Degree Plan Essay Example | Topics and Well Written Essays - 1250 words

Degree Plan - Essay Example With my current military experience, I have confidence in my ability to remain focused therefore allowing me to accomplish these two long-term goals Concentration I believe the concentration of courses that that I have selected constitute a well-focused, in-depth program that will grant me the ability to perform well in my desired career goal. I started my studies at Mohawk Valley Community College (MVCC), and focused on criminal justice related courses such as Ethics in Criminal Justice, Juvenile Delinquency, and Introduction to Criminal Justice. These courses were introductory level components that have prepared me for more advanced courses at Empire State College. These courses increased my knowledge within the criminal justice field, and they also fit the degree program similar to MVCC. The courses that I selected at Empire State focus primarily on social science related subjects. They include a broad range of subjects within this field which will make me a well-rounded individua l. I have focused heavily on advanced-level courses not only to meet Empire State advanced standards, but to increase my knowledge extensively within the field of criminal justice. The course that I have chosen in my degree program that focuses heavily on terrorism is Terrorism and Homeland. This study will offer me the in-depth focus on terrorism by examining the roles of law enforcement in managing terrorist events. It will also familiarize me with history, politics, and policies of terrorism. Having a subject in terrorism will benefit me if I look into a Homeland Security field as a career goal. In addition, I selected a class on deviant behavior, and it will allow me to explore socially deviant behavior of adults, and youth. General Learning and General Educational Requirements In every degree program, I believe a breadth of learning is necessary in order to become a well-educated individual, instead of being narrow-minded towards education. In my criminal justice program, I fin d it to be extremely important to have the required liberal arts classes to understand the complex nature of the world around me. Throughout life an individual is met with tasks on a daily basis that require a broad-range of learning, and having a variety of liberal arts courses can provide that. For example, when I traveled to many countries and saw ancient buildings, I was unaware of the architectural features these buildings had. I took a class called Western Architecture, and it provided me with the knowledge to understand these magnificent architectural masterpieces. Without this course I would have simply looked past the design aspects. Many of the courses that I have taken, and the ones I selected to develop my degree plan provide me the opportunity to enhance my knowledge and skills in writing, math, history, science, art, and language. During my service in the military I have gained a great deal of knowledge that correlates with some educational aspects at Empire State Coll ege. These courses include Physical Education, Military Science, Ethics, First Aid and Safety, and Principles of Leadership. All of the skills gained from these courses will enable me to become a more productive individual with my desired career choice. Not only does my military education bring breadth into

Development of Chinas legal system and its difficulties and challenges Essay

Development of Chinas legal system and its difficulties and challenges - Essay Example These changes are occurring because of the fact that in order to strengthen the rule of law it is foremost necessary to place emphasis on a large number of elements, both from inside and outside of the country. Also the structure of the domestic law of the country is facing several transformations in the face of growing international trade and globalization. The legal systemis undergoing the most radical changes since their inclusion within the World Trade Organization (WTO). The country has largely been dependent on ideological reasoning and facts. But recently policy makers have suggested that in order to cope with international standards of respectable community, the country must follow specified globally accepted norms and regulations, irrespective of the fact that these norms and regulations are generated by the United Nations Human Rights Conservation or by the WTO (Bruun & Jacobsen, 2000, p. 251). Accordingly the country’s law and legal system have had to be changed and modified. The Republic of China is now initiating these changes or modifications with the most radical occurring in the areas of economic reform and changes in the nature of the administration process. This paper will attempt to evaluate all of these developments and will mark the difficulties or the challenges that china has been facing as a direct result (Alexandroff, Ostry and Rafael Gomez, 2003, p. 154). Philosophy: The Asian legal system appears to be different in many respects from the legal systems of therest of the world. Major reasons for this include spiritual variations and differences in intellectual thought. Religion plays little part in Chinese law-making but perhaps the most influential form of thought is Confucianism (Glenn 2007, pp. 318-319). The core of Confucianism is Humanism and is based on various levels of honesty. According to Confucian thought, with the use of the logic of humanity one can examine the world in the simplest possible manner. An ethical philosophy that is to be practiced by all the members of this society is the primary foundation and function of this thought. For almost a thousand years the legal system of China was dominated by Confucianism. The principles of Confucian ideology were the main driving force behind the evolution of the ancient legal system. Not only that, it also helped in developing the legalism, traditions, and moral aspects of life for the an cient Chinese people. This ideology mainly focused on astrict governmental hierarchy. Along with this the ideology marked its view regarding the fact that people need to internalize all the granted rules and norms and just take appropriate or necessary actions. According to this view, it has been argued that the law should be preserved only for those who try to do something out of pure self-interest at the expense of the interests of society as a whole. Hence, the law of the country has been modified to include harsh punishments with the aim of achievingand maintaining an appropriate social order withmaximum social welfare. In this regard China’s legal systemdiffers significantly from that of the West

Vent settings for the non-intensivist Thesis Proposal

Vent settings for the non-intensivist - Thesis Proposal Example Before using different modes and variables of a ventilator, the participant should assess the condition of the patient and their need too. To do so, student/resident needs to use the interpretation of Arterial Blood Gas (ABG) analysis to calculate the pH and oxygen and carbon dioxide pressure in arterial blood. This interpretation is a crucial skill and is necessarily essential for critically ill patients. Thus, the information shows the patient’s ventilation control. Furthermore, arterial blood gas measurements and airway defiance and static concession of the respiratory system computation give bases to the subsequent ventilator changes. The rationale behind teaching students/resident about the ventilation setting is Oxygenation and pH and pressure and volume. The former tells about the supervising the oxygen level and pH of the patients in order to maintain the metabolic function and healthy tissues. As the pH is echo of a patient’s bicarbonate and carbon dioxide, it aids in regulation oxygen and carbon dioxide level. On the other hand, the latter aspect assists the patients in breathing without granting their respiratory muscles to shrivel or cardiac preload to dwindle

Cognitive Psychology Essay Example | Topics and Well Written Essays - 1000 words

Cognitive Psychology - Essay Example The authors’ main research questions were: If updating is the automatic result of locomotion, would people have ease or difficulty with ignoring their locomotion when walking without vision? If updating was an optional process that only occurred as the result of deliberate and effortful cognitive processing, would people find the task easy? Is the performance of people walking without vision better in the updating condition when they are told to ignore their locomotion? Is there was any difference in performance when people walked blindly to near targets compared to far targets? Are people able to overcome the information specifying their real positions in space and temporarily by adopting a different perspective, when they are given enough time to carry out the necessary cognitive operations? First hypothesis of the research was that: Performance of people while updating their spatial relationships is better as compared to when they are told to ignore their locomotion. The third hypothesis was that: If subjects can retrospectively overcome the earlier automatic spatial updating, then their performances in the ignoring condition should improve relative to the updating condition. These hypotheses were justified on the basis of background research and theory, because the authors have given an extensive review of literature citing other researchers’ works, and explaining them in order to support the need to conduct this specific research. They have cited literature which discusses the automatic updating of non-visual spatial relationships. The population of interest was young people. The sample for the first experiment included ten student volunteers from the Strathclyde University Psychology Department; and, the sample for the second experiment included ten other student volunteers from the same department and university. The sample was not very

Discussions Essay Example | Topics and Well Written Essays - 500 words - 13

Discussions - Essay Example This is because the power of choices is in their versatility, and it enables the investor to adjust their position as per the prevailing situation or circumstances. However, this versatility has its cost and, therefore, the investors should assess this extra cost based on their knowledge and skills. Options also involve a risk which is not suitable for all investors. One should, therefore, be in a position to evaluate the risk associated and develop measures for managing such risks. Being ignorant of such risks will place the investor in a weak position. Stock options are the agreement between two parties to sell or buy an asset. It is the contract that gives one party the right. It does not give the responsibility to buy or sell an asset in the future at a pre-set price known as the strike price or exercise price (Fabozzi, 2008). There are two types of options; call option and put option. Call option is the financial contract that gives the buyer the right but, not the obligation to acquire a given number of assets in the future at a predetermined price. On the other hand, put option gives the right but not obligation to sell a specific number of underlying securities at some future date (Fabozzi, 2008). It is essential to review the proforma quantification in the footnotes periodically in order to access more information concerning the options. Even though the expense is expected not to persist, it changes as the situation changes and as investors, one should continually assess the information to be able to adjust the value or the cost of the option. Consumer spending theory states that, people spend their money at a level that is consistent with their expected average income. The steady average income which is long term is referred to as permanent income. Any individual will only save if his or her current income is higher than the expected permanent income (Thaller, 1981). This implies that people will only

The Anatomy Lesson Essay Example for Free

The Anatomy Lesson Essay Tulp is a 1632 oil painting by Rembrandt housed in the Mauritshuis museum in The Hague, the Netherlands. Dr. Nicolaes Tulp is pictured explaining the musculature of the arm to medical professionals. Some of the spectators are various doctors who paid commissions to be included in the painting. The painting is signed in the top-left hand corner Rembrant. f[ecit] 1632. This may be the first instance of Rembrandt signing a painting with his forename (in its original form) as opposed to the monogramme RHL (Rembrant Harmenszoon of Leiden), and is thus a sign of his growing artistic confidence. The event can be dated to 16 January 1632: the Amsterdam Guild of Surgeons, of which Tulp was official City Anatomist, permitted only one public dissection a year, and the body would have to be that of an executed criminal. [1] Anatomy lessons were a social event in the 17th century, taking place in lecture rooms that were actual theatres, with students, colleagues and the general public being permitted to attend on payment of an entrance fee. The spectators are appropriately dressed for a solemn social occasion. It is thought that, with the exception of the figures to the rear and left, these people were added to the picture later. citation needed] One person is missing: the Preparator, whose task it was to prepare the body for the lesson. In the 17th century an important scientist such as Dr. Tulp would not be involved in menial and bloody work like dissection, and such tasks would be left to others. It is for this reason that the picture shows no cutting instruments. Instead we see in the lower right corner an enormous open textbook on anatomy, possibly the 1543 De humani corporis fabrica (Fabric of the Human Body) by Andreas Vesalius. Medical specialists have commented on the accuracy of muscles and tendons painted by the 26-year-old Rembrandt. It is not known where he obtained such knowledge; it is possible that he copied the details from an anatomical textbook. However, in 2006 Dutch researchers recreated the scene with a male cadaver, revealing several discrepancies of the exposed left forearm compared to that of a real corpse. [2] The surgically astute will notice that the origin of the exposed forearm muscles would seem to indicate that the flexor compartment originates at the lateral epicondyle, when it is, in fact, the medial epicondyle. It is the common extensor origin that originates at the lateral epicondyle.

The marketing plan on levemir

The marketing plan on levemir The marketing plan on levemir 1.0 Executive Summary The marketing plan on Levemir for the Indian market presents the approach to increase market share of Levemir in basal analogue to 50% and in the basal insulin categories to 30% by 2012. We think that this target is achievable because of improving economy, market growth and our competitive advantage. In doing so we would retard the growth of Lantus and upgrade our existing patients on Insulatard (basal human insulin) to Levemir and would position Levemir the preferred basal insulin of choice for both type 1 and type 2 diabetes. 2.0 Corporate Vision We will be the worlds leading diabetes care company. We will offer products and services in other areas where we can make a difference. We will achieve competitive business results A job here is never just a job Our values are expressed in all our actions Our history tells us, it can be done There was no mission statement but Novo Nordisk (NN) had the vision statement as mentioned above. Ideally a mission statement should cover the firms priorities in terms of customer focus, value provided, market scope, guiding values and core competencies. The vision statement of NN is fair enough to clarify all these aspects, may be they could have added or modified more about their core competencies. 3.0 Current Marketing Situation Information about Indian Pharmaceutical, Diabetes Care and Insulin market is described in the appendix p 24. 3.1 The Basal Insulin Insulin Analogue Market The insulin analogue market is growing at 27%, predominantly contributed by the multinational pharmaceutical firms including NN, Eli Lilly and Sanofi-Aventis (fig 1). NN is leading the insulin analogue market with 54% market share followed by Eli Lilly and Sanofi-Aventis (fig 2). Figure 1: Insulin Analogue Market Growth Figure 2: Insulin Analogue Market Share Basal Insulin market can be categorised as animal, human and analogues and it offers a total market of Rs.58 crores and growing at 57%. In terms of volumes the total basal market is 810.4 million units (MU) and NN is the market leader in this segment with 46% market share. However, this share is largely because of high contributions coming from human basal. In the category of basal analogue, Sanofi-Aventis is a clear leader with ~77% market share and NN with 23% market share (fig 3). The key market insights from the basal analogue segment are as follows: The total basal analogue is worth Rs. 58 crores Lantus (insulin glargine): Rs. 45 crores Levemir (insulin detemir): Rs. 13 crores Lantus has ~77% market share and Levemir has 23% market share. Figure 3: Basal Insulin Analogue Value Market Share 3.2 Internal Sales Trend Total sales in 2007 and 2008 were Rs. 309 crs (23.6% growth) and Rs. 363 crs (17.5% growth) respectively. With respect to Levemir, sales were Rs. 8.88 crs (94% growth) and Rs. 16 crs (81%) in 2007 and 2008 respectively. The sale of Levemir until YTD November 2009 is 28 crores. The planned growth for Levemir next year (2010) would be 70%. Introduction of Levemir PenFill will further strengthen Levemirs stand against Lantus. 3.3 External Environment India is a growing economy with a stable government and Indian Pharmaceutical Market is also growing rapidly at 15%. Moreover, India has the highest number of diabetes population (51 million) in the world and is growing with westernization. Hence, its a dream of every Pharmaceutical company with diabetes products to be present in India. High market attractiveness and no barriers to entry so number of players in diabetes and insulin are growing. NN is focussed in shifting the patients to insulin analogues from human insulins as the analogue market has barriers to entry due to patents in place, less competition, no price war and has high profit margin. It is discussed in detail in the appendix p 27. 3.4 Market Size (Patient Population) India has the worlds largest population of people with diabetes, with an estimated 51 million people suffering from the disease. According to the International Diabetes Federation (IDF), India is expected to have 87 million people ailing from diabetes by 2030. India is considered as the diabetes capital of the world with a patient population of more than 50 million. Diabetes strikes the Indian population a decade earlier than the west. The reasons for the pandemic are attributed to genetic predisposition, changing lifestyle and urbanization. Treatment data (Table 1) suggests that out of 51 million, only 13 million people are diagnosed with diabetes but only: 7 million people are on medication Only 1.7 million are on insulin alone or in combination with OADs 3.5 Competitor Mapping Analysis The main competitors for NN India are: Eli Lily Sanofi-Aventis Wockhardt Biocon USV 3.6 Novo Nordisk SWOT Analysis (Internal Audit) Table 4: NN in the insulin market Strengths Diabetes is the core focus since 1920s esp. Insulin therapy Strong RD Well established in Indian market Developed the insulin market in india Continuous innovations Strong partnership with the Key Opinion Leaders in diabetes Large sales force > 500 dedicated for insulin products Weaknesses Lantus was the first basal analogue to launch in India, Levemir is not able to grow faster Higher attrition rate in the sales force Products are costly Opportunities India is the diabetes capital of the world with 51 million diabetic population Huge market for growth Develop the analogue market Threats Entry of local players Lantus patent expired launch of biosimilars, price cutting New therapeutic product launch such as GLP-1 analogues, DPP-IV inhibitors 3.7 Growth Strategy As per the Ansoffs matrix, NN is developing a new market for analogues. Hence, it is in the market development phase. As the human insulin market is crowded by generic players and more local players are entering due to market attractiveness and no barriers to entry, NN is focussing on creating and developing a new insulin analogue market so that the patients can be shifted to insulin analogues. The model is depicted pictorially in the appendix p34. 3.8 Portfolio Analysis Among the various diabetes care products, the insulin analogues including NovoMix, Levemir and NovoRapid are growing very fast and star as per the matrix. The human insulins (Mixtard, Actrapid Insulatard) are cash cows. The only OAD of NN is in the Dog stage and this maybe due to that we are not focusing in this product as we want to grow the insulin analogue market. As per NN strategy, we want to develop the analogue market, hence heavy investment and more noise level would be the key to our success. 4.0 Marketing Objectives Levemir the preferred basal insulin of choice for the treatment of both type 1 2 diabetes. Acceptance of Levemir as once-daily insulin by the doctors. To increase the value market share of Levemir in basal analogue category to 50% in next 3 years. To achieve a value market share of 30% in the basal human insulin category by 2012. To make Levemir a 30 crores brand by 2012. To launch Levemir Penfills by March 2010. To counter the growth of Lantus. To upgrade 50% of the patients on Insulatard (human insulin) to Levemir by 2012 To increase NovoRapid sales by copromotion with Levemir. 5.0 Marketing Strategy The complete range of insulin analogues, along with various delivery devices, in the Indian diabetes care market will be available only from NN. With NovoMix we will drive the analogue category in India which is predominantly a premix market (~80%). Levemir will be a part of this intensive offering, to shake up the market share occupied by Lantus. Being the only company with a full analogue portfolio, gives us the ability to initiate people with diabetes on a full analogue basal oral regimen. Levemir would be placed in the minds of the customers as the basal insulin of choice for intensive treatment for type 1 and type 2 diabetes. In both type 1 and type 2 patients, Levemir will be a once daily dose available in FlexPen. 5.1 Segmentation Prescribing doctors were divided into different categories on the basis of their prescription behaviour, qualification and influence on other peers, society or key decision maker in large institutions of repute (table 6). Prescription pattern was found out by market research (external agency) and internal data obtained from the sales team. The number of sales call, expenditure on the Dr for research purpose, international sponsorships, exposure to international forums and advisory board membership would vary for each category of physician. Levemir prescription would be generated primarily from the A and B class doctor. Hence, segmentation will help the sales force to focus better on the key customers and less cannibalisation into premix analogue segment. 5.2 Targeting Patients: Levemir will be targeted at the following categories of patients: Type 1 Diabetes: For intensive control Type 2 Diabetes: For patients on basal-oral therapy The main patient benefit will be improved control and safety coupled with no undesirable weight gain compared to Insulatard and Lantus. These benefits will be offered together with a far superior delivery device the FlexPen. Majority of the patients will come from basal-bolus to Levemir. As can be seen from the figure 5, 40% of the patients will come from basal-bolus therapy followed by basal only (20%). It will be important to focus on these two segments to ensure rapid market penetration. Prescribers: Levemir will be targeted at the following categories of doctors and prescribers (table 7): The target doctors for Levemir will be Diabetologists, Endocrinologists, Cardiologists and Physicians particularly Lantus prescribers. Key customers are described in detail in appendix p32. 5.3 Positioning The product proposition or the key to owning the positioning in the doctors mind is based on better glycaemic control and positive differentiation of Levemir over both Insulatard and Lantus. The positioning line for Levemir in India will be as follows: Add Levemir once-daily, reduce weight gain Weight neutrality assists the physician to achieve optimal control with fewer hypoglycaemic episodes and no undesirable weight gain. Levemir once-daily with OADs has to be ingrained in the doctors mind. Key messages: The key messages will aim to reinforce good glycaemic control and weight neutrality would be the key differentiator from Lantus: Weight neutral property Good glycaemic control with once-daily dosing with OADs. Controlling Diabesity leads to better quality of life and safety Levemir together with NovoRapid and NovoMix 30 are the only insulin analogues available in the advanced delivery system the FlexPen. Ultimate Control Key Messages are described in detail in the appendix p 35. 5.4 Critical Success Factors To block the growth of Lantus that has now been in the market for over 5 years Manage neutralize the entry of newer players such as Apidra (Sanofi) and Glargine from Wockhardt and Biocon. Ability of NN field force to effectively create awareness and brand acceptability for Levemir among prescribers will be crucial in establishing Levemirs position in the market. The benefits of basal-oral in type 2 and basal-bolus therapy in type 1 patients will have to clearly emerge. This will help in reinforcing the benefits of Levemir and strengthening the brand among the doctor and patient communities. Acceptance of the price point by the prescriber and the purchaser/ patient is critical for Levemir to gain prescriptions as well as market shares. Clear targeting of Levemir to Class A B doctors. Successful launch of Levemir Penfills in March 2010. 6.0 Marketing Mix 6.1 Product Levemir is a solution for injection that contains the active substance insulin detemir. It is available in pre-filled pens (FlexPen). Levemir is used to treat adults, adolescents and children over the age of six years who have diabetes. The medicine can only be obtained with a prescription. Levemir is imported to India from the manufacturing plant in Copenhagen (Denmark). Levemir is an insulin analogue prescribed to patients with diabetes for meeting the basal insulin requirement. Other insulin analogues of NN are NovoRapid and NovoMix 30. All the insulin analogues including Levemir are patented product of NN. 6.1.1 Product Life Cycle Management Source: mbarreiro.wordpress.com/ Levemir was launched in May 2006 in the Indian market. Levemir was second to Lantus in basal insulin analogue category in India. Although Levemir is 3 years old in Indian market, still it has not grown as expected compared to the global market. As per the product life cycle graph, Levemir is in the initial part of growth phase, needs more attention and intensive promotion to reach the peak. Hence the focus will be on the single biggest benefit of Levemir i.e. Less undesired weight gain and Once-daily therapy with OADs in all our communications. This will ensure that Levemirs key differentiator of Weight Advantage is completely understood and appreciated by the prescriber base. The integration of Levemir with NovoRapid will be extremely important to establish Levemir as the key part of basal-bolus therapy. This will be achieved with joint promotion and communication activities with NovoRapid with the key objective being the importance of basal-bolus therapy in the proper treatment of diabetes. Strong brand showcasing in all reputed diabetes journals, conferences and meetings with leading Key Opinion Leaders endorsements will be the key to success of Levemir so that Levemir reaches the peak of growth phase. 6.2 Price Pricing in India has to be extremely competitive as it is a very price sensitive market. Pricing here follows certain regulatory procedures. Since insulin falls under the price controlled drugs and pharmaceutical products category there is a maximum selling price which needs to be approved from the pricing authority NPPA (National Pharmaceutical Pricing Authority). They would evaluate the recommendation on the following parameters: Affordability for the masses and criticality of making this product available to all if Life saving (Insulin comes under this category). Manufacturing cost the pharmaceutical company claims to incur Competitive pricing Post this NPPA gives clear approval based on which a license to market is procured. The following price was approved by NPPA after our recommendation. Product Type MRP (Rs) Levemir FlexPen 988 NN is a market leader in diabetes market globally including India and is known for its strong research and development activities. Levemir is an innovative patented product; the pricing is based on the value perceived by the customers (doctors). The pricing decision has also been done taking into account on the price of the competitor that existed during launch, Lantus Optiset Pen (MRP = Rs 801). 6.3 Promotion NN would adopt both Push strategy and Pull strategy as promotional tools. The Push strategy would be through promotional activities target at the prescribers (doctors), whereas the Pull strategy would be through increasing awareness of the end consumer (diabetic patients) about good glycaemic control, less undesired weight gain, less hypoglycaemia and easy to use insulin pens. Advertising Sales Promotion Public Relations Personal Selling Sampling The promotional tools are described in detail in the appendix p35. 6.4 Place Distribution channel structure: Levemir will be distributed via wholesalers through our channel partner M/S. Abbott India Limited. There will be no change in the distribution channel for Levemir. We will focus on Metros and larger cities to gain market volumes. Levemir will be made available in select retail outlets. The pharmaceutical distribution channel in India is described pictorially in figure 7. Figure 7: The Pharmaceutical Distribution Channel in India Note Figures in %age indicate %age of medicines supplied to the entity Acknowledgement: I am grateful to Mr Devdutt Dash, Senior Product Manager Levemir, Novo Nordisk India for providing the market data on Indian Pharmaceutical Industry, Diabetes Care, Insulin Insulin analogues and internal sales data of NN, Levemir and Lantus. 7.0 References and Bibliography 1. Kotler, P, Armstrong, G, Wong, V Saunders, J. ed. 2008. Principles of Marketing. Pearson Education Ltd: Prentice Hall. 2. mbarreiro.wordpress.com/ 3. Roger, J. B. 2nd ed. 2000. Market-Based Management: Strategies for Growing Customer Value and Profitability, (Upper Saddle River, NJ: Prentice Hall), p.127. 4. tutor2u.net/business/strategy/ansoff_matrix.htm 5. Wood, M.B. ed. 2007. Essential guide to marketing planning. Pearson Education Ltd: Prentice Hall. 6. www.financialexpress.com//indias-gdp200910/435703/ 7. www.IDF.org 8. www.novonordisk.com