Strategies of Banks Entering Foreign Markets

Foreign Direct Investment One of the ways banks enter new market is cross border lending. In this method, the foreign bank looks for a correspondent bank just for the sake of internationalizing operations. Often, it is the trade finance arrangements that take shape first and this means there must be a trader in the target market. This method of entry into a foreign market can be classified as foreign direct investment (FDI).Advertising We will write a custom essay sample on Strategies of Banks Entering Foreign Markets specifically for you for only $16.05 $11/page Learn More In doing this, the bank that establishes a representative office limits itself to fewer services like consultancy and so the risk is lower and do not necessarily require a banking license, since regulators tend to treat banks as banks when they are collecting deposits and doing money transmission. The bank also takes advantage to set up business for the mother bank abroad. If the bank opens a branch, this is not considered as an independent legal entity. When deciding whether to enter the foreign market, banks have to consider three types of costs: fixed costs of entry brought about by legal requirements, fixed costs of exit and operating cost. While considering this, the bank must therefore be strategic in timing when to enter the non-traditional market so as to generate enough revenue to justify its existence. Greenfield investment Another way that banks can enter new market is green field investment where it sets up an institution from scratch. The new institution may just start as a branch or representative office and this may only involve the transfer of the human capital in the beginning. In this way, the bank is able to take advantage of its good reputation especially when it enters a less developed country where depositors are looking for safe keeping of their money. The bank that enters the market this way has the advantage of establishing branches anyw here even those regions not previously covered by local bank branches. Acquisition and mergers Banks may also enter a new market abroad through acquisition of a local institution. This can be total acquisition or acquisition of a minority stake. If a bank enters a market this way, it has the advantage of easy access of the local knowledge and customers. It is also a good entry method especially where rapid growth is desired. Mergers and acquisitions allow instant access to deposits which means that the bank can now sign up for local currency. While the foreign bank is good at providing products requiring a global platform, the local bank will in turn provide products that require local abilities and knowledge. For this reason, the local bank tries to focus on retail banking and small and micro-enterprises while the foreign bank focuses on corporate banking while offering trade finance, project finance, financial advisory services and cash management services.Advertising Looking for essay on business economics? Let's see if we can help you! Get your first paper with 15% OFF Learn More Comparing the three strategies; the most limited but least expensive is the representative office, while acquisition or merger is just expensive in terms of the initial expenditure and not on government requirements. Starting an independent full fledged banking institution requires much legal requirements in most countries and could be charged a lot more by the regulators. This essay on Strategies of Banks Entering Foreign Markets was written and submitted by user Kendal Lawrence to help you with your own studies. You are free to use it for research and reference purposes in order to write your own paper; however, you must cite it accordingly. You can donate your paper here.

Sociological Aspects of the Article

Sociological Aspects of the Article The article written by Jennifer Saba describes the marketing strategies of the New York Times. It is stated that in the near future this organization will charge for full online access to the articles (Saba, unpaged). This article can be related to several sociological aspects: in particular, we need to speak about the so-called digital divide and cultural diffusion of information (Murray, Linden, Kendall, p 377, 72).Advertising We will write a custom essay sample on Sociological Aspects of the Article specifically for you for only $16.05 $11/page Learn More The paper aims to show how these concepts can throw a new light on the topic of the article. Additionally, it is necessary to explain the benefits of applying sociological concepts to these topics; namely, we need to show how the concepts of digital divide and cultural diffusion can explain the new tendencies in the evolution of mass media and Internet. For a very long time, Internet has been viewed as a tool that can provide equal opportunities to people, irrespective of their income level, nationality, race, gender, and so forth. Furthermore, Internet is often referred to as the technology which is able to more connected and most importantly less hostile to one another. Nonetheless, the evidence presented in this article indicates that social inequality permeates Internet as well. At this point, we should discuss such concept as digital divide. On the whole, this notion can be interpreted as inability of a certain group of people to have access to information (Murray, Linden, Kendall, p 377). It can be also defined as the gap in access online information (Compaine, 25). This difference can be observed both between and within countries. It is also possible to say that digital divide is directly proportionate to the degree of economic and social inequality in the country or in a certain geographic region. Therefore, successful implementation of the New York Times marketing strate gy can impact a great number of people in Canada, the United States, and all over the world. The commercialization of Internet will significantly widen knowledge divide and diminish the opportunities of many people. As a rule, this concept is usually used when we are speaking about technologies but in this case it is more applicable to information, itself. The decision, taken by the management of the New York Times, can lead to significant implications for online. Provided that this strategy will prove successful, many other newspapers will also require payment for the access to their websites, and in the near future it will be even more difficult for low-income population to find valuable information on the Web. Certainly, the New York Time has only launched the new marketing campaign and it may be soon abolished. One should take into consideration that in the future the New York Times already tried to implement such business model but it did not succeed (Saba, unpaged). Still, thi s attempt suggests that high quality information may eventually become less and less available to low-income people.Advertising Looking for essay on communications media? Let's see if we can help you! Get your first paper with 15% OFF Learn More Overall, by applying the concept of digital divide, one can better understand the development of the World Wide Web and mass media, in general. Certainly, this is just a hypothesis which still has to be substantiated; yet, it does not seem highly improbable especially in the light of the decision taken by the New York Times. In the previous section we have mentioned the so-called cultural diffusion. It can be understood as the transmission of social practices, ideas, and cultural items from society to another (Murray, Linden, Kendall, p 72). The Internet has made the world more connected and open to cultural differences. To some extent, the websites of such newspapers as the New York Times, Wall Street Journal, or E dmonton Journal can be regarded as the agents of cultural diffusion. For many people, especially those, who live in developing countries, these websites are the windows into a different culture. Apart from that, some people living in advanced countries may be unwilling to pay for monthly subscription. If different newspapers follow the example of the New York Time, the process of cultural diffusion will become significantly slower. These are the changes that people may expect. Of course, it is not likely that every newspaper will emulate this strategy but this possibility should not be overlooked. Overall, the application of these sociological concepts is a very fruitful exercise that can give deep insights into the future trends in the development of Internet. Such approach is more beneficial than the so-called â€Å"taken for granted understanding† since it enables the scholars to take a wider look at a certain problem. The application of sociological concepts is beneficial to that extent that it allows us a separate decision can impact the community. The article, written by Jennifer Saba, focuses only on the decisions of only one newspaper, the New York Times. However, it may have profound effects on the overall accessibility of online information and cultural diffusion. At the moment, we may be witnessing the process of commercialization of Internet and the new business model of the New York Times exemplifies this process. Compaine. Benjamin. The digital divide: facing a crisis or creating a myth? Cambridge: MIT Press, 2001, Print.Advertising We will write a custom essay sample on Sociological Aspects of the Article specifically for you for only $16.05 $11/page Learn More Murray Jane. Linden Rick Kendall Diana. Sociology in our time (Fifth Canadian  Edition). Toronto: Nelson Education. Print. Saba Jennifer. â€Å"New York Times rolls out pay model in Canada†. Toronto Sun, 2011, March 20. Available at: https://tor ontosun.com/

Spartans Essay Example | Topics and Well Written Essays - 1250 words

Spartans - Essay Example In his career he has published over 65 articles, with 12 forthcoming articles and chapters such as 'Sparta' in The Classical Tradition (Harvard University Press). In 2004, Professor Cartledge was appointed an Honorary Citizen of Sparta. The Spartans is a convincing narrative that explores the culture and civilization of the most famous "warrior people": the Spartans of ancient Greece, by the world's leading specialist in the field. Sparta has often been described as the original Utopia--a remarkably evolved society whose warrior heroes were forbidden any other trade, profession, or business. As a people, the Spartans were the living exemplars of such core values as duty, discipline, the nobility of arms in a cause worth dying for, sacrificing the individual for the greater good of the community (illustrated by their role in the battle of Thermopylae), and the triumph of will over seemingly insuperable obstacles--qualities that today are frequently believed to signify the ultimate heroism. Paul Cartledge is the distinguished scholar and historian who have long been seen as the leading international authority on ancient Sparta. He traces the evolution of Spartan society--the culture and the people, as well as the tre mendous influence they had on their world and even ours. He details throughout the narrative the lives of such illustrious and myth-making figures as Lycurgus, King Leonidas, Helen of Troy (and Sparta), and Lysander, and explains how the Spartans, although they placed a high value on masculine ideals, nevertheless allowed women an unusually dominant and powerful role--unlike Athenian culture with which the Spartans are so often compared. In resurrecting the ancient culture and society of the Spartans, Cartledge delves deep into ancient texts and archeological sources and complements his text with illustrations that depict original Spartan artifacts and drawings, as well as examples of representational paintings from the Renaissance onwards. The Spartans built a warrior culture in ancient Greece unsurpassed for its courage and military prowess. Eminent historian Cartledge (Spartan Reflections) provides a remarkable chronicle of Sparta's rise and fall, from its likely origins around 1100 B.C. to the height of its fame and glory in the battle of Thermopylae in 480 B.C. and its fall in the fourth century B.C. The Spartans built their society through conquest and subjugation, ruling over their subject peoples with an iron hand and putting down revolts with devastating might. Between 490 and 479, Sparta joined Athens in fighting the Persians in three key wars-Thermopylae, Plataea and Mycale-that contributed to the demise of Persian power and the rise of Hellenistic power on the Mediterranean. Cartledge punctuates his absorbing tale with brief, engaging biographies of the city-state's kings from Lycurgus, the earliest Spartan leader, who brought constitutional law to the city, to Leonidas, who led the Spartans at Thermopylae. According to

Is it morally defensible for doctors to offer treatments that will Essay

Is it morally defensible for doctors to offer treatments that will enhance human capabilities (mental or physical) Discuss - Essay Example Abnormal genes will be replaced with normal and well functioning genes through homologous combination while selective reverse mutation will ensure that abnormal genes will return to the normal function (Sandel, 2007). Spindle transfer approach will ensure that the entire mitochondrion that is defective is replaced with normal mitochondria. Basically, there are two types of gene therapy that are Somatic gene therapy and Genetic gene therapy. Somatic gene therapy entails the transfer of genes in the somatic cells of the patient except the undifferentiated stem cells (Burley and Harris, 2002). On the other hand, Genetic gene therapy entails modification of the cells including the sperm cells of the patient and these genes become inheritable by the offspring of the patients thus preventing the passage of the disease to the offspring (Becker, 2000). Gene therapy has attracted intense ethical debate and controversy with the opponents asserting that it is not natural while the proponents as sert that it improves the living standards of the patient and offspring (Wartburg and Liew, 1999). According to Aristotle’ ethical theory, all the scientific technique must aim at certain good and there is absolutely one final end of all sciences. The absolute end of sciences should be happiness which all sub-ends aim at attaining (Wartburg and Liew, 1999). In this case, Aristotle ethical theory is clear that happiness entails thriving life and living well. Accordingly, happiness of patients encompasses the external goods that include wholesome children and personal beauty (Burley and Harris, 2002). According to Aristotle, gene-therapy is necessary since it leads to high standards of health care thus leading to happy patients and wholesome children (Vaughn, 2009). Accordingly, the death of a patient will cause unhappiness to the friends and close family

Gender Normativity in Aurora Floyd; How Variances in Gender Behavior Essay

Gender Normativity in Aurora Floyd; How Variances in Gender Behavior Illustrate Societal Norms - Essay Example It is more likely, however, that Aurora's childhood was the primary influencer of her unfeminine behavior. At the loss of her mother, Aurora was allowed to do anything she pleased, as long as she was happy. Indeed She said what she pleased; thought, spoke, acted as she pleased; learned what she pleased; and she grew into a bright, impetuous being, affectionate and generous-hearted as her mother, but with some touch of native fire blended in her mould that stamped her as original. (Bradden 9) Without the careful training that young girls of the era received, Aurora was unable to succumb to traditional femininity. She read novels with inappropriate content, new of horse racing and betting, spent long days on horseback, and was quick to say what she thought. She was a strong, independent young lady, the exact opposite of what was desired in a woman! exactly the sort of woman to make a good wife. She had been educated to that end by a careful mother. Purity and goodness had watched over her and hemmed her in from the cradle. She had never seen unseemly sights, or heard unseemly sounds. She was as ignorant as a baby of all the vices and horrors of this big world. She was ladylike, accomplished, well-informed. (Bradden 21) Lucy was quiet and calm and good, willing to suffer for her husband and willing to do as she was told. As a model of femininity, she is perfect. There could be no recourse against her. However, it is her very perfection in femininity that makes her less noticeable by the men in the story. While Captain Bulstrode believes she would make an ideal wife, he also ponders the idea that "There are so many Lucys, but so few Auroras; and while you never could be critical with the one, you were merciless in your scrutiny of the other" (Bradden 21). Because she is perfect, it is impossible to fall in love with her, because of an internal fear that the man's own imperfections will be clearer next to her. While she is what should be desired in a wife, it is the wild Aurora that catches men's attentions; with her boldness and imperfection. These two young women represent two very different personalities. Aurora, who has everything, but still maintains the wildness and lower class lifestyle that her mother had, and Lucy, who has modest wealth, but has been raised to be the perfect specimen of femininity. Even their coloring matches the ideals. Aurora is dark haired and dark eyed, and was "a good hater" (Braddon 12). Lucy was fair haired and blue eyed, the Victorian ideal of beauty. Aurora, throughout the novel, acts and does precisely what she wants. However, even she is not able to make all her own choices. By force, she is sent to finishing school in Paris, and then has to endure a woman meant to help polish her when she returns. Lucy, who has the feminine graces, did not have to endure these actions, but instead has to endure the pain of being overlooked by the man she loves, as she can be nothing but

Community Based Participatory Research (CBPR) Evaluation

Community Based Participatory Research (CBPR) Evaluation Application of community based participatory research (CBPR) approaches when working on collaborative projects Course name: Social and behavioral sciences INTRODUCTION TO CBPR: CBPR (community-based participatory research) is basically a collective approach to examine that equitably includes all members in the examination process and identifies the un-common powers that each one brings. Community-based participatory research starts with an examination topic of significance to the group, has the objective of uniting knowledge with activity and attaining social change to better the health results and remove health inequalities. Community-based participatory research is a registered collective approach that authorizes community inhabitants to more energetically take part in the full range of research (starting from conception, plan, conduct, examination, interpretation, termination, communication of results) with an aim of affecting rearrangement in programs or policies, community health and systems. Community fellows and researchers partner to unite comprehension and activity for social rearrangement to better community health and more often reduce health inequalities. Research/Academic and community members join to produce models and resembles to building capacity, trust and communication, with the final aim of raising community involvement in the research procedure. It is a location to examine which equally includes all members in the research procedure and identifies the unique powers that everyone brings. Upgrading the public health more often necessitates moving far off the standard health care system to intervene integrated and original and new approaches. CBPR has appeared as a substitute research archetype which combines education and social activity to better health and intensify our scientific structure of knowledge in the regions of disease prevention, health promotion and health disparities. It is termed as a successful method for transporting evidence-based studies from clinical programs to communities that can mostly welfare thereby upgrading health. CBPRs community-scheduled research procedures offer the prospective to produce better-enlightened hypotheses, enhance more successful interventions, and develop the transcription of the examination results into the practice. So, CBPR is an important tool for activity-oriented and community-operated public health examination. (NIH) ADVANTAGES OF CBPR: The advantages of community-based participatory research are discussed below:- Giving benefits to the researchers and the community alike through the actions taken and knowledge acquired Developing the use and acceptability of data Raising the validity and quality of examination and research studies Making partners with various expertise to locate and communicate complicated public health problems Remove the cultural gaps and create trust between partners The prospective to transcript examination results to direct the enhancement of future interventions and change in policies Upgrading the implementation and intervention schedules by providing participant retention and enrolment (National institutes of health) IMPLEMENTATION OF CBPR: Quality of research: Writers of meditational studies (either CBPR or traditional) rottenly must put out their result and study attitude in disconnected articles. The character of CBPR further produces this disintegration when years of corporation expansion and teamwork must be distilled to little words in a minute number of journals eager to bring out this more expressive science. This may be why in sequence regarding the performance of CBPR, both in terms of neighbourhood participation and the examination, often was not present in the EPC-reviewed articles. A imperfect number of studies expressive a absolute and fully evaluated involvement—an observational revision or an epidemiologic learning that can be comprehensive beyond the members involved—have been available to date. Restraining factors emerge to be the resounding nature of most Federal supply, funding period extent and flexibility, and the page margins of journals. There was small confirmation to designate that high-class scores in neighbourhood collaboration are connected with low-quality explore scores. Recent singular journal problems focusing on CBPR have led a digit of publications to execute high-quality examine methods. CBPR support initiatives originating with Federal companies have the latent to do the equal. (Agency for health, research and quality) Intensity of Community Involvement: Community participation varied in dissimilar stages of the study. There was sturdy participation in recruiting revise participants, calculating and implementing the intrusion, and interpreting conclusion. Many writers argued that society involvement (particularly in these regions) leads to: Higher participation toll. Bigger external strength. Reduced loss of proceedings. Enlarged personage and community competence. The issues of community participation were not commonly reported, but they may take in: The prologue of selection unfairness (bias in recruitment). Reduced (and sometimes a nonexistence of) randomization. The possible selection of greatly motivated intrusion groups not delegate of the wider population. (AHRQ) CHALLENGES AND PROBLEMS RELATED TO CBPR: Community-based participatory research, as a comparatively new tactic, presents with sole problems and challenges for those who are involved in performing this type of examination. These issues relate to implementation within a cross-educational setting, quality and fairness of mutual partnerships, principles, and mechanical issues. Harrisonrecommended the subsequent procedures for fieldworkers who employ in combined research: Be bendable but be familiar with that everyone has restrictions Be enthusiastic to work together by sharing right, responsibility, and glory for success. Give considerate attention to the honest implications of your performance. Apply the notion of culture in each day working associations. Intrinsic in each of these guiding principles are challenges that need to be located. In our CBPR project, we faced technical, ethical, and interpersonal problems that were related to this course of action, as well as some supplementary challenges. Some major issues are listed below: Self-awareness and flexibility Collaboration Ethical issues Working within a civilization other than ones own A pledge of time Change can be frightening Supportability of the project (Holkup, 2004) END RESULTS OF CBPR: Research Quality Improved Results: The inspectors rated the 12 researches with finished involvements for research class and for observance to the ideology of community contribution. On a scale of 1 to 3, advanced scores reflected enhanced quality. The investigation quality scores reflected learning design stubbornness, with investigational studies ranking highest overall. Community contribution scores, though, appeared not as much of closely allied with study intend. And even as the scores on these two presentations extent are not directly equivalent, the average explore quality results ranged from 1.5 to 2.7 with a mean of 2.4, at the same time as the district participation quality results ranged from 1.5 to 3.1 with a mean of 2.3. When the EPC researchers saw the manipulation of community participation on the quality of interventional researches, they exposed 11 of the 12 concluded intervention studies had reported improved intervention superiority. Just two researchers reported improved end results, while eight famous enhanced enrolment efforts, four resulted enhanced research methods and diffusion, and three mentioned improved expressive measures. Very little proof of removed research quality consequential from CBPR was resulted. Capacity of Community and Research: Of the 60 studies revised, 47 resulted in enhanced community connection, together with added grant support and job formation, as a conclusion connected with the study. The writers—naturally academics—normally persisted on the amplified capability of the contributor neighbourhood, quite than that of the follow a line of investigation community. Health End Results: Along with the 12 studies examining finished involvements that play a part in health outcomes, 2 dealt with physiologic health end results, three with cancer screening actions, and four located other behavioural alterations (including alcohol utilization, immunization charge, and protected sex behaviour). At last, 3 studies calculated the impact of the involvement on touching support, empowerment, and member of staff well-being. Agreed the highly mottled health results, measurement procedures, and involvement approaches used, the EPC researchers are powerless to act upon a direct evaluation of studies and their comparative contact on health outcomes. Besides, a nonexistence of cost-effectiveness facts precluded any judgment of results from CBPR studies and those of more conventional research studies. (Health and Human services) CRITERIA OF FUNDING FOR CBPR: Current Approach by Funders: Centres for Disease organization/avoidance and the National organization of Environmental Health Sciences have been at the front position of Federal CBPR financial support to date. Detailed initiatives by these companies contain many of the EPC-reviewed studies. Importance in supporting CBPR at the Federal point is rising, given the current construction of an interagency operational grouping for Community-based Participatory Research. This group has begun combining information on breathing funding systems for CBPR. Consultation with persons from the NIH and CDC worked with producing requests for investigational proposals on precise topics and giving the review procedure less-scored the need for short direction materials (detail sheets) about CBPR for reviewers fewer familiar with this advance. Guiding principle for those writing RFAs intended to hearten CBPR submissions and papers given that direction for researchers presenting CBPR presentations also were suggested. Application’s Criteria: According to the particulars of conversations amid funders and researchers, the development of receiving funding for CBPR programs through conformist review programs can be a hard one. This is frequently as reviewers are less recognizable with (and maybe even sceptical about) the likelihood of integrating high-class straight research within the structure of a CBPR partnership. The EPC researchers acknowledged fairly few first-class finished involvements or observational studies, comparative to what seems to be many outstanding collaborations based on CBPR values. Guidelines for Applicants and Funding Institutions: Researchers produced three brief papers providing direction to funding institutions, applicants and reviewers, based on the EPCs reassess consultation with Federal endowment sources, reviews of financial support grouping Web sites, and the funding criterion mentioned above. The EPC designated to utilize the same re-evaluate criteria frequently used by agencies inside the U.S. subdivision of Health and Human Services in the expansion of these prototypes parameter documents; these criterion are both harmonized and meticulous. These papers (CBPR Exhibits 1, 2, and 3) are accessible on the RTI Web site. Participation in the Review procedure: Dialogue with funding presenters and their check of the narrative led EPC inspectors to counsel the insertion of intellectual experts for the satisfied area, and for CBPR procedures, on project submission reconsider panels. Furthermore, they suggested concerning persons with capability in both arenas. Researchers further recommended the possible value of counting community legislative body, but considered the need to adjust and organization the review panels to straight away and successfully tap into the knowledge of the neighbourhood government. (Department of Health and Human Services) APPLICATIONS OF CBPR IN ENVIRONMENTAL HEALTH SCIENCES: The precedent two decades has experienced a fast propagation of community-based participatory research (CBPR) projects. CBPR tactic presents a substitute to conventional population-based biomedical studies practices by cheering vigorous and equivalent relationships between society members and educational investigators. National Institute of Environmental Health Sciences (NIEHS), the foremost biomedical research provision for environmental health, is a principal in developing the use of CBPR in areas where community-university relationships provide to enhance our considerate of environmentally associated disease. In this piece of writing, the writers emphasized six key main beliefs of CBPR and explain how these ethics are met within specific NIEHS-supported research inspections. These projects express that community-based participatory research be able to be an efficient tool to improve our information of the reasons and procedures of disorders having an ecological aetiology, decrease d adverse health results through original involvement strategies and strategy change, and concentrate on the environmental health problems of community population. (Liam R OFallon, 2002) USE OF CBPR: Achievement research results improved and more almost whole and accurate information from the society. Connecting the society in study is more likely to gather community requirements. Accomplishment research, by relating community partners, establishes more visibility for the attempt in the society. Society members are more expected to believe the authenticity of the study and buy into its conclusion if they know it was done by people like themselves, conceivably even individuals they know. Achievement research trains inhabitant researchers who can circle their skills to other struggles as well. Participation inCBPR alters individual’s ideas of themselves and of what they can do. Skills educated in the itinerary of action study carry over into other regions of researchers’ life. Aparticipatory deed research procedure can help to fracture down and division hurdles. Research helps individuals to better comprehend the forces that manipulate their lives. Society based action study can move communities toward optimistic social change. (CTB) CONCLUSION: Community-based participatory research (CBPR) is receiving raised acceptance among public health practitioners and researchers. But, there are no standard procedures in examining the standard of research methodology, the success of the involvement, and the resulting demands in the literature. The non-appearance of standard procedures precludes significant comparisons of CBPR researches. Many authors have presented a wide set of capabilities required for CBPR study for both organizations and individuals, but the discussion remains shattered. The Prevention Research Centres (PRC) schedule recently began a quality based testing of its national attempts, including an examination of how PRCs intervenes CBPR studies. Topics of attention include the community capacity for research, types of community partnerships, evaluation, factors that help and hinder partner relationships and training. The testing will likely donate to the enhancement of a standard set of capabilities and facilities req uired for effectual CBPR. CBPR has been assigned to as research plus in that, it not only raise the knowledge framework for public health but also guarantees to locate intercession that are available for circulation and are supportable because they have been enhanced with community involvement. An analysis of the quality and quantity of the CBPR written works exposes a picture as diverse as the projects, the communities involved and the researchers. Such utmost variation in methodology and standard does not cause a useful body of understanding. It is thus opportune and essential to describe a core set of expertise and skills required to be a CBPR investigator and describe the important resources and management of infrastructure needed to profitably support CBPR. Normalize the evaluation procedures will enhance the scientific exactness of the research methodology applied and upgrade the field’s capacity to study, comprehend, and rectify complex community health issues. The quality based examination of C BPR scheme within the PRC Program has the possibility to enhance this procedure. Once a concurred-upon set of compatibilities and resources are formed, testing of CBPR itself can start. (Faridi) REFERENCES: Agency for health, research and quality. (n.d.). Retrieved February 20, 2014, from www.hhs.gov: http://archive.ahrq.gov/clinic/epcsums/cbprsum.htm AHRQ. (n.d.). Retrieved February 20, 2014, from www.hhs.gov: http://archive.ahrq.gov/clinic/epcsums/cbprsum.htm CTB. (n.d.). Community Tool Box. Retrieved February 20, 2014, from http://ctb.ku.edu/en/table-of-contents/evaluate/evaluation/intervention-research/main Department of Health and Human Services. (n.d.). Retrieved February 20, 2014, from www.hhs.gov: http://archive.ahrq.gov/clinic/epcsums/cbprsum.htm Faridi, Z. (n.d.). CDC. Retrieved February 20, 2014, from http://www.cdc.gov/pcd/issues/2007/jul/06_0182.htm Health and Human services. (n.d.). Retrieved February 20, 2014, from www.hhs.gov: http://archive.ahrq.gov/clinic/epcsums/cbprsum.htm Holkup, P. A. (2004, July). ANS. Retrieved February 20, 2014, from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2774214/ Liam R OFallon, A. D. (2002, April). PMC. Retrieved February 20, 2014, from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1241159/ National institutes of health. (n.d.). Retrieved February 20, 2014, from www.hhs.gov: http://obssr.od.nih.gov/scientific_areas/methodology/community_based_participatory_research/ NIH. (n.d.). National Institute of health. Retrieved February 20, 2014, from www.hhs.gov: http://obssr.od.nih.gov/scientific_areas/methodology/community_based_participatory_research/ 1 | Page

Sundowing And Alzheimers Disease Essay -- Alzheimers Disease Essays

SUNDOWNING AND ALZHEIMER'S DISEASE Sundowning, or sundown syndrome are terms that have been used for over 20 years to describe the reversal of day and night which often occurs in Alzheimer's and other dementing illnesses. (2) Those who are impacted are often called Sundowners and they act as if their biological clocks have reversed their day and night cycles. Some are able to function on little sleep throughout their 24-hour day cycle. Some individuals stay up all night and will then continually doze off during the day. This alteration in the sleep-wake cycle is not necessarily permanent and they may revert to earlier patterns of sleep, or may sleep for increasing periods of time. (1) Those suffering from acute or chronic confusion increasingly become highly agitated, confused, suspicious, active and restless, combative and disoriented late in the day, especially after dark. (2,3) They may see, hear and believe things that are not real. Patients become more impulsive and respond to their own ideas of reality, often in ways that can that get them in trouble. The confusion is often worse after a move or change in routine and can happen in any setting, whether they are living at home or in a facility. The behavior may be totally out of character for the person. And, the change is drastic. You may see them in the morning and the person seems mentally competent and alert. The same individual may not recognize you or other family members, seem lethargic, become easily agitated, confused, or disoriented late in the afternoon or evening. (1) There is currently no conclusive evidence about the reasons for these changes in the sleep-wake cycle. (2) However, in the online articles "Sundowning and Sleeping" and "The Sundown Syndrome" there are some theories identified about the cause. 1) The decreasing levels of light may be disorienting. The lower light provides fewer clues as to the person's surroundings and shadows may be frightening. 2) The person may feel they are supposed to "go home" around this time. 3) The person may be fatigu... ...dence regarding the reasons for these changes, some theories have been identified about the cause. This syndrome can be exhausting for the caregiver. Some measures have been identified that may lessen the effects. It is important to realize with sundown syndrome, as in any behavior related to Alzheimer's Disease, that the person does not have control over their behavior and that it is a result of the brain tryng to sort out a confusing environment. REFERENCES 1. Alzheimers.com. Sundown Syndrome and the Elderly. Alzheimers.com feature story. [On-Line] Avaialble: http://www.alzheimers.com/L3TABLES/L3T-428.HTM. 2. Crystal, H. (1998). Sundowning and Sleeping. Northern Virginia Chapter of Alzheimer's Association. [On-Line]. Available: http://www.alz-nova.org/sundown.htm. 3. Davis, M. (1997). Light in the Darkess. Perspectives Magazine. [On-line]. Available: http://www.siu.edu/worda/persp/sp97/alz.html. 4. Nitram, R. (1997). The Sundown Syndrome. The Arizona Daily Star Online. Availabnle: http://www.azstarnet.com/~rnitram/sundown.html