Wednesday, February 19, 2020

DIABETES - LITERATURE REVIEW Essay Example | Topics and Well Written Essays - 2500 words

DIABETES - LITERATURE REVIEW - Essay Example The objective was to analyse the risk factor index and the study concludes that the risk of diabetes is higher in Asians, Hispanics and blacks than whites before and after taking into account difference in BMI on the basis of the study evidences. The diatory and life style informations contributed to the data collection, the specific study methods verifies the dilatory intake in terms of caloric value as well as glycemic intake too. The data collection was done repeatedly for 4 years. Questionnaires were the assessment tool. Population:- Total population was 78419.Among these population the sampling done on the basis of ethnicity as Asians- 801, whites – 75,584, Hispanics-613 and black 1421. Inclusion criteria:- The inclusion criteria were considered only the selected population who have diabetes and who are willing to participate and the gender consideration was females. Exclusion Criteria:- Exclusion criteria include the diseases other than diabetes. Result:- The result says that â€Å"Compared with whites, the age-adjusted relative risks (RRs) were 1.43 (95% CI1.08–1.90) for Asians, 1.76 (1.32–2.34) for Hispanics, and 2.18 (1.82–2.61) for blacks. After adjustment for BMI, the RRs changed to 2.26 (1.70–2.99) for Asians, 1.86 (1.40–2.47) for Hispanics, and 1.34 (1.12–1.61) for blacks. ... A healthy diet high in cereal ?ber and polyunsaturated fat and low in transfat and glycemic load was more strongly associated with a lower risk of diabetes among minorities (RR 0.54 [95% CI 0.39–0.73]) than among whites (0.77 [0.72–0.84]). As Weight gain is particularly detrimental for Asians these data evidence towards the ethnicity along with diatory intake that the inverse association of a healthy diet with diabetes is stronger for minorities than for whites. Study evidences that the immigrated Asian women population have the high prevalence of diabetes and states that the diabetes and obesity are strongly associated each other along with the higher risk rate of cardio-vascular diseases incidence (Shai et al., 2006, p.1587). Article 2: ‘Prospective study of red meat consumption and type 2 diabetes in middle aged and elderly women by American Diabetes Association-2004’ The women heath study was conducted on the topic red meat consumption and association o f type 2 diabetes mellitus in middle aged and elderly women was done by the research team with the guidance of American diabetes association in 2004 ;leads to the evidences of diatory involvement in diabetes among the specified south Asian group. Study Design and Methods: Over an average of 8.8 years, evaluated 37,309 participants in the Women’s Health Study aged above 45 years who were free of cardiovascular disease, cancer, and type 2 diabetes and completed validated semi quantitative food frequency questionnaires in 1993. Questionnaire was the assessment tool. Participants: The study population contains 377,309 individuals. All participants were belongs to the female gender category. Inclusion criteria: The inclusion criterion includes

Tuesday, February 4, 2020

External Sources of Finance Essay Example | Topics and Well Written Essays - 1000 words

External Sources of Finance - Essay Example Financing decisions are normally very fundamental considerations to be made by any multinational corporation like Acme which seeks to venture into large scale operations. As such, the whole prerogative clearly rests on the finance managers to appropriately select the best financing method out of the myriad option available in the world today. The various option of finance that Acme can opt for are lucidly outlined below. The corporation can opt for the issuance of preference or ordinary shares in order to raise sufficient capital for the foreign expansion. This is a major source of finance for most organizations across the world. Its advantage lies in the fact that it is â€Å"non-redeemable†. As such, it is an existing and permanent source of finance that is not to be repaid like other sources of fund. The repayment process only occurs upon the winding up of the company. On the contrary, it can be argued that this form of financing has the disadvantage of diluting the ownership strength of the company since it involves the addition of new shareholders into the company (Steffens 45-9). In the same vein, as the number of shareholders increases, the control of the company becomes very difficult as decision making becomes very procedural and bureaucratic due to the wide consultation needed before any major decisions are made. Bank loans Loans from banks and other financial institutions are usually good sources of finance for business organizations. Obtaining such loans is always simple for most large organizations that are known to have wide capital bases. The use of loans as a source of financing has the advantage that it never leads to a loss of direction for the business as in the case of issuance of new shares. Bank loans are normally long-term sources of finance and can always be obtained in large sums unlike other sources. In most cases, loans are used to buy fixed assets such as vehicles and machinery. The major disadvantage of using loans as sources of finance revolves around the huge interests paid (Gopalan 67). Most banks charge very high interest rates and it therefore becomes unprofitable to acquire loans without the assurance that the business will raise sufficient profits to cover for the high interest rates. Short term loans can also be obtained in form of overdrafts in which case most banks need no collateral. However, bank overdrafts are always charged at very high interest rates than other loans. Debentures The issuance of debentures is also another source of capital that Acme can adopt for its expansion program. Debentures are usually units of loan which a company issues to the debenture holders and are usually traded like shares. The advantages and limitations of using debe ntures are basically similar to those of most bank loans. The loans are usually obtained from other companies, individuals or financial institutions. In that regard, Acme will then be prepared to repay the debenture holders the interest accrued. One striking characteristic of a debenture is that it is only backed by the company without any form of collateral like other loans. It therefore leaves the company’s assets free which can then be used to obtain further financing in the future. Leasing Leasing is one of the most common sources of financing in the increasingly competitive business environment. In essence, a business cannot purchase all the fixed assets it requires to set up operation in a foreign land. Leasing enables companies to