents getting a divorce. We felt like a minority moving here because our parents were still together. My sister and I would listen to our friends and how difficult it is for them to be fair and see each parent every other week. All we could think to ourselves was, ââ¬Å"thank God that is never going to happen to us.â⬠Well it wasnââ¬â¢t until the middle of my sophomore year that it was brought to my attention by my dad that things werenââ¬â¢t going all that great, and that in fact they hadnââ¬â¢t been for quit some time now. I remember standing in our hot muggy garage as he was telling me this. Perspiration was melting off both our faces. Iââ¬â¢m not sure if I was angry or scared; but I knew my Dad was trying to hold back his tears. Everything that meant the most that day just went from the top to the bottom of the list. One thing that was different from all of the other families that go through this is that my parents tried very hard to put things back together. They went to counseling and little get-aways. Again, my sister and I thought that things were going good between them. We just wen... Free Essays on Reality According to James, pragmatic reality seems to be an individualââ¬â¢s construction of ideas and is based upon the fulfillment of oneââ¬â¢s own interests. First of all, James believes that there is a number of different ââ¬Å"worldsâ⬠or realities that exist such as the world of science, the world of abstract truths, etc.. Of these worlds that James thinks exists, he feels that the world of physical objects is the most important world when considering reality. He considers this world to be most important because physical objects have more impact on our lives and most affect our ability to fulfill our ends. So, when we discuss James and his ideas on a pragmatic reality, we are focusing on the reality of physical objects. Jamesââ¬â¢ ideas on pragmatic reality also seem to take into account two major sides. Side one would include an individualââ¬â¢s interests, values, and concerns, and side two would include an individualââ¬â¢s experiences. James thinks that an individual creates his own reality by sorting through his interests, values, and concerns and then relating his experiences to those factors in a way that will be satisfying to him. This process will result in an individuals own reality, and not any ââ¬Å"absoluteâ⬠reality. What is real needs to be understood, and if one can not understand something, then it is not reality to that person. Therefore, each individualââ¬â¢s perception of physical objects will result in an individual sense of reality for each individual based on the perception of the same group of physical objects. Jamesââ¬â¢ metaphysical conception of reality is based on the idea that there are many ways that one can view something, and once again it is up to the individual to decide which way the thing will be perceived. The idea here is not to argue about which point of view is the correct one, but it is to see which point of view is more appropriate given the purposes the individual has. Many examples are given ...
Friday, November 22, 2019
Research Quality, Depth, and Credit
Research Quality, Depth, and Credit Quality The Newbery-winningà Indian Captive: The Story of Mary Jemisonà The librarians at Patterson Library in Westfield, New York, took my ten-year-old quest seriously and gave me access to the closed-off balcony with its stacks of dusty archived books. I spent weeks filling hundreds of three While I dropped the project, I had unconsciously absorbed the difference in primary, secondary, and tertiary sources. Those accounts written When using a written source, the primary is the original document. If you find something quoted in a resource, that resource should be saying where it came from ââ¬â follow that back to the original document. If thereââ¬â¢s no attribution, Iââ¬â¢ve found the quickest way to find an original source is to search the person or quote + searchable manuscripts. There are usually multiple hits. Look for websites from governments, libraries, universities, or other solid sources. Some examples: à à à Gutenberg Projectà over 58,000 free eBooks, including Victor Hugoââ¬â¢s memoirs. à à à The Library of Congress Manuscript Reading Roomà ââ¬â digital images or searchable text. à à à The British Libraryââ¬â¢s digitized collections. à à à Cambridge Digital Library à à à This page at Harvard Libraryà also tells you how to do more detailed research with them. Depth At Amazonââ¬â¢sà ââ¬Å"Look Insideâ⬠for Lenskiââ¬â¢s book, you can read the foreword, in which she describes how she researched the story and adapted it for fiction. She researched Jemisonââ¬â¢s entire life and the Iroquois (of whom the Seneca are a part) in depth. She talks about the fact it was a transitional time for the Iroquois and how she tried to address that. Her illustrations are modeled after traditional Seneca artwork. It is clear she knew as much as possible about Mary Jemison and the world in which she lived. However, while Lenskiââ¬â¢s writing was undoubtedly informed Credit Lenski mentions various specific resources throughout the foreword and ends with two paragraphs of thanks. As you do your research, keep track of key source information youââ¬â¢ll need for citations and bibliographies. The online writing lab at Purdue can help you give credit professionally if youââ¬â¢re writing nonfiction. If youââ¬â¢re writing fiction, share your sources with the reader and say thank you.
Wednesday, November 20, 2019
Differentiated Instruction In the Classroom Research Paper
Differentiated Instruction In the Classroom - Research Paper Example At the California Montessori Project Charter School teachers use differentiated teaching methods that are based on Maria Montessoriââ¬â¢s philosophy of following the child. In other schools in Sacramento the teachers that will be interviewed will share their techniques for small group work. There are also academic programs, such as ââ¬Å"Handwriting without Tears,â⬠that provide differentiation written into the curriculum. Each of these curricula is creating a new pathway for teaching, specifically because of the positive results which are currently being achieved. To continue with this approach, are also several trying to refine and work forward with the learning approaches that are used. Purpose of this Study The purpose of this study is to define the approaches to differentiation as well as whether this will benefit students that are learning with specific approaches. When examining the differentiation in the classroom, there will be the focus on showing the accomplishmen ts, progression and potential problems associated with this approach. Defining this will benefit students, teachers and educators, specifically because there will be more knowledge and background on differentiation. This will be combined with the understanding that education can begin to progress and change for classrooms which are inclusive of alternative styles for teaching. The research will provide information from Gardner, Vygotsky and Montessori as some of the researchers working with differentiated instruction. The research conducted to support this paper will help teachers with new skills and knowledge to best support their students in the classroom. It will also work to identify more of the... The significance of the study is to prepare teachers to expand their horizons when it comes to instructional strategies that are evidence-based and a proven product. It is expected that through this study, there will be the capability of creating new approaches to teaching and learning. Understanding the benefits and the gaps of differential instruction can help to refine the new methodology of teaching while assisting those within the classroom to approach students in a different manner. If this methodology can begin to evolve and become a standard within the classroom, there will be the capability of creating new opportunities for growth in the educational system. This report makes a conclusion that the concepts which were used in the qualitative study, as well as the quantitative research show that there is a demand to change the overall instruction in the classroom. The theoretical approaches show that there are diverse needs, both with the socio ââ¬â cultural basis and with the cognitive learning capabilities which the children carry. This is combined with the needed changes associated with diverse settings which are now incorporating special education with gifted students, specifically because of the recognition that each student doesnââ¬â¢t have slower or faster learning abilities, but instead has different ways of learning. The theoretical concepts show that there are many associations with benefits and needs for differential instruction. While there is a strong need for the instruction, there are also questions over how to intertwine the theories with practical methodologies. The Montessori Method is one which has found explorati on as a main approach to the classroom.
Tuesday, November 19, 2019
Financial Plan Research Paper Example | Topics and Well Written Essays - 2500 words
Financial Plan - Research Paper Example We exhibit a more consumer friendly corporate persona, which makes us more attractive for an economy conducive to socially responsible business ethics. The economy is becoming increasingly fragile which makes consumers less predictable. Accounting Financial Solutions will help individuals avoid risky economic behavior while ensuring long term spending from the private sector. Moreover, with foreclosures at an all time high, consumers are increasingly searching for peace of mind that their own property will not be foreclosed on in the future, our company helps them identify their personal income mile markers so they know if they how much effort is required of them to maintain their style of living. Executive Summary Accounting Financial Services (AFS) is a fairly new company with its operating principal possessing almost 15 years of industry specific experience. Our organization is operated by the proprietor. The major barriers preventing AFS from realizing its ideal operating capacit y are public visibility and consumer confidence. AFS has an existent customer base that expresses skeptic attitudes towards the existing residential operating space. With Identity theft on the rise, less consumers are willing to consult with individuals outside of brick and motor locations. Our existing clients represent a delicate marketing potential that is not being tapped because of our residential space. Intuits Stimulus Grant will provide the necessary capital to acquire a brick an motor location in order to generate consumer confidence in Accounting Financials Solutions ability to deliver. Our target consumer resides in Camp Spring, Maryland and seasonly seeks tax preparation services. Local small business make up our consumer base for our bookkeeping service. In order to access this community we have developed a marketing strategy to create an online presence and capitalize on target local markets. We also plan to educate consumers about our brand niche, ââ¬Å"a friendly bu siness with commercial expertise!â⬠Pricing The price for Tax preparation at Accounting Financial Solutions ranges between $80 to $170 pending on the size and amount file being processed. For Personal and Business Accounting we charge a percentage of the account, pricing is negotiable but accounts for the projected amount of time consumed. Promotion 1. Leverage referrals from professional contacts and individual clients to make this an integral part of how we conduct business. 2. Enhance our profile within our targeted industries and areas of specialization through being cited as possessing unique expertise in these areas. 3. Generating healthy friendships with clients and maintaining a constant out of work relationship. Service Our business and individual clients judge our competence based on how we treat them. This is their primary ââ¬â and in many cases their only measurement of our capabilities. We must have each of our clients answer positively to these questions: Do t hey act in a professional manner? Do they know who I am? Do they know my name? Are they genuinely concerned about my best interest? Will they defend their advice and council if needed? Market Research Our market research is conducted by mail out surveys to get a more accurate depiction of our costumers response to our
Saturday, November 16, 2019
Electronic Signatures Essay Example for Free
Electronic Signatures Essay As compared to paper based signatures there is an increased dependability on electronic signatures for an increased protection of documents and patient records in healthcare facilities. Thereby this paper will discuss an importance of electronic signatures in addition to the advantages that they have in order to be implemented in healthcare, business and e-commerce. Introduction Signature is more known as a script that has been designed by an individual and is associated with that very individual. Signatures in some cases have been associated with seals used for protection. In general, signatures are an evidence of the fact that all intentions made in a certain document have been approved by the individual signing it. Purposes of signatures are the same as that of normal and usual signatures as all intentions made in an electronic document are approved by an individual who undersigns a document with an electronic signature (Brazell, 2004, p. 23). Many definitions have been given in relation to the electronic signature. All in all these definitions highlight the fact that as compared to hand written signatures, electronic signatures are more protective and sealed thereby there is an increased reliability associated with electronic signatures. Defining Electronic Signatures First definition that needs a mention here is given by US Code. It defines an electronic signature as an electronic sound, or a symbol that represents documents in a unique way as these symbols are associated with these documents in a legal manner. According to this definition symbols are adopted and chosen by an individual who wishes to sign, seal and protect a document thereby making sure that all intentions are accepted by that very individual. The US code argues that the signatures can be embedded in transmissions of electronic documents observed during transmission of facsimiles. The electronic signature can also take the form of Morse code in case of electronic message transmission as the signs are embedded inside the message. Realizing an importance of the protective and sealing protection offered by electronic signatures, there is an increased use of encrypted electronic messages in fields that are more sensitive about integrity of documents thereby e-commerce, healthcare, government office are observed to frequently adopt the technology of electronic signatures (Schellekens, 2004, p. 56). Legal standing of these electronic signatures has been well established thereby the laws of EU and US recognize electronic signatures holding the same legal importance as ordinary signatures on documents. Legal issues and consequences that are associated with electronic signatures are same as normal and usual signatures. Historical Perspective of Electronic Signatures Electronic signatures have been known to exist since before the American Civil War. Electronic signatures date back to 1860s when electronically encrypted messages were being used by the help of Morse codes in telegraphy. Telegraphy in those days was used to send messages that were more secret and in agreements to terms that were presented in certain kinds of enforceable contracts. Legal standing of these electronic messages dates back to 1869 when an importance of these telegraphically encrypted documents was enforced by the New Hampshire Supreme Court (United Nations Commission on International Trade Law, 2002, p. 78). In order to ensure protection, and time sensitive delivery of protected documents to safer places, in 1980s, many organizations started working on electronic signatures in order to encrypt documents. For encrypting highly sensitive documents, fax machines were used. Nevertheless in this case it has been seen that although original signatures used to be on the paper, but images of signatures and transmission used to be in an electronic format thereby ensuring increased protection. Recently it has been seen that various legal interventions have been made in order to enhance protection offered by electronic signatures. It has been added by the US courts that documents that can be protected and sealed by electronic signatures can include emails, PIN codes that are used for ATM transactions in banks, credit or debit sllip that needs to be protected by signing it with a digital pen pad device, installing kinds of software that comes with a clickwrap software license agreement along with documents that are often signed online that need enhanced protection. It has been recorded that the first document signed in an electronic way was between two sovereign nations, United States and Ireland in a communique that jointly recognized an importance of electronic signatures in trading and e-commerce (Katsikas, Lopez, and Pernul, 2005, p. 78). Enforcing Electronic Signatures United States has defined electronic signatures in legal ways and a set of requirements have been set that help in qualifying an electronic signatures as authentic. These requirements and qualifications of electronic signatures were designed by National Conference of Commissioners on Uniform State Laws (NCCUSL) in 1999 when this US based government organization released Uniform Electronic Transactions Act (UETA). UETA has defined electronic signatures as electronic symbols that are associated with a certain document in relation to which all intention have been accepted by the individual who owns and signs the particular document. There are many laws that echo core concepts of electronic signatures and these are also observed to be the same in U. S. ESign Act that was presented and implemented in the year of 2000. Many states in United States have been working on the laws and jurisdiction in relation to the electronic signatures and more than 47 states in United States along with the District of Columbia, and the US Virgin Islands have enacted and have been using UETA in an active manner. Only three states as New York, Illinois and Washington have not enacted UETA. New York has designed its own rule that recognizes electronic signatures as legal and the law that represents these signatures is Electronic Signatures and Records Act (ESRA) (Boss, and Kilian, 2008, p. 67). Other countries that have started assigning legal values to electronic signatures include Canada. The definition of electronic signatures given by Canadian legal authorities is generic and different from the one given by the US authorities. Generic definition of signature given by the Canadian Department Of Justice says that an electronic signature contains a chain of letters, symbols, and numbers encrypted in a digital format associated with a certain electronic document that belongs to an individual or a certain organization (Snijders, and Weatherill, 2003, p. 45). After this Canadian Department Of Justice has defined an electronic signature by arguing that electronic signature in contrast to normal signatures possess some distinct properties that define these signatures. Canadian law that talks about the digital signatures in accordance to the protection of electronic documents is PIPEDA. PIPEDAs secure electronic signature regulations argue that electronic signatures are those that are designed, applied and verified in a specific manner. European Union has also given its rules and regulations in accordance to the use of electronic signatures in document protection systems. These laws have been published in the EC Official Journal. These laws are referred to as the Directive 1999/93/EC of the European Parliament and of the Council while officially these are more often referred as the EU Directive on Electronic Signatures or the EU Electronic Signatures Directive. These were published on 13th December 1999 (Adams, and Lloyd, 2003, p. 78). Maintaining Legal Nature of Electronic Signatures Various laws and jurisdictions have been defined that help e-commerce and trade to incorporate the advantages of electronic signatures in daily business deals that can help in increased document protection. It has been realized that at a local and an international level there is a need to incorporate certain document protection systems that can help in easy working and trustworthy document sharing within different parties. 1. Definitions of PIPEDA (Personal Information Protection and Electronic Documents Act) An electronic signature can be defined as being safe when a. It is unique to an individual b. Technology that is being used in order to generate signatures are under the control and only being used by the person who creates the signature thereby adding to the level of uniqueness. c. The technology being used to create signatures should be able to represent an individual who has created the signatures. d. The electronic signatures are to be linked with an electronic document in various ways. One way that has been defined by Personal Information Protection and Electronic Documents Act argues that the electronic document should be able to identify, by the help of electronic signatures associated with it, if any changes have been made to this document after signatures were associated with the document originally (Kehal, and Singh, 2005, p. 78). 2. The Electronic Signatures in Global and National Commerce Act This law was passed by the US congress in relation to the electronic signatures and this law has defined and authorized the electronic signatures in three steps. a. The term ââ¬Ëelectronicââ¬â¢ in electronic signatures has been highlighted as something that possesses digital, symbolic, magnetic, wireless, electromagnetic, electric properties. b. Electronic record on the other hand has been defined as a document, contract that has been generated, created, shared, discussed, and sent by using electronic means. c. Electronic signatures have been defined by The Electronic Signatures in Global and National Commerce Act as an electronic sound, symbol or a process that is legally and authoritatively associated with a document created by an individual holding rights to create, sign and decrypt the document in any manner thereby ââ¬Ëpatentingââ¬â¢ the document (Pathak, 2007, p. 34). Other similar definitions have been given by the following acts that relate to the use of electronic signatures. a. Government Paperwork Elimination Act, US b. Federal Reserve 12 CFR 202 c. UETA d. Commodity Futures Trading Commission 17 CFR Part 1 Sec. 1. 3. Creation of Electronic Signatures: Public Key Infrastructures (PKI) Importance of electronic signatures has been realized since long as it has been seen that these are more important in protecting the legal status of documents in a comparative manner. Thereby secure and much complex ways have been identified that can define electronic signatures in ways that ensure their legal status in order to protect records. Creation of electronic signatures depends on asymmetrical cryptographic method. This method ensures that the kinds of protection status being encrypted in the document are only approachable by the person who creates the signatures on the document. Thereby two kinds of keys are used in this case and these are referred to as public and private cryptographic keys. The theoretical fundamentals and practicalities of the asymmetric cryptographic key were laid down in 1976 (Doukidis, Mylonopoulos, and Pouloudi, 2004, p. 79). In accordance to the theory and recent ways that have been developed for electronically signing a document, a number is calculated that represents the length of a document and this number is referred to as the checksum of a particular document. This checksum is calculated by using a hash function. This is the case where a private key is used which is more representative of the person signing the document. Thereby signature is represented by private key which in the end is attached to a document. This private key is thereby a signature of the document. Role of Public Key Another key that plays an important role in this case is a public key. An important that is played by a public key is that the signatureââ¬â¢s and relevant document can be checked by the public key. Public key as the name indicates is freely and easily available to any individual within the public. Decryption of the electronic key is performed by the help of an electronic signature. Integrity Check An integrity check is an important part of electronic signature allocation. It has been seen that integrity of a document can be checked by recalculating the checksum number that was allocated to the document originally. As was done during the calculation of checksum, the recalculation of checksum is also done with the help of hash functions. Integrity of the document can be validated if the checksums are identical ensuring that the integrity of the document is intact (Rice, and American Bar Association, Section of Litigation, 2005, p. 78). Role of Certificates Public keys and cryptographic keys are the most important part of the electronic signature creation thereby there is a need of a system that can authorize the genuine nature of these keys. Both of these keys are authorized by a certificate. Certificates are specially created electronic documents that associate and connect the public key with the key holderââ¬â¢s identification data that in this case has to be unique. On the other hand in order to provide increased protection it has been observed that to ensure increased protection, certificates are also electronically signed by the certification providers that are also authorized. All these links and methodologies designed to sign the documents make sure that document is signed, encrypted and decrypted by using the public key only by the person who has created the document. Certification service providers play important roles as Trusted Third Party offering services other than certificates for protection of electronic documents. Certification service providers are known to provide a set of directory services that are also related to electronic documents. These are the services that bring the protection provided by the electronic signatures a step ahead. Directory services provide additional measures by which the certificates can be checked for authentication time by time. Advantages of Electronic Signatures These days there is a need to exchange business in a fast manner that requires and demands exchange of information including documents in a secure manner. It has been realized that exchanging information on a regular basis is more secure in an electronic manner rather on paper. 1. Electronic information takes lesser time to travel as compared to the paper based information thereby there is no time wasted (Mann, Eckert, and Knight, 2000, p. 67). 2. The cost of electronic signature based documents is only needed in the beginning of this setup and there are no additional costs required after its implementation. 3. Because of the electronic nature of documents, there is lesser involvement of human beings other than the ones that are directly involved ensuring security in case of these documents. 4. Because of an electronic nature of these documents there is a lesser chance of interruption and interference in electronic documents that increasingly ensures the protection of these documents. In terms of protection it has been observed that electronic signature based documents are more secure and protected as compared to paper based signatures. 1. In this case it has been argued that the electronic signatures are not able to be copied as compared to the normal paper based signatures and electronic signatures are implemented on the complete document rather than the last page. 2. In this case it has been observed that as electronic signatures are implemented on whole document thereby there are no chances of any text being maliciously changed in any part of the document. 3. Time stamping is the proof of transmission time of the document thereby transmission dates can be cross checked in order to check the legal status of the document. 4. Additional restrictions can be imposed on the message content in electronically signed documents. It has been observed that with the consent of the document holder and creator, reader can read and verify the contents of the document (Katsikas, Lopez, and Pernul, 2005, p. 45). Other than these, additional advantages that are offered by the electronically signed documents include streamlining businesses and trade globally and on a local scale. Business chains are better connected when paper documents are removed having a much better control on business with the help of electronic documents. 1. Increased cost are associated with typing documents and sending these through courier and these costs are reduced in case of electronic documents that take lesser time to be emailed and fixed. 2. In case of signing the contracts an important issue used to deal with signing the contracts which is resolved by electronic signature based reinforce bale contracts that are signed anywhere. Electronic Signatures Usage in Medial Healthcare Records Healthcare in the modern days is recognized by an increase in the specialization of medical specialization. In order to ensure that patient care process is optimized there is an increased cooperation and data exchange between different healthcare institutions. Thereby it has been observed that in order to ensure timely, cost effective and economic patient care, often known as shared care, there is a need to increasingly exchange information with healthcare institutions and medical facilities. The kinds of patient record systems that are adopted these days are increasingly dependent upon the data exchange. On the other hand it has been realized that there are many shortcomings associated with paper based documents that have been also held responsible for a decreased efficiency of healthcare institutions, thereby there is an increased adoption of electronic signatures on the documents (Boss, and Kilian, 2008, p. 38). In order to ensure that all heath care operations undergo in a proper, streamlined and a secure manner there is a need to implement the technology of electronic signatures to the field of healthcare. Paper based signatures are time consuming and are less protecting as compared to electronic signatures thereby in the field of healthcare, document authenticity is a critical business operation. There is a set of documents that are in a need to be protected in face of infringements and these documents include patient records, physician diagnosis, order, bills and payments. Thereby based on the set of advantages that have been highlighted in the previous sections healthcare facilities in different countries have started to implement electronic signatures. Recently there are many changes in United States health departments in order to implement electronic signatures based documents. It has been recently reported that regulations have been passed and implemented by the Drug Enforcement Agency in order to implement electronic signatures on medical prescriptions that are of electronic nature in order to ensure that original prescriptions are checked on the counters of pharmacies rather than cooked ones. Another law that has been passed by the Veteranââ¬â¢s Health Administration relates to the consent forms that are signed by the patients. In order to protect these forms, protection is being ensured by the implementation of electronic signatures on these forms. In healthcare administration various standards have been defined that link important records and documents with encrypted signatures. Recently a standard has been defined that helps in an authentication of medical records of the patients, an ASTM standard. In order to electronically sign the radiological images, DICOM standard have been used and are in practice. Most of the documents in medical centers and healthcare institutions are related to signatures, including signatures from families, patients and physicians. Thereby after the creation of these documents it is important that these documents are protected and sealed by the help of electronic signatures. Successes of document security solution lies in the fact of creating documents that are electronically signed thereby are digitally protected. These protection measures have also been considered important in the case of offline and online business, e-commerce (Adams, and Lloyd, 2003, p. 24). Conclusion Internationally accepted standards have been defined that can help in securing the documents in a better manner. In case of healthcare it has been seen that there is an increased dependency on a long term archiving of patient records as soon as these are created and passed on to the other facilities. International standards have been used to define the signatures in accordance to the advantages that they ensure, as DICOM, XML, and HL7. In addition to this it has been argued that there is an increased integration of PKIs in healthcare services as these are designed in accordance to the legislations that have been designed in order to ensure document protection. References Adams, C. , and Lloyd, S. (2003). Understanding PKI: concepts, standards, and deployment; considerations, Technology series. Edition 2. Addison-Wesley. Boss, H. A. , and Kilian, W. (2008). The United Nations Convention on the Use of Electronic Communications in International Contracts. Kluwer Law International. Brazell, L. (2004). Electronic signatures law and regulation. Sweet Maxwell. Doukidis, I. G. , Mylonopoulos, N. , and Pouloudi, N. (2004). Social and economic transformation in the digital era. Idea Group Inc (IGI). Katsikas, K. S. , Lopez, J. ,and Pernul, G. (2005). Trust, privacy, and security in digital business: second international conference, TrustBus 2005, Copenhagen, Denmark, August 22-26, 2005:proceedings, Lecture notes in computer science, Springer eBook collection. Birkhauser. Kehal, S. H. , and Singh, P. V. (2005). Digital economy: impacts, influences, and challenges. Idea Group Inc (IGI). Mann, L. C. , Eckert, E. S. , and Knight, C. S. (2000). Global electronic commerce: a policy primer. Peterson Institute. Pathak. (2007). Legal Aspects Of Business. Edition 3. Tata McGraw-Hill. Rice, R. P. , and American Bar Association. Section of Litigation. (2005). Electronic evidence: law and practice. American Bar Association. Schellekens, M. (2004). Electronic signatures: authentication technology fro
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