Construction development in China Lab Report Example | Topics and Well Written Essays - 3750 words

Construction development in China - Lab Report Example ith luxurious boutiques that appear to be housed in a traditional lane house is a re-imagination of Shanghai’s old streetscape and customer experience. It reminisces and elicits nostalgia in the historical preservation. Ever growing labyrinth of skyscrapers is the new face of Shanghai. The skyscrapers stretch further than the eye can see from an observation deck in Pudong, a relatively rural district from across the river from Shanghai’s original settlement. The area was just a farmland twenty years back. It has now experienced a viral growth of skyscrapers and symbolizes the urban future of China. Architectural development in Shanghai is so fast that it is estimated that five more satellite towns will be set up from scratch to house the growing population of the city. Pudong is part of the strategic places for development to support humanity in Shanghai. Close to 18 million people live in the greater Shanghai. The figure is expected to inflate by more than one third by the year 2020. The construction of the satellite towns is urgent. Experts are more impatient that policy implementers and they have the urge to build an entire town from scratch in two or three years. Shanghai is re-inventing itself as an urban megalopolis. Shanghai is a city with a long history. In the long-term development, it has formed its own unique city scene and varied cultures and arts. Up to now, a lot of cultural relics beginning in the Tang (618-917) and Song (960-1279) Dynasties, many museums and contemporary memorial halls are well preserved. There are a lot of tourist centers in urban districts and suburbs of Shanghai, which form many tourist areas, tourist lines and special-interest tourist items. (Shanghai National Information, 2013). Throughout the past century, Shanghai has had numerous name tags attached to it; like "Paris of the Orient" and "Pearl of China". Images of Shanghai more than any other Chinese city, are bountiful in the west. A visit here therefore, is naturally

A Beautiful Mind and Disability Essay Example for Free

A Beautiful Mind and Disability Essay A Beautiful Mind is a good movie by Ron Howard, about a man that has lost his grip on what is real and what is fiction. This started when he was in graduate school and no one really noticed until his wife had him committed to the hospital. John Nash, the main character of the film portrayed by Russell Crowe, is a great mathematician that became a victim to paranoid schizophrenia. At first he does not notice the problems, and being that we are seeing everything from his prospective we do not notice them either. Only after he is admitted to the hospital by his wife do we see that some of the main people in his life are just products of his mind. As was said in the movie, â€Å"What must it be like to realize not that those you treasure and hold dear are not lost or dead but have never been? What kind of hell would that be? † This is a true tragedy that is common with paranoid schizophrenia. I guess that in reality John Nash is a man that truly exemplifies the statement that there is a fine line between genius and insanity. This is probably why his problems were not addressed for as long as they were, people overlooked them because they would lose the benefit of that genius if they were to try and fix the erratic behaviors that he showed. John Nash suffered from many of the classic symptoms of this illness. He was paranoid that people were after him, which was healthy in his classified work. He had different friends and co-workers who did not exist anywhere but in his own mind. See more: Unemployment problems and solutions essay   He started showing progressive erratic behavior towards his friends and family. In the end, right before the hospital, the fantasy realm was what was real to him and the real world just the work of fiction. I agree with the movie that he was suffering from paranoid schizophrenia. However, if he was forced to continue the treatments of the times I believe that he would have fallen even further. While on the medications you noticed that he was becoming depressed which ould have lead him to Manic Depression, and I can only imagine what continued insulin shock would have done to his mind and body. None of good I am sure. There were some major people in his life. The first was Charles Herman his Princeton roommate, William Parcher his boss with the Department of Defense, Alicia Nash his wife and Martin Hansen his main rival at school. He was close to Charles his best friend since college and worked well with William his boss at the Department of Defense, the only problem neither of them existed. Alicia became estranged from him because of his illness, but his brilliance was also what she loved about him as well. After his diagnoses his main true friend was the Dean at Princeton, his old rival Martin. When John stopped taking his medication and was looking to return to society he allowed him to use the library everyday to work on his problems and math in peace. Then once he thought he wanted to teach again he had the faith to talk the board into letting him teach. The two most helpful people to John Nash were his wife, Alicia and his old rival Martin. They believed in him when no one else would or thought they should. John was able to cope with his illness in the end because he had a break thru that his friend, Charles’ niece never aged; therefore she and they could not exist. This allowed him to start ignoring them and start functioning again in the real world without his medication. After dealing with my husband’s mother I believe that Russell Crowe should have won the Oscar, the SAG, and the Golden Globe for his realistic performance of a man that has lost his grip on the world around him. He not only showed you the ups and downs of this illness but he showed you that there is hope for everyone that has to deal with these problems daily. I also believed that this film helped bring to light how outdated some thoughts on mental illness can be and what is possible when you look beyond the surface and see the person underneath.

The Develoment of the Horror Genre Essay -- essays research papers fc

The term Gothic is significant for the understanding of the origins and development of the horror genre. Both of these genres differ, whilst Gothic literature is the text that explores the frightening extremes in mankind, horror focuses more on the unknown. The Gothic horror genre has changed over time and retains importance because it is the antecedent of the horror genre. Factors such as the definition of the word Gothic, the archetypes of the genre, and its social and historical contexts, have altered considerably as time progressed. The value and popularity given to the gothic horror genre has also varied during the past few centuries. As a result, in order to understand the horror genre’s foundations, it is important to observe the Gothic novel’s modifications. Horror stories have existed for thousands of years, initially in the form of verbal communication. The themes of ruthless enemies and supernatural beings were common themes in myths in an attempt to set morals. However, at present, the true horror literature in its written form mostly aims to entertain. Its forerunner, the Gothic novel, rose in the eighteenth century and was extremely popular until the nineteenth century in England. The meaning of ‘gothic’ varies exceedingly. The word initially refers to German tribes that took part in overthrowing Rome. This word can be perceived as a synonymous for barbarous and dreadful. Similarly, the horror genre also has factors of monstrosity and dread. The â€Å"Gothic† style of architecture was famous in the middle ages and has been found on many cathedrals such as Notre Dame. Historians would describe this style as â€Å"gothic† to suggest their negative opinion of the architecture, that it was tasteless and dry. Instead of conforming to this perception, people were only led to believe the word to mean â€Å"dark and ominous†. Gothic architecture, with the foreboding atmosphere posed around it, correlates with the Gothic novel because it has been a prevalent backdrop to gothic novels in the 19th century, such as Mary Shelley’s Frankenstein. These Gothic horror stories were some of the first examples of the horror genre, and are therefore vital for the understanding this field. In its historical context, the gothic horror genre is believed to have emerged as a response to a time of rational thought, the Enlightenment or the Age of Reason. This intellectual movement a... ...tablished in the modern horror genre, thus it is practical to observe the archetypes of the Gothic novel as well. This allows the responders to grasp a better understanding of the origins of horror elements. It is therefore evident that the Gothic horror genre has evolved a great deal over the past two hundred years or so. The Gothic novel has affected the horror genre because of the intrigue created with the intense emotions and aspects of human nature. This as a result creates Gothic horror, similar to the horror genre but instead plays on the horrifying attributes of the radical human mind rather than the dread of the unknown and the irregular. In order to become more aware regarding the origins of the horror genre, it is important to understand the progress of the Gothic. It is notable to recognise the meaning of the term, its changing values, historical context and the varying archetypes of the Gothic novel in order to become acquainted with the horror genre’s development. Bibliography: http://academic.brooklyn.cuny.edu/english/melani/gothic/history.html http://www.wwnorton.com/nael/romantic/topic_2/welcome.htm http://cai.ucdavis.edu/waters-sites/gothicnovel/155breport.html

Remedial College Classes Benefit Students and Society Essay -- Argumen

Remedial College Classes Benefit Students and Society Depending on the opinion, one could have been excited or startled by comments President George W. Bush recently made. It was August 29th, and the day had come for him to deliver his â€Å"Back-to-School† speech. Always pushing for improving education, the President urged state leaders to look at a new tactic for making the students achieve; he argued against remedial classes in colleges. State leaders across the country, if they had not already done so, began seriously debating the issue of whether remedial classes belonged in the states’ universities and colleges. Indeed, there is a lot to question about the state of higher-education remediation. Some of the first issues that come up are the alarmingly high number of incoming freshmen and other students that need to take a remedial class, which is somewhere around one per every four students (Cloud 60; Ravitch 106). Also important is the significant amount of money governments spent to finance remedial clas ses, which comes to about one billion dollars per year nationwide. With all of this fiscal spending, it comes as no surprise that conservatives are spearheading the push to end remedial classes in colleges and universities. They see it as money spent to teach the same thing to a person twice, and nothing bothers republicans more then laziness and failure at the cost of fiscal money (Cloud 60). However, the actual definition differs from the classic GOP interpretation. A college remedial class, as defined in John Cloud’s Time article, â€Å"Who’s Ready for College?,† is any class that teaches a subject that should have been mastered by the end of twelfth grade (60). Is this wasted money or beneficial educa... ...nal Standards.† Phi Delta Kappan 80.7 (Mar. 1999): 548-9. Cloud, John. â€Å"Who’s Ready for College?† Time 160.16 (Oct. 2002): 61-2. Cresanta, Judy. â€Å"Placing the Blame for Remedial Education.† 15 Jul. 1998. Nevada Policy Research Institute. 17 Nov. 2002. Oudenhoven, Betsy. â€Å"Remediation at the Community College: Pressing Issues, Uncertain Solutions.† New Directions for Community Colleges 117 (Spring 2002): 35-44. Ravitch, Dianne. â€Å"The Fight for Higher Standards.† Forbes 160.13 (Dec. 1997): 106. St. John, Eric. â€Å"Roaring Up From Behind.† Black Issues in Higher Education 17.12 (Aug. 3 2002): 26-31. Wright, Scott W. â€Å"The Ill-Prepared and the Ill-Informed.† Black Issues in Higher Education 15 (Mar. 1998): 12-5. Wright, Scott W. â€Å"This Isn’t Working!† Black Issues in Higher Education 14 (Feb. 1998): 14-15.

Rosencrantz and Guildenstern Existentialism

What if everything gets one nothing? What if it was true that man has the power to do whatever he pleases, but in the end all of it will mean – for lack of a better term – nothing? This school of thought is called existentialism, which is crucial in Tom Stoppard's play Rosencrantz and Guildenstern Are Dead – an absurdly written response to William Shakespeare's Hamlet. Rosencrantz and Guildenstern experience times of enlightenment, humor, and sorrow throughout their journey, leading them to ponder whether their livelihood actually has some sort of positive meaning. However, the ultimate gift of death crept up on them, without any explanation or hope, for all eternity. The ideas of existentialism are shown in the play through unstable identities, uncertain knowledge of the past, and anti-heroes which lead to Rosencrantz and Guildenstern’s ultimate fate – their feared deaths. Unstable identities in the play contribute to the idea of existentialism by making Rosencrantz and Guildenstern indistinguishable, emphasizing their need for meaning. When introducing themselves to the Player and the tragedians, Rosencrantz announces, â€Å"My name is Guildenstern, and this is Rosencrantz†¦I’m sorry – his name is Guildenstern and I’m Rosencrantz† (Stoppard 22). Their own deprivation of identity shows that the meaning in their individual lives is lost, making them into cynical, unrecognizable objects. In addition, they have lost their idiosyncrasies, creating a problem for other characters in distinguishing between the two. During a discussion about the King giving them an equal amount of money, Guildenstern exclaims that the king â€Å"wouldn’t discriminate between [them]† (Stoppard 104). To the King, Ros and Guil are simply two objects that are willing to assist in any way possible; to him, there is no point in getting to know them individually. The King’s lack of differentiation between the two shows that Ros and Guil have lost a deeper meaning to the King, leading to the bereavement of identity. The ambiguous identities of Rosencrantz and Guildenstern obliged their characters to embody no purpose, inflicting the idea of existentialism. Ros and Guil’s doomful deaths were caused by their nonexistent individuality. The pair’s past also lead them through an existential drift; without meaning in their past, the pair still have nothing to go on. The uncertainty of Rosencrantz and Guildenstern’s past supplements the idea of existentialism by making the play enigmatic. While walking along the path to Elsinore Castle, Ros and Guil attempt to comprehend what they are doing before making the expedition to the estate; Guil asks Ros, â€Å"What’s the first thing you remember? † and Ros replies, â€Å"Oh, let’s see†¦the first thing that comes into my head, you mean?†¦ Ah. It’s no good, it’s gone† (Stoppard 16). Ros and Guil are not able to recollect past events due to the fact that the prior matters adhered no meaning. Even when Ros and Guil are dying, they cannot recall what they have done to deserve this with Ros crying, â€Å"We’ve done nothing wrong! We didn’t harm anyone. Did we? † and Guil replies â€Å"I canâ₠¬â„¢t remember† (Stoppard 125). At their dying second, Ros and Guil are still unable to fathom what they have or have not done. Their past events are proven to be meaningless, leading them to an existential wandering containing no answers. Also through the use of anti-heroes, Stoppard made Rosencrantz and Guildenstern useless individuals who could not carry out a duty without the succor of one another. An anti-hero, in some cases, considers his or herself to be incapable of completing tasks while being corrupt, sullen, and disaffected. Rosencrantz and Guildenstern entrust each other to get through all dilemmas and yet they still become confused. When deciding what their next undertaking shall be, Guil asks Ros, â€Å"What are we going to do now? and Ros replies, â€Å"I don’t know. What do you want to do? † (Stoppard 17). Using a popular decision-making device, Ros and Guil reveal that they do not have the confidence to decide what to do and to execute the decision. Confidence is an indicator of optimism, responsibility, and initiative; Ros and Guil occupy none of these positive attributes, giving manifestation of anti-heroes. Also, Ros and Guil count on the King’s letter to get through the peregr ination, with Guil saying, â€Å"Everything is explained in the letter. We count on that† (Stoppard 105). Ros and Guil refer to the letter whenever a predicament arises, urging them to resolve the issue. With the letter epitomizing their fate, it is what they count on the most. The pair fails to envisage that one another and the letter were the ultimate factors that lead to their demise. Rosencrantz and Guildenstern live up to the idea of anti-heroes in existentialism by being each other’s hopeless backbones and depending on the letter, which leads them to their fateful deaths. Through the utilization of vacillating identities, unforeseeable knowledge of the past, and anti-heroes, existentialism augmented Rosencrantz and Guildenstern’s ultimate kismet – their anticipated deaths. Tom Stoppard leads Ros and Guil through an obscure existence that turns out to encompass nothing. With this, the reader might ask, â€Å"What is life without purpose? † – And one can say that it is certainly no life at all.

China-Japan relations and the views of news organizagions essays

China-Japan relations and the views of news organizagions essays Recently, Anti-Japanese protest has peaked in China due to Japans approval of high school history textbooks that contain significant revision and whitewash of its brutal actions towards China and Korea during WWII. At the same time Japan is trying to win a permanent seat on an expanded United Nations Security Council. China, being a member of the permanent United Nations Security Council, exercises veto against Japans effort. Two news organizations; New York Times and Washington Post, Blogsforbush.com and Chamsarang.com, an anti-war community in Korea have slightly different approaches to the issue. First, I will briefly summarize the history that had led the tension between the three nations in order to give some insight on the origin of anti-Japan movement, then discuss the different approaches that media has on Japans current action on the approval of inadequate textbooks, and Chinas objection and standpoint on Japans effort to win the Security Council. Both China and Korea long accused Japan for not apologizing for brutally invading its neighbor countries and the tension between the countries that still exists today. The Nanjing massacre was perhaps the best remembered and most infamous event in the Japanese invasion of China that killed nearly 300,000 citizens and soldiers. In addition to the huge number of deaths, over the course of weeks following the fall of Nanjing, Japanese troops engaged in an orgy of rape, murder, theft, and arson. Historians estimates that tens of thousands of women from as young as 7 to the elderly were raped. Rapes were often performed in public during the day and often in front of spouses or family members. The rape was systemized in a process where soldiers would search door to door for young girls. Many women were taken captive to be gang raped and some were kept to be raped again. It was common for a woman to be killed immediately after being raped usually by mutilati...

What are Fan Behaviors towards Sports Officials at the Middle School Level

What are Fan Behaviors towards Sports Officials at the Middle School Level Abstract The objective of this project was to discuss fan behaviors towards sports officials at middle school level. In order to achieve this objective, qualitative research method was used to collect and to analyze data from different secondary sources. The results of the data analysis and literature review indicate that incidences of misbehavior among middle school students during sports events are on the rise.Advertising We will write a custom proposal sample on What are Fan Behaviors towards Sports Officials at the Middle School Level? specifically for you for only $16.05 $11/page Learn More In particular, most students tend to show disrespect to sports officials by harassing them verbally and physically. The main factors that influence students’ behavior during sports events include frustration, high expectation, crowd demographics, performance of sports officials, and socialization. In order to improve middle school students’ behavior tow ards sports officials, parents, and teachers should collaborate and help students to internalize the principles of good sportsmanship. Introduction A sports event refers to â€Å"any interscholastic or intramural athletic activity organized and sponsored by any learning institution, the community, or a business†. Sports events are important because they promote the development of students’ leadership skills and physical wellbeing. Furthermore, they help students to identify their talents in various games such as football and basketball. Consequently, most schools promote sportsmanship among their students. Sportsmanship refers to â€Å"the values of fair play, adherence to the rules of the game, respect for opponents, and acceptance of official and referee judgements†. All stakeholders in sports events are expected to internalize all the values associated with sportsmanship. However, most students at middle school level have failed to uphold the spirit of sports manship. This can be illustrated by the rising number of incidences in which middle school students harass sports officials during or after sports events. A sports official refers to a person who is responsible for enforcing the rules of a game or supervising participants during a sports event. Statement of the Problem In the last two decades, middle school students have increasingly exhibited high levels of cynicism and negativity towards their opponents and sports officials. Deviant behaviors such as verbal abuse and physical harassment have become the norm in most middle school sports events across the country. This trend is explained in part by the fact that students want their teams to win at all costs. However, considering winning as the most important element of interscholastic sports denies students the chance to develop desirable values such as respect for others, self-discipline and responsibility. Poor character development among middle school students has led to an incre ase in the number of complaints by sports officials, especial, referees concerning various forms of harassment. Additionally, the number of referees and other sports officials who are resigning from their duties for fear of being harmed by students is on the rise.Advertising Looking for proposal on health medicine? Let's see if we can help you! Get your first paper with 15% OFF Learn More Undoubtedly, sports officials are very important since they determine the success of any sports event. The officials are tasked with the responsibility of making judgements within a very short time in order to regulate players’ actions. In this regard, sports officials are bound to make mistakes, especially, in games such as football that are rule-oriented. Nonetheless, sports officials do not deserve harassment from middle school fans due to the mistakes they make on the playfield. If more sports officials resign from their duties, the quality of sports in most scho ols will significantly decline. It is against this backdrop that this paper seeks to shed light on the behavior of middle school students towards sports officials. Significance of the Project Previous studies have shown that the behavior of middle school students towards sports officials is deteriorating despite the efforts made by parents and teachers to promote good sportsmanship among students. Although the patterns of students’ behavior towards sports officials have been extensively documented, few studies have explained the causes of the observed students’ behaviors. Thus, this project contributes to the existing literature by identifying the behaviors of middle school students towards sports officials and the causes of such behaviors. Understanding students’ behavior towards sports officials has the following benefits. First, understanding the causes of poor sportsmanship among middle school students will help teachers and parents to develop appropriate st rategies to improve students’ behavior. Consequently, sports events will become a source of enjoyable entertainment and an opportunity to nurture the talents of students who intend to pursue careers in sports. Second, the participation of sports officials in sports events will improve if teachers are able to understand students’ behaviors and to take appropriate actions to improve sportsmanship among middle school students. This will boost the development of sports at middle school level. Review of Literature Organized sports events cannot take place without sports officials. However, sports officials’ dropout rate in various sports in the country is alarming. One of the major factors that contribute to the high dropout rate is player and fan abuse. According to Balch and Scott (2007, pp. 3-20), the personality of sports officials is similar to that of the normal population. However, middle school students tend to perceive sports officials as people with very di fferent personalities.Advertising We will write a custom proposal sample on What are Fan Behaviors towards Sports Officials at the Middle School Level? specifically for you for only $16.05 $11/page Learn More Most middle school students believe that sports officials lack charisma and are excessively neurotic. This can be illustrated by the fact that any decision made by a referee in a game such as football upsets nearly half the players and viewers. The fans and players who are not able to handle their disappointments often attack referees physically or verbally. However, not every referee is able to handle wild fans and uncooperative players. This partly explains the increase in the rate of sports officials’ dropout in various games. A successful sports official must possess a unique kind of personality. The official has to be levelheaded, confident, and able to handle the pressure from fans. The decisions made in any game or sports event involves s ome form of communication between the sports official and other participants such as coaches and fans. The decision of the official must be based on the interpretation of the rules that govern the sports event that is taking place. However, most contest decisions are followed with ridicule from middle school fans and coaches whose expectations about the outcome of the contest is often very high. According to Wolfson and Neave (2007, pp. 232-247), a good official should be able to ignore the negative feedback from the unsatisfied fans and stay focused on the game. Contrary to this perspective, most officials find it difficult to concentrate on officiating games such as football without worrying about being attacked by fans. Godsdon (2001, p. 89) opine that sports officials can reduce the possibility of being attacked by unruly students if they exercise values such as honesty and objectivity when officiating games. In this regard, sports officials should avoid communicating with fans throughout a sports event in order to prevent any provocation from degenerating into a physical attack. Moreover, every school is expected to provide an administrator to control students during sports events. Crowds of fans that show enduring team involvement consist of both good and bad students. The students who lack good behavior tend to exhibit their character in terms of excessive complaints and confrontations, which are often channeled to sports officials or the opponent teams. Enduring team involvement is not the problem since the degree of association with a particular team does not vary significantly between dysfunctional and well-behaved fans (Kreager, 2007, pp. 705-724). Dysfunctional fans usually take advantage of forums such as radio talk shows and websites to attack sports officials through negative and abusive comments. Although fans are expected to question the decisions made by officials during a game, their actions often contravene the principles of good sportsmans hip. Thus, most officials expect deviant behaviors such as excessive yelling from fans in nearly every game. Given that verbal attacks are expected in every game, what matters is how sports officials deal with them. According to Kellett and Shilbury (2007, pp. 209-229), the level of unruly behavior among fans vary with the type of game or sports event that is taking place.Advertising Looking for proposal on health medicine? Let's see if we can help you! Get your first paper with 15% OFF Learn More Middle school students are likely to misbehave in sports events such as basketball, baseball, and football because most of them hold these games in high esteem. In addition, the stakes are usually very high when a game such as football is being played since students often bet with their colleagues on the expected outcome of the game. This leads to the development of the win-at-all-costs attitude among students, which in turn causes misbehavior towards sports officials. The misbehavior of fans in middle schools and other levels of learning have led to adoption of laws that protect sports officials in some states in the United States. The laws often protect registered sports officials from being attacked physically or verbally in the course of performing their duties such as officiating sports events or immediately after officiating the events. The penalties associated with attacking a sports official varies from â€Å"a first-degree misdemeanor to a first-degree felony†. Gener ally, the need to enact laws that protect sports officials arose from a culture that promotes indecent behavior among students and coaches during interscholastic sports events. Most trained officials often turn down the offer to participate in various games if they expect to be assaulted due to trivial reasons such as fans’ dissatisfaction with a contest decision. The stress experienced by sports officials as they officiate various games is mainly explained by the â€Å"fear of failure, fear of physical harm, and time pressure†. These fears arise as students put pressure on sports officials to take actions that satisfy their needs even though such actions might not be appropriate. Players in various sports events often receive emotional support from their team managers and coaches. They are often trained to cope with failure and to ignore the negative feedback that they may receive from fans. By contrast, sports officials hardly receive any emotional support during spo rts events. The officials are often â€Å"left alone during times of harassment, with no support from fans, coaches, or school administrators†. This leads to isolation during times of stress. As a result, most officials experience high levels of mental and physical tiredness as they perform their duties. Ultimately, most officials terminate their commitment to serve middle school students as referees or umpires. Previous studies indicate that middle school students’ propensity to misbehave during sports events is influenced by personal and environmental factors. Deindividuation is one of the factors that lead to misbehavior towards sports officials. Deindividuation refers to â€Å"immersion to a group to the point that one loses a sense of self-awareness and feels lessened responsibility for one’s actions†. Deindividuation weakens self-control, thereby increasing the ease with which fans are influenced by their surroundings. As a result, spectators may mo b, insult, or threaten sports officials. Most fans take advantage of the anonymity provided by a group setting to misbehave. Personal accountability declines and responsibility diffuses as fans increase their involvement in group activities. Consequently, even the well-behaved fans may be encouraged to imitate bad behaviors such as yelling at officials in order to conform to the groups that they identify with. Disinhibition is a common characteristic of passionate fans of various sports events. Disinhibition is a state in which an individual’s ability to control his or her behavior, emotions, and impulses are greatly reduced. It leads to a situation in which fans are less concerned about the consequences of their behaviors or what others think about them. Disinhibition eliminates the normal constraints on behavior â€Å"such as long-term norms, self-monitoring, and self-awareness†. In this context, fans’ behaviors are mainly influenced by their immediate emotion s rather than rationality and self-control. Consequently, fans may express themselves in a manner that contravenes the principles of good sportsmanship. For example, a very passionate fan may cheer his team by shouting too much or insulting a sports official whose decision he disagrees with. Frustration is a major determinant of students’ participation in violent acts during sports events. Frustration leads to aggression under circumstances in which fans believe that their chance to win in a particular contest was thwarted by a decision made by a sports official. Students can respond to their frustrations by attacking sports officials as a means of compensating for their loss. This perspective is supported by the fact that dysfunctional fans consider their violent behaviors as a product of hard work rather than an intention to hurt sports officials. In particular, violent fans tend to believe that engaging in violent behaviors is an effective means of fighting for a win that they deserve. Frustration increases arousal when students are disappointed with the outcome of a sports event. Moreover, socialization greatly influences students’ behavior towards sports officials. Students who often watch violent movies are likely to engage in violent behaviors during sports events. Moreover, they are likely to use weapons to attack sports officials and their opponents or teammates. Crowd demographic is also a determinant of middle school students’ behavior towards sports officials during and after a sports event. Several studies indicate that male students are more likely to engage in violent behaviors than females students are. Similarly, sports events that involve teams from different schools are usually characterized with violence because stakes are often vary high. Students from each school usually focus on winning at all costs in order to show their superiority. In this case, sports officials can be on the receiving end if they make any mistake that causes one team to lose. Methods and Procedures Qualitative research method was used to collect and to analyze the data used to discuss the behavior of middle school students towards sports officials. Qualitative research method was suitable for this project since it focuses on meanings, perspectives, and understandings. In particular, it focuses on determining the meanings that people attach to their behavior, as well as, how they interpret various situations. Additionally, qualitative research focuses on determining people’s perspectives on various issues in their surroundings. Thus, the qualitative research method facilitated the analysis of the perspectives of various researchers concerning the behavior of middle school students towards sports officials. The data used in this project was collected through a thorough review of the literature on the behavior of middle school students towards sports officials. This involved reading and analyzing the findings of previou s studies and the theories that have been developed to explain fans’ behavior during sports events. Generally, the data was collected from secondary sources such as academic textbooks, peer reviewed journals, and reports of previous studies. The advantages of using secondary sources of data include the following. First, secondary sources of data on students’ behavior during sports events are readily available through various platforms such as online libraries and e-books. This reduced the time required to collect and to analyze the data needed to complete the project. Second, secondary sources of data present the views of different researchers and scholars. Thus, it was easy to understand students’ behavior and to analyze the factors that influence it in an objective manner. Despite these benefits, some secondary sources of data are likely to have unreliable information. Consequently, only academic textbooks and peer reviewed journals were used to ensure that th e conclusions of the project are based on reliable information. Hermeneutic analysis was used to analyze the data collected for the project. Hermeneutic analysis involves gaining an â€Å"in-depth understanding of the meanings of human practices, culture, works of art and text†. In this project, data analysis involved reviewing and interpreting existing literature on middle school students’ behavior towards sports officials. The interpretations were used to make conclusions about the project’s topic. Conclusion Results and Analysis The literature reviewed indicates that cases of misbehavior towards sports officials are on the rise in middle schools. This has led to adoption of laws that protect sports officials from harassment as they perform their duties. Students usually respond to the decisions made by sports officials through deviant behaviors such as verbal and physical harassment. The main factors that determine students’ behavior during sports even ts include frustration, crowd demographics, the performance of sports officials, and students’ socialization. The misbehavior of middle school students during sports events can be explained by three theories namely, the social learning theory, instinct theory, and frustration-aggression hypothesis. According to the social learning theory, an individual acquires a new behavior by watching and imitating others. In this context, well-behaved students can gradually learn bad behaviors from their colleagues and begin to practice them. Thus, students’ behavior towards sports officials illustrates what they learn from their colleagues and the society in general. According to the instinct theory, aggression is an inborn drive. In particular, aggression is an intrinsic drive that can be discharged or fulfilled. This suggests that students can use sports events to discharge pent-up aggression. For example, the celebrations that follow a win in a particular game can help in reduc ing stress and aggression among students. By contrast, a sports event can increase aggression if students fail to achieve their objectives or goals. This leads to deviant behaviors such as harassing sports officials. The frustration-aggression hypothesis posits that frustration only prepares an individual for an aggressive reaction. Thus, an individual may or may not express aggression when frustrated. This perspective is illustrated by the fact that responsible students often avoid engaging in deviant behaviors during sports events even if they are frustrated. However, an increase in frustration is likely to result into expression of aggression. Discussion and Reflection Sports events play a key role in the development process of students at the middle school level. Teachers and parents value good sportsmanship and expect students to engage actively in sports events. Unfortunately, the level of sportsmanship among students in middle schools is deteriorating. This failure can be att ributed to the permissiveness of the society and school administrators towards aggression in sports events. Parents and teachers alike engage in deviant behaviors during sports events within and outside schools, thereby setting bad precedence for students. Students, on the other hand, have over time developed the culture of winning at all costs, which leads to misbehavior during sports events. Therefore, parents and teachers must collaborate to help students to internalize the principles of sportsmanship. Parents must help their children to understand that losing in a sports event is not the end of everything. They should encourage their children to learn to cope with failure and appreciate the contributions of sports officials in every game. Teachers and school administrators should focus on promoting discipline among students. Moreover, they should establish a conflict resolution mechanism to address any disagreements that may arise between sports officials and students in order t o avoid violence. Students are also expected to act responsibly and to respect sports officials in order to benefit from sports events. References Atkinson, M., Young, K. (2008). Deviance and social control in sports. New York, New York: John Wiley and Sons. Balch, C., Scott, D. (2007). Contrary to popular belief, refs are people too! Personality and perception of officials. Journal of Sport Behavior 30(1), 3-20. Banning, S., Wells, S., Baker, L. (2009). Parents behaving badly? The relationship between the sportsmanship behavior of adults and athletes in youth basketball games. Journal of Sport Behavior 32(1), 3-18. Coakley, J. (2011). What counts as positive development? Journal of Sport and Social issues, 35(3), 306-324. Courtney, J., Wann, D. (2010). The relationship between sport fan dysfunction and bullying behaviors. North American Journal of Psychology, 12(1), 1-20. Godsdon, S. (2001). Psychology and sport. London, England: Butterworth-Heinneman. Jamieson, L., Orr, T. (2 012). Sport and violence. New York, NY: John Wiley and Sons. Jarvis, M. (2006). Sport Psychology: A students handbook. New York, NY: Routledge. Kellett, P., Shilbury, D. (2007). Umpire participation: Is abuse really the issue? Sport Management Review 10(3), 209-229. Kreager, D. (2007). Unnecessary roughness? School sports, peer networks, and male adolescent violence. American Sociological Review, 72(5), 705-724. Lewis, J. (2007). Sports fan violence in North America. New York, NY: Rowman and Littlefield. Light, D., Lavoi, N., Power, C. (2005). The sport behavior of youth, parents, and coaches: The good, the bad, and the ugly. Journal of Research in Character Education, 3(1), 43-59. Nixon, H. (1997). Gender, sport, and aggressive behavior outside sport. Journal of Sport and Social Issues, 21(4), 379-391. Oproiu, I. (2012). A study on the relationship between sports and aggression. Sport Science Review, 22(2), 33-48. Stornes, T. (2001). Sportspersonship in elite sports: On the effec ts of personal and environmental factors on the display of sportspersonship among elite male handball players. European Physical Education Review 7(1), 283-304. Thornton, P., Champion, W., Ruddell, L. (2011). Sports ethics for sports management professionals. London, England: Butterworth-Heinneman. Tracy, S. (2012). Qualitative research methods. New York, NY: McGraw-Hill. Wakefield, S., Wann, D. (2006). An examination of dysfunctional sport fans: Method of classification and relationships with problem behaviors. Journal of Leisure Research 38(2), 168-186. Wingate, B. (2008). Violence at sports events. London, England: Sage. Wolfson, S., Neave, N. (2007). Coping under pressure: Cognitive strategies for maintaining confidence among soccer referees. Journal of Sport Behavior 30(2), 232-247. Young, K. (2012). Sport, Violence and Society. New York, NY: McGraw-Hill.

4 Ways to Combat Negativity at Work

4 Ways to Combat Negativity at Work We all have that one co-worker who’s just plain†¦ negative. He or she comes in from the elevator followed by a sad, grey cloud. They spend all of their time grumbling about work- having either too much or too little, and their personal lives don’t sound much better. There’s always one in every office, and often to caricatured proportions. But it can be easy to drift into that negative territory. Just to make sure you haven’t taken on any of these bad habits or deflated attitudes, be on the look-out for the following four signs of encroaching negativity at work.   Avoid your own black cloud.Watch Your PostureRemember your first days on the job? You came to work all bright-eyed and bushy-tailed, spine straight, head up, typing with your fingers on your home keys, sitting tall in your swivel chair, and drinking vegetable juice for lunch! Or, you know, some version of that kind of effort.But with time, and setbacks, and disappointments, your bad moods h ave started to sink into your bones. Before you know it, you’re slouched over your keys, slumping as you walk, and sneering at your screen. Even if you’re just stressed or inattentive to the ways in which your posture might be wavering, it’s making you look bad to your boss, who values positivity in outlook and professionalism in demeanor. Straighten up!Curb the ComplaintsIt’s too cold, too hot. The meeting was too long, too short. The coffee sucks. The vacation package sucks. Your insurance sucks. Your weekend sucked. The printer†¦ don’t get me started on the printer.Make sure you’re not constantly complaining, even if there are things that you could (reasonably) constantly complain about. And stop complaining altogether about things not in your power to change. If you find yourself ranting and raving for 20  minutes at a time, sit yourself down and ask why you’re suddenly so frustrated at work. But whatever you do, keep the c omplaining to a minimum. Start to notice every time you do it and keep track.Force Yourself to be FriendlyThat sounds awful, but how many people pop by your cubicle for a chat? Ask you to grab a coffee? Wait for you to head to lunch? If the answer is no one (especially if it used to be everyone), then you have some work to do. Not spending at least a small part of your workday chatting to coworkers is a pretty good sign that you’re not universally well-liked. Even if you aren’t a people person, try encouraging a little more social atmosphere. And the best way to make friends is to be upbeat and pleasant to be around!Can the PessimismLand a new project? Get a promotion? Is your first thought one of annoyance at how much extra work you’ll have to do? Or what stress you will be under? Or how many more hours you’ll have to log? That’s a bad sign. When even good news seems like bad news, it’s time to give yourself an outlook makeover.But don†™t worry! Even if you have slipped into the negativity bubble, it’s not too late to pull yourself back into the light. Remember, nobody likes a Negative Nelly. Get yourself back on the right track.

Warranties Assignment Example | Topics and Well Written Essays - 250 words

Warranties - Assignment Example Goods are movable commodities that can be identified at the time of contract, excluding money, securities, and things in action. A merchant is a party who deals in goods of a particular type and professes knowledge of the goods. UCC requirements are different for merchants and non-merchants by stipulating higher-level responsibility for merchants than for non-merchants. Disclaimer of warranties to condition and usage are for example easier for a non-merchant than for a merchant because of a merchant’s expected knowledge of the goods (Mann & Roberts, 2013). Purchase of a hot tub and payment for permit acquisition, upgrade of system, and site preparation is partly applicable to UCC rules. Contract for purchase of the tub is applicable while the contracts for the other deliverables are not. Scope of UCC contracts that excludes services and treatment of the deliverables as different contracts would help in the analysis (Mann & Roberts, 2013). A personal initiative that involves investigating a seller’s background information is the way to distinguishing between merchants and non-merchants on e-bay. This is because the forum operates like an open market where both merchants and non-merchants exist without a formal

A Meta-Analysis of Transcriptomic Footprints Disclose Specificity of Research Paper

A Meta-Analysis of Transcriptomic Footprints Disclose Specificity of Reactive Oxygen Species Signaling in Arabidopsis Study - Research Paper Example These species also have a signaling role and are very important in carrying out this signaling function, which is evident during various developmental processes such as allelopathic plant-plant interactions, cell elongation, and division, programmed cell death. It may also be noted during environmental processes as well as biotic and abiotic stress responses. Since a major part of metabolic activities are highly oxidizing, or have very intensive rates of electron flow; as a result, they tend to produce high levels of ROS. The signaling role is important because it produces the control and regulation of various biological processes and the ROS appear to have a dual role for these ROS in plant biology; both as the toxic by-products of aerobic metabolism as well as regulators of the various cell-based processes associated with growth, development as well as patterns of defense. Hence, at the outset, the significance of this study lies in the fact that the importance of reactive oxygen species has been identified, i.e., as a toxic byproduct of the biological processes which tends to function as a signal to regulate the various cell processes. Moreover, another aspect that could also be deduced in relation to this study and the findings of other researchers was outlined in the study that the ROS activity can lead to the oxidative destruction of cells. This is important because it shows that in so far as the evolution of aerobic organisms is concerned, the development of efficient ROS scavenging mechanisms is likely to be a causal factor in such evolution. The oxidative destruction of cells is caused by the partially reduced or activated derivatives of oxygen such as hydrogen peroxide and hydroxyl radical. The genome-wide microarrays provide the means to access the changes in transcripts arising out of an alternation in specific types of ROS. For example, whe n light stress occurs, there is an expression of heat shock proteins, which can be controlled by systolic H2O2.  

Effectiveness of Strategic Marketing and Recommendations for Ford Research Paper

Effectiveness of Strategic Marketing and Recommendations for Ford Company - Research Paper Example Know and have a passion for our business and our customers. Demonstrate and build functional and technical excellence. Ensure process discipline. Have a continuous improvement philosophy and practice. On Working Together - Believe in skilled and motivated people working together Include everyone; respect, listen to, help and appreciate others Build strong relationships; be a team player; develop ourselves and others Communicate clearly, concisely and candidly Role Model Ford Values Show initiative, courage, integrity and good corporate citizenship Improve quality, safety and sustainability Have a can do, find a way attitude and emotional resilience Enjoy the journey and each other; have fun – never at others’ expense Deliver results Deal positively with our business realities; develop compelling and comprehensive plans while keeping an enterprise view. Set high expectations and inspire others. Make sound decisions using facts and data Hold ourselves and others responsib le and accountable for delivering results and satisfying our customers. Business objectives Nonfinancial Goals 1. Retain spot as a global market leader with over 100 plants and 280,000 employees worldwide. 2. Sustain profitability and rank as Number 1 US auto company. 3. Introduce 2013 Hybrid Edge into Chinese, European and US markets 4. Enter and increase manufacturing in India to lower plant costs 5. Build efficiency through better logistics, distribution and control 6. Succeed at all implementation factors 7. Build awareness and increase sales of all Ford Hybrid automobiles Financial Goals 1.

Letter to Your Friend in England Essay Example | Topics and Well Written Essays - 1500 words

Letter to Your Friend in England - Essay Example My dear friend, you are right when you observe that we are living in a period of great political turmoil. I regret to tell you that here, in the colonies, public opinion continues to grow against controls imposed by the Mother Country. As a medical practitioner, I am exposed to a variety of views, ranging across the spectrum of political opinion: from those calling for peaceful negotiations to others calling for an outright revolution. I will attempt to address, to the best of my ability, your doubts on these issues. I think you will agree with me when I say that the cause of the present troubles can be traced to England’s state of near bankruptcy at the end of the French and Indian Wars. The first major irritant to hitherto cordial relations between the colonies and England was The Proclamation of 1763, preventing us access to the Western lands. In the light of an ever-increasing population, this appeared to be manifestly unwarranted. Of course, we chose to ignore the Proclam ation. At this juncture, The Grenville Program of 1764-1765, which we hear had great support in England, was salt to our wounds. The Sugar Act of 1764, imposing additional duties on sugar, and doubling the duty on imported goods, was manifestly unfair from our point of view: particularly as the taxable list included almost everything we produce. You can imagine the number of cases of confiscation and litigation arising from this! Matters were made worse by the changes to the Navigation Acts, giving a single Vice-Admiralty court in Halifax, Nova Scotia, jurisdiction over all of the American colonies in trade matters. The legal costs, and the cost of travelling from Boston to Nova Scotia, to say nothing of the cost in time, were a major cause of complaint among the traders here. I am sure that expecting the defendant to post a bond to cover all expenses for both sides, would not be acceptable in England! Boston witnessed many town meetings calling for a united opposition to these Acts . I must admit that I was a willing participant in these meetings. An additional benefit of my attendance was that we (a group of educationists and doctors) were able to pacify the hot-heads who kept calling for some violent action in protest against the Acts. My friend, surely you will agree that expecting us to house and supply British troops at our personal expense, as mandated by the Quartering Act of 1765, was manifestly unfair. When most of us consider ourselves to be loyal subjects of His Majesty, the presence of a significant number of troops is itself a sign of suspicion and unwanted tight control. The Act has turned our perception of control into that of repression. Of course, it was the Stamp Act of the same year which finally turned the tide of public opinion decisively against England, and alienated the majority of colonists against the Mother Country. The paying of a direct tax to England flies in the face of every legislative tradition. I support the colonial position that it is a form of ‘taxation without representation.’ A tax on all printed material: including playing cards and college diplomas! My friend, how could the British Parliament pass such an Act? The Act succeeded in creating a unified opposition, led by the influential lawyers, merchants and newspaper publishers in Boston, who were most affected by its terms. The popular anger aroused by the Stamp Act resulted in the beginnings of mob violence. The Sons of

Changes in National Security Policy with Iran in the Bush and Obama Research Paper

Changes in National Security Policy with Iran in the Bush and Obama Administration - Research Paper Example The US government has changed the foreign policy after the incident of 9/11 2001. Before 9/11 the US policy aimed at creating a protective shield for the prevention of terror attacks on the US soil or people by organized terror groups such as al-Qaeda which has been notorious for being a creation of the CIA and other mass propagandized organizations having origins in the Middle East. After 9/11 the US has changed its foreign policy aiming for active pre emptive military intervention in the targeted nations and pursued a war having no end. The war on terror drama is now set to targeting Iran on the accusation, yet to be proven, that the Theocracy has nuclear ambitions despite the assurances given by Tehran that the country has no ambitions to possess nuclear weapons and only pursues nuclear power for productive purposes. Iran has been considered a hostile state by the US since the last three decades. Ever since the Islamic revolution took place in Iran in 1979 the foreign and national security policies issued by all the presidents of the US till today contained plans and strategies for tackling with Iran as threat to the security of the USA. The security policy of the US government of Iran has been more or less consistent for the last ten years and continues to be so. The national security policy under Bush administration and Obama administration is reviewed in this article and analyzed to reach a reliable conclusion indicating clearly the intent and plan of action of the US government towards Iran which is subject to international sanctions and pressure from the international community including the political and economic powers of modern day. The audience for this work of research includes students of politics, international relations, and other related fields of study along with many other individuals who happen to have interest in

Letter to Your Friend in England Essay Example | Topics and Well Written Essays - 1500 words

Letter to Your Friend in England - Essay Example My dear friend, you are right when you observe that we are living in a period of great political turmoil. I regret to tell you that here, in the colonies, public opinion continues to grow against controls imposed by the Mother Country. As a medical practitioner, I am exposed to a variety of views, ranging across the spectrum of political opinion: from those calling for peaceful negotiations to others calling for an outright revolution. I will attempt to address, to the best of my ability, your doubts on these issues. I think you will agree with me when I say that the cause of the present troubles can be traced to England’s state of near bankruptcy at the end of the French and Indian Wars. The first major irritant to hitherto cordial relations between the colonies and England was The Proclamation of 1763, preventing us access to the Western lands. In the light of an ever-increasing population, this appeared to be manifestly unwarranted. Of course, we chose to ignore the Proclam ation. At this juncture, The Grenville Program of 1764-1765, which we hear had great support in England, was salt to our wounds. The Sugar Act of 1764, imposing additional duties on sugar, and doubling the duty on imported goods, was manifestly unfair from our point of view: particularly as the taxable list included almost everything we produce. You can imagine the number of cases of confiscation and litigation arising from this! Matters were made worse by the changes to the Navigation Acts, giving a single Vice-Admiralty court in Halifax, Nova Scotia, jurisdiction over all of the American colonies in trade matters. The legal costs, and the cost of travelling from Boston to Nova Scotia, to say nothing of the cost in time, were a major cause of complaint among the traders here. I am sure that expecting the defendant to post a bond to cover all expenses for both sides, would not be acceptable in England! Boston witnessed many town meetings calling for a united opposition to these Acts . I must admit that I was a willing participant in these meetings. An additional benefit of my attendance was that we (a group of educationists and doctors) were able to pacify the hot-heads who kept calling for some violent action in protest against the Acts. My friend, surely you will agree that expecting us to house and supply British troops at our personal expense, as mandated by the Quartering Act of 1765, was manifestly unfair. When most of us consider ourselves to be loyal subjects of His Majesty, the presence of a significant number of troops is itself a sign of suspicion and unwanted tight control. The Act has turned our perception of control into that of repression. Of course, it was the Stamp Act of the same year which finally turned the tide of public opinion decisively against England, and alienated the majority of colonists against the Mother Country. The paying of a direct tax to England flies in the face of every legislative tradition. I support the colonial position that it is a form of ‘taxation without representation.’ A tax on all printed material: including playing cards and college diplomas! My friend, how could the British Parliament pass such an Act? The Act succeeded in creating a unified opposition, led by the influential lawyers, merchants and newspaper publishers in Boston, who were most affected by its terms. The popular anger aroused by the Stamp Act resulted in the beginnings of mob violence. The Sons of

Discussion 9 and 10 Coursework Example | Topics and Well Written Essays - 750 words

Discussion 9 and 10 - Coursework Example It has affected many different mechanisms in the way humans work and interact such as information gathering and information sharing. However, the advent of the Internet has also had many effects on the way that people think, they way that they structure their time, their perceptions and the manner in which they structure their interests. An example of this is social media, which is internet content that relies on content generated by users. Such social media includes websites such as Facebook, Twitter, LinkedIn and MySpace. For many the use of such sites has become a daily ritual, often supplanting things that they are meant to be doing, such as studying or working. This essay will examine the manner in which technology alters the structure of our interests in respect to the Internet and associated technologies. It will involve a in-depth review of the literature available, and if an unaddressed area still remains than a qualitative research method will be determined. References Cer uzzi, P. E. (2004). The "Problem" of Computer-Computer Communication, 1995-2000: A Technological Fix. In L. Rosner (Ed.), The Technological Fix (pp. 203-217). New York: Taylor & Francis Books, Inc.  Discussion Two For this I originally planned to ‘fast’ from using the Internet. ... As time progressed I found it much easier not to turn on the television and to find other activities. While the ‘fast’ was difficult at first and required a substantial amount of thought and effort to determine other activities I found that I learnt a lot about myself in the process. When I stopped the ‘fast’ I found that I did not watch television as much as before, preferring other activities, and it was not automatic for me to turn it on whenever I was in the same room. In retrospect, I found that fasting from one form of technology increased my use of other technologies. I had expected that stopping using television would increase the amount of time that I spent with other people and outdoors, but this was not the case. In general I found that I spend increased time on the Internet, although I did not watch online movies or television episodes as I considered this to be cheating the spirit of the fast. Instead I spent a lot of time on social networking s ites, especially Facebook, and playing games. I considered that this experiment provided an interesting demonstration of the role that technology plays in our lives. Even though I restricted myself from using one particular form of technology, I found that my use of another increased. It was difficult at first not to watch television, and I imagine it would be extremely difficult not to use any form of technology for pleasure even for a day. Technology has become extremely integrated in our lives and this was evident during my ‘fast’ from

In Search of Dibs Essay Example for Free

In Search of Dibs Essay No one is born a parent; no one really is a perfect parent. Dibs: In Search of Self is a perfect example of this as both parents had no idea how to raise a child in a loving, compassionate home. Dibs’ mother stated from the get go that the boy seemed to have it out for her and he was responsible for ruining her and her marriage. The father was completely wrapped up in his work and studies and made sure he’d made no time for his children. Additionally, his children had been instructed to stay out of his room while he was home. Once Dibs’ sister is born, he is again pushed further away as their mother spoils the little girl. Eventually, however even the sister is sent away to a boarding school. I am not so sure I enjoyed this book as I felt rushed reading it (by the author) and that it were too abbreviated in its entirety. I have read other case studies through my child development studies, and those works were much more detailed. This book felt more like a story being told, instead of in-depth observations. I was expecting the author to elaborate on the issues surrounding Dibs’ behavior, rather than just explaining them away as the mother and father. Dibs was lost in his world with very little connection to any other human beings. His parents’ lack of parenting and nurturing caused his internalization where he couldn’t control his feelings because he could not understand them. Through play therapy, Dibs learned he could control the tap water in the play room sink, he could control who was buried in the sand, he could find himself by working out what his feelings were and what they really meant. However, he couldn’t get the nipple back on the baby bottle. He’d splash in the water, turn it down to a slow trickle, turn it on full force and he would sing to it, yet he repeatedly asked Miss A to replace the nipple on that bottle. (Axline, 1964, p. 159) This showed me that he indeed was an adolescent who desperately needed support, which he was not getting from home. The father’s response to Dibs’ chattering after his Thursday session really bothered me. Instead of interacting with his son, he shut him down, effectively causing Dibs to react negatively. Dibs screamed at his father that he hated him. (Axline, 1964, p. 80) I had my mom read this book to give me some feedback and about half way through it, she’d stated that she’d read it once before. She was about 16 years old in 1978 and her mother was reading it for a college class. They would read it aloud to her and her siblings after dinners during her semester. She recalled how uncomfortable she felt hearing the book. â€Å"In those days, you didn’t talk to people who had children like Dibs. You didn’t look them in the eye, you didn’t ask them anything. You avoided them like a disease, because that’s almost what they were. When people would converse about them, it was always in hushed tones. We would always hear how bad people felt becau se the child was retarded or manic.† During the interview of Dibs’ mother, she stated: â€Å"There was no place we could send him.† (Axline, 1964, p. 87) This intrigued me because it seemed very cold for her to want to just get rid of her child, but again in talking to my mom, that was how it was in that time period. It was standard practice to send problem children off to boarding schools or private practices to keep peace in well to do families. Again, Dibs’ sister was eventually sent to a private boarding school herself, even though she was labeled as â€Å"a perfect child†. â€Å"When I was a child, a problem child or one with disabilities or with any behavior problem was taken out of public schools. We grew up with them for a time, then one day they were gone. We were scolded if we talked about them or asked about them in public. I can remember a little girl I was in Girl Scouts with until we were 12 years old. When we started the 6th grade, she had to go to another school because she couldn’t read or write like she was supposed to. I never saw her again and I remember my mother telling me not to talk about her anymore. I didn’t understand it until I was in my late 20’s. She was dyslexic and had severe learning disabilities. The school passed her up until the 6th grade, when the school system decided she needed more help than they could offer.† (Interview quote from Roberta Baldwin, 04/21/2013) I think it’s interesting how far we’ve come and how much procedure has changed for helping children with disabilities, abuse, emotional issues, etc. I am absolutely relieved  that the change was for the better since I have a nephew with physical disabilities who will have all of the support he will need to become successful in his world!

Direct to Consumer Advertising of Prescription drugs

Direct to Consumer Advertising of Prescription drugs Abstract In Pharmaceutical industry, promotional advertisements are mostly targeted towards physicians but in recent years trend has shifted towards consumer advertisement. In many cases of Direct to Consumer Advertisement (DTCA) the pharmaceutical marketers and manufactures creates hype among patients towards disease and ultimately towards brand. It provokes the patients to seek additional information on the brand and push for its prescription generation. Objective of this study is to determine attitude of the physicians towards DTCA, and what extent patients request for particular brand leads to actual prescription generation of the advertised drugs. This study reveals that the doctors generally have positive attitude towards DTCA and are willing to provide relevant information to the patients and in some cases even provide sample of medicines or go for direct prescribing, if found relevant, as asked by the patient. This study justifies the pharmaceutical industry manufacturers sp ending in DTCA. It is also thought provoking for health policy makers that prescription drugs are being advertised directly which may lead to increased medication cost and misuse of medicine. Key words: Direct to consumer advertising, Direct to Consumer Advertised Brand, Over the counter drugs, Prescription drug. Physicians attitude. I INTRODUCTION Companies rely heavily on product detailing to physicians, which are the customer, (Zangla, 2004). To increase overall sales figures marketers started advertising directly to consumers of disease and even drug brands, (Amaldoss He, 2009). DTCA is not allowed specially for prescription drugs, (Donohue Berndt, 2010). One argument is that DTCA is a public service message about a particular disease and only plays a role as information provider and motivates people to seek proper treatment if required (Kuhn, 2006). Many researchers found DTCA good for General public health, (Bradford, Kleit, Nietert, Ornstein, 2005) and beneficial for patient care (Murray, Lo, Pollack, Donelan, Lee, 2004). So it is considered as DTCA has both merits and demerits, (Murray, 2003) 1.1 Research Objective In recent years Pharmaceutical Companies drastically increased their spending on Direct to Consumer Advertising (DTCA) (Herzenstein, Misra Posavac, 2005). In 1997 Federal drug authority (FDA) permitted DTCA and subsequently pharmaceutical companies started increasing their expenditure on direct advertisement to provoke consumers to ask their doctors about the drug (Green, 2007). Patient is more comfortable in using drug brand which is familiar to patient, (Zuvekas, 2008). Consumers have positive attitude towards DTCA and tries to find out additional information about Directly to Consumer Advertised Brand (DTCAB). To get additional information patient consults their doctor, (Herzenstein, Misra, Posavac, 2005). Asking questions by patients has strong influence on doctors selection criteria of drugs (Iizuka Jin 2005). General attitude of physicians towards DTCA its impact on prescription generation is still unknown (Herzenstein, et al., 2005). If physicians have positive general attitude towards DTCA, it may lead to actual prescription generation. Moreover if patients shows more likelihood of searching additional information tries to inquire additional information by asking questions from physician about DTCAB also leads to prescription generation (Herzenstein, et al., 2005). Information inquired from the physician about DTCAB of medicine is taken as second independent variable, pressurizes physicians towards prescribing that specific brand of drugs. Patients adherence influenced by DTCA motivates patients to seek additional information about the drug from physicians (Amaldoss Chuan, 2009). 1.2 Rationale of study 1.2.1 Increased spending on DTCA from pharmaceutical companies. Pharmaceutical companies have increased their spending in last decade, and they are planning to do more (Atherly Rubin, Feb 2008). Physicians are considered to be the best judge to decide medicine , keeping in view the patients and drugs characteristics. Due to information flow and access through electronic and print media, consumer tries to get more information about the drug and disease. With this the pharmaceutical companies started promoting prescription drugs directly to consumers. At the end of many advertisements it is advised to consult your doctor for further information, but ultimate goal is the prescription generation. These advertisements provokes patients to visit their physicians and asking information and if it is appropriate then whether it can be used or not. It is presumed by the companies that doctor will prescribe the medicine as per patient request, but it is still unknown that what is the general attitude of doctors towards direct to consumer advertisement This study will help marketers of pharmaceutical companies in finding the answer to the question, whether they are helping people in getting medication, from physicians perspective, and are they really making returns on this investment on DTCA. 1.2.2 Health policy makers. Drugs are classified in two categories, one is Over the Counter Drugs (OTC) and other is called Prescription drugs (PD). OTC drugs are usual drugs which have comparatively lesser side effects and can be used without consultation of physicians. Conversely the PD which are of either critical use or may be associated with serious side effects, and can only be used if advised by physicians. In like manner promotion of PD were made only to the physicians through detailing. Pertaining to the severity of life and death related to use of PD, DTCA should not be done for PD. But PD are being advertised under the head of Disease Advertising (DA). It should be the major concern for health policy maker either the PD are being used appropriately as per physicians advice or not. As extensive DTCA of PD may lead to misuse of medicine, increased treatment cost and unnecessary visits to physicians. DTCA should not have that much impact to generate prescription of DTCAB, if it is then specific policies should be developed to balance the usage of DTCA with its risks. 1.2.3 Knowledge contribution. It has already been explored in many researches that DTCA has both merits and demerits. Some physicians generally perceive that DTCA is good for patient overall health but from other school of thought it is just in favor of pharmaceutical companies, only physicians can better decide which drug to be used or not. In medical sciences the selection of medicine is based on mainly three factors, kind of disease, doctors judgment, patients affordability and liking or psychological experience factor of any brand (Prosser, Almond and Walley, 2003). In previous researches the impact of both physicians and consumers have been explored. But the combined impact of both variables has not been studied before. This study for the first time explores the combined effect of the two main independent variables. My research will find out the preference of physicians towards DTCA and whether information seeking by the patients leads to prescription generation. II LITERATURE REVIEW Pharmaceutical industry is heavily driven by customers (doctors) and very marketing and selling intensive (Scherer, 1990). Primarily the focus was only on doctors (customers) but recently the trend is also shifting towards addressing consumers directly (Matthews, 2001). The medium used for accessing consumers is electronic media including the internet and television advertisements, consumers are now able to freely access information about drugs and their brands which in some cases can lead to misuse of medicine and increased cost of treatment (Matthews et al., 2001). Pharmaceutical companies are now targeting advertisements towards patients which entice patients to ask for prescription of only advertised drug, the patients behavior is also effecting and directing the health systems. Matthews (2001) quoted Dr. Reardon, ex president of American Medical Association (AMA), has insightfully noted, Patients themselves are also creating a strong impetus for change. Disillusioned by restrictions on coverage and care, they are increasingly demanding choice of physician, hospital, and even type of health plan. More than ever, patients see physicians as the essential point of trust in a changing system, and demand choice and stability in their vital relationships with their doctors. At the same time, patients themselves are becoming better educated, not only about insurance options but also about medical treatments. Today, thanks to the Internet, trends in product advertising, and the massive proliferation of medical information, patients are better equipped to take part in their care than ever before. Rather than simplifying the physicians job, however, this increased patient knowledge base is creating new challenges. The other argument that supports DTCA says that it encourages hard to reach sections of populations to seek information about diseases, but it should be balanced against the increased cost of medicine from unnecessary requests generated by DTCA (Murray Pollack Donelan and Lee, 2003). DTCA has both positive and negative effects on health behaviors, health service utilization (Murray et, al., 2003). Almost five years back ads for prescription drugs were very rare but these are becoming very common in recent years, and are being advertised like any consumer goods, direct to consumer advertising (DTCA) has grown rapidly (Scherer, 2004). On the other side consumers behavior is supportive towards DTCA and would like to get more information and ask for a particular brand from physicians (Herzenstein, 2004). Another research shows that DTCA had no statistically significant effect on the choice of antidepressant (Donohue Berndt, 2004). There are three variables involved in prescription cho ice, one is Patient characteristic, second is features of medication and third is physicians preference for medication choice, moreover detailing is found to be the most effective in physicians preference for medication choice (Donohue Berndt, 2004). Increase in pharmaceutical pricing is due to increase in expenditure incurred on DTCA. 2.1 Conceptual framework Now the question arises that whether there is an impact of DTCA on sales or not (Scherer, 2004). It is also found that DTCA encourage patients to visit physicians and use specific brand medicine (Iizuka, 2005). It is agreed that DTCA has decreased the time between diagnosis and use of medicine and promotes the patients to consult their physician. 2.1.1 Inquiry about additional information or request for prescription. It has been argued that patient may demand the product just because of the attractiveness and persuasion of the advertisement, rather than look in to the effectiveness of the drug and go for proper consultation from doctor (Bradford, 2005). This is not unusual in pharmaceutical, as is a significant change from the traditional emphasis on physicians detailing, it has been found that the traditional selling of pharmaceutical brands to physicians is changing and prescription drugs is being marketed directly to consumers, as other consumer goods, as detailing and price are found to be complementary strategies for the firms in addition to the traditional detailing, (Brekkea, 2006) 2.1.1 Actual prescription generation. Still questions arises about the impact of DTCA on welfare of patients, if allowed then will lead to More visits to physicians, and they pressurizes to get prescription of desired medicine. (Brekkea et al., 2006). It is also shown that the pharmaceutical manufacturers are also facing challenges from DTCA because they has to do extensive detailing to physicians because of DTCA is also being done, so it should be banned as to keep focus on detailing (Brekkea et al., 2006). It will induce demand for new users of antidepressant medicines and can exaggerate the usage if already that medicine is being used, and will lead to misuse of brand (Chad Meyerhoefer, 2007). Direct to consumer advertising is very important and of course controversial part, advertising in journals, detailing and distribution of samples are used along with direct to consumer advertising which may leads to induce demand and generate more sales (Pasdirtz, 2009) III RESEARCH METHODOLOGY Research methodology is a system or methods followed by particular discipline of an inquiry or investigation into a subject in order to discover or revise facts, theories, applications etc. (Oxford Dictionary, 2007). This study is an applied form of research leading to the basic knowledge contribution, and is an extension of work done by Zachry, (2003). As pharmaceutical industry is very important, it has to play an important role, on one side it claims to be for better health of patients but no doubt they are making huge profits, here comes the role of health policy makers to make it justified. Moreover it is to find out the general attitude of physicians about DTCA and information asked by patients about any particular DTCAB, and its relation with actual prescription generation if asked by patient. 3.1 Problem Statement Hypothesis Pharmaceutical companies in Pakistan are promoting their brands directly to consumers (patients), now the question is What is the attitude of physicians towards DTCA, and do they provide relevant information and prescribe medicine if asked by patient. Positive attitude of physicians and information asked by patients of advertised medicine leads to prescription generation Now the objective of study is qualitative estimation of attitude, and what physicians are most likely to do if patient inquires information after exposure of pharmaceutical advertisement. Even patient may ask for prescription of specific drug, then what is the usual response of physician. 3.2 Hypothesis H-1 : Attitude of physicians towards Direct to consumer advertisement is positive. H-2: Physicians provides information of drug which is asked by patient after exposure to pharmaceutical advertisement. H-3: If found relevant, physicians prescribe the particular drug which is requested by patient on exposure to pharmaceutical advertisement. H-4: Positive attitude of physicians towards DTCA and query about information of a particular brand of medicine leads to actual prescription generation. ATTITUDE3.3 Model Independent Variable 1 PRESCRIPTION GENERATION Attitude of Physicians towards Direct to Consumer Advertising of prescription drugs Dependent Variable Actual Prescription Generation on request from patient of DTCAB medicine INFORMATION Reaction on request of information about particular DTCAB medicine Independent Variable 2 PRESCRIPTION GENERATION Dependent Variable Actual Prescription Generation on request from patient of DTCAB medicine 3.4 Data Collection Data was collected in field setting, respondent were general practicing Doctors/Physicians in hospital setting, as per previously done by (Friedman, 2006) to know the attitude of doctors. We selected hospitals because it has been found that hospitals play an important role in direct to consumer advertising (Adeoye Bozic, 2007),. 3.5 Sample and Population we choose leading hospitals of Rawalpindi/ Islamabad which have high patient turnover, i.e Pakistan institute of medical Sciences, Rawalpindi general hospital, Nescom Hospital and Shifa International. Within these hospitals we selected doctors on judgmental basis, as doctor who is dealing with more than 50 walk-in patients as previously done by (Taneja, Arora and Kaushik, 2007) and found appropriate. Sample size was taken 250, as per sample size taken by other researchers for the same kind of purpose (Bhanji, Baron, Benjamin, Lacy, Gross, Goin, Summner, Fischer, and Slaby 2008). 3.6 Instrumentation A questionnaire was adopted from two authors. Questionnaire has three parts, in first part general attitude of physicians towards direct to consumer advertising (Donhue Berndt, 2004), and in second part the likelihood behavior of physician if patient asks for more information related to drug being advertised directly, and in last part the likelihood of physician if patient asks for prescription of certain medicine (Zachry,Dalen, and Jackson, 2003). 3.7 Data Analysis These two were independent variable and one variable of prescription generation is dependant variable. Quantitative method were used, Microsoft Excel and SPSS was used to calculate percentages and relative comparison in questions through as per previous research done by Bhanji, 2008. IV FINDING AND ANALYSIS 4.1 Data Reliability and Normality Collected data is validated from Cronbachs-Alpha value which is used by many researchers like Zachry; Dalen, and Jackson, (2001,2003). The value came up to 0.8 which is acceptable as it should beis more than 0.6. Taneja, Arora and Kaushik, (2007) used descriptive statistical data analysis, I moreover used SPSS to regress two independent variable with dependent variable. 4.2 Descriptive Statistics of Respondents 4.2.1 Independent variable 1, attitude. In first part of questionnaire it is found that 40 % agree and 20 % strongly agree that it makes patients better informed and 46% agree with 32% strongly agree that it causes them to seek medical doctor. 40% agree that it also informs about side effects, although the data shows that there is increase in medication cost. Little agreement on suggesting medicine from patients. More that half percent of people suggested that it is good trend in health care, and causes more time spent in front of doctor while discussing disease. 42% agree that this also helps in increases motivation towards treatment. 39% think that it not only provokes patients to visit doctor for better health but also encourages, 41%, patients to talk to their doctor about right concern. 41% agree that it also helps in following treatment instructions and 58% with 7% strongly agree that it improves the understanding of medical conditions and treatment.1 is for strong agreement, 2 is for agreement, 3 is neutral and 4 is for disagreement while 5 is strongly disagreement.General description and frequency analysis is given in Table 4.1 OVERALL ATTITUDE OF PHYSICIANS TOWARDS DIRECT TO CONSUMER ADVERTISING ATTITUDE Questions Asked Variance Std Deviation Make patients better informed about their medical problems 1.18 1.08 Motivate patients to seek medical care 1.21 1.1 Provide enough information on other treatments 1.41 1.18 Do a good job of informing patients of side effects 1.3 1.15 Have less or no impact on increase in medication cost 1.08 1.03 Helps doctors in suggesting medicines from patients 1.06 1.02 Are a positive trend in health care 0.94 0.97 Increase in time spent with doctor 1 1.01 Increases motivation towards treatment, overall drug consumption 0.8 0.89 Increase more doctor visit for better health 1.47 1.21 Encourages patients to talk to their doctor about their right concerns 1 1 Encourages people to follow treatment instructions or advice from their doctors 1.15 1.07 Helps patients get treatments they would not otherwise get 1.16 1.07 Have less of no impact on driveing up the cost of prescription drugs 1.17 1.08 Improves peoples understanding of medical conditions and treatments 0.89 0.94 4.2.2 Independent variable 2, information. 44% agree that they become frustrated, 37% get annoyed but 52% agree and 32% strongly agree that they answer patient question about medication if asked. Only 35% agree that they provide more information. General description and frequency analysis is given in Table 4.2 LIKELLIHOOD OF PHYSICIANS WHEN ASKED FOR SPECIFIC BRAND DUE TO DTCA INFORMATION Questions asked Variance Std. Deviation You become frustrated with patient for asking for more information about disease or medicine 1.57 1.25 You become annoyed with patient for asking for more information about disease or medicine 1.42 1.19 Answer patient questions about the medication 0.79 0.89 Provide more information to patient beyond original inquiry 1.39 1.18 Attempt to change subject rather than discuss the medication 1.4 1.18 Explains that the information is probably beyond patients comprehension 1.42 1.19 4.2.3 Dependent variable, actual prescription generation. It is revealed from data that 37% get frustrated, 36% get annoyed if asked to prescribe certain brand and 36% feel uncomfortable with this request, and even less willing to communicate to the patient 33%, mostly 41% are neutral. With this if samples are available then 61% agree and 17% strongly agree to provide samples on patient request, it is also supported by agreement of 51% and strong agreement 24% that they will prescribe medicine if no medicine is available. But if found relevant, as while asking question of simply prescribing the medicine if is anyway relevant , to satisfy the patient then the agreement was 47% and only 8% with strong agreement. General description and frequency analysis is given in Table 4.3 LIKELIHOOD OF PHYSICIANS ON REQUEST OF PATIENT FOR SPECIFIC BRAND PRESCRIPTION GENERATION Dependent Variable Questions Asked Variance Std. Deviation Become frustrated with patient for asking to try the medication 1.13 1.06 Become annoyed with patient for asking to try the medication 0.96 0.98 Feel uncomfortable with the medication request 1.34 1.16 Communicate to the patient your discomfort with the medication request 0.87 0.93 Attempt to prescribe different medication to keep from promoting patient to ask for medication, if available 0.93 0.96 Provides samples of the medication, if available 0.73 0.86 Provide prescription of the medication if no samples available 1.2 1.09 Simply prescribes the medicine if is anyway relevant, to satisfy the patient 1.11 1.06 4.3 Correlation Regression Analysis SPSS was used to show the relationship between two independent variables i.e attitude of doctors towards DTCA and behavior likelihood if information asked by the patient and its impact on dependent variable which is actual prescription generation if requested by the patient. 4.3.1 Model summary and ANOVA. R value shows 40% relationship between dependent variable and independent variables. R square shows 16.6% of the variant in dependent variable can be predicted by the combination of two independent variable. Durbin Watson value is 2.08 showing that there is very less multicollinearity. ANOVA statistics shows overall model significance, f value is 15.09, and sig value is less than 0.00 which is less than 0.05, and is the indicator of significance, so that we can go for regression analysis of independent variables on dependent variables. Durbin Watson value should be between 1.5 to 2.5 means that there is no or less multicollinearity, here the value is 2.08, it shows less chances of multicollinearity. 4.4 If two independent variables combined collectively, Information + Attitude Data results with individual variables shows very weak relationship. with model significance. So It is considered combined effect of both independent variables on dependent variables. 4.4.1 Model summary and ANOVA. Model Summary shows overall model significance, which is less than 0.05, showing overall model fit, R value shows 78% dependence of dependent variable on independent variable. R square value is 0.61 showing magnitude of relationship between independent variable with dependent variable. 1% change in independent variable with 61 % change in dependent variable. Adjusted R square is the pure magnitude of relationship which is always less than the R square, 0.60. F Change statistics is 239.45 which is more than 1 then we can go for coefficients. ANOVA shows overall model significance with less than 0.05 value, it means the regression analysis be proceeded. Additionally according to second school of thought the regression sum of square should be greater then residual sum of square for better model fit. 4.4.1 Coefficient If t value is greater then 2 means it is significant. And significance value should be less than 0.05 to make a significant relationship. Here t value is 15.47, showing significant relationship, and sig value is less than 0.000. 4.2. Discussion This is similar finding with Ryan Vaithianathan, (2009). Which shows that the attitude of consumer is positive towards information provision to patient if asked and similar with the Brekke Kuhn, 2006 study which shows that the doctors rely on the information provided to them through DTCA. I accept the hypothesis that physicians have positive attitude towards DTCA. And it is accepted that the physicians are comfortable in providing information if asked by patents about any DTCAB. According to statistics shown by Data analysis I accept the hypothesis of positive relationship between general attitude of physicians towards DTCA and behavior of physicians if patient asks information has positive relationship and are correlated with actual prescription generation. Very interestingly it is found that information asking by physician and general attitude are weakly negatively correlated, it can be the area for further research that if more information is asked by patients about any brand may lead to negative attitude of physicians towards DTCA. It is found that through DTCA and patients, it is a way of putting pressure on physicians to change their prescribing behavior, (Ryan Vaithianathan, 2009) It was major concern showed by (Morgan, Mintzes barer, 2003) that the regularities authorities should consider DTCA regulations if it has impact on prescribing behavious, and in this study it has shown that the consumer advertising is creating impact in prescription choosen. This study is providing valueable information for pharmaceutical manufacturers and marketers. If more patients would ask for further information of specific drug, it may lead to the actual prescription generation. This study is also a thought provoking study for physicians that in choosing brands they are influenced by patients which may lead to increased cost and unnecessary medicines prescription. This study can be an eye opener for regularity authorities, DTCA is considered as good by physicians but it should be clearly monitored because it also creates pressure on physicians to prescribe certain brands. VI CONCLUSION Physicians have positive attitude towards DTCA and consider it supplementary in overall health care system. It stimulates patients to visit physician and seek appropriate treatment. Physicians feel comfortable in providing relevant information about DTCAB if asked, and they do not hesitate to prescribe the medicine if it is relevant to disease and patient economic characteristics. Focus of this study was to find the combined impact of attitude and information gathering on actual prescription generation. In future it may be further extended to specific disease area. However pharmaceutical companies should be monitored by regulatory authorities to check DTCA messages. Companies should focus on disease awareness rather on brand focused advertisements. REFERANCES Adeoye S, B. K. (2007 ). Direct to consumer advertising in healthcare: history, benefits, and concerns. Clinical Orthopaedics and Related Research , Volume 457, pp 96-104. Amaldoss, W., He, C. (2009). Direct-to-Consumer Advertising of Prescription Drugs: A Strategic Analysis. MARKETING SCIENCE , Vol. 28 (No. 3), pp. 472-487. Atherly, A., Rubin, P. (Feb 2008). The cost effectiveness of direct to consumer advertising for prescription drugs. Journal of Law Economics , pp. 08-28. Berndt, J. M. (2004). Effects of Direct-to-Consumer Advertising on Medication Choice: The Case of Antidepressants. Journal of Public Policy Marketing , 23 (2), 115-127. Berndt, J. M. (2004). Effects of Direct-to-Con sumer Advertising on Medication Choice: The Case of Antidepressants. Journal of Public Policy Marketing , 23 (2), 115-127. Bradford, D., Kleit, A. N., Nietert, P., Ornstein, S. (2005, August 8). The Effect of Direct to Consumer Television Advertising on the Timing of Treatment. Working Paper Series . Kurt R. Brekkea, Kuhnb, M. (2006). Direct to consumer advertising in Pharmaceutocal markets. Journal of Health Economics , pp. 102-130. Brekke, K. R., Kuhn, M. (July 2005). Direct to consumer advertising in pharmaceutical markets . Journal of Family medicine , Vol.18 (2) pp. 238-321 Donohue, J. M., Cevasco, M., Rosenthal, a. M. (2007). A Decade of Direct-to-Consumer Advertising of Presescription drugs. The new england journal of medicine , Vol . 81 pp. 357-673. E. Murray, L. Pollack, K. Donelan (2003), Direct-to-Consumer Advertising Physicians views of its effects on quality of care and the doctor patient relationship, JABFP, Vol. 16 No. 6 Pg. 513-524 Elizabeth Murray, P. M., Donelan, K., lee, K. (2004). Direct to Consumer Advertising Public Perception of its effects on Health Behaviours, Health Care, and the Doctor-Patient Relationship. The Journal of family Medicine, Vol.17 No. 1, pp. 6-18 Gould, M. F. (2007). Physicians attitudes toward direct-to-consumer prescription drug marketing. Journal of Medical Marketing , Vol. 7 (issue 1 ), 33-44. Green, R. M. (2008). Direct to consumer advertisment and pharmaceutical ethics The case of VIOXX. Journal of Business Ethics , Vol. 15, pp.749-759. Helen Prosser, S. A. (2003). Influences on GPs decision to prescribe new drugs-the importance of who says what. Journal of Family Practice , Vol. 20, (No. 1), 61-68. Herzenstein, M., Misra, S., Posavac, S. S. (2005). How Consumers Attitudes Toward Direct-to-Consumer Advertising of Prescription Drugs Influence Ad Effectiveness, and Consumer and Physician Behavior . Marketing Letters , Vol. 15 ( Number 4), 201-212. Iizuka, T., Jin, G. Z. (2005). The Effect of Prescription Drug Advertising on Doctor Visits. Journal of Economics and Management Strategy , 22 (3). Kurt R. Brekkea, Kuhnb, M. (2006). Direct to consumer advertising in Pharmaceutocal markets. Journal of Health Economics , Vol.19 (2) , Pg.102-130. Lack of Impact of Direct-to-Consumer Advertising on the