In Asthmatic Children under the age of 5yrs is spacer inhaler more Essay - 1

In Asthmatic Children under the age of 5yrs is spacer inhaler more beneficial than a nebulizer - Essay Example Asthma prevalence is increasing with corresponding increase in incidences of emergency department admissions. Pollution as well as changes in lifestyle has contributed significantly in increasing the prevalence of asthma (Dhuper et al, 2011). Certain demographic factors such as poor socioeconomic status, are also contributing to higher numbers of asthma prevalence among certain ethnic populations such as African American and Hispanic populations (Dhuper et al, 2011). Among children, asthma is found to be 10 to 15% prevalent and a major cause of admissions to the emergency departments with high morbidity and mortality rates (Kovesi et al, 2010). Management of younger children remains a challenge as there are lot of constraints on the test results. Children show less cooperation, are more anxious and are not in the development stage to understand instructions or abide by them (Kovesi et al, 2010). The similar reasons are the cause of difficulty in diagnosis of the condition. While wheezing is a very common phenomena present in children, not all wheezing can be categorized as asthma. This is because wheezing pattern of breathing is quite similar to noisy breathing, which is caused by nasal secretions in children which they haven’t learnt to swallow (Kovesi et al, 2010). Children also show different asthma presentations as compared to adults (Kovesi et al, 2010). Therefore, the diagnosis of asthma is based mainly on symptoms and treatment responses than testing methods such as pulmonary function tests. Bronchodilator therapy remains a mainstay in the management of asthma conditions in children. The bronchodilator therapy can be carried out either orally or through inhalation. Inhalation therapy is now the preferred method of treatment of asthma symptoms due to lesser systemic effects as compared to oral therapy. Inhalation therapy is also speedier in remission of asthma

Government Expenditure Causes the Revenue Generation by Government Taxation

Government Expenditure Causes the Revenue Generation by Government Taxation INTRODUCTION 1.1 Overview The relationship between government revenue and expenditure is a very important topic and has been an essential issue for many economists and policy makers as it represents budget deficit, government expenditure Plans and taxation structure of a country. Since the main objective of every government is to improve economic growth with low debt levels, better education system, development of infrastructure and job opportunities better fiscal policy is needed to achieve these goals. From a short term perspective fiscal policy is said to be expansionary when government expenditures exceeds the total revenue and the resulting deficit is then financed by the government, However if these expenditures contributes in economic growth then there is a long term relationship exist between government expenditure and economic growth. In addition different studies indicate that the determination of Economic growth is depended on tax levels. Whereas many believe that the most significant factor that c ontributes in economic growth is tax level as the collection for development purposes of most developed and developing countries depend on tax revenue. 1.2 Research Problem In Pakistan the level of budget deficits have consistently increasing from 2005 which is then financed by the government through external and domestic borrowing resulting in a higher debt levels due to high interest cost associated with it and leads to more future tax expectations. Thus the financing by the government for the compensation of deficit is an important variable, several studies have put light on the outcome of fiscal deficit but very few have tried to find the reasons and causes of these deficits which is why the nexus between government revenue and expenditure is still an unsolved issue. Therefore the main purpose of this research is to study the causal relationship between government revenue and expenditure. 1.3 Hypotheses : Tax Revenue causes Government Expenditure. : Government Expenditure causes Tax Revenue. : Tax Revenue and Government Expenditure Bilaterally cause to each other. 1.4 Outline of the Study The research studies the causal relationship between government expenditure and tax revenue to see the reasons for the consistent budget deficits in Pakistan from many years. In addition time series analyses have been done to forecast the trend of government expenditure and revenue based on the leading variable. CHAPTER 2: LITERATURE REVIEW Loganathan, Nanthakumar, Taha, and Roshaiza. (2007) have found a stable relationship between spending and revenue. Furthermore there is a long-term impact exist expenditures that enter as input into the production function and those that enter as inputs in investment technologies. Koch, Schoeman and Tonder (2005) found that there is an association between burden of taxes and economic growth according to the findings based on the data of 1960-2002 if tax burden decreases economic growth increases significantly. Friedman (1982) explains expenditure of the government depends on total revenue because as taxes increases expenditure increases by which deficit remains at the same level, he believes that the level of fiscal deficit cannot be reduced by increasing taxes. Buchanan and Wagner (1977) on the other hand have presented an alternative hypothesis that increase in taxes does not lead towards low expenditures because taxes creates higher price of goods for the public due to high interest cost associated with it Buchanan and Wagner suggest that in order to restore deficit government should limit its financing ability. Sobhee and Sanjeev (2004) tested the causality from tax to expenditure and from expenditure to taxes by using the data of public finance and founded that in a small economy government first accommodate the necessary funds then use them for public expenditure, therefore to avoid the situation of fiscal deficit the government must carefully monitor and control its spending programs. Fasano and Wang (2002) in a research on GCC countries founded that the primary Source of revenue is oil and due to the economic fluctuations medium-term expenditure strategy should be adopted according to which expenditure should not exceed the non-oil revenue so that in recessions to compensate expenditures oil revenues can be injected by short-term accommodations. Second hypothesis where causality runs from expenditure to revenue the government first spend and then to accommodate the required level of expenditure adjusts tax policy. Peacock and Wiseman (1979) Argues that due to economic crises government expenditure increases and they also remain at the same level when the crises is over. In their view government expenditure in driven by strong economic crises which is able to change public perception about the size of the government. Gounder, Narayan, Prasad (2007) find compatibility with the second hypothesis that the increase in taxes for the accommodation of government spending affects on the capital investment by investors due to the fear of paying higher taxes in future. The third hypothesis is fiscal synchronization according to which expenditure and revenue decisions are independent and bilaterally cause to each other. Reflecting the traditional theories for the demand for public goods. Meltzer and Richard (1981), according to him the demand of public expenditures and taxes need to compensate these expenditures are compared with many alternative spending programs for cost benefit analysis, therefore the practical implication of this hypothesis is bidirectional causality. Narayan and Narayan (2006) suggest three reasons regarding the importance of nexus between government revenue and expenditure first if proper implementation on policies is taken into consideration regarding government revenue fiscal deficit can be avoided, second if causality runs from expenditure to revenue outflow increases due to the fear that government will spend first and pay for it later by increasing taxes. Third in case of bidirectional causality expenditure can rise faster than revenue which can create huge budget deficits because revenue and expenditure decisions are independent of each other. Baharumshah and Lau (2007) Find two sets of different results where the fiscal policy of Korea, Singapore and Thailand is driven by expenditures where the government finances revenue for the planned expenditures according to the limit of the balanced budget which facilitate the long term sustainable budget position. However the taxation system should be implemented by taking care of the overall smooth fiscal policy. Whereas in case of Malaysia and Philippines expenditures and revenues are independent of each other and the level of government expenditures and revenues is determined through fiscal policy based on marginal cost and revenue. Furthermore the findings indicate that in order to achieve long-term economic growth fiscal consolidation is necessary to reduce deficits and debt levels which lead a country to fulfill expenditure priorities better and provide funds to more productive sectors. Griffin and McKinley (1992) believes that the expenditure policies of the government should be directed towards long-term future growth and for the well being of the people, Therefore activities that contribute more on socio economic development should be increased instead of using resources and funds to military defense projects. King and Rebelo (1990) taxation has a very important role in the long run growth process of a country where growth is not affected by indirect taxation, however direct taxation is harmful for growth. Roshaiza, Taha, Nanthakumar and Loganathan (2008) found in an analysis of Malaysia that the major part of taxes is direct taxes and reducing direct and indirect taxes will lead to reduce in government expenditures, In addition non-tax revenue does not contribute much in economys growth. Hondroyiannis and Papapetrou (1996) find unidirectional causality running from government expenditure to revenues in Greece where the reason of fiscal deficit from a long period of time was government spending decisions. The government spending to GDP is very high in Greece which results an operating inefficiency for the economy. Furthermore the results indicated that reducing fiscal deficit without reducing the government expenditure will leads to failure. Ahiakpor and Amirkhalkhali (1989) Based on the analysis of Canada found that to show the relevant results of fiscal policy government increase taxes which is a temporary and incomplete act in order to fully take control over fiscal deficit the government must reduce or limit its expenditures instead of finding ways to increase tax revenue burden on public. Baghestani and McNown (2004) in a study of Egypt and Jordan claim that to promote domestic savings and private investment it is necessary to eliminate budget deficit for both the counties. Baghestani supported the causality from tax revenue to expenditure in case of Egypt and bi-lateral causality in case Jordan. Furthermore promoted the process of privatization because it facilitate high domestic saving and investment and at the same time helps to reduce fiscal deficit. Neyapti (2008) studied the influence of fiscal decentralization on government revenue and expenditure and indicated that decentralization improves quality of governance which leads to decrease in budget deficit and stable economic condition. However the efficiency of fiscal decentralization increases in case of large population. Keho (2010) Study the data fo 1660 to 2005 to analyses the causal relationship between government expenditure and tax revenue to see which expenditure and revenue items plays a part in the reduction of budget deficit and found that GDP has significant effect on government expenditure. Furthermore the findings of granger causality test indicate unidirectional causality from government revenue to expenditure based on the findings Keho et al. concluded that the implementation for the elimination of fiscal deficit should not me made by just increasing revenues. Thus without spending cuts the results will not be beneficial. In other words tax system should be made with proper spending control system. Brennan and Buchanan (1980) suggest that in order to reduce fiscal deficit constitutional limits should be imposed on post-constitutional governments, so that revenue collection by latter governments can be reduced otherwise the level of goods demand by public to be financed will be minimum whereas revenue collection will be higher. Baffes and Anwar (1990) conducted the research for the countries Argentina, Brazil, Chile, Mexico, and Pakistan to determine the behavior of government towards revenue and expenditures for the alignment of fiscal deficit. The results found to be positive for Mexico, Brazil and Pakistan while the similar findings havent been found for Argentina and Chile. For Brazil, Mexico and Pakistan causality runs in both ways in other words bidirectional causality where decisions for the government spending and revenue are taken simultaneously. However in case of Argentina and Chile causality runs from expenditure to revenue. The results indicates that to control budget deficit the government should increase revenue collection and restrain expenditure whereas public expenditures should be reduced in Argentina and Chile. Stoian (2008) founded in case of Romania by applying Johansen cointegration and Error Correction model that the long run relationship between government revenue and expenditure do not affect major fiscal imbalances. CHAPTER 3: RESEARCH METHODS 3.1 Method of Data Collection Data of the two variables Government Expenditure and Total Revenue is taken from secondary sources with the help of multiple sources which includes (Ministry of Finance), (State bank of Pakistan) and (Hand book of Statistics on Pakistan Economy). 3.2 Sample Size Sample of 31 observations have been used by using the data of public finance from the year 1979-2010. Where the variable (Total Tax Revenue) has been created by adding indirect-tax, direct-tax, Non-tax revenue and surcharges and (Total Expenditure) has been calculated by adding Development and Non-Development Expenditures. 3.3 Research Model Granger model is used to study the causality where TR is the total revenue and TE is total government expenditure. The above two equation represents the hypothesis where the causality running from total expenditure to revenue in equation one and from revenue to expenditure in equation two. Therefore incase of rejection of any hypothesis we conclude unidirectional causality between government expenditure to revenue. However, if both the hypothesis is rejected we concluded bidirectional causality in other words fiscal synchronization exists between government revenue and expenditure. 3.4 Statistical Technique In this research granger causality test by granger (1969) has been applied to study the causal relationship by comparing one time series with another (Government Expenditure with Government revenue) where one variable becomes the cause of the other variable to predict it significantly. In addition cross-correlation has been applied to assess the correlation between both time series variables. CHAPTER 4: RESULTS 4.1 Findings and Interpretation of the results Table 4.1 Pairwise Granger Causality Tests Date: 01/27/11 Time: 17:32 Sample: 1 32 Lags: 2   Null Hypothesis: Obs F-Statistic Prob.     TOTAL_EX does not Granger Cause TOTAL_RE   30   0.84135 0.4430   TOTAL_RE does not Granger Cause TOTAL_EX   14.2132 8.E-05 With the help of the summary given in the table above we find that there is a unidirectional causality exist between total government expenditure and total revenue, as the value of F-Statistic is 3.5 we will reject the null hypothesis (TOTAL_RE does not Granger Cause TOTAL_EX). Table 4.1.2 Cross Correlations Series Pair:Total_Revenue with Total_Expenditure Lag Cross Correlation Std. Errora -16 -.177 .250 -15 -.143 .243 -14 -.099 .236 -13 -.056 .229 -12 -.010 .224 -11 .044 .218 -10 .097 .213 -9 .137 .209 -8 .210 .204 -7 .255 .200 -6 .299 .196 -5 .353 .192 -4 .427 .189 -3 .513 .186 -2 .663 .183 -1 .796 .180 0 .994 .177 1 .810 .180 2 .662 .183 3 .544 .186 4 .431 .189 5 .344 .192 6 .271 .196 7 .208 .200 8 .148 .204 9 .094 .209 10 .053 .213 11 .005 .218 12 -.036 .224 13 -.078 .229 14 -.114 .236 15 -.153 .243 16 -.188 .250 a. Based on the assumption that the series are not cross correlated and that one of the series is white noise. Figure 4.1.1 The results of cross-correlation indicates total revenue as a leading time series variabler with a strong correlation of .994 with government expenditures at lag 0, furthermore correlation a possitive correlation has been found from lag 1 to lag 11, However the correlation is dexreasing and from 12 to 16 lags correlation in negative predicting that with the increase in total revenue, total government expenditure will decrease in furture. CHAPTER 5: DISCUSSIONS, CONCLUSION, IMPLICATIONS AND FUTURE RESEARCH 5.1 Conclusion In this paper we have studied the causal link between total government expenditure and total revenue in Pakistan using granger causality test and the supportive cross correlation from 1979-2010. Our result from granger causality supports the hypothesis that tax revenue causes government expenditure in Pakistan. In addition cross correlation results have indicated long-term results that with the increase in revenue expenditures will increase. Therefore the major conclusion drawn from this research is that in order to eliminate the problem of fiscal deficit and sustainable economic growth government should focus on the policies which facilitate increasing revenue. 5.2 Discussion Various studies have analyzed the causal relationship between government expenditure and revenue. Some supported with unidirectional causality occurring from revenue to spending and from expenditure to revenue whereas some have indicated the result of bidirectional causality. However, both the variables have significant impact on budget deficit and economic growth. Fiscal deficit in Pakistan is a major issue as the findings of cross correlation indicates that the revenue and expenditures are correlated which means that as revenue increase expenditure increases and deficit remains at the same level and to compensate this deficit government increases its debt financing from domestic and foreign sources which leads towards inflation and high interest rates. 5.3 Implications and Recommendations The model and analysis of this study is very useful for economists and policy makers as it helps in enhancing revenue by tax reform programs. In addition for the determination of optimal spending expenditure reform assessment can be done through cost and benefit analysis which will help in setting objectives for tax collections and better utilization of taxes. 5.4 Future Research Future research possibilities could be as follows first variables like national income and debt financing could be included in the research. Second data sets of multiple countries would be interesting to analyze the causal relationship using the same model in comparison with this research. REFERENCES Ahiakpor, J.C.W., Amirkhalkhali S. (1989). On the Difficulty of Eliminating Deficits with Higher Taxes: Some Canadian Evidence. Southern Economic Journal, 56, pp. 24-31. Buchanan, J. M., Wagner, R. E. (1977). Democracy in Deficit, New York: Academic Press. Baharumshah, A. Z., Lau, E. (2007). Regime Changes And The Sustainability Of Fiscal Imbalance In East Asian Countries. Elsevier, 24 (6), pp. 878-894 Baghestani H., McNown R. (1994). Do Revenues or Expenditures Respond to Budgetary Disequilibria?. Southern Economic Journal, 61, pp. 311-322. Brennan, G., Buchanan, J. (1980). The Power to Tax: Analytical Foundations of the Fiscal Constitution. Cambridge University Press, Cambridge, Massachusetts. Baffes, J., Shah, A. (1990). Taxing choices in deficit reduction. Policy Research Working Paper Series 556, The World Bank. Friedman, M. (1982). Personal interview, The Washington Times, June, p. 2 Fasano, U., Wang, Q. (2002). Testing the Relationship between Government Spending and Revenue: Evidence from GCC Countries. IMF Working Papers 02/201. (Washington: International Monetary Fund) Gounder, N., Narayan, P. K., Prasad, A. (2007). An empirical investigation of the relationship between government revenue and expenditure: The case of the Fiji Islands. International Journal of Social Economics. 34, pp. 147-158. Griffin, K., McKinley, T. (1992). Towards a Human Development Strategy. Occasional Paper 6, December. Hondroyiannis, G., Papapetrou, E. (1996). An Examination of the Causal Relationship between Government Spending and Revenue: A Cointegration analysis. Public Choice, 89 pp. 363-374. Koch, S. F., Schoeman, N. J., Tonder, J. J. V. (2005). ECONOMIC GROWTH AND THE STRUCTURE OF TAXES IN SOUTH AFRICA: 1960-2002. South African Journal of Economics, 73, 190-210. King, R. G., Rebelo, S. (1990). Public Policy and Economic Growth: Developing Neoclassical Implications. Journal of Political Economy, 98, pp. 126-150. Keho, Y., (2010). Budget balance through revenue or spending adjustments? An econometric analysis of the Ivorian budgetary process, 1960 2005. Journal of Economics and International Finance, 2(1), pp.001-011. Loganathan, Nanthakumar, Taha, Roshaiza. (2007). Have Taxes Led Government Expenditure in Malaysia? Journal of International Management Studies. Meltzer, A.H, Richard, S. F. (1981). A rational theory of the size of the government. Journal of Political Economy, 89, pp. 914-927. Narayan, P.K., Narayan, S. (2006). Government revenue and government expenditure nexus: evidence from developing countries. Applied Economics, 38, pp. 285-291. Neyapti, B., (2010). Fiscal decentralization and deficits: International evidence. European Journal of Political Economy, 26(2), pp. 155-166. Peacock, S.M., Wiseman, J. (1979). Approaches to the Analysis of Government Expenditures Growth. Public Finance Quarterly, 7, pp. 3-23. Roshaiza, Taha, Nanthakumar, Loganathan, (2008). Causality between tax revenue and government spending in Malaysia. The International Journal of Business and Finance, 2 pp. 63-73. SOBHEE, Sanjeev K. (2004). The causality between tax and spend of the public sector in maturities: A VECM approach. International Journal of Applied Econometrics and Quantitative Studies, 1-3, pp.115-130 Stoian, A., (2008). Analyzing Causality between Romanias Public Budget Expenditures and Revenues. Theoretical and Applied Economics. 11, No.528.

Pygmalion Essays -- Essays Papers

Pygmalion An interpretation of Class Relations in Pygmalion In Bernard Shaw’s Pygmalion, there is a distinct variance in class relations and the way that early 20th century Britains were perceived as being different by their speech, money, wealth, style, manners, and appearance. Being a lady or a gentleman was an acquired status desirable among most of London’s society. However, in Pygmalion, Shaw tells a story about the transition of a homeless young woman with the aspiration to become a respected lady. Eliza Doolittle is an 18 or 19 year-old young women, making a living from selling old flowers on the streets. When she comes across a rude Professor, named Henry Higgins, he sarcastically offers her to â€Å"learn how to speak beautifully, like a lady in a florist’s shop†¦..at the end of six months you shall go to Buckingham palace in a carriage, beautifully dressed.† This is what he proposes to Eliza when she comes to ask for English lessons from the Professor. He then makes a bet with another man, Colonel Pickering, who says he will pay for her new clothes and English lessons, if Higgins can make a lady out of her in six months. The deal is made, and Eliza is immediately washed up and put into new, clean clothes. The play begins like this, which sets the plot for the rest of the story. An example of modern day class relations with speech can be described by linguistic anthropologists, and in an article called â€Å"Suite for Ebony and Phonics† by John R. Rickford. In this article, he discusses the African-American speech Ebonics, and the negative impact it has across America. Being called â€Å"lazy English,† â€Å"bastardized English,† and â€Å"poor grammar,† it seems to be the same thing that was going on in England during the time Pygmalion was written. I’m sure that if we were to ask Henry Higgins if that is what he thought about the way Eliza spoke he would whole-heartedly agree. However, the poor English that Eliza spoke was never considered as becoming a legal language in England. The play begins off on a rainy night on the streets, with a lady and her daughter waiting for a cab. In this first act, Eliza asks them to buy a flower from her, with the response from the daughter, â€Å"Do nothing of the sort, mother. The idea!† When the mother gives her some change, the daughter again exclaims, â€Å"Make her give you the change. These things are only a penny a bunch ... ...he rats. Aristocrats ran society, and they had no need for the homeless and poor. In relating this subject to anthropology, there are a lot of points that can be made between the comparison of class relations and other issues similar to it. The study of Ebonics is a very good comparison to Pygmalion, and the way that someone speaks can effect how other people view them. Even though some think it is not an issue today, it can still be compared to early 20th century England and the way upper class looked down upon others. In the same way, many people do look down upon people speaking the too familiar sound of Ebonics. Works Cited McIntosh, Peggy. â€Å"White Privilege: Unpacking the Invisible Knapsack.† Applying Anthropology. Aaron Podelefsky and Peter J. Brown. California: Mayfield. 217-220. Nagengast, Carole. â€Å"Women, Minorities, and Indigenous Peoples: Universalism and Cultural Relativity.† Applying Anthropology. Aaron Podelefsky and Peter J. Brown. California: Mayfield. 340-352. Rickford, John R.. â€Å"Suite for Ebony and Phonics.† Applying Anthropology. Aaron Podelefsky and Peter J. Brown. California: Mayfield. 176-180. Shaw, Bernard. Pygmalion. England: Penguin, 1913.

Explain the role of children and young people’s personal choices

As the children grow up they tend to do things that other children do, being influenced, and starting to hide stuff from their parents. Sometime children are really aggressive because they didn't get what they wanted so they start to abuse the other children or young people. Sometime it is just that they think that everyone else doesn't know what is good for him/her so they just want to do their own choice, but they don't know always was is good for them so they end up doing bad things, like smoking, drinking, drugging, etc.  which is going to affect them maybe for all their lives. Personal choices made as a child and young adult effect nearly every aspect of life. From education to family planning – poor choices can lead to poverty and few opportunities, while good choices can open up a world of possibilities. Family experience as a child can very much play a role, but young adults are fully capable of taking responsibility for the life choices they make.In accordance with Article 13 of the United Nations Convention on the Rights of a Child, the outcomes of the Governments Every Child Matters framework and the Early Years Foundation Stage, children should be provisioned for by ensuring that children are involved and engaged with, allowing them to be heard, to make decisions, contribute their experiences and be supported and safeguarded throughout their development.According to Tassoni (2010) the EYFS clearly states that a curriculum for children under five years should be balanced of adult-led and child-initiated activities; an environment needs to be rich in resources and displayed in such a way that the children can determine their own play. . An early years setting should encourage healthy snacks and encourage parents to supply healthy balanced lunchboxes.

Fayol’s Management Functions and Its Essay

Managers motivate employees, influence individuals or teams as they work, select the most effective communication channel or deal in any way with employee behaviour issues, they are leading. In controlling, ‘managers evaluate how well an organisation is achieving its goals and take action to maintain or improve performance’, (Waddell, Devin, Jones, George, 2008, p. 9). Controlling when handled well ensures that the overall direction of individuals and groups are consistent with the short and long term goals of the organisation. It also helps to maintain compliance with essential organisation rules and policies. Fayol (Fayol, 1949, p. 107) stated that controlling purpose was to ‘identify weaknesses and problems such that they can be rectified and reoccurrences prevented’. In identifying and addressing issues quickly the organisation can maintain its productivity whilst also maintaining an optimum work environment. The planning and controlling management functions are closely related, as the planning functions establishes goals, while the controlling function nsure that the goal is being worked towards by all parties involved. Fayol is seen by some as the founding father of management functions’ (Raymond E. Miles, Charles C. Snow, Alan D. Meyer and Henry J. Coleman, Jr. , 1978, p. 556). While some of his principle and functions are no longer appropriate, his core functions have been adapted to modern organisational management issues. Plan, lead, organise and control, may have ‘stood the test of time’ (fell, 2000, p. 345) due to their simplicity and malleability to change with demand for modern management thinking. These four principles may be seen as outdated, but his methods still work. If there is ‘good communication, understanding, unity, continuity, flexibility and precision’ (Fayol, 1945, p 137