ASSESS THE CURRENT MOVE TOWARDS COMPETITION AND CHOICE IN HEALTH CARE Essay

ASSESS THE CURRENT MOVE TOWARDS COMPETITION AND CHOICE IN HEALTH CARE IN TERMS OF THE EFFICIENCY VS. EQUITY TRADEOFF - Essay Example It has been a key concern for policy makers to promote choice and competition, so as to increase productivity and responsiveness to consumers in healthcare. The western countries in Europe and the United States have embarked on renovating their healthcare services, to allow patient choice through availing price competition between the health care providers that customers can choose from. In the past, healthcare service had been a government dominated area, and in most developing countries it enjoyed a monopolistic position, with ability to provide a variety of services and capture the customer surplus in the market. However, today there are many private organizations that venture in the healthcare service as hospitals and pharmaceuticals, which are highly relying on modern technology to offer the customers quality service. As a result, this has made the cost, quality, and healthcare accessibility a legislative and policy issue that ought to be managed, due to the rising variation. Th e economic benefit of promoting competition and choice is to enhance competition pressure, so that private firms become more efficient, causing them to reduce costs of service and improve their services and products as a way of attracting clients, which is generally healthy and an improvement of the economy (Propper, 2010). New forms of health care financing and delivery have developed as a result of the competitive pressure for cost containment, to slow health care inflation and encourage clients to choose from the available relatively lower cost health care. Hospitals and physicians have been each forming mergers and joint ventures with their partners in the healthcare industry, hence influencing costs and bargaining power as they improve the quality of health care and its distribution to ensure equity in the society (Federal trade commission, 2004). Competition, Patient Choice, and Equity In health care, improving patient and user choices are perceived different in accomplishment of healthcare systems objectives. However, it has become a key concern for most nations so that they get to direct their future in health and public services in regard to patients wants. According to Fotaki, offering patient choice in England is viewed as an attempt to address the failure of the pre-existing policies that had been operational in providing equitable and high quality services to the population, while it is perceived as a way to achieve other desirable goals, for example reducing the waiting lists, hence not an explicit policy objective on its own merit (2007). There are numerous patient choice policies being developed in health care industries, but how efficient and effective they will be will depend on the adjustments they would have made from the past policies, and how attractive it would be to the customers in the already competitive market. The transition made so far is that the patient or user choice policies are been made based on the learned experiences in the previous policies. The health systems of most developing and developed countries are still been challenged in responding to the needs of the less privileged members of the society; therefore creating inequality when it comes to choice in healthcare and its delivery. Although the mergers and consolidation of health facilities and physicians have improved, it does not mean that the service being provided to some people, especially in the marginalized areas are similar to those being delivered in urban parts. The networks being formed have been effective to ensure equitable health outcomes, but the efficiency in health

Steady Oil Price Hike Essay Example for Free

Steady Oil Price Hike Essay The article about the rising oil price indicates two main economic concepts: first, â€Å"the rule of supply and demand†, and second, that† human wants is insatiable. † Oil is a natural resource and it is created by nature through thousands of years. Time is a very important element in the production of oil. Despite the fact that oil wells and rigs are discovered and/or pumped, still, the natural element of this product is very important. Going back to the relevant economic factors about rising oil prices, there is an unlimited demand for oil while its supply is getting scarcer. Aside from this fact, millions, if not billions, of dollars of investments are needed to have the black gold extracted, refined, and distributed. Everywhere oil is used. It is not only with the vehicles but also with all the machineries producing the goods and even food products that we consume on a daily basis. The second economic factor is the insatiability of humans in terms of their wants. Everyone wants this and everybody wants that. We all consume. We all want to acquire resources. This relates to the article in a sense that: (1) more consumption means more oil consumption; (2) in acquisition of wealth, natural and man-made factors happen in having oil prices rise; and (3) investors in oil trade would always go for a good profit margin while consumers would like to spare resources (money). The first factor is related to the explanation of supply and demand above. The second factor is important because natural calamities such as storm affects oil production but this all goes back to the fact that once the supply of oil is limited, and the demand is big, the market has to balance out and the only way is to raise prices. This benefit the â€Å"wants† of the investors who, in every situation, have their means in having their investments get a very good return. Consumers on the other hand, take their chance in acquiring cheaper oil as they want o save their resources in order to have extra left behind to acquire the rest of their needs and wants and this is explained by having their tanks full before the prices increase. Lastly, oil is not in market where fair competition rules. It is monopolistic. The major factor that makes it so important is its scarceness; its having limited supply with steady demand. Peer review on responses 1, 2 and 3 In the first response, the idea that oil is very vital in society is agreeable. The rest of the discourse of the article, however, is strongly disagreeable. First, in the point indicated that â€Å"the oil industry is an example of a perfectly competitive industry† and at the same time noting that â€Å"neither the firm nor its consumers decide on the price, rather the entire industry†. First oil is a product that triggers monopoly whether consumers like it or not. Second, the article contradicts itself: if the industry decides on the pricing itself, not the interaction of the oil firms and their consumers, this means that the market is â€Å"not free†. Not free means NO competition at all. Lastly, the article noted that â€Å"consumers never worried about spending massive amounts of money on oil during an economic struggle† and it is not true. Oil makes everything else expensive and it may be possible that no demonstrations are done against oil but against economic crisis, but it is important to realize that at least 70% of that crisis can be attributed to oil price movement: your cereal will be expensive once oil used in machineries producing it becomes expensive! Argument number two is also very good emphasizing the monopolistic characteristic of oil as a consumer product. The article even dwelled on deeply going into criteria of monopoly to establish the hypothesis, that indeed, this product is never a competitive product, in a sense that whether consumers like it or not, they are just forced to acquire oil out of necessity. The article is very â€Å"narrow† though. Maybe a little bit of expansion as to the idea of having it monopolistic and other related factors would even make the idea of the response more interesting. Lastly, response number 3 is a very good work. Admittedly, my response runs on parallel path as this one. It emphasizes the scarcity of the product, the inelasticity of demand, which is always there, despite the presence of supply or not. It focuses in the effect of transportation though, just like what was written in the article, not like what I have though to widen my perspective in reacting to oil-related write up.

PSY 301, Introductory Psychology, 2004, Exam 2 :: UTEXAS Texas Psychology

Answers to questions are at the bottom of the exam PSY301-Pennebaker Exam 2 –October 13, 2004 1. Genny knows a lot about birds. But, recently, while she was on a late evening bird watching trip she saw a bat for the first time in her life. In order to cognitively process the new information, she will first try to understand the bat by ___________ it into her â€Å"bird† schema but then realize that there are many key differences between the bat and a bird and end up _________________ the bat by creating a new â€Å"bat† schema. a. Assimilating, accommodating b. Schematizing, changing her attachment to c. Reducing, running from d. Bargaining, psychologically consuming e. Operationalizing, rationalizing 2. Theory of mind, or TOM: a. is mastered during the concrete operations stage and is considered an example of the loss of egocentric thought. b. is a sign of general intelligence. c. seems to be a learned ability. d. is a philosophical movement based on Descartes. e. seeks to understand how people behave based on their mental states. 3. Joe Bob has been in a close relationship with Chauntelle for two years. When she announces that she will be going out of town for work, he gets extremely nervous and upset, begging her not to leave. While she is gone, he tries to call her several times a day. When she finally returns, his first reaction to seeing her is anger rather than happiness. An attachment expert would probably observe that Joe Bob: a. never resolved the trust versus mistrust stage b. serves as an excellent example of Parental Investment Theory c. grew up with an anxious relationship with his mother and/or father that has resulted in his having a preoccupied attachment style d. may have had an insecure attachment relationship with his parents as a child but his current issues with Chauntelle reflect common insecurities of new adult relationships e. is a serious nut and that Chauntelle would do well to find someone who was a little bit more stable 4. Which of the following groups exhibit parallel forms of babbling as compared to normal children? a. deaf children of parents who sign b. children with dyslexia c. autistic children d. infant chimpanzees e. children with Down syndrome

The Lost Generation in Ernest Hemingways The Sun Also Rises :: Hemingway Sun Also Rises Essays

The Lost Generation in The Sun Also Rises The book The Sun Also Rises, by Ernest Hemingway is a perfect example of what life was like after the war. It was about unrealistic love of a young Lady Brett Ashley, and the post war adventures of Jake Barnes and his friends. "In an age of moral bankruptcy, spiritual dissolution, unrealized love, and vanishing illusion, this is the lost generation," and that is exactly what Hemmingway writes about in The Sun Also Rises. Jake Barnes lived a real casual life style. He is a writer that goes out with his buddies almost every night, and drinks. "Oh Jake", Brett said," we could have had such a damned good time together." His only true desire is a Lady Brett Ashley, he is madly in love with her but all he can do is sit back and watch her toy with the other men. Many times he has purposed his love to Brett, she loves him as well, but will not have a romantic relationship with him because her sexual desire is too great and Jake cannot have a sexual relatioship because he has no penis, it was castrated during the war. Jake was also an "aficionado" of bull fighting during one of his fiascos he and his friends and Lady Brett Ashley went to Pamplona. First Brett introduced her new fiance named Mike, a war veteran and a bankrupt drunk. Mike would later get on Robert Cohn's case for bugging Brett and acting like a stalker. Cohn and Brett had a brief fling in San Sebastian, but Cohn could not excpet that Brett had no emotional feelings for him and that love affair meant anything. Cohn doesn't realize that Brett is a permiscius lady. During that week, Jake, Mike, and Bill (Jake's Friend) relize how much they hate Cohn and they all start to antagonize him. While at the bullfights, Brett falls in love with a young "matador" named Pedro Romero, Jake helps her get involved with Romero, Cohn finds out and beats up Jake, and Romero, and then Cohn leave Spain and goes back. Brett realizes that she will only do Romero harm and asks Jake to take her away from him. It seems everytime Brett would get in trouble Jake would always come to the rescue, because he is hopelessly in love with her.

Employment Rights and Responsibilities Template Essay

Information about Employment Rights and Responsibilities ERR is a compulsory part of all Apprenticeship programmes to show that the Apprentice has had a full induction to the company or training programme, and are aware of those right and responsibilities that are essential in the workplace. Apprentices may be in the first job or be experienced in their role or industry, but this does not affect their ability to cover the knowledge required. How should it be delivered? The ERR knowledge has been presented in a similar format as the NOS and NVQ units so that it has the same flexibility as the NVQ. There are a number of evidence sources for ERR and these can include: †¢ Referencing evidence showing knowledge of the in-house company induction against the ERR requirements (e. g. Copies of induction handbook, with explanation from the apprentice where necessary) †¢ Collecting a portfolio of evidence, integrated with NVQ and Key Skills portfolios to prove knowledge. †¢ Some technical certificates include an externally tested ERR module, which will cover the ERR. How much evidence should I provide? We advise that the Apprentice should provide evidence showing their understanding of the company procedures and how these relate to the laws and regulations. However, the Apprentice should not be expected to provide large paper documents regarding any parts of legislation; we, therefore, suggest that evidence (e. g. company procedures, websites etc. ) should be sign-posted wherever possible and practical. What is included in this document? The document includes the required standards in the same layout as the National Occupational Standards are produced. This can then be re-formatted in to the same delivery method used by providers for the relevant NVQ. This also includes helpful resources, mainly in the form of website addresses for apprentices and employers to research any information that is not currently included in the company induction. What proof is required by e-skills UK? Once the candidate has completed the ERR, then the candidate, employer and training provider should sign the final page, and send with the Certificate Request form to e-skills UK. Please be aware that while this Unit appears in the same format as an AOC or Unit, it does not need to be assessed or verified in the same way as the NVQ part of the Apprenticeship. Anyone with the appropriate technical knowledge on the subject can be responsible for judging the evidence provided by the candidate. What is the difference between Apprenticeship and Advanced Apprenticeship ERR? While the knowledge requirements are the same for both levels, the Advanced Apprentice will be expected to have a broader knowledge of the ERR, and the employer’s responsibility in this. This should be in line with the greater depth of knowledge required for both the NVQ and Technical Certificates for Advanced Apprentices. Links to qualifications in the Apprenticeship frameworks The Employment Rights and Responsibilities links to other parts of the Apprenticeship frameworks and can be delivered alongside the other qualifications in an integrated approach. For example: †¢ The ERR includes areas that can be cross-referenced with parts of the NVQ, varying depending on qualification and units chosen †¢ Areas of the Technical Certificate will also cover parts of the ERR †¢ Key Skills can be integrated with an area of ERR or the NVQ to show knowledge of the subject (this will be particularly applicable to the Communication Key Skill) Employment Rights and Responsibilities These are the rights and responsibilities required for Apprentices, covering the relevant areas of employment law and workplace practices and procedures. There will be rights and responsibilities standard to all job roles and industries, and in addition, industry specific requirements. |The competent person can: |This will involve applying knowledge and |Evidence reference: | | |understanding of: | | |Rights |What should make up a contract of employment |During my induction into the course I was | |Show knowledge of your rights as an| |made aware of the terms and conditions of | |employee, and work in accordance | |working at Zenos and I signed a contract | |with them | |to accept and agree to the conditions. | | | |There is also a description at | |Responsibilities | |www. acas. org. uk which states | |Show knowledge of your | |†A contract of employment is an agreement | |responsibilities as an employee, | |between employer and employee and is the | |and work in accordance with them | |basis of the employment relationship. † | | | |This must conform to the The Employment | | | |Rights Act of 1996 | | |Anti-discrimination laws and the bodies that |I have written about the EO presentation | | |enforce them |and test in Induction and explained how I | | | |have discussed anti-discrimination/EO in | | | |formal progress reviews. | | |Your working hours and holiday entitlement. |Found in learners handbook (9 to 5 Monday | | | |to Friday, fixed holiday period). | | |Your company’s policy on Sick and Maternity Pay |Sickness is covered in the learner | | | |handbook. Issues discussed in progress | | | |reviews. Not entitled to maternity pay. | | |Your rights as an Apprentice |Detailed in learner handbook. Turn up on | | | |time, wear appropriate clothing, follow | | | |contract of employment. | | |Your company’s grievance and disciplinary |This was detailed in the learner handbook,| | |procedures |covered in Induction | | | The health and  safety legislation relevant to your|Received a health and safety presentation | | |role, and your role |covering the main health and safety points| | | |and concerns. | | |Your roles and requirements in maintaining health |This was detailed in a health and safety | | |and safety |presentation covering the main health and | | | |safety points and concerns. (i. e. ensure | | | |my own safety and others, report incidents| | | |to first aider). | | |Your responsibility in adhering to data |The importance of data protection was | | |protection. |covered in presentations and tasks (also | | | |covered in learner handbook). | | |Knowledge of industry laws and guidelines |The main laws and guidelines are covered | | | |in my learner handbook, available on the | | | |internet and were detailed in a | | | |presentation. | | |NOS and external sources of representation in your|The main laws and guidelines are covered | | |industry |in my learner handbook, available on the | | | |internet and were detailed in a | | | |presentation. | | |Your role in your team and effective team-working |I have taken part in a few tasks involving| | | |a team. So I am familiar with the | | | |essentials of team work. | | | | | Knowledge and understanding components |Health and safety rights and responsibilities | |What your rights are and what you must do to follow company procedures | |Rights |What employers should do in order to protect you at work | | |What responsibility a training provider for your Health and Safety (including the Safe Learner project) | |Responsibilities |Your responsibilities in maintaining health and safety in your workplace | | |The laws and company procedures that you must be aware of at work (including Health and Safety at Work | | |1974, Manual Handling, DSE and any other laws relevant to your role) | |Contract of Employment | |What a contract of employment must include and the laws relating to them. | |Rights |When you should be issued with a contract of employment | | |What the contract should include (e. g. Salary, annual leave, working hours etc. ) | | |What should be done when changes in the contract are needed (e. g. changes in salary, job role, working | | |hours) | | |The relevant areas of the Employment Law Act, particularly Statement of Particulars (Contracts) | |Responsibilities |Adhering to the Contract of Employment | | | The differences for self-employed workers | |Anti-discrimination laws | |What discrimination (e.g. gender, race, disability and age) is and the laws that protect against it. | |Rights |Your right to not be discriminated against on any grounds (e. g. gender, race, disability and age) | | |The laws that protect you from discrimination, such as: | | |Equal Pay Act 1970 | | |Race Relations Act 1976 | | |Disability Discrimination Act 1995 | | |What to do if you are being discriminated against, (including internal and external procedures) | |Responsibilities |Examples of what would constitute discrimination against others | | |The difference between direct, indirect and positive discrimination. | | |How to avoid discriminating against potential employees when recruiting. | |Working hours and holiday entitlement | |Your working hours and holiday entitlement, and the regulations and procedures that control these. | |Rights |What the Working Time Regulations 1998 are and the maximum working hours allowed, particularly for Young | | |Workers (aged 16-17) | | |Any exceptions to the Working Time Regulations 1998 (e. g. Seasonal workers in busy times, such as | | |Christmas) | | |. What your  working hours and holiday entitlement are (see also Contracts of Employment) | | |Who enforces the Working Time Regulations | |Responsibilities |Your company’s procedure for booking holiday (annual leave) and why it is important that you follow it. | | |What to do if you need to change or adjust your working hours. | |Sick and Maternity Pay | |Your rights to Sick and Maternity Pay and your responsibilities in communicating with your employer regarding these. | |Rights |What Statutory Sick Pay is and your company’s sick pay policy | | |The right to Maternity Leave, and the minimum number of weeks of entitlement under Ordinary Maternity | | |Leave (OML) | |Responsibilities |The company procedures for reporting sick days. | | |Procedures to follow regarding Maternity Leave. | |Rights and responsibilities of an Apprentice | |As an Apprentice you have some specific rights and responsibilities | |Rights |Your role as an Apprentice and the similarities or differences from other employees in your company | | |How the National Minimum Wage applies to Apprentices. | |Responsibilities |Your commitment to the training and qualifications in the Apprenticeship | |Grievance and disciplinary procedures | |The laws and internal procedures relating to grievance and disciplinary procedures | |Rights |The process that employers must follow for disciplinary procedures. | | |Your rights during the disciplinary procedures. | |Responsibilities |The procedures you must follow to report a grievance | | |The procedures to follow to appeal a disciplinary decision. | |Data Protection | |The key areas of data protection and how they affect you as an individual and an employee | |Rights |Your right to personal information held by an organisation (either your employer or another company) | | |Who has rights to your information and how it can be used. | |Responsibilities |What information you can and cannot give out, and who can have access to that information | |Team working | |Working effectively as part of a team (from Develop Personal Effectiveness Unit) | |Rights |See responsibilities | |Responsibilities |communicating effectively in a team setting | | |contributing to team activities |. |Industry laws and guidelines | |The laws and guidelines that affect your industry (IT, Telecoms or Contact Centres) | |Rights |None | |Responsibilities |What and how different industry activities are affected by laws and guidelines, such as storing names and| | |address, downloading images from the Internet or sending inappropriate e-mails. | | |The laws that are relevant to your role in ICT or Contact Centres, for example: | | |Telecoms: The Wireless Telegraphy Act; IT: The Computer Misuse Act and the Electronic Communications Act | | |2000 |. |NOS and external sources of representation | |The information relating to IT that is relevant to your job role | |Rights |The organisations that represent you and your employer (e. g. e-skills UK, trade unions, Intellect, | | |British Computer Society, Call Centre Association) | |Responsibilities |What National Occupational Standards are, how they can be used and who sets them for your industry. | Useful Resources |Organisation |Role/ Areas covered |Website | |ACAS (Advisory, |Advice on employment matters |www. acas. org. uk | |Conciliation and | | | |Arbitration Service) | | | |Citizen’s Advice Bureau |General source of advice on a range of topics |www. adviceguide. org. uk | | |covering your rights as a citizen | | |Department for Education |Overall responsibility for education in England |www. dfes. gov. uk | |and Skills | | | |Directgov |Website covering almost all areas of employment |www. direct. gov. uk | | |rights and responsibilities, contracts etc. | | |Disability Rights |Disability Rights and Disability Discrimination |. www. drc-gb.org | |Commission |Act 1995 | | |e-skills UK |Sector Skills Council for IT, Telecoms and Contact|www. e-skills. com | | |Centres | | |Equal Opportunities |Equal Pay. Sexual Equality. |www. eoc. org. uk | |Commission | | | |Federation of |Trade association for the mobile and |www. fcs. org. uk | |Communication Services |telecommunication services industry | | |Health and Safety |Regulators of Health and Safety |www. hse. gov. uk | |Executive | | | |Information | Data Protection and Freedom of Information |www. informationcommissioner.gov. uk | |Commissioner’s Office | | | |Learning and Skills |Responsible for funding 16+ training in England |www. lsc. gov. uk | |Council | | | |Safe Learner |Specific Health and Safety information for |www. safelearner. info | | |Apprentices | | |Trade Union Council |Information about trade union and search for you |www. tuc. org. uk | | |trade union | | |The Commission for Racial|Race Relations Act and racial equality |www. cre. gov. uk | |Equality | | | |Tiger |National Minimum Wage and Maternity Leave |www. tiger. gov. uk |. If you have any comments or queries regarding this workbook, please email ben. sweetman@e-skills. com. Declaration This declaration should be completed by the Apprentice, the employer and the training provider and then attached with the Apprenticeship Certificate Request Form. |Apprentice | |Name: | |Date of Birth: | | |Signature: | |Date: | | |Employer | |Name: | |Organisation: | | |Signature: | |Date: | | |Training Provider | |Name: | |Training Provider: | | |Signature: | |Date: | | Please record details of any alternative knowledge specifications below:

Critically evaluate the conceptual and theoretical Essays

Critically evaluate the conceptual and theoretical Essays Critically evaluate the conceptual and theoretical Essay Critically evaluate the conceptual and theoretical Essay 1.It seems no consideration of terrorist act s definition can get down without the statement: One adult male s terrorist is another adult male s freedom combatant, ( Laqueur, 1987:302 ) . And this statement seems to be at the bosom of what many consider to be the job with supplying a definition of terrorist act: it all depends on position. Surely specifying terrorist act has neer been a more of import or necessary exercising, with many political groups and administrations around the universe holding to cover with terrorist activity, there is an of all time greater demand to understand its nature. A definition of terrorist act is required, among other grounds, to implement international Torahs, to guarantee international cooperation and make up ones mind on violative action ( Ganor, 2002 ) . The sheer scope of definitions of terrorist act is possibly best illustrated by Schmidt and Jongman ( 1988 ) who cite 109 different definitions. By analyzing these definitions for significances, it is possible to name the factors most normally found to be of import. Force or force appears in 83.5 % of definitions, a political motive is in 65 % , reference of panic or fright is in 51 % , menaces in 47 % . The staying classs include psychological effects, differences between the victims and the marks and planned actions. Why the confusion? How is it possible that merely 65 % of definitions contain reference of political motive when it is normally cardinal to terrorist activity? Possibly the reply lies in the gap quotation mark from Laqueur ( 1987 ) that it all depends on the position. Ganor ( 2002 ) points to the evident duality sometimes set up in the literature between national release and terrorist act. While national release has been considered a justified terminal to contend for, can terrorism truly be used as a justified agencies? Again, it all depends on position. From Syria s official place, it does non back up terrorist act but does back up national release. Unfortunately, the agencies it uses to accomplish this terminal are considered by many to be terrorist act. Possibly underlying Syria s place, like that of the Irish Republican Army ( IRA ) is what Taylor ( 1988 ) considers the moral justification. The moral justification can be used by both authoritiess and independent administration to warrant actions that might otherwise look similar to terrorist Acts of the Apostless ( Ruby, 2002 ) . This clearly raises one of the cardinal jobs in the definition of terrorist act, over which much attempt has been expended in the literature: should terrorism be defined by its agencies or its ends? Garrison ( 2004 ) comes down strongly on the side of ends, reasoning that terrorist act should be defined by its effort to consequence a alteration in society by utilizing panic. Garrison ( 2004 ) sees terrorist act as a tool that is used by many different groups and, in that sense, does non let differentiations to be made between these groups. To do differentiations it is necessary to see terrorist act s purpose. In this definition so, the targeting of civilians is non a necessary and sufficient status for placing terrorist act ( Garrison, 2004 ) . An alternate point of view focal points on the agencies of terrorist activity to specify terrorist act ( Cooper, 2001 ) . Ganor ( 2002 ) points out that a terrorist and a freedom combatant may hold the same ends, but they are pursued in different manners. Here, so, aiming civilians becomes the cardinal point of definition. Concentrating on the act itself makes a bunk of the word picture made between national release and terrorist act in its ultimate purposes. Alternatively Ganor ( 2002 ) negotiations of the different types of unconventional warfare usually carried out between a province and an administration of some signifier. When an administration contending against the province onslaughts military marks, that is guerrilla warfare, when the administration attacks non-military marks, that is terrorist act. This means that freedom combatants, revolutionists and nihilists could be either terrorists or legitimate battlers involved in guerilla warfare. To what extent are these definitions dichotomous? Clearly they are non one stresses political terminals, and the other stresses the agencies. Each efforts to except the other s definition to a certain extent, while admiting its legitimacy to some extent. Legal systems around the universe, nevertheless, do non hold the luxury of this elusiveness. This means that some states use political or spiritual terminals in specifying terrorist act and some focal point on the Acts of the Apostless carried out ( Ramraj, Hor A ; Roach, 2005 ) . The troubles in specifying terrorist act can be made even clearer when sing how definitions are frequently either over- or under-inclusive ( Shanahan, 2005 ) . Is a terrorist ever a radical? Shanahan ( 2005 ) points out they many authoritiess may perpetrate terrorist Acts of the Apostless to stay in power. Terrorists frequently attack both military and non-military marks, thereby doing loss of life and hurt to both civilian and non-civilian marks. Shanahan ( 2005 ) even argues that onslaughts on military forces can be Acts of the Apostless of terrorist act. Further, definitions of terrorist act in footings of menaces to life and limb do non include harm to belongings. Even more bewilderingly, it is non ever possible to separate between alleged combatants and non-combatants . In decision, specifying terrorist act is so hard, one author who has been analyzing it for many old ages has resorted to explicating that we know terrorist act when we see it ( Cooper, 2001 ) . While this may be true, from an international legal position this subjective definition is non sufficient. In world, different groups cleaving to definitions of terrorist act that suit their political intents. Academicians have tried to umpire this definitional brawl, with some limited success. Some strong definitions of terrorist act have been distilled, but the existent litmus trial is whether these can be universally adopted. Sing the utmost troubles in definition illustrated by the easiness of over-inclusive or under-inclusive classs, cosmopolitan acceptance of a definition of terrorist act seems improbable. 2.Northern Ireland foremost came into being as a consequence of guerilla warfare by the Irish Republican Army ( IRA ) in the 1920s. The IRA was contending against Britain to make a province independent of the UK. In 1921 the Anglo-Irish Treaty was signed which partitioned Ireland into a southern independent democracy and Northern Ireland, each with their ain authoritiess. Publicly, the UK authorities saw the divider as an ineluctable move designed to avoid a civil war. The IRA continued their run to seek to throw out the British authorities from Northern Ireland. But, this had small consequence and until 1968 the UK authorities did non interfere with the Northern Irish authorities ( White A ; White, 1995 ) . While the IRA continued to run between 1920 and the mid-1960s, they were made illegal in the 1930s and merely carried out sporadic runs over that clip ( Thane, 2001 ) . It was nt until the late sixtiess that the IRA all of a sudden rose to unprecedented prominence. In the 1960s a mostly peaceable motion for civil rights began to develop ( White A ; White, 1995 ) . Analogues have been drawn between this rise of feeling and the civil rights motion in the US ( McGarry, 2001 ) . The Irish run originally centred on deriving rights for Catholics life in Northern Ireland. Through the 1960s tensenesss rose as the runs met opposition from the Royal Ulster Constabulary and Protestant demonstrators. Finally the British ground forces was mobilised in 1969 to assist squelch public perturbations. Over the following few old ages force exploded and the Irish authorities failed to maintain it under control. An of import factor in the rise of the IRA was a split that occurred in 1970 in the IRA from which the Provisional IRA emerged as the more violent and hawkish wing. One of the Irish authorities s last actions was to present internment in August 1971, an act designed to incarcerate those thought to be members of the IRA. The IRA, nevertheless, maintained that in this monolithic operation to collar 342 people, merely 30 were existent IRA members ( Mulholland, 2003 ) . The event to force the state of affairs over the border was Bloody Sunday 1972 when the British ground forces shooting dead 14 unarmed demonstrators. Mulholland ( 2003 ) argues that this lead to the prostration of resistance to political force. Soon afterwards the UK authorities efficaciously reimposed direct regulation and the Irish Parliament was dissolved. After this, the IRA saw a monolithic rise in its rank, particularly from within the Official IRA, and units in Northern Ireland ( Smith, 1995 ) . The ground for the rise in the IRA s power has been examined in several different ways. Many have focussed on the sudden public groundswell of sentiment that force was non merely justified, but required. White ( 1989 ) has suggested the causes of the societal revolution which the IRA made manifest prevarication in the mobilization position. The traditional position is that economic inequalities result in rebellion, but the mobilization position puts greater accent on the costs and benefits of action, reasoning that people s grudges remain comparatively stable. Turning to Ireland in the 1970s, several factors are seen to be of import in the changing manner people view guerilla warfare. White ( 1989 ) argues that it is province repression which can be seen with the British ground forces and internment that makes people place an unfairness. Second, people believe that others feel the same manner and, eventually, they decide that force is possible and it will be effectual. White ( 1989 ) finds support for this thesis in his interviews with political militant, indexing of bombardments and shots carried out in Derry every bit good as steps of economic want. Further grounds for this thesis, specifically concentrating on province repression was found in a survey carried out by White and White ( 1995 ) . They found two dimensions of province repression. The first is official repression, an illustration of which is the internment. The 2nd is informal province repression, as carried out by the British ground forces. This theory goes portion manner to explicating the rapid rise of the IRA, but the point has been made by Bell ( 1973 ) that the state of affairs had been ripe for a revolution in Ireland for 50 old ages, so why did it non get down until 1969? Many causes were involved: foremost, the civil rights run lowered people s tolerance of subjugation. Second, the British ground forces, through their actions, lost regard in Catholic eyes. Third, the security forces did non look able to maintain control. Fourth, there seemed to be an advantage at that place, if merely person could take it. For Catholics, while Stormont was non legitimate, it had at least been able to exert authorization in the yesteryear. This was no longer the instance. For all these chief grounds, people began to take their support for the British ground forces and travel it over to the IRA ( Bell, 1973 ) . In decision, there were a figure of different factors that affected the rise of the IRA between 1969 and 1974. There was a reduced belief by members of the Irish community that the official governments could maintain control of a state of affairs gyrating into force. This was combined with a turning belief the costs of an rebellion were outweighed by the likely benefits. Increasing degrees of force were spurred by lifting degrees of repression directed against the people by the authorities. A mobilization position leads to the thought that these influences, along with others, turned public sentiment in favor of the IRA. This displacement in sentiment led to a big addition in IRA rank, which allowed it to well increase its operations to the extent that, by 1974, it had become one of the strongest terrorist groups in Western Europe. Mentions Bell, J. ( 1973 ) . The Escalation of Insurgency: The Provisional Irish Republican Army s Experience, 1969-1971.The Review of Politics, 35( 3 ) , 398-411. Cooper, H. ( 2001 ) . Terrorism: The Problem of Definition Revisited.American Behavioral Scientist, 44( 6 ) , 881-893. Ganor, B. ( 2002 ) . Specifying Terrorism: Is One Man s Terrorist another Man s Freedom Fighter?Police Practice and Research, 3( 4 ) , 287-304. Garrison, A. ( 2004 ) . Specifying terrorist act: doctrine of the bomb, propaganda by title and alteration through fright and force. Criminal Justice Studies: A Critical Journal of Crime, Law and Society, 17( 3 ) , 259-279. Laqueur, W. ( 1987 ) .The Age of Terrorism. Toronto: Small, Brown and Company. McGarry, J. ( 2001 ) .The Northern Ireland and the Divided Universe: Post-agreement Northern Ireland in Comparative Perspective. Oxford: Oxford University Press. Mulholland, M. ( 2003 )Northern Ireland: A Very Short Introduction. Oxford: Oxford University Press. Ramraj, V. , Hor, M. , A ; Roach, K. ( 2005 ) . Introduction. In: V. Ramraj, M. Hor, A ; K. Roach ( Eds. ) .Global anti-terrorism jurisprudence and policy. Cambridge: Cambridge University Press. Ruby, C. ( 2002 ) . The Definition of Terrorism.Analysiss of Social Issues and Public Policy, 2( 1 ) , 9-14. Schmidt, A. P. , A ; Jongman, A. I. ( 1988 ) .Political Terrorism: A New Guide to Actors, Writers, Concepts, Data Bases, Theories, and Literature. North-Holland: Transaction Books. Shanahan, T. ( 2005 ) .Doctrine 9/11: Thinking about the War on Terrorism. Chicago, IL: Open Court. Smith, M. L. R. ( 1995 ) .Contending for Ireland? The military scheme of the Irish Republican Movement. Oxford: Routledge. Taylor, M. ( 1988 ) .The Terrorist. London: Brassey s Defence Publishers. Thane, P. ( 2001 )Cassell Dictionary of Twentieth Century Britain. London: Cassell Reference. White, R. ( 1989 ) . From Peaceful Protest to Guerrilla War: Micromobilization of the Provisional Irish Republican Army.The American Journal of Sociology, 94( 6 ) , 1277-1302. White, R. , A ; White, T. ( 1995 ) . Repression and the Broad State: The Case of Northern Ireland, 1969-1972.The Journal of Conflict Resolution, 39( 2 ) , 330-352.

history2 essays

history2 essays Africa is the world's second-largest continent, the biggest after Asia. It is more than three times the size of the U. States. It also contains more independent nations than any other continent on Earth-55 in all. Africa is centrally located on the Earth's surface. It straddles the Equator, extending for thousands of miles north and sough of that line. The continent stands between two major oceans. To the west is the Atlantic Ocean and to the east lies the Indian Ocean. The Mediterranean Sea in the north and the Red Sea in the I have 10 different opion on the most common stereotypes about Africa. For the Climate of Africa they said it is hot and dry, for most vegetation they said grassy lands, for most common animal in Africa people said monkeys, African common skin color black, Africans do for living they said herding and farming, types of family Africans live in extended, most common religion in Africa are catholic, common language spoken in Africa is English, civilization white people, government of African countries are democratic, and the biggest problem in Africa today is hunger. These are the results of my CLIMATE: Because of its size, almost every type of climate and vegetation can be found in Africa. The largest climate zone in Africa is the tropical climate with a wet and dry season. The savanna, a grassland, occupied this region, which covers almost half the continent. Like the tropical rain forest, the tropical savanna region is warm all year. In the summer, or rainy season, the climate is hot and wet. In winter it is warm, with little POPULATION: Today the population of Africa is approaching 680 million and is growing rapidly. Population growth has created problems in the drier parts of the savanna. During times of plentiful rainfall, people seeking land move into these semiarid ...

Biochemical Engineering2 essays

Biochemical Engineering2 essays How would you like to examine physical properties of a wide array of different animals? Not only that but also research the processes of many organisms? If this sounds exciting, then biochemical engineering is the best career choice for you! Biochemists find many amazing things. For example, a biochemist discovered that increased flexing of a certain pelvic muscle helps to stimulate the activity in your brain. If you wanted a great job like this college is not always required. You can get internships with companies. In these internships you help out fellow scientist in there everyday duties. That can lead to self employed jobs which you control the experiments and do what you please. But this doesnt happen often, most of the time you will need to go to college for at least two years for your bachelors degree. Studies at Rutgers University for Chemistry include general chemistry for engineers, introduction to computers for engineers, engineering lectures, calculus, and physics. After you finish college the money will be rollin in. Biochemical engineers in Wisconsin make anywhere between $38,873 and $47,403 per year. For example there is a job in Madison as a product evaluation specialist for a prominent biotechnology firm. They evaluate the operation of new products and their effects. Now you see that this is a very fun, exciting, and promising job. I would recommend seeing your guidance councilor to see what local colleges would best suit your biochemical interests. Biochemistry: Protein Arrays Step Out of DNAs Shadow!, Science Service, Robert F.; 9-8-2000 http://sol.rutgets.edu/Web2000/biochem.html ...

High Commitment Work Practices Essay Example | Topics and Well Written Essays - 2750 words

High Commitment Work Practices - Essay Example These practices were mainly intended to improve the efficiency of the jobs based on the theories of the impact of employee participation in job satisfaction and job performance and the organizational performance. Many research studies show that though these types of arrangements seemed to be attractive for some workers, they have many social costs like uncertainty about job prospects and the risks of non-availability of jobs (Doodley and Prause, 1994).However, the debate remains unsettled. In this context, this essay analyzes the evidence linking highly motivated work practices and organizational performance. Based on the analysis, it explains the reasons for UK firms continuing to use a traditional management style coupled with job designs based in the principles of scientific management. Based on the traditional principles of scientific management, the main building blocks of organizations were considered as man and jobs linked together and supervised by a manager .Here, man was simply considered as an extension of machine (Davis, 1970). This school based on the top down approach to strategic management helped to distinguish between functions, skills, roles and management and evaluates its importance. This school focused on the jobs itself and did not give much attention to the role of workers (Asan and Soyer, 2009). This school helped to distinguish between functions, skills, roles and management and evaluates its importance. The main criticism against this approach is that it is appropriate only for stable environments and may not be suited for fast changing competitive environments (Asan and Soyer, 2009).

Thermal Conductivity Report Essay Example | Topics and Well Written Essays - 1000 words

Thermal Conductivity Report - Essay Example The negative sign indicates that heat is transferred in the direction of decreasing temperature. The heat flow will be in the perpendicular-to-the-cross-section direction, i.e. one-dimensional. To determine how much heat is provided, we will calculate how much heat is taken (absorb) by the cold water at steady state condition. (it is the condition at which heat supplied is equal to the heat removed). For this we use the relation Where Q is the rate of heat transfer, s is specific heat capacity of water , Tout is the temperature of water at outlet and Tin is the temperature of water at inlet. Putting the value of Q in (ii), we get The apparatus consist of accessories for providing heat at one end of sample composite bar and for taking heat at the other end of the bar through water. The water inlet temperature and outlet temperature was measured through thermometers. To determine the volume of water the measuring flask was provided. To determine the temperature at different points along the bar thermocouples were provided. The whole apparatus was well insulated to ensure one dimensional heat flow. The heater was switched on and as the circulation of water through the cavity. Readings at thermocouples 1,2,3 and 4 were taken when the steady state condition was achieved. The volume of water circulating was measured and time taken for this. The inlet and outlet temperature of water is also measured. Heat transfer has taken place because of the difference of temperature between two ends of sample bar (consisting of copper and stainless steel). From graph slopes of copper and stainless steel shows that drop in temperature per unit length in copper bar is less as compared to stainless steel, which indicates that copper has let more heat to be transferred through it. Similar result is given by the calculated thermal conductivities showing that copper thermal conductivity is greater as compare to stainless steel. A

Global Environment of Business. The Saudi Stock Market (2009-2011) Research Paper

Global Environment of Business. The Saudi Stock Market (2009-2011) - Research Paper Example Factors such composition of sectors; investors as well as regulations also have dominant impact on the performance along-with world indices impact. Moreover, being in infancy stage the research as also made certain recommendations based on the research conclusions. TABLE OF CONTENTS TABLE OF CONTENTS 3 Background To The Problem 5 Role And Importance Of Stock Market 5 Importance Of Saudi Stock Market 5 Origin And Growth 6 History 6 Regulator 6 Tadawul (The Saudi Stock Exchange) 6 Current Statistics In Comparison With GCC Countries 7 Problem Statement 10 Research Objectives 10 Overview of Research Methods 11 Analysis and Findings 12 Performance Of Tadawul 12 Overall Performance Of Tadawal 12 The Collapses And The Peaks In TASI 14 Analysis Of 2011 16 Factors 17 Oil Prices 17 Investors Composition 17 Regulation 18 Comparison With Other International Markets 18 Conclusion 20 Recommendations 21 Limitation to the Research Study 22 Limitations in the research study can greatly influence the findings and analysis of the research. Therefore it is significant for the researcher to identify and comprehend the limitations of the research. This research study also has some limitations and these limitations can influence the findings of the research study. ... In addition to this, if the researcher had collected primary data and used it to analyse the findings then it would have further improved the findings of the research study. So, these limitations have influenced the findings of the research study. 22 Background To The Problem Role And Importance Of Stock Market Stock market is considered as the main component of every economy for playing multi facet role. On one hand, stock markets are reflective of economic condition in terms of growth or otherwise; while on the other hand, stock markets contribute to the economic growth with attracting local and foreign investments. Stock markets are also important as they provide an important fund raising avenue to corporate; ensuring the prices of stocks based on their value while leading profitable companies to generate considerable returns (Lamin, 1997). Hence, indentifying and understanding the factors affecting stock market are of immense importance in understanding the current economic state as well as making prediction about future economic prospect of stock market and hence the country. Importance Of Saudi Stock Market Economic status of Saudi Arabia has been regarded as unknown to global financial crises that hit the world in the recent past. This aspect of the strengthened economy has been attributed to the many factors such as increased public investment by government etc. Hence attracted attentions to explore the various components of economy and stock market being one of them and hence, making it an important avenue to explore. It is also important to explore for the fact that Saudi Stock market is the biggest market based on market capitalization among GCC

Motivation and Retention of Adult Online Sophomore Students Research Proposal - 1

Motivation and Retention of Adult Online Sophomore Students - Research Proposal Example The purpose of the study is to find out â€Å"Why the level of adult online dropout is increasing and how to motivate and retain the adult online sophomore students?† Various issues that may lead to an online dropout may vary from issue of isolation, disconnectedness to technological problems. According to an online survey conducted to understand the various reasons of online dropouts of sophomore students, reasons are varied and unique to each individual dropout. Although there are very less literature work as well as national statistics on online adult sophomore dropouts, a recent report published in â€Å"Chronicle of Higher Education† indicates that â€Å"Institutions report dropout rates ranging from 20 to 50 percent for online learners and administrators of online courses agree that dropout rates are often 10 to 20 percentage points higher in online offerings than in their face-to-face counterparts† (Frankola, n.d.). The Institute for Higher Education Policy (IHEP), in a research report conducted in the 1999, on the effectiveness of online learning, found that there are higher rate of sophomore dropouts in online learning than the traditional institutions. There are two theories which may provide an outline on dropout of online adult sophomore students. Tinto’s Student Integration Model and Bean’s Model of Student Departure are the two theories. The â€Å"Tinto’s Student Integration Model theory theorizes how well the individual’s motivation and academic ability match the institution’s academic and social characteristics. This match shapes a person’s commitment to completing college and commitment to the institution. The second theory, Bean’s Model of Student Departure, predicts persistence based on behavioral intention† (Willging & Johnson, 2004, p. 104). According to the US Census Bureau (2000), â€Å"one in every three Americans is a sophomore dropout†. It is becoming a

The Crucible by Arthur Miller Coursework Example | Topics and Well Written Essays - 1000 words

The Crucible by Arthur Miller - Coursework Example The Crucible is known as a parable, this mean there can be a direct link made between the events of the 17th Century witch trials, to the Communist ‘with hunts’ in the United States that occurred at the time Miller wrote the play. The first US production of The Crucible occurred in January 1953, this was a time of the Red Scare where Senator John McCarthy made false allegations of Communism against various people, this particularly affected people in the Arts and film industry who were know to hold more Leftist views. Miller comments that the propaganda of McCarthyism, the Red Scare and Communism â€Å"from the far Right was capable of creating not only a terror, but a new subjective reality† (39). Miller speaks of himself being astounded within the McCarthy era by how fear, an â€Å"interior and subjective an emotion could have been so manifestly created from without† (40). Miller describes John Proctor as intelligent, physically strong, rationale and stab le. With particular reference to his state of mind he’s described as â€Å"even tempered† with a â€Å"steady manner† (239). Yet, despite this outward appearance there is a sense of him feeling hypocritical from having sinned, and it is said that he â€Å"has come to regard himself as a kind of fraud.† (239). He is shown as determined to put an end to any previous relationships with Abigail in a polite but determined manner, this is indicated by the stage directions, â€Å"PROCTOR, gently pressing her from him, with great sympathy but firmly† (241). Proctor’s guilt for being disloyal to Elizabeth is show by anger when Abigail mentions her. Proctor is shown to be a rationale man who doesn’t believe in all the nonsense about devils and he’s a person who speaks his mind: â€Å"I may speak my heart, I think† (246). Proctor’s relationship with Elizabeth is awkward, they initially make formal small-talk about food and w ork, but there is evident strain in their relationship, evident when he says to her â€Å"I mean to please you† and she finds it difficult to acknowledge â€Å"I know it John† (262). When he kisses her she is disappointed. There is a sense of duty perceived from Elizabeth as she performs her housewife role, and an expectation from Proctor. As their conversation turns more argumentative, Proctor is described as â€Å"Angry and Stubborn† whilst Elizabeth is â€Å"quiet†¦cold†¦and lost all faith† (264). Elizabeth is still suspicious of Proctor, whilst he is fed up feeling guilty and judged by her. Proctor learns that the total accused women has increased form 14 – 39 and that one of the ladies has been sentenced to hang. It is indicated that Elizabeth’s name was mentioned too. He finds the whole accusations ridiculous when good honest religious women are accused, and elderly women too. As the scene progresses and he is tested on the c ommandments – he begins to take the threat more seriously. When Proctor is talking to Hale about the girls’ lies he says: â€Å"There are them that will swear to anything before they’ll hang† (275). He thinks if Hale does not believe him, that others in court may not too. When Cheever arrives with a warrant for Elizabeth and mentions the poppet, Mary is summoned. Proctor’

Motivation and Retention of Adult Online Sophomore Students Research Proposal - 1

Motivation and Retention of Adult Online Sophomore Students - Research Proposal Example The purpose of the study is to find out â€Å"Why the level of adult online dropout is increasing and how to motivate and retain the adult online sophomore students?† Various issues that may lead to an online dropout may vary from issue of isolation, disconnectedness to technological problems. According to an online survey conducted to understand the various reasons of online dropouts of sophomore students, reasons are varied and unique to each individual dropout. Although there are very less literature work as well as national statistics on online adult sophomore dropouts, a recent report published in â€Å"Chronicle of Higher Education† indicates that â€Å"Institutions report dropout rates ranging from 20 to 50 percent for online learners and administrators of online courses agree that dropout rates are often 10 to 20 percentage points higher in online offerings than in their face-to-face counterparts† (Frankola, n.d.). The Institute for Higher Education Policy (IHEP), in a research report conducted in the 1999, on the effectiveness of online learning, found that there are higher rate of sophomore dropouts in online learning than the traditional institutions. There are two theories which may provide an outline on dropout of online adult sophomore students. Tinto’s Student Integration Model and Bean’s Model of Student Departure are the two theories. The â€Å"Tinto’s Student Integration Model theory theorizes how well the individual’s motivation and academic ability match the institution’s academic and social characteristics. This match shapes a person’s commitment to completing college and commitment to the institution. The second theory, Bean’s Model of Student Departure, predicts persistence based on behavioral intention† (Willging & Johnson, 2004, p. 104). According to the US Census Bureau (2000), â€Å"one in every three Americans is a sophomore dropout†. It is becoming a

Homeland Security-Policy Analysis Essay Example | Topics and Well Written Essays - 1750 words

Homeland Security-Policy Analysis - Essay Example The act pointed out the major reason for the creation of the Homeland Department as the need to prevent radical assault in the U.S. Homeland Security Presidential Directive (HSPD) 12 – Policy for a Common Identification Standard for Federal Employees and Contractors There are several policies related to homeland security. One of these policies is the Homeland Security Presidential Directive 12. This policy is a general recognition standard for federal workforce and contractors. There are broad disparities in the value and security of recognition used to get access to secure amenities where there is the prospective for terrorist attacks. In order to eradicate these disparities, the United States Homeland Security Presidential Directive12 policy is designed to handle the following legal issues: Enhance security Enhance government efficiency Decrease identity fraud Protect individual privacy All these will be achieved through the creation of mandatory, government broad principles for secure and consistent identification given by the federal government to its workers and contractors. This directive policy authorizes a federal principle to implement secure and reliable forms of recognition. The Homeland Security Presidential Directive is based on the following policy legalities: The need to eradicate wide disparities in the quality and security of types of identification used to get access to protected federal and other amenities where there is possibility for terrorist attacks. Therefore, it is the mandate of this policy to improve security, enhance government efficiency, secure individual privacy and decrease identity fraud. This is enabled through establishment of mandatory, government extensive standards for secure and trustworthy identification forms provided for by the federal to its workers and contractors. To execute the above policy task, the secretary of commerce shall propagate in harmony with applicable law, a federal standard for secure and consi stent identification forms not more than six months after the day of the directive in discussion with the state secretary, attorney general, defense secretary and the secretary of Homeland Security. It also involves consultations with the director of office of science and technology and the director of the office of budget and management (OMB) according to Alperen (2011). The secretary of commerce is mandate to review the legal standards regularly and inform the standard as suitable in discussion with the affected agencies. The reason for secure and consistent forms of recognition directive policy which refers to recognition that:; Is provided for based on sound principles for verifying given workers identity Is powerfully resistant to identity deceit terrorist explosion, counterfeiting and interference Can be swiftly valid electronically Is given only by the providers whose trustworthiness has been established by an executive accreditation process The standard for ensuring the abov e characters will involve graduated criteria, from less secure to more secure to guarantee flexibility in choosing the right level of security for every application. The standard shall not concern to recognition associated with state security systems. In a period of not more than four months following the dissemination of the standard, the heads of administrative departments and organizations shall have a program designed to warrant that

Health Care Utilization Essay Example for Free

Health Care Utilization Essay Health care reform is not a recently devised concept. The government and health professionals have studied and tried to establish legislation that would assist the general population with a means of accessing adequate health care for decades. The task has proven itself as a daunting one although studied the world over. Individuals struggle with disease and illness that they cannot afford medical attention and treatment. Insurance companies price gouge or drop individuals from their insurance coverage. Reform has to be implemented to protect the public and provide across the board health care for every situation. Ronald Andersen wrote in the Journal of Health and Social Behavior there is a model of behavior that determines the seeking out of health services (Anderson, 1995). Anderson collaborated with Odin Anderson and wrote The Initial Behavioral Model in 1968 to assist in the analysis of national survey data collected by the Center for Health Administration Studies and the National Opinion Research Center at the University of Chicago (Andersen Anderson, 1967). The model explains that there are elements that may determine if an individual will access health services. Anderson explained, â€Å"I want to stress that the model was initially designed to explain the use of formal personal health services rather than to focus on the important interactions that take place as people receive care, or on health outcomes†(Andersen, 1968, p. 1). The Initial Behavioral Model (1960s) PREDISPOSING ENABLING USE OF CHARACTERISTICS RESOURCES NEED HEALTH SERVICES Demographic Personal/Family Perceived Social Structure Community  (Evaluated) Health Beliefs (Revisiting The Behavioral Model and Access to Medical Care: Does it Matter?, 1995) The president had legislation passed in 2010 to implement the Affordable Care Act. Today, more than 45 million Americans lack access to affordable health insurance. Additionally, many individuals who do have health insurance have incomplete coverage that may include exclusions for pre-existing conditions, or they may be one-step away from losing coverage because of a change in employment. Individuals with health insurance face increasingly high premiums and medical costs that drive some to bankruptcy or force choices between maintaining health insurance coverage and paying for other household essentials (HHS, 2013). These new regulations will provide consumer protections and the developing of a competitive market. Insurance companies will be required to spend a specific percentage on health care and not excessive administrative costs. There have been major changes to the accessibility of insurance coverage for individuals which have been diagnosed with a pre-existing medical condition. Insurance companies will no longer be allowed to deny insurance coverage for individuals, such as children born with life-threatening illnesses. This will also address lifetime limits on medical care. There has been a health insurance exchange in an effort to pool millions of people and allow them to examine various insurance coverage policies to determine the best policy for them and their families. Health and Human Services has implemented a website for the comparison of the insurance coverage options (HHS, 2013). There have been conversations for decades about the implementation of universal health coverage. The World Health Organization defines it as a goal to ensure that people obtain the health services they need without suffering financial hardship when paying for them. It goes on explaining, access to health services enables people to be more productive and active contributors to their families and communities†¦.financial risk protection prevents people from being pushed into poverty when they have to pay for health services out of their own pockets (WHO, 2012). There is a definite similarity with the concepts of universal health care and the Affordable  Care Act now in place in this country. Attempts are being made to ensure that all citizens can access health care and increase their wellbeing in the process. The expansion of Medicaid will benefit multiple low-income citizens who, through no fault of their own, are working at a minimum wage job. They are barely earning too much money to be eligible for assistance and are not making enough of a salary to afford health insurance coverage. It turns into a viscous cycle. The individual has to decide whether it is better to quit work and get assistance for medical care or to continue struggling and still not make the grade. There have been no major issues personally with the implementation of the health care expansion. The insurances that I carry are both the Medicare and Medicaid. Medicaid has changed in that they are requiring that there is a primary care physician (PCP) established to oversee medical services provided. The initial visit would be to the PCP where any examination and testing would be performed for the determination of the necessity of a referral. The PCP’s office would organize all medical records and coordinate with the specialist’s staff to establish a consultation. I consider myself an extremely fortunate individual because I have been able to have multiple medical issues addressed and corrected because of the medical coverage. The Medicare coverage is not as restrictive as Medicaid. Medicare allows the individual to access any physician or facility that the patient desires for treatment as long as their insurance is accepted. There has not been any specific positive or negative effect with this coverage. Medicare has provided successfully for preventive measures in my health services such as yearly mammograms, colonoscopy testing every two years (if deemed necessary through findings during prior examination), and comprehensive yearly physical examinations. Unfortunately, there is minimal dental coverage and no eye examinations available. There has been major skepticism with the Affordable Care Act being voted on and implemented in the governmental realm. It is exhibiting a number of positive actions implemented with the creation of this act. It is time that this country gives thought to the individuals which are suffering because of no fault of their own other than being on the lower end of the income scale. Also citizens are pleased with the inclusion of the poor souls battling daily with an affliction that requires more attention and treatment than they could ever afford. It is in this new light that people are viewing the creation of the Affordable Care Act and see that this should prove to be beneficial to every citizen within the national borders. Reference Andersen, R. M. (1995). Revisiting The Behavioral Model and Access to Medical Care: Does it Matter? Journal of Health and Social Behavior, 36, 1-10, retrieved from: http://www.jstor.org/stable/2137284 Andersen, R.M., Anderson, O.W. (1967), A Decade of Health Services, retrieved from: http://www.jstor.org/stable/1815595 Health and Human Services (2013), Strengthen Health Care, retrieved from: http://www.hhs.gov/secretary/about/goal1.html World Health Organization (2012), What is Universal Health Coverage, retrieved from: http://www.who.int/features/qa/universal_health_coverage/en/index.html

Causes of Deterioration in Buildings

Causes of Deterioration in Buildings In this report Im mainly focusing on deterioration in buildings, needs of planned, cyclical and reactive maintenance, relationship between design, construction, maintenance and cause of dilapidation. Hopefully it is very important report to improve your knowledge. Causes of deterioration in building When we talking about this question there are many reasons for deterioration in buildings, many of them having to do simple with reveal to the elements. Building deterioration is mostly depends on what type of building the time period, building is maintain. The main example we can take is, when we talking about the external walls of the building most of the time this walls get caught to the rain, frost etc. so when we are not doing the maintenance in time period the entire building will deterioration due to the cause. Not only this issue we can discuss for deterioration of building, we can list the primary source and causes of deterioration and decay in structures and buildings such as; Human Chemicals Atmospheric Structural Moisture Fire Faulty design Faulty construction Faulty materials Faulty systems Cleaning Vandalism When we talking about these topics human are the main cause of deterioration in buildings. Talking about one by one, failure to clean and carry out routine maintenance is a cause of deterioration of building. Because most of the sites we can see after finishing their day work they not clean the site. Sometimes when we coming at next day we cannot walk in the site even. Because of that hazards are everywhere in the site. Sometimes when client coming to check whether the works are going on that day every single worker are cleaning the site keep the site looking perfect. But when we going next day site is not clean. Because they not continuing their work, there was no any special plan to clean the site.so this issue will mainly cause for the building. Other thing is failure to employ specialists for cleaning special fittings and equipment. It means some materials and stuffs cannot clean for the normal cleaning worker. We need to provide special people for the cleaning. If we not provid e special workers for this it will be an issue for the building. Other thing is we need use correct cleaning materials and techniques for a building. Because most site supervisors are not works up for these cleaning things. So worker not use correct materials and equipment. Sometimes it also deteriorates the building. The thing is before we starting the project we have to inform or we have to give advice for the workers about keeping the site clean when you are finishing the work. Then we can avoid from this cause. The other thing we can see is ignorance of the causes of deterioration and decay. It means some workers they dont know the effect of the things such as moisture, fire etc. they dont know these things are cause of deterioration in building. Because most of the bass other helpers are not well educated people. They know only the basic stuffs of their professions. So they work without any risks. But some are very ignorance people, means they dont care about those rules stuffs. They do what they like to do. So the thing is site manager or the site supervisor need to handle these problems. Other thing we can see is poor planning for proper maintenance. Some of the site we can see the poor planning all over the project. Because when we starting a project we need to have plan for the entire project and after we finishing the project we need to have a plan for the maintenance. Most of the people dont have any plan after the project. Why we saying like this is for an example when we take a lift. We need to have maintained every 14 months after it fixed. Because when the lift is working the lift cables are ablate. So when we not maintain the lifts again the hazards are over coming. Likewise we need to have proper maintains to the buildings such as we need to paint the house every 6 month time or 1 year time, we need to check the plumbing works we need to checks the electrical works etc. The other thing we see is adopting a negative attitude of waiting until emergency measures are required. It means most people are waiting until accident happen to start their maintenance. Because they are not thinking about the future, if this happens what happens to the whole building. Even in the site also this issue happens like imagine the scaffoldings are not check before starting the work. Everyone knows there was a hazard we can expect. But the supervisor doesnt take any reaction for this issue. Basically what happens is when workers are working on the scaffold, if scaffoldings are not fixed all the workers on the scaffolding in danger. So we need to check before it will cause an accident. We can specify these issues under faulty of construction. Because most of the causes of deteriorations are based on human. When we talking about construction during any construction work we have to do certain things such as excavating trenches, foundation, concrete putting, form work, masonry work etc. we all know these things are doing according to a standard specification. Because when we are not constructing those things including high standard the entire building can deteriorate in 2-3 years. For an example we need to excavate 5m to see the good soil for the construction. But sometimes the workers are excavating 4m and saying these is that selected soil same as for the trenches. So we need to have lack of super vision for these construction periods. Also we can combine the faulty materials under faulty construction and also the faulty systems. Talking about faulty systems it is mainly based on building services engineering. Because sometimes the building engineers are not looking at the drawing they doing with their experience. But most of the time if one single wire is missing the entire electrical work will be jammed and it will be serious accident. Not only for electrical these issues can happens in many services such as gas supply, water supply, has communications etc. so these thing are deteriorated the building. When we talking about faulty materials failure of client, architect, builder, designer reject substandard materials. The other most common issue is in adequate inspection of material by supplier or receiver. For these issues first wrong point is planning. As before we discuss before we starting a project or ongoing a project we need have a plan. Most of the site what the do is when the materials are finished then only them buying the other load of materials. But some sites what they do is they bring up the materials for every one weak. So the wastage or the other issues are not over coming. Other big issue is in site there is no selected place to unload the materials. So most of the time transport cost is very mush of higher. So faulty materials are mainly cause for the building deterioration. When we talking about the moisture atmospheric, they also can harmful for the building can deteriorate the building. Talking about the moisture, penetration of the external fabric or through the ground floor constructions giving to dampness which may create a suitable condition for fungi growth and attack. So it will harmful for the foundations the building materials. So what we can do is keep the building materials in dry states reduce the deterioration in building. Sometimes faulty plumbing also can harmful for building. Because sometimes when the plumbing works do out of copper or steel, chemicals of the soil react with the pipes. Because of that that bearing capacity of the soil reduces it can deteriorate the structure of the building and foundation. Also we know when underground pipe leaks happen that also cause for the structure of the building. When we talking about atmospheric issues wind, rain sun are mainly occur to the reaction of the structural form of the building. It can mainly cause for the structure and mainly for external finishes. Because when rain falls it hit to the external walls and the moisture, water will effect to the wall. The other thing is in foreign counties, the atmospheric condition is cold and snowy weather. So this kind of whether type is mainly cause for the building and for the roofing structure. Talking about faulty design poor detailing at the design stage, insufficient allowance for expansion or contraction, incorrect place damp proof courses, poor jointing between different materials and components, poor specifications, lack of adequate considerations of future maintenance are main issues for deteriorating building. The main thing is after putting the foundation we need to have place damp proof cause. Why we need damp proof cause is when we not putting DPC the water will go through the foundation and rubble work things. So it will mainly cause for the structure of the building. Other thing is when we doing a design we need to have proper detail plan including specifications such as plumbing, electrical works etc. so when there is no proper details on the plan sometimes the workers cannot do their work properly. Sometimes plumbing workers cant do their plumbing things correctly because sometimes when we are doing the plumbing recently we are founding obstracles.so they ca nt do their work properly. So faulty design also deteriorate in building. We can see all these issues mainly cause for the building deteriorations. What we can do is minimize these issues and do our work maintain the building every given period of time. It can keep the building maximum time period. Need of planned, cyclical and reactive maintenance Talking about maintenance, maintenance is a regular expenditure of a small amount of maintenance funds is much better for a building and more cost effective than large injections of capital to carry out major repairs of a building. It means maintenance is defined as continues protective care of fabric and contents of a building. it may be weekly, monthly or yearly according to the building and nature. When we talking about practice of a conservation most of the people think once the building is completed its does not maintain or look for many years. Why they think like this is they spend large amount of money for this project and the through that the contractor do their work well and no need to maintain. But many major repairs to buildings could not have been prevented if buildings are properly maintained. Building maintenance has become major part in construction industry earlier days now a day. Because in earlier taking about historical building they are not such historical buildi ngs, they are building up and as well as they programme the future maintenance also. Because of that we can see the historical building same as past years. Taking about more of building maintenance we can categorized such as cyclical, planned and reactive maintenance. Cyclical maintenance is starting with daily routine and working up with a programme of daily, weekly, monthly, yearly and every 5 years. It means that cyclical maintenance is carried out to preserve the facades of the building and ensure that the fittings and fixtures remaining in good condition. For every five year routine architect and surveyor is responsible to check the defect of the building. The types of cyclical maintenance carried out under local authority. For the surveyors and architects have to look for things and checking such as replacement of water pipes and tanks, replacement of booster and transfer pumps, cleaning out all voids places, checking the electrical installations, checking out whether there is a deterioration sign in the building, cleaning out gutters etc. additionally if the client wants we can do things such as repairing and redecorating, rewir ing, reroofing etc. depending on the nature of the maintenance cyclical maintenance can divide in to two categories such as day to day maintenance and maintenance including builders work. Talking about day to day maintenance, means the things which can do by the building owner without any help of or without any worker employ by outside. Because when contractor hand over the building we need have simple day to day maintenance such as cleaning gutters and leaves, cleaning out downpipes and drainage, removing plant growth for masonry, checking out the timber whether the insect attacks, checking out the windows and doors etc. talking about maintenance including builders work, means the builder have to carry out annual basis such works including replacing of broken tiles, gutters, downpipes; cleaning out air-condition systems, checking out all fire detecting systems etc. these are the thing which we have to do under the cyclical maintenance. Talking about planned maintenance in a building, maintenance of building is most effective thing when carry out on a planned cycle. When we plan the maintenance it will extend the life and preserve the appearance of the building. Planned maintenance is more similar to the historical building which the made out with plan to keep up thousands of years. Planned maintenance is benefits because no need large scale of work when there isnt any plan maintenance. Using planned maintenance programme should be far lesser that the cost resulting using the unplanned maintenance. The thing is before we doing the planned maintenance we need to list out what the task we need to maintenance of the building such as roofs, rainwater disposal systems, external walls, internal structure, building services etc. then we need to carry out who are the people who responsible for this selected tasks such as building contractors, electrical contractors, engineers, unskilled labours etc. then we need to decide w hat kind of maintenance planned we need to have such as occasional plan, regular plan or the cyclical plan. Then we need to carry out maintenance according to the maintenance plans. This will give as easier to do out work according to the plan. Talking about reactive maintenance while a thing breaks down fixing quick as possible is very important for people. This is the day to day work that is required to be correct component failures and ensure that as far as possible. There are some works have to be do according to the reactive maintenance such as repairing a broken pane of glass, leaking taps or unblocking a drain. The thing is occasionally these kind of works are much more expensive including serious incident such as floods, stome damages, unsafe things in the building etc. before we doing the maintenance we have to check whether this work be major or minor in cost. Relationships between design, construction, maintenance and cause of dilapidation. Talking about this question there are close relationship between design, construction maintenance in a building. Because when we are starting a project we need to have design, construction maintenance. Talking about the design of a building the architect, engineering technical applications are mainly based on a building design. The thing is before we starting a project we need to have correct drawing with specifications to take an idea about the selected project which we are going to construct. Because design is the evidence we have how to do the construction according to the correct methods. So we can see design part is combined with the construction part directly. In the planning things there are close relationship between design and construction. Actually design is a systems which creating a new facilities including the specifications detail plans. Talking about the construction, Construction is a process of identifying activities requirement according to the design. Because any type of construction begins with design. According to the design we can starts the project. Imagine without any design what will happen to the project which we are doing. Why Im saying like this is theres no any design or specification we cant build up the project without any single error. Because sometimes there have a standard design, but there will be an error. So we need to have design to construct a building. So we can see there is a special relationship between design construction. Not only the design construction, maintenance also in relationship between these two. Because when we doing any construction project according to the design, after finishing the w hole project we need to have day to day maintenance for the building. Because many kind of causes can happens to the building. So we need to have maintain plan to keep the building for many years and protect the building. Talking about the maintenance, maintenance means to hold, keep, sustain or preserve the building or structure to an acceptable standard. It means which sustain the value of the facility. The thing is when the construction is finished we need to maintain the building. We can maintain the building in three ways such as major repairs or restoration, periodic maintenance and day to day maintenance. The main thing is construction people who do the project want to check the maintenance of the building named as architect and surveyor. Most of the time building owner does the day to day maintenance. Another thing we all know is when we design a plan including specifications we need to have special maintenance plan to maintain the building. But maintain is not depend on the design, its depends on how the people are using the building. When we dont have any plan of maintenance of the building, sonly building will dilapidation in 2-3 years. So there is a special relationship between maintenance and dilapidation. Talking about dilapidation, dilapidation means a building or thing disrepair for many years and the building or thing cant take for any kind of use or it started to decay. Actually for the dilapidation mainly cause the people who owner the building. When talking about the dilapidation there are many causes we can see in a building such as building get unstable, crakes are pointing on the floors, water leaks in the building, crakes is the walls. So we can see these causes are mainly based in maintenance. Sometimes building will dilapidate because of not maintaining the building for several years, not cleaning the building or the area etc. we can see building dilapidation is mainly combined with the maintenance. When we are not doing the maintenance properly the building get caught for the dilapidation. So there are various kind of relationship between design, construction, maintenance and dilapidation. When we are doing a project these things are combining with each other and act like one single entity. So these things are very useful when we are handling a project. Conclusions Above I mentioned that technology is very important thing in our day today life. In this report Im discussing causes of deterioration in buildings and their services. Human Chemicals Atmospheric Structural Moisture Fire Faulty design Faulty construction Faulty materials etc. Then Im discussing what are the needs of planned, cyclical and reactive maintenance. Finally Im discussing about the relationship between design, construction, maintenance and the cause of dilapidation.

Privacy of Personal Information on the Internet Essay -- French France

Privacy of Personal Information on the Internet United States Policy Living in the United States has its advantages. We are afforded many opportunities that are unavailable or unheard of in other countries. We maintain a limited right to privacy in the areas of education, marriage, procreation, contraception etc. In certain instances, government officials are allowed to watch, listen, search and/or seize a person's personal information. Warrants are usually needed in order to gain this type of information. The Bill of Rights states the provisions to our right of privacy. The Fourth Amendment is the right of the people to be secure in their persons, houses, papers, and effects, against unreasonable searches and seizures, shall not be violated, and no warrants shall issue, but upon probable cause, supported by oath or affirmation, and particularly describing the place to be searched. French Republic Policy The right to privacy is implicit to the French Constitution. The French Republic has had many acts regarding the privacy issues of its citizens. The growing popularity of the Internet has made it necessary to include the Internet in these acts. In 1994, the Constitutional Court ruled that the Data Protection Act In 1978 a Data Protection Act was brought into law to protect personal information of private parties and government agencies. Registration and permissions were needed in order to process personal data. Individual parties had the right to access, demand corrections and sometimes deletion about the information being kept on them. Violators of this act faced imprisonment and/or fines. Modifications to Act In 2003, revisions began to be made of the Data Protection Act. The new law would increase ... ...he portal that hosted the racial sites, the plaintiff was able to single out one French Citizen who also hosted the site. It is like picking a needle out of the hay sack. Which in this case didn’t seem to be that hard. Sources [1] Cedric Laurant, Electronic Privacy information Center, 2003, [2] Cedric Laurant, Electronic Privacy information Center, 2003, [3] Richard A. Spinello, CyberEthics: Morality and Law in Cyberspace Second Edition (Massachusetts: Jones and Bartlett Publishers, 2003) 85. [4] Sara Baase, A Gift of Fire Second Edition (New Jersey: Pearson Education, Inc., 2003) 36-80, 141-186. [5] Steve McConnell, Software Project Survival Guide (Washington: Microsoft Press, 1998) 8.

Crater Lake Essay -- essays research papers

Crater Lake   Ã‚  Ã‚  Ã‚  Ã‚  Crater Lake is located at southwestern off Highway 62 in Oregon. It is Oregon?s only national park. It is the deepest lake in the United States and is the seventh deepest in the world. Crater Lake has an average diameter of 5.3 miles in length and is approximately 1,932 feet deep.   Ã‚  Ã‚  Ã‚  Ã‚  Crater Lake is a result of a volcanic explosion that happened about 7,000 years ago. A long time ago, the pacific oceanic plate was gradually moving under the pacific continental plate in the process of plate tectonics. The pressure shaped the land to move upward and create a line of mountains that are currently located on the Cascade Range. These lavas piled and cooled on top of each other resulting in mountains like Mazama and Hood. Mount Mazama was built by successive flows of both andesite and dacite lavas. Mount Mazama was a stratovolcano, which was about 12,000 feet high after series of ash, cinders, and pumice explosions built it upward. During it?s final eruption the magma chamber was emptying and the underlying support for the mountain was lost and the walls of the volcano began to collapse. In just a matter of days the top of the mountain was destroyed and left a caldera. A caldera is a word used by geologists to describe large basin-shaped volcanic depr essions. The destruction Mount Mazama was what marked the beginning of the formation of Crater Lake. The caldera was about 3,000 feet deep and over time, snow and rai...

Concerns about poor practice Essay

3.3.3- Evaluate ways in which concerns about poor practice can be reported whilst ensuring that whistle-blowers and those whose practice or behaviour is being questioned are protected.  Any person who wants to work with children has to go through a screening process to ensure they are suitable, and any convictions are known about. Despite these thorough checks some abuse still happens within schools by the staff. This is called institutional abuse. There is a duty for all staff to follow and comply with all policies and procedures within the school to ensure that children are not put at risk so any concerns or worries must be expressed to the designated person or the Head Teacher. If there are concerns that a colleague is abusing a child in any way, then immediate action is required. This action is the same as if the abuser was anyone else be it parent or stranger and the Child Protection Officer must be informed, or if they are thought to be responsible for the abuse then you can go straight to the County Council. Although this is a very difficult situation , the first priority is the welfare of the child. SCHOOL WHISTLE BLOWING POLICY Aim of the policy This policy sets out guidelines relating to disclosures, given by people who have reasonable concerns or misgiving about serious misconduct or malpractice within the school. Key points This policy applies to all staff, volunteers, supply staff, parents and pupils, and is intended to encourage staff to raise concerns within the school, rather than outside. All staff should understand their own responsibility to bring matters of concern about children, fellow teachers or volunteers to the attention of the Head Teacher, Governors or Hampshire County Council. The policy protects anyone who voices concerns of any of the following, from any repercussions. Conduct that is illegal or a criminal offence, physical or sexual abuse of pupils or others, contraventions of health and safety that could affect staff or members of the public, fraud or corruption or any unethical behaviour of a serious nature. Employees are  ensured an appropriate response to their disclosure and are made aware of how they can take the matter further if necessary. Confidentiality between all parties must be maintained at all times so any communication should be in writing and will be sent to the employees home address. There are some situations which must be reported to the Police. Any disclosure should be put in writing. An employee can have a second person attend any meetings, be it a friend or Union representative.  The policy gives protection to anyone who voices concerns in good faith, on discrimination, victimisation or disadvantage. Although there is no time limit in place for raising concerns , any delay could hinder an investigation and this may have child protection or serious health and safety implications.

Essay Nursing Ethic

In these situations I feel it is my duty to try to reach out to each patient from where they are coming room. If I have a patient who does not speak English utilize a trained interpreter or our Curaà §ao phone to help communicate with my patient. Sometimes this can be time consuming and put us behind schedule. We only have one interpreter and she is eve busy so sometimes we have to wait quite awhile for her to be available. This can put our providers behind schedule.It is very tempting in these situations to allow an employee who is not a trained interpreter but speaks the same language, or a family member to interpret. However, this does not follow clinic protocol and therefore is unethical. I work n an internal medicine clinic and most of our patients have multiple health issues. It would be very unfortunate if we missed a subtle but important change in the patient's health history because we didn't wait for the trained medical interpreter.The ethical dilemma in this situation is whether I should wait for the appropriate interpreter and potentially run the risk of frustrating sick patients who have to wait a long time to see their backed up provider, frustrate staff members who may not get a full lunch break or have to stay late because or utilize an inappropriate interpreter and take the chance of going something important in the translation. In my opinion, everyone deserves the best possible medical care regardless of where they are from or what language they speak. Legalize that morals are a very personal thing and that my morals may be different from the people I am caring for. I cannot let this change the way treat my patients. Sometimes this can be very difficult. When I worked in the operating room We had many traumas involving gang members who had been shot while committing a crime. We still had to work just as hard to save these people as we would anyone else. We used a lot of resources and did what we could to save them. I always found it startling how the staff members in the OR would talk about these people as we worked on them.I get that they are criminals but they are also human beings. Are job was to keep them alive, not judge them. This said, I had a situation that really caught me off guard and made it very difficult for my to be kind to this patient. I grew up in a predominantly Jewish neighborhood in a suburb of Chicago in the ass's. Almost everyone I knew had a family member who was a concentration camp sun,'ivory. It was an everyday occurrence to see an older person with the dreaded â€Å"tattoo† on their forearms. While interviewing my patient before going back to the OR we were talking and everything was fine.It wasn't until had to check her leg to make sure the surgery site was marked that I noticed she had a portrait tattoo of Doll Hitler. I was astounded. She had seemed perfectly polite and appropriate. Suddenly I could hardly look at her. I'm sure my voice became very short and clipped. Once we got her to sleep I couldn't stop talking (to anybody who would listen) about how appalled I was with her tattoo and her probable belief system. It wasn't until much later that I realized that I really let my own feelings interfere with the best possible treatment of my patient.The ethical dilemma in this situation is, should we treat unkind people the way we treat we would want to be treated. I feel very strongly about respecting others cultural beliefs, even when it comes to health choices made that may not think are the best thing for the patient. The only time I really struggle with this is when the men in a family want to make health decisions for the women. My personal opinion is â€Å"if it's not your body, stay out of it†. However, unless the woman is being physically abused, it's none of my business.All I can do is give them the best possible information regarding their health, educate them in a culturally sensitive manner and offer them appropriate resources; the rest is up to them. Some days it can be very had to take others morals, values and ethics into consideration. I really try' to remember to treat others the way they want to be treated and not necessarily the way want to be treated. For someone as opinionated as me, this can be a struggle. Everyday is a new chance to do the best I can for my patients and I feel blessed to have the opportunity to do so.