Health and Social Care - Unit 7 (P1P2) Principle...

Principal Sociological Perspectives P1 P2 The principal sociological perspectives are Functionalism, Marxism, Feminism, Interactionism, collectivism, postmodernism, ‘New Right’. Functionalist Approach Functionalism is a sociological approach that sees the institutions of society – which are sometimes likened to the human body, as the institutions, such as the police, hospitals, etc, work in union and they make specific contributions to the smooth running of society. Talcott Parsons (1902 – 1979) Parsons contributed to the development of functionalism, as he saw society as a system made up of linking establishments which played a role in the smooth running and continuity. He also said that the main role of an institution was for†¦show more content†¦Through socialisation, the attitudes and values of the ruling class are eventually passed on, rather than the common value system of the Proletariat. This is so much of a success because the majority of the Proletariat do not realise that the bourgeoisie are exploiting them or that they inevitably serve the needs of the bourgeoisie. False Consciousness A false consciousness is that the proletariat do not realise that it is happening and they are not aware of the situations in which they are being exploited in, this can explain why conflicting interests rarely end in a revolution. Similarly to the Functionalist, Marxists see the family as a provider and that they give a stable structure in which society needs them to become somewhat of a servant of the social system. The Family Contextually, the family provides socialisation for children, so they can eventually be prepared for the trials and tribulations of the ‘outside world’. And because children have a lack of power within the family unit, it prepares them to be obedient when consulting with bosses, or those of a higher position, as adults. The family also provide a secure emotional base, so that workers can refresh then rejoin co-workers to make profits for theirShow MoreRelatedSociological Perspectives On Health And Social Care3443 Words   |  14 PagesName: Amina Isa Ali ID: 845368 Unit 7: Sociological Perspectives in Health and Social Care. Tutor: Sharon Davis Date: 08/10/14 Time: 17:43 P1) In p1 I will be explaining the principle sociological perspectives in health and social care. Marxism: Marxism: In the 19th century, Marxism was inspired by two men Karl Marx and Friedrich Engels. These two men were German theorists who were living in Britain. The governmental professionals are of Marxists viewpoints and beliefs. Marxism has playedRead MorePublic Health Paper12265 Words   |  50 PagesFrom past to present; the changing focus of public health by Maria Joyce Key sections include: Environment, infectious disease, locating public health, the enlightenment, the Sanitarians, national provision of services, the inception of the National Health Service, ‘crisis in health’, The New Right, The Third Way, new public health. Public health, the new ideology may be taken to mean the promotion of healthy lifestyles linked to behaviour and individual responsibility supported by government

Selling Human Organs - 10012 Words

TERM PAPER RESEARCH : Selling Human Organs ARTICLE 1 : Should people be allowed to sell their organs? Currently, exchanging organs for money or other valuable considerations is illegal, but some members of the medical and business communities would like to change that. One of those is the American Medical Associations influential Council on Ethical and Judicial Affairs. Convinced that the balance of moral and ethical concerns favors the ability to sell organs, they would like the laws to change, and the AMAs governing house of delegates is scheduled to vote in June on whether to support a pilot program. The American Society of Transplant Surgeons has already endorsed giving money for cadaveric organs to the families of the†¦show more content†¦Finally, there is no guarantee that the person really will be able to live with just one kidney - disease or injury later on could be fatal for a kidney donor. This is even more likely with the poor because of their health, behavior, where they live, etc. Do we really want to start flying poor people from Africa or Asia to Europe and North America so that they can sell a kidney to the wealthy? Given the above circumstances, why would anyone sell a kidney? The rich dont do it, and neither does the middle class - only the poor are likely to do it, and it is without question an act of desperation. When such desperation is the motive for selling a kidney, to what degree can we argue that the decision is genuinely voluntary? In a just society, no person should have to sell off pieces of their body in order to survive. This, then, is why these issues cut to the heart of what we want our society to be like: will it be just enough that selling organs is something people can, but never feel they need, to do? Selling organs from the deceased raises entirely different problems, because a dead person isnt desperate, and selling the organs of your deceased relative isnt nearly such an act of desperation on your part. Nevertheless, that doesnt mean that the situation would be entirely acceptable. Organ transplantation is alreadyShow MoreRelatedSale Of Organs And Its Effects On Society1417 Words   |  6 PagesSale of Organs An organ is a body tissue that helps in the general operation of the body. Selling organs is legally and morally wrong. However, some people still do that. Therefore, I believe that The law should ban people from selling their organs because each person was born with their organs. It is like property that the person should take care of. Also, organs buyers usually take advantage of the poor and weak people. I am against selling organs by all means for a number of reasons such as, theRead MoreThe Sale Of Human Organs858 Words   |  4 PagesThe sale of human organs is a prevalent subject of moral exchanges that displays a civil argument that offers no trading off arrangement. Moral issues required in the selling of human organs make up its ethical issue. No argument is fully accepted when discussing the legitimation of selling human organs. I agree with the position from Savulescu’s article that individuals should be allowed to sell their organs and that it is morally permiss ible. Based upon figures from 2012, 95,000 Americans wereRead MoreThe Ethical And Medical Controversy1413 Words   |  6 PagesThe argument regarding the selling of organs on the black market has been an ethical and medical controversy for decades. The problems that exists ethically is to be believed that putting a price on a human organ is materialistic, people may go to extremes to donate a kidney, and the fear of the spread of infections or diseases. Although the fears are natural, mostly because people have always associated the black market with a negative connotation, the ethical fears out-weigh the idea that donatingRead MoreShould Human Organs for Sale?1699 Words   |  7 PagesHUMAN ORGANS FOR SALE Should the sales of human organs be legally or not, it is quite difficult to find a satisfied answer to this controversial question at the moment. Although a large number of articles were written, numerous speeches were made, countless meetings were hold to discuss about this matter but until now it is still a big controversy issue all over the world. Thanks to the steadily development of scientist, technology and medicine treatment, nowadays human organ can be transplantedRead MoreShould Human Organs for Sale?1685 Words   |  7 PagesHUMAN ORGANS FOR SALE Should the sales of human organs be legally or not, it is quite difficult to find a satisfied answer to this controversial question at the moment. Although a large number of articles were written, numerous speeches were made, countless meetings were hold to discuss about this matter but until now it is still a big controversy issue all over the world. Thanks to the steadily development of scientist, technology and medicine treatment, nowadays human organ can be transplantedRead MoreOrgan Sales713 Words   |  3 PagesSelling Organs Many people are dying each day because of the lack of organs available. Waiting lists can be as long as 106,000 people. On an average 17 patients in need of transplants die each day. Is this fair to the families or is selling organs a better option? What are the benefits of organ selling and should it be made legal? By legalizing organ selling we would be saving lives. People sell organs on the black market every day; the downfall to this is that the surgeons that removeRead MorePros and Cons for Paying Organ Donors1534 Words   |  6 Pagesdonations, compared to other organs donations, is that each person is born with two and can sustain a healthy life with just one; simple facts such as this is what has driven the black market kidney trade to flourish. (CBSNEWS) However, if this is the case then why aren’t more people donating? Is it because they are not getting something in return? Why donate for free when someone on the black market will pay 10,000 dollars? The main arguments against black market organ donations, not limited toRead MoreOrgan Selling And An Elderly Man Sits Patiently1531 Words   |  7 PagesOrgan Selling Peering into the window of Da Vita dialysis, an elderly man sits patiently. His patience is not from the fact that he has no place to go afterwards; his schedule was clear. His patience came from the fact that he can bare the wait in the room, because he knows down the hall the nurse will be re-puncturing his forearm to administer the hemodialysis. It was his third time coming in this week, which meant he wouldn t be back until next week. Of course, when he looks at the bruising onRead MoreLegalizing the Sale of Human Organs1071 Words   |  4 PagesLegalizing the sale of human organs has become a very controversial topic in the last few decades. Transplant surgeries were becoming relatively safe to preform, which lead the transplant list to grow rapidly. The debate on how to increment the number of organs available for transplant commenced. Currently organ donations were solely dependent upon cadaveric donors and family members. This shortage has engendered an ebony market for org ans sales. People are peregrinating across the country to haveRead MoreThe Trafficking Of Human Organs1564 Words   |  7 PagesTrafficking Human Organs The trafficking of human organs is on the rise and black market operations are happening under everyone’s nose. Currently there are more than 120,000 people who are on the waiting list for a lifesaving organ. Among these people waiting for their transplant approximately twenty-five people will die each day waiting for their number to come up (Perry, 2016). According to the World Health Organization there is only about ten percent of organ transplants being met through the

RC design Free Essays

This submission presents the method statement and corresponding temporary work design for the construction of low-rise building (LRB). Footing foundation will be chosen for the foundation of structure. Design calculation and drawing for the structure, Including beams, columns, foundations, walls, floor slabs will be shown in the following categories. We will write a custom essay sample on RC design or any similar topic only for you Order Now Furthermore, formwork will be adopted for the construction of structure and timber formwork will be the first priority. . Summary of RC Structure Dimension Element Member Size (mm) Type of formwork Foundation Timber Slab 250 Beam 500 x 500 x 5000 ‘Ofs 150 Column 500 x 500 All concrete works shall conform to the General Specification as following: Elements Grade wall Blinding layer Reinforcement 35 260, 460 MPa 4. Competent Persons for Constructions of the Low-rise Building (LRB) Structure Construction Manager ; Engineer – He shall supervise all technical items of construction works of MPS 2 structure, but not limited to the following items: 1 . To handle the difficulties during the construction. 2. All required tests arrangement and Submission to the Engineer 3. Prepare the erticality monitoring records and submit to the Engineer 4. To prepare, manage and implement the documented system in compliance with statutory requirements. Construction Supervisor/ General Foremen – He shall be full time on site to supervise the following works. 1 . To supervise and arrange all the MPS 2 construction works. 2. To arrange and monitor all relevant tests to structural works. . To arrange all setting-out works for MPS 2 structure constructions. 4. To follow the approved method statement for construction Safety Officer – He/ She shall be full time on site. His/ Her major duties are carrying ut regular checking on the implementation of the safety measures adopted with reference to regulations. Safety Supervisor – He shall be full time on site. His major duties are assisting the Safety Officer to carry out regular safety checking and supervise the construction works for the safety aspects. Environmental Officer – He shall be full time on site to oversee all the environmental and sanitary issue during the construction. Surveyor – He shall be full time on site. His major duties are carrying out the site setting-out and monitoring works including verticality checking, settlement of ground measurement until completion. Certified Workers – They must be at least 18 years old and be a holder of a certificate issued by a person whom the Treatment Plants. The contractor shall ensure the certified workers being physically and mentally suitable for construction works. 5. Plants Plants and equipments Lifting appliances Air Compressors Generator Water pumps Portable pneumatic breaker Welding Machine Hand tools Carpenter Rebar fixer Concretor General Labour According to the site condition and requirement of completion of each phase, the site operation will be arranged in stages corresponding to different site logistic plans at ifferent time frame of construction. The overall sequence of construction is generally divided into following stages: Stage 1 (Excavation) 1. Carry out underground utilities detection 2. Excavate down to +4. 3mPD to 3. 1 mPD 3. Perform compaction Stage 2 (Foundation) A. Steel preparation 1 . According to the drawings, prepare the steels with appropriate length, bending angle and diameter. 2. According to the drawings, placing the steels in corresponding location and spacing. 3. Pack the steel together, extra steel bend inwards to prevent exposing outside the concrete. 4. Leaving some space for trimming bar B. Formwork 5. Ensure the working area is clean and clear, and with appropriate ligament. 6. According to the drawing, install the timber on the surrounding and fix tightly with nails and screw. Make sure there aren’t any gaps. 7. Brush an oil layer on the inner face of timber. C. Concreting 8. Ensure the strength of concrete is with required slump 9. Placing blinding layer on the bottom of foundation. 10. Placing concrete evenly on the area. For separated injection, each layer should not exceed 450mm tall 11. Perform compaction with vibration tube. Note that ibration tube should not place next to the timber and not to control the flow of concrete. 12. Flatten the top of concrete when appropriate level of concrete is placed. 13. Timber can be removed after 16 hours and check whether there are cracks. 14. Perform curing by cover the concrete with plastic sheet and Floor Slab 1 . According to the drawings, prepare the steel with appropriate length, diameter, bending angle, shape. 2. According to the drawings, placing the steels in corresponding location, and spacing. 3. Pack the steel together, extra steel bend inwards to prevent exposing outside the concrete. . Leaving some space for trimming bar 9. Placing concrete evenly on the area. For separated injection, each layer should not exceed 450mm tall 10. Perform compaction with vibration tube. Note that vibration tube should not place next to the timber and not to control the flow of concrete. 11 . Flatten the top of concrete when appropriate level of concrete is placed. 12. Timber can be removed after 16 hours and check whether there are cracks 13. Perform curing by cover the concrete with plastic sheet 8. Construction procedure 1 Excavation and Compaction 2 Construct foundation 2. 1 Reinforcement bar fixing . 2 Formwork elevation 2. 3 Concreting and curing 3 Construction of first floor 3. 1 Column 3. 1. Reinforcement bar fixing 3. 1. 2 Formwork elevation 3. 2 wall 3. 2. 1 Reinforcement bar fixing 3. 2. 2 Formwork elevation 3. 3 Bearn 3. 3. 1 Reinforcement bar fixing 3. 3. 2 Formwork elevation 3. 4 Floor Slab 3. 4. 1 Reinforcement bar fixing 3. 4. 2 Formwork elevation 3. 5 Concreting 4. Construction of second and third floor, same as construction of first floor temporarily. 10. Environmental Protection Measures Any spoil, debris or silt from construction works area shall be deposited at esignated area within the site as specified in the waste management plan. Such spoil, debris and silt shall be immediately removed and avoid falling into adjacent areas. Drip/ spill trays will be provided to all machines and the fuel storage tanks or drums. All power equipment shall have proper silencers. Construction plant will be kept in good condition and will be properly maintained. Construction activities will be limited to daytime hours as far as possible. All construction works will be carried out limited to the approved working hours subject to the approval of Environmental Protection Department (EPD) and Drainage Services department (DSD). Frequently cleaning and watering the site area to minimize dust emissions. Burning debris or any material shall be prohibited on site at all times. Air and noise pollution will be monitored on a regular basis in accordance with the Air Quality Noise Management Plan. Noise permit shall be obtained from the Environmental Protection Department (EPD) prior to any construction work beyond normal working hours. Chemical waste discharge license shall be obtained before any chemical waste disposed offsite. Surface runoff water arising from the site shall be collected by temporary drainage system. Such temporary drainage system composed of sand bags and temporary channels along the site boundary. The collected surface runoff shall be de-silted at the sedimentation tanks before discharged to public drainage system. The temporary drainage management plan has been submitted separately. Wheel washing bays will be located at the entrances in order to keep a good housekeeping condition inside the site. 11 . Contingency Plan Lifting appliances such as mobile cranes can be deployed on site in order to speed p. Catch up the progress of works. In addition, some major heavily EM equipment will be handled by the addition cranes on site. Material availability such as concrete, reinforcement and formwork can be delivered on site shortly. Normally, 1 – 2 days’ advance ordering period is required for the processing from ordering to on site delivery. In view of the current market, no shortage of aforesaid material supply is found. Disposal of the material system has already been set-up. All disposal records and submissions are in order in compliance with statutory requirements. 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TEACHING.

Introduction There has been a reasonable gradual shift in the approach of teaching writing in the classroom from product approach comprising grammar-translation, controlled-to-free, paragraph pattern, grammar syntax organization approaches (mostly prevalent till early 1970s) to communicative approach (mid 1970s), process (late 1970s - Early 1980s), English for Academic Purposes (Mid 1980s) and Genre Approach (1990s). However, there are array of opinions, arguments and concerns over the fact that which style works best with the students in developing their ability to express their ideas with freedom and at the same time with correct composition and coherence. All these approaches focuses at different aspect of English writing and requires relevant changes in the role of teachers and students, their involvement in the class room, nature of exercises and in the feedback method. However, they provide an English Language Trainer a flexibility to implement one or a combination of more than one approac h (James, 1993) considering the time, purpose, need, cultural milieu and academic level of students and their proficiency in the English Language. This piece of writing will not delve into different approaches of teaching writing in the class room but is intended to explore the process approach of teaching writing, its implications on the teaching methodology and class room management and possible ways through which teachers might respond to assure that both the need of learners/students and the objective of the course is met. Philosophy of the Process Approach in Teaching English Writing The underline philosophy of the process approach is to provide students/learners the ability to learn the processes that leads to the acceptable finished text or product together with a degree of freedom of expression based on their own fluency of language. The quote process cannot be inferred from the product, any more than wheat can be inferred from bread (Murray, 1982:18) aptly describes the importance of this approach while teaching English writing in the classroom. Before discussing the process approach further, a brief account of the research that guided the attention of teachers on the process of writing would be relevant here. The main influence on the development of process approach was the work of two cognitive psychologists Flower and Hayes, who proposed a writing model based on their research on L1 writers (Flower and Hayes, 1981) that became the basic tool for the further research on the process of writing and is widely used since then by researchers. However, the writin g model of Flower and Hayes was found incompatible considering the writers as skilled and unskilled (Raimes, 1985) and thus led to the development of another L1 writing model that emphasizes on the two types of writing styles - knowledge-telling (writing style of 12 year old) and knowledge-transforming (synthesis and interpretation of knowledge) and hence follow different writing processes (Bereiter and Scardamalia, 1985). The other significant research that influenced the development of process approach was the work of Grabe and Kaplan (1996) who suggested other dimensions to research such as education, cognitive side of writing, discourse analysis and the rhetorical study (led to genre approach). The process approach is more to develop a cyclical and recursive style of writing which involves continuously and simultaneously the pre-writing (planning), writing and re-writing processes (Smith, 1982: 104). The proponents of teaching writing with greater emphasis on the writing as the process Escholz (1980), White (1988) and Jordon (1997) indicate towards the drawbacks of product approach such as model-based learning that fosters the sense of imitation in students with little scope for students to actually learn the processes involved in obtaining the acceptable final product as the main reasons behind the emergence of this approach (Escholz, 1980:24). The process approach provides ample opportunities to students to make their own choices related to the direction of their writing by series of classroom discussions, tasks, drafting and re-drafting their writings and with the formative feedback provided by teachers. The approach also enables students to make improvements in their own composition (Jordan, 1997: 168) unlike in the product approach which leaves the task of correcting and improvement to the teachers. As this approach puts more emphasis on the purpose, the audience and the writers process it involves significant brainstorming to put together the thoughts and ideas, drafting and re-drafting and an increased focus on both the content and the language simultaneously encouraging students to devote time to writing and provide peer feedback. The two critical component of the process approach to writing are awareness and intervention (Susser, 1994). However, before discussing the importance of these two components in the process pedagogy it is exceedingly important to understand the difference between the writing process and process writing which are often confused by stakeholders (students, teachers, school and institutions and authorities). In the words of Susser, writing process is nothing but the writing or composing, however process writing is the process-based teaching techniques (Susser, 1994: 32-34). Now let us discuss the two important components out of which the Awareness means that the students should be made aware that writing is a process, each type of writing requires different processes and these processes are not merely giving words to the ideas but they comprise the judgment of format or genre, a thorough consideration of audience and use of appropriate vocabulary. Intervention, on the other hand, is cons idered as the integral part of process approach which emphasizes the role of teachers as facilitators who help students at different stages of the writing process through classroom exercises and activities (Susser, 1994:35). These two components are complimentary to each other and help in achievement of the objective of teaching process. Salient Features of Process Approach In order to devise a strategy of teaching writing in the classroom a thorough understanding of the focus points of process strategy is a pre-requisite. Hence, the salient features of the process approach are listed below (Hairston, 1982) with an aim to provide a kind of to-do-list for teachers - who plan to use this approach of teaching - to help them ensure that they cover these areas during the planning of their classroom methodology. These features are taken from the process writing framework provided by Hairston (1982). The process approach dramatically changes the role of teachers from an Instructor - who correct the writers text, imposes on them their own writing style, instruct student to follow guidelines and model form of writing; to a Facilitator who guides the writing process with intervention at various stages providing students direction leaving onus of correcting and improvement of text on them. The process approach emphasizes on learning of the ways to explore ideas and content in a particular context. The main basis of the approach is the various linguistic and specific researches done on composing process of writing. It also takes ideas from other fields for example cognitive psychology. The assignments used in the class extensively cover the purpose of writing, audience and the occasions. Assessment judges the compatibility of produced text keeping in mind the writers intentions and readers needs. It takes in to accounts the more realistic recursive/cyclic nature of writing proces s instead of looking at it as a linear process and uses a variety of writing models and processes that are expressive and expository in nature. It considers writing as a creative activity that can be described, analyzed and taught effectively in the classroom using right methodology. Also, iterates that the teachers, who are writers, can be more effective in teaching writing to students. It views writing as a learning, developing and communication skill. Process Approach and the Role of Teachers The pre-dominant use of teaching writing in the classroom focusing on the product approach over so many years has resulted in teachers being predisposed to using class exercises such as sentence completion, syntax correction and making logical connections while teaching writing. However, during the process teachers are heavily involved in the correction and improvement of students composition themselves and in a sense impose their writing style on students. On the contrary, in the process approach the role of teachers become more like a facilitator where they encourage students to do improvement or correction of the composition on their own by providing them formative feedback. The role of teachers starts with the very fact that they have to bring writing as a classroom activity instead of leaving it on students as homework. The process approach is built around the cyclic model of writing proposed by White and Arndt (1991), hence, it will be useful to describe the role of teachers fo r each component of writing process postulated by cyclic model such as Generating Ideas, Focusing, Structuring, Drafting, Evaluating and Re-viewing. Generating Ideas It is the most important component as it sets the tone for the writing process. Teachers are supposed to initiate the thinking process of writers and help them through motivating them and providing guidance, direction, clues, situations, images, and food for thought throughout the activity. Focusing The setting up of central theme to start writing about is the very critical and perhaps the foundation of writing process. As students brainstorm and gather ideas they struggle to collaborate these ideas to derive a central theme for further action. The intervention of teachers is greatly required in helping student focus on the purpose of writing i.e. theme. Certain activities described in the cyclic model (White and Arndt, 1991:44) such as fast writing and loop writing can be used to enhance the results during this stage. Structuring It is an on-going process not a one-stage process and basically deals with the channelization of ideas in a way that make sense and appeal to the reader and most importantly can convey the subject matter in a logical way. For example deciding on the introduction, conclusion and presentation of information. The role of teacher in this stage is to provide necessary guidance and support in defining a clear structure for writing, however, only direction should be given letting student learn it by doing it. The main activities that are suggested for this process are experimenting with arrangement, identification of organizing principal and its effect on text by studying text (White and Arndt, 1991:78). Drafting This is the stage at which student produces his/her first draft and the role of teachers here is to make student aware of different styles of opening and closing a text, a piece of writing or a paragraph and encouraging them to make their writing appealing and interesting to read. Teachers may also do one outline of the task just to show the students an expert way of doing that. The different activities suggested here are exercises aimed at individual and group compositions with extensive intervention from teachers (White and Arndt, 1991:78). Evaluating Often at this stage, teachers dictating approach defeats the very motive of the process approach as they start correcting the text produced by students discouraging the idea of self-evaluation. Teachers have to ensure that students themselves are the only evaluators of their work. This is the basic development which in broader perspective will help students life-long. Also, teachers have to be very careful the way they give feedback to students, considering their cultural backgrounds Collective and Individualistic Cultures (Hofstede, 1980) - as they tend to take teachers suggestions as instructions and may follow them religiously. Peer feedback can be exercised here and more precisely use of peer feedback from L1 to L2 writers and vice versa would be fruitful in encouraging students to self-evaluate their work through analysis (White and Arndt, 1991:78). Reviewing This is more like a habit which should be inculcated in the students to have a final re-view of their writing which helps in spotting gaps in the final product such as any correction required or induction of new ideas or further re-arrangement of ideas to make it more coherent. The role of teacher here is to make students aware of the importance and essence of re-viewing. The basic activities suggested at this stage are checking coherence and logical progressing of the text, its division and assessment of its impact on readers (White and Arndt, 1991:136). Implication of process approach on the class room Management Teachers taking a shift from the product approach to the process approach must be aware of the practical implications it will have on the management of classroom while teaching. In the words of Wason it would be wrong to suppose that there is one best way to understand how people write (Wason, 1981a:340). This precisely indicate that teachers cannot really find a suitable way of teaching that caters to the need of group of learners who have different needs and hence required to pay attention on one-to-one basis, which in a sense is more demanding. Given the characteristics of the process approach it demands a whole new approach to teaching writing. The implications of process approach are mentioned below under various subheads - Implications on course content The course content continues to focus on the basic teaching about the language, however, there is some change required in the content and delivery considering L1 and L2 writers. For L2 writers, more emphasis should be on the vocabulary and they should also be made to read and brainstorm extensively during the course as it is imperative to perform writing task whereas for L1 writers the emphasis should be more on grammar and sentence construction. On the whole, the basic idea of the course structure should be to provide enough opportunities for learners to write with personal involvement. Implications on Class room Assignments Students often perceive the classroom exercises as compulsion and mere a way of getting good grades that makes them be less involved personally. In such situations ability of teachers to convince writers the wider perspective of assignment, which is not the evaluation for grades but the improvement and to build a foundation for future writing tasks is the key. This would also help writers to be more committed and involved in the effective writing which would further make them to think about their private conception of their writing task (Galbraith, 1981). The best idea that could be utilized here is the provision of autonomy to students in choosing their own topics which would result in students having greater idea of audience and purpose, however, teachers may choose to set direction in terms of type of writing and methods of choosing a topic. Further, It would help teachers in determining the skilled and unskilled writers and in choosing ways to deal with their individual needs. Fo r instance, skilled writers consider purpose and audience while writing and write reader-based prose from the beginning whereas unskilled writers do not consider purpose and audience while writing and need assignments challenging them to think about these elements in order to produce good product. Also, unskilled writers initially write writer-based prose but after the guidance and as they develop, shift to reader-based prose mode later on (Flower, 1979). The list of processes such as discussion, brainstorming, taking notes, fastwriting, rough draft, preliminary self evaluation, structuring text, first draft, peer evaluation, conference, second draft, self-evaluation/editing, finished draft, final response to draft (White and Arndt, 1991:7) involved in the production of a decent piece of writing provides ample scope to decide on the activities to be chosen during the classroom teaching. Some techniques that can be used in the pedagogy are brainstorming, cubing (in which students ask themselves a flurry of question about any topic), wet-ink writing (student write for ten minutes and then pick up the idea from the text and then write about that idea again and so on), role playing and the idea of writing-centres (Ronesi, 1995) among others. Implication on feedback mechanism The process approach requires more participation from the students as it considers writing as an activity and encourages peer feedback and thereby the process requires relative changes in the classroom setting. The success of process pedagogy depends heavily on feedback mechanism as it provides necessary guidance to students that comprise mainly teacher-student feedback and peer feedback. Teachers have to balance their feedback keeping in view that neither they dictate the writing process by providing feedback in the form of guidelines - as students then religiously follow that and stop thinking, nor they should provide less feedback so as to make it useless (Zamel, 1985). However, unfortunately, researchers found in most cases the feedback given to student are in the form of guidelines. Hence, it is appropriate to mention and advise the idea of process-feedback as proposed by White and Arndt (1991) which advocates provision of feedback in the form of suggestions and not instructions , should provide hints only not the complete solution (to encourage self-evaluation) and should be given on both the good things and on improvement areas. Also teachers should act as readers not as language experts or possibly just like fellow students and not instructors while responding to the text. Keeping the peer feedback in the view, teachers need to group the native English speaking students and students with English as a second language together to have more comprehensive and valuable peer feedback. The underline idea here is to make L2 writers learn from the L1 writers development on the cultural aspects that would help them in contextual writings. Implications related to teacherstudent involvement and evaluation The process approach encourages students towards creative writing and to take up writing as a problem solving activity (Flower and Hayes, 1980a). But this could lead to a kind of problem for teachers related to the selection of right kind of problems to be worked on in the class room with an aim to improve students linguistic capabilities as well as provide them freedom to experiment with vocabulary. This situation underlines the importance of involvement of both student and teacher in the process of learning during the course. As the process of teaching involved a lot of activities such as drafting and re-drafting for a number of times, it is important to keep in mind that students may lose motivation which can only be overcome through creating ways to involve students in the process constantly. The other area of concern in the process approach which has far reaching implications on classroom management is Evaluation. Evaluation on the face of it looks difficult to handle in the process approach as it produces a lot of text during the course. Further, the approach to evaluation also poses a degree of challenge in this pedagogy. In the words of Hairston, the written text should be evaluated by teachers based on parameters of fulfillment of writers intentions and the audience need which results in the difficulty for evaluators as to how can they know the writers intentions? The other difficulty is the determining as what is to be evaluated, the process or the product and this results in a challenging situation for teachers as to who should be rated high the one who make a lot of changes to the text during the re-drafting or the one who makes less changes during the writing process and produced quality text. It would be worth mentioning here the two contradictory arguments on t his issue. Beach (1976) in his writings advocated extensive revisers as better writers than the non revisers; on the contrary Dieterich (1976:302) opines that there seems no logic in proclaiming that revising contains inherent worth. Implications related to L1 and L2 writers It makes logical sense that adoption of process approach has different implications for L1 and L2 learners considering their level of proficiency and individual needs. Hence, necessary changes to the classroom approaches should be made to make it more suitable to L1 and L2 writers. We know that there are marked similarities in L1 and L2 writers for example in composition process, however, same approach of teaching would not work and hence require careful planning and execution of teaching (Fulcher, 1997: 16-18). Various researches done in this area ( Zamel (1983), Arndt (1987), Cumming (1989), Hall (1990)) comparing L1 and L2 writers have revealed that transporting teaching techniques from L1 to L2 is extremely forbidden and teachers should avoid forcing one writing technique on all students neglecting the differences among them. Conclusion The process approach has been acknowledged as a suitable approach for teaching writing in the classroom as far as the needs and development of students are concerned, however, the way teachers respond to the pedagogy is crucial. The features, useful activities and its implications of the process approach discussed in the paper only serve as a limited guide to teachers and majority of onus and judgment lies in the hands of teachers and their effectiveness determines the end result. Teachers need to pay attention to the evaluation process and should exercise a balance while evaluating both processes and finished product as often they may find themselves in a difficult situation of judging product more than the process or may neglect product completely while focusing mainly on processes. Similarly, teachers intervention in guiding students at different stages of the process is very critical to make approach work efficiently.

The Flea Essay Research Paper The Flea free essay sample

The Flea Essay, Research Paper The Flea by John Donne John Donne # 8217 ; s The Flea exhibits his metaphysical ability ; his aptitude for turning even the least likely images into luxuriant symbols of love and love affair. This verse form uses the image of a flea that has merely bitten the talker and his beloved to chalk out an amusive struggle over whether the two will prosecute in prenuptial sex. The talker tells his darling to look at the flea before them, and to observe # 8220 ; how small # 8221 ; is that thing which she denies him. He says that the flea foremost sucked his blood and so hers, so now our two bloods mingled be. It used to be thought that sex mingled the blood of the two lovers, and since the flea has done that, there is no demand to forbear from intercourse any longer. The flea swells with one blood made of two, and this, alas, is more than we would make. We will write a custom essay sample on The Flea Essay Research Paper The Flea or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page For the flea, he says, has sucked foremost his blood, so her blood, so that now, inside the flea, they are mingled ; and that mixing can non be called # 8220 ; wickedness, or shame, or loss of maidenhead. # 8221 ; As his darling moves to kill the flea, he asks her to save the three lives in the flea: his life, her life, and the flea # 8217 ; s ain life. In the flea, he says, where their blood is mingled, they are more than mom rried. The flea is their matrimony bed and matrimony temple mixed into one. Though their parents grudge their love affair, and though she will non do love to him, they are however united in the life walls of the flea. If she were to kill the flea she would be perpetrating three wickednesss. She would perpetrate self-destruction, slaying her lover, and commit profanation by symbolically killing their matrimony. # 8220 ; Cruel and sudden, # 8221 ; the talker calls his lover, who has now killed the flea, # 8220 ; purpling # 8221 ; her fingernail with the # 8220 ; blood of innocence. # 8221 ; The talker asks his lover what the flea # 8217 ; s wickedness was, other than holding sucked from each of them a bead of blood. His lover so says to him that nil bad happened when she killed the flea, that his frights were false. It is true, he says, and it is this really fact that proves that her frights are besides faithlessly. If she were to kip with him ( # 8221 ; output to me # 8221 ; ) , she would lose no more award than she lost when she killed the flea. Donne uses his endowment at utilizing something like a flea and turning that into a matrimony bed and matrimony temple where their blood mingles as one. He is able to bring forth a fantastic seduction verse form that tells a whole narrative of a adult male imploring to do love to his lover in such a manner that one usually would non believe of.

WWII could have been avoided essays

WWII could have been avoided essays After World War I, the world was a chaotic muddle of unresolved issues including international distrust, resented economic hardship, and repressed feelings. Political conditions that existed after World War One created a tense atmosphere filled with international distrust, and aggression. Treaty of Versailles, which formally ended the war, did little to address the unresolved issues and actually promoted international distrust and resentment. Harsh economic conditions devastated millions of people in Europe and around the globe. Strong feelings of resentment, guilt, and fierce anger plagued the disillusioned citizens of the countries involved, and overrode thoughts of reason in much of the world. If world leaders had addressed these issues and taken steps to create international trust, cooperate to lessen economic burdens, and defuse resentment among Europes citizens, World War II could have been avoided. If post World War I conditions had been different, World War II might no t have happened, and could have perhaps been avoided completely. The growing tension of the intense political atmosphere that formed during the post World War I years was a major cause of World War II that could have been altered to avoid the second world war. Offended by the Treaty of Versailles, which was extremely harsh, and desperate to re-establish a sense of pride in their country, Germans all shared the common goal of attaining full restoration of the glory of Germanys past. Hitler, who passionately shared this goal with the German people, was appointed Chancellor of Germany in 1933. Immediately after Hitler gained power in Germany, he began to directly violate the Treaty of Versailles. In 1935, Hitler announced his intent to rearm Germany, which openly defied the terms of the Treaty of Versailles. This was the first opportunity the Allied powers had to step in and stop Hitler from any future action. Although he openly disregard...

Flower of Service Model Essay Example | Topics and Well Written Essays - 500 words

Flower of Service Model - Essay Example For example, the company may take payments before delivering the service, that is, in advance. If the organization is capable of possessing a well-managed service delivery system, the flower of service is fresh and the petals are well-formed along with the core; however, if the service delivery is mismanaged, the petals are discolored and malformed, even if the core (product) is perfectly designed. Also, it is not mandatory that the above mentioned eight services will become the petals of the flower of service; instead, it depends on the nature of the core product which services are to be added in order to facilitate service delivery or add value to the core product. This variation in services (or the petals) makes it easy for the customers to interact with the organization. To conclude, effective management of supplementary services leads to a well-formed flower representing the overall success of the organization; while, ill-managed supplementary services deform the flower which shows that the organization is being poorly

Explain why the historical cost principle is used to account for Essay

Explain why the historical cost principle is used to account for long-lived assets and how the cost basis is determined. Discuss - Essay Example The GAAP mainly relies on consistency of data conveyed by business financial records. Since historical methods does not depend on the speculated market prices, rather a real transaction that occurred, the cost is regarded as most reliable. For this reason, the historical cost principle is best used for reporting long-lived assets. It is the best method for reporting assets whose disposal may not be done in the near future. Examples of these assets include land, buildings, fixture, equipment and natural resources such as mineral deposits, oil wells and timber tracks. Under the historical cost principle, assets are recorded at acquisition cost as indicated on the balance sheet. In accounting for purchases of long-term assets, interest expense is subtracted from the original cost or cost of acquisition. The book value of long-term assets can be calculated by getting the accumulated depreciation subtracted from acquisition cost. To estimate an asset’s useful life, important variab les such as acquisition cost, depreciation expense per year and salvage value should be determined. The following methods are used to estimate asset’s useful life; straight-line depreciation method, production method and double (declining) methods. Useful life can then be calculated as follows: Asset impairment Asset impairment refers to an abrupt deterioration in the usefulness of a long-term asset often caused by damage effects on the asset, obsolescence due to the ever-changing technology or a change in the county’s laws prohibiting the use of an asset. It occurs when the future benefit of an asset known as market value is below the recorded book value (cost-accumulated depreciation). When impairment occurs, the current market value of the asset should be written down and a loss recognized. First, long-lived assets are selected for purposes of performing impairment testing as well as establishing the net book value. Secondly, determine the level of impairment by fin ding the total undiscounted cash flows expected from the selected assets. The net book and the undiscounted cash flow figures are then compared with intent of establishing which of the values have higher figures. If the net book value is higher than the undiscounted cash flow value, then the amount of variance is determined and recorded. Common Asset Depreciation Methods Depreciation refers to two main concepts; i. Diminished value of assets also called fair value This principle or concept has an impact on the balance sheet of a firm or a business entity. ii. Depreciation with corresponding principle, which is the allocation of the asset cost to periods upon which that particular asset is in use. This affects the net gain of reported assets. It is worth noting that when computing depreciation using a particular method, the cost of an asset is allocated to that period the use of an asset covers or is used. The expense is vital for purposes of financial reporting and taxation. In choo sing a suitable method of computing depreciation, value of assets, the type and periods upon which the asset is used is important. These computing methods are specified in laws and statutes or accounting standards that vary from one country to another. It is important to note that some depreciation computing methods exists, but the common methods include; fixed percentage depreciation method, straight-line computing method and declining balance. It is also

Philosophy of Nursing Essay Example | Topics and Well Written Essays - 1250 words

Philosophy of Nursing - Essay Example The nurses make sure that caring for human beings, cuts across class divide, status, race and culture. In the fast changing equation of society that has increasingly become multicultural, nursing perspectives towards people or patients, coming from diverse socio-cultural background, becomes vital ingredient of healthcare paradigms. Hence, nurses need to take especial care to understand the cross cultural values to develop better nurse- patient relationship. They should inculcate positive attitude and cheerfulness amongst patients and their family. In the contemporary environment of advancing technology and globalization, health and environment issues need to be redefined to meet the challenges of the time. The biological determinants of health like age and genetic patterns are major factors that can be effectively met through traditional approach of healthcare system. Medical intervention and behavioral changes are effective measures of prevention in such cases barring age related illnesses which the early care and change of lifestyle considerably delays the process or diseases. The socio environmental factors that are hazardous to health have become huge concern for the masses. Smoking, drugs, fast food etc are external factors that are widely observed to contribute towards diseases like cancer, stroke, cardiac diseases and obesity. A holistic approach and collective actions from government and non government agencies must be adopted to create awareness amongst the people. Understanding and change in social attitude towards issues goes a long way to facilitate better health related results. My personal philosophy of nursing is primarily focused towards welfare of the patients implemented through informed choice, understanding and empathy that promotes mutual trust and confidence building with the patients. Nurses represent the high standard of legal, ethical and moral consideration within the precinct of nursing paradigms and are equipped with

Concepts of Disaster Myths in Disaster Research

Concepts of Disaster Myths in Disaster Research Disaster myth is one of the most component in disaster research. Disaster myth is a significant part of disaster research. It not only contains important characteristic of this field but also affects other element in disaster research. It merits the attention of many researcher. To have a deep understanding of disaster myth, a broad view of disaster research should be taken into account. Definition: The issue of devising a definition or assessing consensus on a definition plays an important role in not only theoretical but also empirical research. In Handbook of Disaster Research, Ronald W.Perry’s What is a disaster is a prominent research in dealing with this issue. He argued that in regard to definition, he tried to recount the efforts to define disasters by social scientist, instead of seeking a new definition. In this paper, he clarified the problem of definition by specifying its type, purpose, and audience. First of all, he set the type of definition as an area of study, not a concept, although these two dimension are not clearly separable. Therefore the definition that he proposed will address concerns of paradigm and do so by identifying critical features or characteristics of disaster (Perry, 2007) – which is categorized as real definition, more appropriate to define an area of study. Since disaster will always mean many things to many people, and the desc ription will serve many different purposes – thus there will be many definitions (Perry, 2007). He narrowed the scope of definition by following Quarantelli’s research to explain the definition under social scientist’s angle. Hence, the important aspects need to be concerned when defining disaster research is the social context and tradition. He divided disaster definition research into 3 main areas: the first is the classical approach, second is hazards-disaster tradition and the last is explicitly socially-focused tradition. In the first part, with the most prominent representative scholar as Fritz, who proposed a definition of disaster in 1961 and its impact has remained until recent time, the main characteristic of disaster definition is dealing with social order disruption (Fritz’s therapeutic community is a significant example) and the emergent norm thinking. The main image of disaster in these research is negative consequences. It was manifest on the definitions that were presented in the first three definition published (by Wallace, Killian and Moore) and also the following empirical researches. Until recent time, there are still many scholar follow Fritz’s premise, but they has added some variance to it. Through these researches, he claimed the evolution in classical approach of definition in contem porary disaster research. These research was inspired by Fritz’s definition, but they also focus more on the process, adaption and change in disaster, as a cycle of adjustment from the disruption of â€Å"non-routine event†. The second area of disaster research is captured from hazards perspective. As its name, despite the fact that they may be concern about social and other aspect, the main focus is still the target agent. In this perspective, disaster is viewed as an extreme event that arises when a hazard agent intersects with a social system (â€Å"the human use system†) (Perry, 2007). Although this approach is cticized as paying too much attention to the environmental aspect of disaster and neglecting or not giving enough attention to social aspect, it is still considered as an attempt to define disaster and provide a new angle to explore the field. The classic elaborations of this approach is Burton, Kates and White. From the basis of hazards-oriented studies, until now, research direction of hazards scholar slightly moved from what might be considered an â€Å"agent centered† approach to a greater focus on vulnerability (Perry, 2007). The scholar started to add the social nature as w ell as social consequences in their studies. It has gradually moved to vulnerability, the social side of research, in spite of hazard origins. As can be seen from the development of this approach, disaster research should be examined first at it social side. It led to the third approach: socially-focused approach. This third tradition see disasters as a social phenomenon. This definition has roots from classical approach and is developed as the changing focus of hazards approach from agent centered toward vulnerability. This premise focuses mainly on social origin of disaster. Some scholar must be mentioned is Barton, Quarantelli, and Dynes. They have published their typology of disaster. For example Barton used his typology to address the cross-classified dimensions of scope (national, regional, segmental, local) by concentration of time (Perry, 2007). He emphasized the focus of the studies is on social dimensions of events, not the events themselves. In Quarantellli’s typology, disaster (1) are sudden-onset occasions, (2) seriously disrupt the routines of collective units, (3) cause the adoption of unplanned courses of action to adjust to the disruption, (4) have unexpected life histories designated in social space and time, and (5) pose danger to valued social objects. This definition has been followed by many scholar, as can be seen from literature. Although it has root in classical period research, it has added it significant features and developed much more further. Another approach to define disaster in socially-focuses direction is focus on cross-national or cross-cultural aspects. It emphasized the social structure of the definiton. In brief, these scholars see the definition in social relations angle. The 2 things that make it different from classical period approach are it characterizes disaster as a social disruption that generated from social structure and might be remedied through social structural manipulation s (Perry, 2007); and social structure can be seen as social change â€Å"analytically frozen at one point in time† (Quarantellli, 2005a, p.340). By listing up the 3 main areas of disaster definition approaches, in the end, author tried to assess levels of consensus between them. He emphasized on Quarantelli’s paradigm of disaster research with two main ideas as follows: disaster are social phenomena, and disaster is rooted in social structure and reflects the processes of social change. This paradigm again reiterates that event itself is not yet a disaster, it have to based on social aspect. Furthermore, it lead to the vulnerability aspect. Beside this, another consensus is the magnitude of disaster should not be measured by the losses of people or property, but by the failure of the normative or cultural system. It also showed the consensus of issue of resilience. The consensus of social disruption and emergent norm thingking has still remained. Finally, effort on defining disaster also focus on its social time and space rather than physical time and space. Meanwhile, there are also disagreement about these definition, as what kinds of characteristics should be included, the problem of taxonomy, and other issues. In an efforts to solve the problem of categorizing, Quarantelli (2005a, p333) distinguished disasters, catastrophes and crises. Boin , Stallings, and Rosenthal differentiated disasters and crises. As Quarantelli aruged, attention should be paid for classification systems. The taxonomy is the significant issue that researchers need to deal with in order to effectively examine disaster phenomena. In the end of the paper, researcher proposed agenda for future research. Here again he reminded reader of how important the role that definition plays in the field. There are many of empirical work, but conceptualization still remains unsolved. Lacking of this important point, the field will be fulled of individual research but without a systematic view. He also mentioned the concern of taxonomy, as the classification systems still need to be examined carefully. In conclusion, author has fully synthesized the development and different approach when defining disaster – a basic and central part of disaster research. By providing 3 main traditions of research in disaster definition, the consensus in term of disaster’s characteristic has been explained thoroughly. Moreover, he also proposed the problem remains in the field, as further research should pay attention to conceptualization issue and classification systems. Only by doing this that research can solve the problem of definition, reach closer to the consensus in the field. This paper gave reader the insight into the field, since they can get the broader view of disaster research. The second paper we need to take a look at in order to have a general view of disaster research is The social science study of disasters and mass communications written by E.L. Quarantelli (1987). In this paper, the author has summarized the previous reseaches on social disaster research to depict the present overall state of knowledge. Therefore pointing out the focus of research field, analyzed significant themes of researches through the number and research orientation of studies. He also synthesized the studies related to mass communication in disaster research and finally proposed the way for future research Quarantelli (1987). Plagiarism As trying to provide a overall view of past and current research, he summarized the development of research field. Although the first systematic social science disaster study has ever been undertaken was started from 1920, until the end of World War II that social and behavioral research of disasterous events started to have any continuity and began to accumulate a body of data (Quarantelli, 1987). He chose it as a starting point to evaluate the pioneering efforts of research. At that time, there were 3 organizations that made great contribution to the establishment of fundamental basis. It was National Opinion Research Center (NORC), Disaster research group (DRG) and Disaster Research Center (DRC). Though there was a little discrepancy between research object of these organizations, caused by their differences in research orientation. For instance, NORC paid most attention to reactions of victims, while DRG focused more on group behavior. Despite of that fact, their shared the common feature at research entities that studied both natural and technological disaster and the reseearchers were mainly sociologists. Moreover, beside the victim, transmission of warnings message of potential disaster was also attracted attention from researchers, while little attention was paid to mass communication organization, both from theoretical and empirical studies. When conducting the research about warning message transmssion of media, warning process was the main purpose, not the operation of mass communication. The author emphasized on the unequal coverage of research, since it paid very little attention on institutional area. The reasons provided for this kinhd of dispropotionate research were the problem of methodology because it is hard to apply audiences quantitative method towards mass communication systems and the funding agencies. Another dominant feature of research at the pioneer studies was they did not recognize the â€Å"dual role† that mass communication plays in disasters. They just focused on the reporter role, furthermore, emphasized on the doubt of its validity when reporting disasters, known as disaster mythology. By doing this, they neglected another role that mass communication plays – the role of major organizational actors in preparing for and responding to disasters. Depart from the pioneering efforts, after 1960s, it marked a next stage of disaster research. It has been a remarkable development of both number and scope of research in compare with the earlier period. The author highlight some major themes found in research findings and observation to synthesize the knowlege gained by social science researchers in term of individual and groups’ behavior that mass media reports in emergency time. Therefore, pointing out the part remains little or unexplored, to suggest recommendations for further research. There are two main themes, covers individual and organiztional behavior. Individual behaviors are described as showing the strong ability to adapt to extreme situation of survivor, their actively behavior in rescure efforts, their stable mental health condition, their choice when choosing friend, family’s place rather than public shelters. Scholars (Fritz, Barton, Dynes, Drabek, Quarantelli and Kreps) concluded that victims absolute ly have ability to deal well with disaster. There is a very high consensus that these behaviors are very different from what media report about victim during emergency time. The image of victim behaviors depicted by media is panic, passive, go crazy, lose control, searching for public help. The discrepancy between reality and media report and audience belief is characterized as the â€Å"myths† of disasters (Quarantellli and Dynes, 1972). The second theme is also related to disaster myths, it is description of organizational behavior in disaster time. As conveyed from media report, organizational behavior can be seen as effective, almost indispensable, there is a strong emphasis on the critical role it plays in disaster situation. However, the actual behavior of organizations which was examined by the researchers shows a sharp contrast. In reality, orginizational behavior is ineffective, and even have negative effect in rescue process, as weak ability of managing effort and poor decisions made by public and private bureaucracies (Quarantelli, 1985a). In brief, these two research themes of individual and organizational behavior which relate to disaster myths show the discrepancy between actual behavior and image conveyed by media report. Hence, mass media is responsible for not framing the false image of behavior in emergency time. In searching for explanation, some researchers have stated that mass media personnel ten d to take a â€Å"command post† view of disaster (Quarantelli, 1987). Through looking closer to a series of specific studies, the author reiterated the limited number of researches about mass communication in disaster research. Although research in Japanese, French have a slightly higher focus on mass communication, in comparison with research in English langague, the quantity of research regard to mass communication remains small. He also listed some unexplored questions and research areas, such as research relates to operation of naitonal systems in disaster, functioning of cable system, disaster-relevant aspects of magazine productions (Quarantelli, 1987). The disproportion of focus between print media and electronic media is also a problem need to be examined. After listing the specific studies, he concluded that there is a prominent increase in number of empricial research on mass communications and theoretical formualtions efforts in term of mass media operations in the filed. The researcher also proposed the factors that contributes to this acce leration. (Perry, 2007) References Perry, R. W. (2007). What is a disaster? Handbook of disaster research (pp. 1-15): Springer. Quarantelli, E. L. (1987). The social science study of disasters and mass communications. Quarantelli, E.L. (2005a). A social science research agenda for the disasters of the 21st century. In R.W. Perry E.L. Quarantelli (Eds.),What is a disaster? New answers to old questions(pp.325–396).Philadelphia: Xlibris. Quarantelli, E.L. and Russell Dynes (1972) When disaster strikes. Psychology Today 5: 66-70. Quarantelli, E.L (1985a) An assessment of conflicting views on mental health; in C. Figley (ed) Trauma and Its wake (pp. 173-215). New York: Brunner Mazel.

Data Essay -- essays research papers

1. Data is something known or assumed. It is anything that fits into a DSS and is valuable. Three examples are grades for a class, a picture of wallpaper, or word of mouth about a new product or company. 2. Words, pictures, and numbers. 3. Information is acquired data that is derived from data and anything that is summarized in numerical or graphical. Information is used for "informing" some one about something. An example of information is a net income on a balance sheet, the average of grades for a class and a graph of how many people use a certain product. 4. Normative approach, subjective approach and realistic approach. The normative approach is when the DSS provides the information that a decision maker wants in order to make a particular decision. This states that the information should meet the guidelines for making the decision. The subjective approach is when the DSS has information that the designs thought would be useful. This does not mean that the information will be useful. The last approach, realistic, is when the designer asks if the decision maker will use this information or not. Each approach has its own useful data. The realistic approach is the better of all the approaches because it takes into account what the DSS will be used for and puts in the needed information. The other two approaches do not put in the information that is needed. 5. The characteristics of useful information is as follows: { Timeliness : information is up to date and st...

Difficulties and Barriers When Applying E-Commerce in Vietnam Essay

There are many difficulties when applying e-commerce into Vietnam. The first one is that there are only few end users in Vietnam have used credit card in their lives. It is because of the tradition of using cash. In addition, Vietnamese people used to do merchant in face-to-face fashion and most of the transactions are paid directly by cash. The second one is the Internet usage is still not widespread and not popular in general. It is because the Internet and telecom charge are still very high, especially in comparison with the salary of common labor. Moreover, the living standard is still low, GDP per capita of Vietnam is about US $1411 (data of World Bank 2011). Last but not least, the financial system needs to be changed to support Internet buying and selling with or without traditional invoices (traditionally, business invoices are issued and controlled centrally by the government, with unified forms). While Vietnam is still a developing country, startups, especially for small and medium enterprises, have to face with many difficulties to set up e-commerce in business as well as barriers when running on it. Below are some main barriers to e-commerce adoption by SMEs: †¢High costs of e-commerce implementation †¢E-commerce is too complex to implement †¢Organizational resistance to change †¢Lack of technical skills and IT knowledge among employees †¢Lack of time to implement e-commerce †¢Lack of suitability of electronic campus for products/services offered by small businesses †¢Lack of awareness of e-commerce benefits †¢Security concerns/lack of trust †¢Lack of financial resources †¢Lack of senior management support/enthusiasm Vietnamese is still inexperienced in Internet dealing with foreign companies. It is showed up by the growth rate and the problems which have occurred in reality which Nhommua. com is an example. The following parts will describe more about this issue. Case study of Nhommua. com Brief introduction about Nhommua. com Nhommua. com, which was established in 2010 under M. J Group in cooperation between IDG Ventures, Rebate Networks and Ru-net Global with a total investment of $60 million, is a business on group sales discount. This company was a pioneer with its first running e-commerce in Vietnam at that time. According to the company’s survey, after one year of operations, the business took 60% of market share. The monthly visitors of the web page are 4 million. There are thousands of customers and millions of vouchers sold. Nowadays, Nhommua has to share the marlet with many other competitors but it still keeps the first rank in the market with the market share of 35. 37%. At the third quarter of 2011, Nhommua. com achieved good results in sales, but made little profit. That’s the reason why investors have worried a lot and are attempting to get back their investment. There was a scandal inside of the management team leaders which caused the business to close in a short time and damaged their reputation. Products and services: Diversified products and service are traded on Nhommua. com. Most of the products and services are in the food industry, functional foods, cafe, spa, dentist clinic, travel, clothes, fashion stuffs, home linen, interior, etc. Due to this diversity, the quality and original of products and services sometimes are not accredited. Some customers had complained in some forums that they were not satisfied with the quality of products they bought. It was not mentioned clearly on the web of Nhommua about the original and information of products then it caused confusing and unpleasant to customers after use. Even some information is not reliable. For example, a voucher of a dentist service did not mention clearly about service charge or additional fee but when customers came to use this service, they had to pay more fees which they did not aware in advanced. Nhommua has created very good deals for both producers and customers. Firstly, in the producer’s side, Nhommua helps to bring back more customers than usual or it is a good chance for producer to have more new customers database. With a good price, it creates demand of customers. It is also a good chance to build up branding by promoting. Secondly, in the customer’s side, Nhommua offers chance to use a cheaper price of product or service. It arouses the potential need of customer. Customers have many chances to buy at a cheaper price for a product that they want to have. Discount may be up to 90% if there is a big group agreeing to buy this product. It is a very attractive price for customers. In contrast, producers have to agree on reducing price much. It sometimes means that to have more new customers, producers have to reduce the price and get less profit in the mean time even get non-profit. Procedure of trading on Nhommua. com Those customers who buy vouchers to get discounts may find a lot of choices. It is easy for customer to buy vouchers online by signing up for an account, choosing the product or service which is available at open selling time, clicking on the buy icon and filling in the necessary information to make sure Nhommua can reach the customer. The deal will be done within 72 hours. There are three method of paying for the deal. One is the customers pay at home when using home delivery. For this way, customer may sometimes have to pay a shipping fee if it is not in the free shipping area. Customer can also purchase a voucher directly at the Nhommua office. The last method is paying by online banking. Below are the figures of signing up an account on Nhommua. com and ordering for a product or service: It looks simple to sign up and order on Nhommua. com but still lacks of reliable information. First, it is difficult for Nhommua to make sure that all orders are reliable. Because to get the good price of a product, that the amount of customers agreeing on this price is high. It may cause some fake orders to increase of this amount of agreed customers on good price. There is no commitment between customers and Nhommua or producers. During the time of the scandal inside the company which caused to close the company in a few months, without any commitment, there were some arguments about the most important thing in business which is Trust. This caused a bad image on e-commerce business and Nhommua after this scandal lost a lot of customers.

Actus Reus and Mens Rea Essay

The elements that constitue mens rea, namely: 1. The accused knew what they were doing 2. They knew what they were doing was wrong (legally) 3. They were in sound mind to choose whether or not to do it 4. They chose to do it anyway. If any of these 4 are not present, then mens rea is not complete, and the person can be found not guilty (including pleading insanity). Furthermore, there is a category of offences known as â€Å"strict liability offences†, for which there need not be any evidence of mens rea i.e. you can be found guilty of commiting a crime even without knowing it. This includes offences such as dog fouling, breaking the highway code etc. Essentially, it says that ignorance of the law is no defence, you’re guilty through the actus reus alone. On the other hand, often the opposite is true, mens rea in itself can lead to conviction i.e. if it was proved that a person was planning/intending to commit a crime, they can be convicted without actually having â€Å"done† anything. Usually, this takes the form of fulfilling an offence in itself e.g conspircay to commit murder. This has a great deal of importance today; if someone purchases a load of chemicals and mixes them to create explosives in their home, the law doesn’t have to wait for tem to blow something up before they can be convicted of terrorism. If you’ve seen the film â€Å"Minority Report†, you’ll know the dangers of taking this to the extreme. Broadly speaking, in criminal law, it must be proved beyond reasonable doubt that a person pposessed the relevant mens rea and committed the actus reus on order to be convicted of a crime. However, to cope with the variety of offences, to encourage awareness of the law and to ensure that the law has a moral element in its operation, then the two doctrine can stand on their own to lead to a conviction.

A Dolls House Essays (1242 words) - Films, British Films

A Doll's House Essays (1242 words) - Films, British Films A Doll's House The events begin to succeed each other more and more rapidly and the circle begins to spin around her. We find that, for saving her husbands life, Nora has committed forgery and Krogstad is ready to use this information in order achieve his goals : ()if I produce this document in court, youll be condemned.(791) This element gives us a hint of women condition in a deeply- rooted man thought society . In addition, Dr. Rank, who had a lethal disease, confesses his love for her : You know now that Im at your service, body and soul.(802) All these events make the circle tighten and spin faster around Nora, who can hardly resist to this pressure and seeks the relief in wildly dancing the tarantella, a dance wich she transforms into a life and death one. This dance can also be viewed as an one of the key element that permits us to say that shes passing from a state of passive victim to a n early state of active agent : Nora dances more and more widly. Helmer stands by the stove giving her repeated directions as she dances ; she does not seem to hear them. .(808) All the other charactersreactions, words and attitudes form the chain wich unbearably surrounds Nora and wich she will finally break, liberating herself from the lie she has been living in for many years-she firmly tells Helmer her decision : I cant stay here with you any longer (...). Im leaving here at once.(821) In addition to this intimate inter-independence between Nora and the other four important characters (viewed as a whole), is the complexity of Helmers wife as a dramatic personage.Compared to the others, Nora is the most round character, one who we see evolving, in contrast with Helmer or Dr. Rank. More precisely, we discover two forms of evolution of this personage : 1.an external one, produced in the readers mind, as he discovers the purpose of her always asking money to the husband and having a toy attitude with him ; 2. and the second evolution, more profound, wich implies the inner transformation of the character, tired of representing someones toy and desiring independence. The beginning of the play presents us a squirrel-like(775)woman, always wanting to please her husband in order to get money from him. She voluntarily accepts Helmer comparing her with a little animal and even seems to identify with this image : Ah, if you only knew how many expenses the likes us sky-larks and squirrels have, Torvald(777). Nora appears completely submitted to her husband, ready to accept whatever he would say or do : I would never dream of doing anything you didnt want me to.(777) in order to satisfy her ( apparent) only preoccupation : You could always give me money, Torvald. (776) The fog and confusion wich surrounded her and her attitude begin gradually to disappear as we find out that she had borrowed money to save Helmers life and she saves almost every penny her husband gives her in order topay the debt off. This stage of Noras external evolution enables us to see a woman who deeply loves her husband, but who is not strong enough to fight against his prejudices : Torvald is a man with a great deal of pride- it would be terribly embarrassing and humiliating for him if he thought he owed anything to me.(782) Moreover, she prefers fancying about a rich man who would give her the money she needs( a psychological escape from the constraints she lives in) than facing her husband. The two evolutions begin to coincide from the moment when Krogstad threatens Nora with telling Helmer that she has committed forgery. We feel that something begins to change when contradictory feelings invade her- love for the children, for the husband, and the desire to commit suicide : () never see the children again()Oh, that black icy water.Oh, that bottomless !(817) On the other hand, she would do almost anything in order to regain her old lifestyle(that of a dollwho passed from the fathers hands into that of the husbands). The transformation seems to end with the firm decision to throw herself into the water after Helmer would have found out the hidden truth : Now you must read your

Financial Analysis Essay Example | Topics and Well Written Essays - 1500 words - 1

Financial Analysis - Essay Example The global systems insurance agency start-up budget was $2,345,000 which entails four critical sections that must be available for the implementation process of the project. Employees and payroll taxes amounted to $1,600,000 under administration costs. The start up of this sophisticated business project called for different kinds of skills and expertise in the field of technology to enable the implementation of this project successful. Their efforts and sacrifice of their time were compensated in monetary value. The computers, repairs, services, maintenance and depreciation accumulated to a cost of $98,000. Due to unfavorable conditions that some computers were in, more computers were purchased and upgraded to improve technology of the SYPRO softwares. Their implementation cost was $597,000 which was broken into specifications of online software cost $500000, testing cost $60,000, training cost $25000, and SYPRO support $12000. In the standard preparation of budgets, there is always a provision for miscellaneous expenses that might be incurred and, therefore, a total of $50,000 was catered for these expenditures. The above costs were only budgeted for the beginning year of 2014. The figure below shows the start up Budget for the first year. Our respective income and expense statements replicate our financial positions of a year before the implementation of the SYSPRO software. They also clearly show a year prior to the implementation and the financial positions of the three years to come. It should be known that the projection of the future financial positions of subsequent years was based on the present performance data for financial analysis. For an efficient and sufficient implementation of the SYSPRO softwares, an ample start-up capital is required for the research and development expenses. Our initial capital for the SYSPRO implementation was $597,700. The

Human resource performance Essay Example | Topics and Well Written Essays - 750 words

Human resource performance - Essay Example As coaching managers, they have to pay attention to the behaviors, values and skills that are linked to the desired outcomes by the organization. As the senior manager, I will emphasize on the need for listening as this aspect is counter-intuitive. For instance, I would ask the managers to meet with the employees or even the supervisors and managers so as they discuss the difficulties they encounter. Through sharing their points of view, these parties develop rapport; thus, accommodate each others point of view. Additionally, I will plan to focus on the behaviors that need to be changed. I will highlight these change areas in meetings. For instance, I will clearly highlight that use of unwanted language is unacceptable in the office, with specific examples that some employees or even supervisors used. Through explaining this out rightly to the employees will reduce chances of reoccurrence of the same as the particular individuals with these behaviors will know that have been identified from the crowd (Bacal 162). As the senior manager, I will focus on the need to explain the importance of interpersonal relationships in the workplace. As argued by Bacal, performance can only be attained in an organization only if another people’s interests are identified and respected (155). In this case, chances of verbal abuse will be minimal as the managers will instill the feeling of co-working in the entire workplace. None of the employees or supervisor will, therefore, take up a perfectionist role; thus, reduction of hostility and an increase in the employee relations (Weintraub & Hunt 112). In terms of increased turnover, I will train managers on the need to be more patient while hiring and not do it out of mere desperation. Gathering adequate information on an applicant is vital for the long term success of the company as the manager will hire the best person from the list of

Summary Essay Example | Topics and Well Written Essays - 500 words - 111

Summary - Essay Example The movie is persuasive in indicating the way powdered milk originating from America destroyed the Jamaican fresh milk industry. Moreover, the documentary shows the way the existing market for Jamaican bananas, which is England is under threat from Chiquita-Dole-Del Monte forces who consider a single Jamaican banana not under their control to be too many. The documentary shows that subsidized Idaho potatoes to be bankrupting Jamaican potato farmers; moreover, McDonald’s is reluctant in purchasing local meat; as well, the documentary shows sweet onions from Jamaica to be underpriced as American onions are sold at a loss (Life and Debt: Documentary). The documentary goes ahead to show that one scheme aimed at helping the Jamaican economy was the establishment of â€Å"free zones† within fenced manufacturing areas where workers are paid meager $30 a week to assemble goods that only arrive and leave by container ship out of the country. The documentary indicates that labor unions are banned while the working conditions are subhuman and when people strike, they are forced to go back to work at gunpoint; moreover, the worker’s paychecks are taxed for services that do not seem to exist such as health and retirement schemes. The documentary shows that once the peasants were ruined they turned up in Kingston and became a cheap source of labor. A scene in the documentary shows a Jamaican hotel guide warning vacationers to watch out for thieves when strolling around in the streets. Most likely, the thieves were young people who were forced to flee to the city in search of the nonexistent jobs. The only job the portrayed by the documentary to be expanding during this time is the security guard business because young men without other job opportunities are trained to be guards (Life and Debt: Documentary). Life and Debt: Documentary look at the effects of globalization on Jamaican industry and agriculture.Dir Stephanie Black. Perf

British Political Structure Essay Example for Free

British Political Structure Essay The british political system is made up of houses of parliament and regional assemblies in Scotland, wales and northern Ireland. where members of parliament (MP’s) discuss four main issues legislation, representation, investigation and financing. The houses of commons The houses of commons is part of the process of british politics. The house of commons currently holds 647 mp’s in parliament which act as a political forum for Britain. Where MP’s can scrutinise, examine and react to the government polices and actions. After having a debate on a certain issue the commons will vote on how to deal with the issue. MP’s are voted in from 647 consituencys in the general election which takes place every five years. the biggest party majority of mps currently labour will form a government. MP’s are seen as having constituency intrests and responsibilities. Which means they ask questions and raise matter in debate concerning the problems of their consistency. The issues from MP’s constituencys are often raised in local meetings and letters from their consituants. Although the political impact of this nationally will be limited locally it be significant in addressing problems. The commons also deals with public petitions, which are debated over if urgent. Petitions are increasingly popular way of getting an issue public attention and is the only way voter can address issues to parliament. The house of lords T The house of lords currently consists of two parts, the Lords Temporal and Lords Spiritual. Lords Temporal include life peers and hereditary peers. However due to on going reforms of the role of herditary peers in the house of lords. The Lords Spiritual represent the established Church of England and consists of 26 members, the Archbishops of York and Canterbury and the 24 most senior Bishops of the church. It currently acts to review legislation formed by the House of Commons, with the power to propose amendments, and exercises a suspensive veto. This allows it to delay legislation if it does not approve for twelve months. The House of Lords is currently also the final court of appeal on civil cases within the United Kingdom although cases can then go on to the European high court for appeal. National assemblies Though the UK parliament remains the main parliament, Scotland, Wales and Northern Ireland have assemblies. All three assembies are elected by proportional representation instead of the traditional system first past the post. The devolved governments have some legislative powers to deal with issues in their country however issues involving the whole united kingdom are still controled by the houses of parliament. they can also have their powers changed by an Act of the UK Parliament. How laws are passed The government is responsible for the majority of new laws. Individual MPs and opposition parties can suggest laws but do not have the time or the support to put laws through parliament. parties usually announce new laws and amedments in there manifestoes for the general elections. The government firstly publishes a Green Paper, A Green Paper is a period of consultation where the government seeks feedback and ideas from specialists, senior members of government and the general public. After the consultation is over, the government will then publish a White Paper. The white paper is how the government states its intention to introduce the new legislation. When the government has decided on the white paper and if it should become legislation they will introduce a parliamently bill . As the bill progresses through parliament, amendments are made which affect what the final law will be. After being debated in the commons the bill is then passed on to the house of lords. the house of lords considers the law in detail and will either pass the bill on for royal assent or denial the bill and send it back to the house of commons to be debated further. The current voting system in local and general elections is called the first past the post system. There are 659 separate areas across the UK each electing one MP. In order to vote you must be eighteen although there is on going debate to bring it down to sixteen so that their be a bigger percentage of voters. Uk citizens who are currently in prison have there right to vote suspended. The general election takes place every five years and can be called at anytime by the current government within the five years. www. Voting takes place in voting stations in each constituency, to vote you must place an ‘x’ next to candidate you like to elect and place it in the ballot box. this process is also a secret ballot to make the voting system more democratic because it doesn’t give any party candidate an advantage and stops any votes being influenced. The candidate with the most votes regardless if the candidate has more than 50% of the vote will become the MP of that constituency. the party with the most MP’s is then elected into government. For example here are three main national parties. Candidate A (labour): 22,000 votes Candidate B (Conservative): 17,00 votes Candidate C (Lib Dems): 13,000 votes In this example, the clear winner is Candidate A with a majority over candidate B of 5000. In the example above, 22 000 voted for the candidate that won that election howver 30 000 voted against the winner therefore the party doesnot have to support of the majority. (www.gaurdian.co.uk) Positives of the first past the post The first past the post is a cheap and simple way to hold an election, as each voter has to place one cross on the ballot paper. Counting of the ballot papers is usually fast and result of a british election is usually known the very next day after polling. The first past the post system creates clear majorities for one party this prevents coalitions for forming which could give extremist minority partys influence on how the countrys run. (www.bbc.co.uk) Negatives of the first past the post there is only one MP elected per area so the people who did not vote for that candidate there views do not get represented. The voting system can put the public off voting because if they vote for smaller parties its seen as a wasted vote and will not make a difference, however if we adopted propostional representation smaller parties will have more of a chance of gaining more seats. The first past the post system works very well if there are only two parties running for an election. but if there is more than two parties running for an election the system becomes unfair on the smaller parties, due to the fact the system works on most votes gained. If we adopted a proportional representation system this would create a fairer voting system for all political parties. (www.bbc.co.uk) Political theorists Charles kenedy commented on the current voting system in may 2005 stating, â€Å"The door is open as far as we are concerned on voting reform.† The Prime Minister could pick up the phone tomorrow if he wishes. Clearly we would be interested in creating a fair voting system. â€Å"The strains on the first-past-the-post system are getting too much, Labour got 130 more seats than their votes entitled them to. The Liberal and other parties received half as many seats as they should have got. One and a half million votes were cast for parties who didnt win a seat, including the Greens and UKIP. (www.independant.co.uk) Nick Herbert, the Conservative constitutional affairs spokesman recently commented on the voting system in august 2007, â€Å"This leaked copy of the review blows out of the water the case for changing Britain’s tried and tested electoral system. The Government’s own report admits that proportional representation has caused voter confusion and not increased turnout. And it says that Alternative Vote would produce even more disproportionate results than any other system. I fear the real reason for the delay in publishing this review is Labour trying to fiddle the dossier. This Government has repeatedly meddled with the electoral system for partisan advantage, undermining public confidence in the integrity of the ballot.†

The Vietnam War: Defeating the US

The Vietnam War: Defeating the US Why did the Vietnam war happen? Why didnt we just back down?. I think that he United States could have won this war, with a mixture of better weapons usage, better moves, and better support from their home country, this could also have even been prevented. Before the war, Vietnam was a disputed territory. Many countries countrys in the past had taken Vietnam over, and after World War II, Vietnam was in the hands of France. Clearly, the Vietnamese wanted their own country, and their long history of being a colony prompted the oppressed people to fight for their independence in the French Indochina war. Ho Chi Minh, the leader of the Communist party, organized the Vietnamese independence movement, Viet Minh. Asked for support from America first, since that leader didnt want to use communism to free his people. The United States looked helping Ho Chi Minh gain his independence from France as a move against their own allies, they declined. It was only after Russia and China offered to help that Ho Chi Minh adopted communist ideals and wanted to make all of Vietnam communist. The Vietnam war started because communism was going to expand into Korea and eventually into other countrys. America didnt want that. If the United States had looked past its alliances and not helped another country gain its independence like we had gained ours so many years ago, this war would have been completely avoided. Unfortunately for the families of over 58, 000 soldiers, it wasnt. this began as early as 1954, the United States started sending financial and military aid to South Vietnam, hoping to stop the spread of communism. The flow of military advisors from 700 to over 14,000 built up steadily through John F Kennedys presidency, and after he was assassinated, Johnson escalated the war to the point of no return. American people were so scared of communism that they were willing to do anything to stop communism where it started. The people of the United States let Johnson build up a huge force in Vietnam, and he was also almost unanimously backed by congress. By the end of the war, Johnson was so ashamed that he didnt even try to run for reelection. If the Americans would have stopped and thought about wh at they were getting themselves into and not jumping right into it, we would be ok. In 1964, the event that all war hawks wanted happened. In the Gulf of Ton kin, several Viet Cong torpedo boats reportedly fired on a U.S. vessel. Even though the American ship sustained no damages, Johnson drafted the Gulf of Ton kin Resolution, which authorized him to use any force necessary to beat back the North Vietnamese. Congress never declared war or even directly authorized troops, but Johnson somehow got to declare it. Early in the War At first, Johnson didnt let the problem go into the air, because he was hoping to destroy Viet Cong. He used planes such as the B-52 bomber and the F-4 Phantom to try to win the war as quickly as possible. Unfortunately, the United States air power had many shortcomings. The F-4 Phantom was the latest and best technology out there during Vietnam War. Manufactured by McDonnell-Douglas, this plane was capable of multiple roles, as a dogfighter, bomber, recon, and support aircraft. But, the F-4 had its some problems. First, the engineers who desi gned it did not mount any type of gun on the F-4A through the F-4D, thinking that the Phantoms frightening compliment of missiles could take out any enemy threat. This wasnt the smarted move. Not having a gun made the dog-fighting role of the Phantom extremely hard, because the AIM-9 and AIM-7 missiles were not as effective at closer ranges against the enemy MIGs. Only after almost 2 years was the F-4E Phantom fitted with a 6-barrell gatling gun. Also, many pilots were not trained very well, only having 6 weeks of training as opposed to the normal 1-year. The B-52 Stratofortress was the largest bomber ever made at that time. We should have used it wisely There were also negative sides to the use of the B-52. During World War II, the allies could depend on destroying the industry of their enemy, eventually destroying its fighting power. The VC did not count on industry and big guns, but guerrilla tactics and small arms weapons. The U.S. also thought by using a lot of bombs and by using napalm, the enemy would be scared and finally give up. Both of tactics proved to be wrong. The bombings got the enemy angry and brought the North Vietnamese closer together, instead of its actual goal. Napalm was also bad mistake. By using a flammable jelly which consisted of gasoline and some other chemical to make it think, they burned up all of North Vietnam, the United States not only killed more people than enemies, but also made people think was this the right thing to do? Anything that Napalm touched burned for up to a week. Another type of bomb was dropped by the B-52s, this one containing a large amount of the deadly gas, Agent Orange. Millions of acres of jungle were destroyed and even more fields and paddies were poisoned. South Vietnamese farmers complained about the effect Agent Orange had on their rice paddies. Agent Orange was supposed to eliminate the Viet Cong s advantages of there hiding places, but it only turned the people we were fighting for against us even more. Agent Orange also hurt us to, many of the Veterans ended up getting sick, like cancer and other deadly sicknesses. The use of Agent Orange was perhaps one of the worst mistakes made in Vietnam. If we just thought ahead, and figuring out the consequences of using weapons such as napalm and Agent Orange, the U.S. could have won the Vietnam War, mostly through the use of air power. During the Vietnam War we dropped more bombs than in any other war, this would make you think that we should win because its easy. Sadly, ethical problems and lack of planning made it impossible to settle the war in the air, making the U.S. invade with ground forces. President Johnson chose General William C. Westmoreland to command the land forces. Westmoreland commanded over 500,300 troops at the high point of the war, and was still unable to defeat the Viet Cong. But there were many factors that contributed to our shocking defeat on the ground in Vietnam. The first and foremost was the difference in tactics. The Viet Cong was ruthless soldiers, who, even though sometimes poorly trained, fought with a lot of drive and pride. The Viet Cong used something called guerrilla tactics. They would get children, to join use babys as bait for booby traps, and other unethical things. These were a few deaths that the U.S. soldiers had. Also on the tactics side, the entire U.S. consisted of sea rch and destroy missions. Search and destroy missions involved a group patrol, (usually 15-30 soldiers), going out of the home territory and finding and killing the enemy. Unfortunately, the booby traps placed by the Viet Cong and the fact that they knew the land meant that they could hide well. They took advantage of that and so U.S. soldiers died a lot from that. If the United States only thought about what they were getting them selves into and realized the consequences then they would have probably not gotten involved. Either way I do believe that if we didnt help out the other country that, they would try to get back at us in a some way. But the amount of people that died, and the amount that got sick was really just unnecessary. But since we did get involved we should have just stuck with fighting in the air. That was our strength at the time and we should have taken advantage of it. Compassion in Medicine | Reflective Essay Compassion in Medicine | Reflective Essay Advancements in medical technology have given rise to medicalization, a process where ‘non-medical’ problems have become understood and treated as ‘medical’ issues.1 This potentially objectifies humans, leading to â€Å"deindividuation†2, where doctors identify patients by their disease or procedure. The distancing of doctor-patient relationships have been worsened by limited doctor-patient interactions.3 Humanization of medicine is critical to ensure patients receive adequate care because they are reliant on the doctors competence and good will.4 This is where the BH1002 module contributes to my development as a good doctor. It increases my awareness of patients’ needs and the complexities of the healthcare system. The essence of this module is encapsulated in three learning points: a) Professionalism; b) Communication in Doctor-patient relationships; and c) Patient safety. My role as a future doctor is to heal. Professionalism exemplifies the contract between society and medicine as it is the foundation of doctor-patient trust.5 In the BH1002 tutorials, I was exposed to three fundamental principles of professionalism, namely, the primacy of patient welfare, patient autonomy and social justice. Professionalism requires honesty with patients, empowering them to make informed medical decisions; it requires trust and having patients’ interests at heart; it involves equal distribution of healthcare resources to all patients.5 In my opinion, medical professionalism involves demonstrating humility and compassion. Modern medicine has established a culture defined by entitlement and conceit, and humility indicates weakness or false modesty.6 Having the confidence to tackle my insecurities is paramount to my development as a doctor. However, I am aware that self-confidence can develop into overconfidence as my level of clinical knowledge and skills increases. It can cause me to overestimate my capabilities, breeding incompetency and arrogance. As a future doctor, I strive to remain grounded and be accountable for my blunders. I will avoid finger-pointing when mistakes occur. Being humble makes me mindful of the limits of my knowledge, allowing me to recognize opportunities for improvement. I will consider things from my patient’s perspective, prioritizing the well-being of my patients. Humility and confidence are not mutually exclusive.7 To strike a balance, I will constantly evaluate myself in clinical encounters. Through introspection, I can work towards being a more gracious person. I understand that when I am tired, I may have a temporary lapse in humility and be rude to someone. In response, I will take time to apologize sincerely, fostering better work dynamics in the medical setting. Compassion is an important aspect of medical professionalism. It involves both empathy and the desire to improve the current situation. The Society for General Internal Medicine describes empathy as â€Å"the act of correctly acknowledging the emotional state of another without experiencing that state oneself.†8 In this module, I was taught to strive for detachment with my patients to ensure that my feelings do not hinder the quality of care I provide.8 Nonetheless, it is essential to be sufficiently vulnerable to my patient’s suffering. When my attention is focused on my patients, they will be able to feel that I care. In contrast, being emotionally-detached could be interpreted as being indifferent, increasing their suffering due to the lack of understanding. A study on the effect of forty seconds of compassion on patient anxiety noted, â€Å"The enhanced compassion segment was †¦ effective in decreasing viewers anxiety†9. Compassion builds trust between the doctor and patients, encouraging them to recall and disclose significant details about their conditions.8 Increased awareness of the patient’s situation allows for more accurate diagnosis and effective personalization of treatments, improving the quality of care.8 Patient satisfaction is increased, enhancing the doctor-patient relationship. I strive to exhibit medical professionalism by being compassionate. As a future doctor, I am responsible for the welfare of my patients. Having compassion will make me attentive to their needs. I can understand the situation from their perspective, and think about how I can ease their suffering. Consequently, my patients will not have to face their difficulties alone. The doctor-patient relationship is a keystone of care. Built on trust and compliance, it exists when a doctor serves a patient’s medical needs, providing support and healing.10 There were two key reasons taught on why effective communication is crucial: a) provision of quality care; and b) medicine adherence. I believe patients benefit most when there is mutual trust and respect – doctors set aside time to listen to their patients; patients provide information about their medical condition to the best of their ability and comply with prescriptions. This can only be achieved with effective communication. In the provision of better healthcare, it is important to focus on the medical interview between the doctor and patient. This is the main medium through which doctors gather information about the patient, make diagnoses and develop the doctor-patient relationship.3 During the tutorials, I was introduced to a famous painting, The Doctor by Fildes. The painting exemplifies the qualities of an ideal doctor. Despite the inadequacy of medical technology, and thus inability to save the patient, he remains by the patient’s bedside, providing reassurance through his presence. This is a huge contrast with the modern physician, who, because of the large number of patients to see every day11, is often unable to set aside time to stay by the patient’s side. In his book, Being Mortal: Medicine and What Matters in the End, Gawande laments the deterioration of care in the medical setting. He attributes it to the shift in focus to curing diseases quickly using modern technology, highlighting that â€Å"fast, solution-oriented care accounts for approximately one-quarter of Medicare expenditures†11. Moreover, the time spent on write-ups is threefold the time spent in direct contact with the patient12. This means that little time is spent on communication with the patient. For this reason, patients feel neglected and even more miserable when doctors are unable to listen to their emotional needs and address their concerns. What I wanted †¦ was a doctor †¦ who understood that a conversation was as important as a prescription; a doctor to whom healing mattered as much as state-of-the-art surgery did. What I was looking for †¦ was a doctor who is able to slow down, aware of the dividends not just for patients but for herself and for the system.11 In the introduction to the course, I was taught that doctors have an ethical obligation to prioritize the best interests of the patient. This means alleviating their suffering and minimizing patient dissatisfaction. When doctors take the time to listen carefully, the quality of information obtained increases, enabling a more accurate diagnosis to be made.3 In mastering communication skills, I can clearly explain my patient’s situation, preventing misunderstandings that may occur due to the lack of understanding of â€Å"basic health ideas, medical terms or medical information†13. I can provide emotional reassurance to those involved, facilitating the process of healing and enhancing the doctor-patient relationship. Medicine adherence refers to whether patients follow the agreed recommendations and whether they take their medication for the entire duration.14 Effective communication is the major determinant of compliance.15 Doctors struggle with communicating information effectively, as seen in a study that reported, â€Å"40-80 percent of the medical information patients receive is forgotten immediately and nearly half of the information retained is incorrect†15. In this module, I was taught the teach-back method to improve medicine adherence, which relies heavily on communicating information to patients in a way that is easily understood. In teach-back, patients are asked to describe the information taught. This involves them in prescription decisions and serves as confirmation that they understand what has been explained, such as the prescribed dosage of their medication. Patients can then make informed decisions regarding their use of medicines. By engaging patients in their care, they are more likely to comply with the prescriptions, leading to a higher quality of life and higher satisfaction.14 As a future doctor, I strongly believe that patients have a right to make decisions in regard to their health. This means that if patients refuse to take the prescribed treatment, that choice must be an informed one; if they accept the recommendation, I am responsible for facilitating the appropriate adherence to optimize the efficacy of treatment and reduce risk of side effects. Using what I learnt, as well as the â€Å"SPIKES† model detailed in WHO Multi-professional Patient Safety Curriculum Guide16, I will provide uninterrupted time for patients to share their concerns and ask questions about their conditions. This will help me understand my patients’ beliefs and assure them that I am listening. After which, I will provide the necessary information, in a comprehensive manner, using the teach-back method to check their understanding. This will facilitate shared-decision making, where patients can effectively voice concerns about aspects of the treatment they disagree with. This allows me to tackle the issue of limited health literacy of patients and negotiate a treatment they are agreeable with. A large proportion of the BH1002 module was spent discussing patient safety. I was exposed to the idea of human limits and reasons why healthcare systems fail. My greatest takeaway was being constantly reminded that doctors are not infallible. In fact, great doctors are people who expect errors to occur and take measures to prevent them before these errors can happen. Humans have limitations that can predispose them to error. Through the lectures, I learnt about memory constraints, confirmation bias in perception and selective vision. The recalled memory is reconstructed, changing according to what we perceive; we tend to seek evidence to support our decisions, even if the decision may not be correct; we do not notice when something unexpected enters our field of vision, especially when we are focused on something else. These cause difficulty multi-tasking and recalling detailed information quickly15, creating room for error. Now that I am aware of these limits, I will put in greater effort to reduce the impact human limits have on my patients’ health. I will use writing aids, noting important information immediately, reducing the reliance on human memory. This also removes the uncertainty that I could have remembered the wrong details. I believe this habit needs to be cultivated while I am a medical student. Therefore, I have begun with the lectures I attend, jotting down points raised by lecturers and reviewing them for greater understanding of the content taught. To reduce the risk of confirmation bias, I will make sure to gather information from reliable sources, analyze the data carefully before reaching a conclusion, instead of drawing a conclusion before finding evidence that tally with my opinion. In a medical practice study conducted in 2000, To Err Is Human: Building a Safer Health System, it is emphasized that to assure patients that they are safe from accidental injury, concerted effort by all professionals is required to â€Å"break down traditional clinical boundaries, the culture of blame, and systematically design safety into processes of care†.17 There are several reasons why healthcare systems fail. First would be the traditional intolerance for error in the medical setting. Doctors are held personally accountable even if the error was systems-based and beyond their control. The medical culture of blaming encourages doctors to underreport errors out of fear of disciplinary measures.18 The BH1002 module taught the importance of sharing the burden of guilt. If a doctor makes a mistake, sharing creates opportunities for everyone to review the problem objectively. Improvements can then be made to existing systems to prevent a repeat of the same mistake. I learnt about the â€Å"Swiss cheese model of system accidents†. This model compares the different levels on which mistakes occur with slices of cheese. Each slice represents a layer of defense against potential errors. In the real world, each slice has holes in different places, each representing a loophole. A catastrophe will occur when the holes align to permit an opportunity for accidents, directly bringing patients in contact with hazards.19 These lapses in defense arise from two types of errors. Active errors are unsafe behaviors committed by people that lead directly to a given error. Latent errors are errors that remain dormant in the system until ‘triggered’ by other events. These occur further away from the action itself, such as flaws in the healthcare organization or faults in the equipment used. Active errors are often unpredictable whereas latent errors can be prevented. The persons-approach, which focuses solely on active errors and individual blame, is therefore of limited benefit because it deals with errors only after they occur. In contrast, the systems-approach revolves around the idea that errors are to be expected and designs a resilient system to reduce the risk of incidence of error before it happens. The systems-approach is important to my development as a good doctor. It reminds me of the need to adhere to standard operating procedures in the medical setting. Simple practices such as hand hygiene can reduce the risk of spreading infections among patients. I understand that patient handovers are an integral part of the healthcare system. There are an average of 50-100 steps between the doctor’s decision to order a medicine and the delivery of the medicine to the patient, causing an overall 39% chance of error.20 I will do my part by making my case notes comprehensible and legible to prevent miscommunication between doctors. I will clarify expectations before undertaking any tasks and consult my superiors should I be unsure of any issues. When reporting critical laboratory results, I will use the read-back method, noting and correcting any discrepancies to ensure the relayed information is accurate. This will reduce the risk of harm brought to the patient. The healthcare environment is a very complicated one. In the beginning, I was fearful of the rigid and complicated hierarchies that exist. The BH1002 module has equipped me with the necessary knowledge of what it takes to be a good doctor, as well as how I can understand my patients better and ensure their safety. I believe being accountable for my actions is the best way to exhibit professionalism and help people. I look forward to overcoming the trials I will face as a doctor. I hope to become a doctor who can serve my patients and peers well, by providing quality care and becoming a pillar of support.