Tuesday, December 31, 2019

What Caused The Rwanda Genocide Essays - 1119 Words

In this essay, I will discuss about how the Rwanda genocide and the Second World War started and furthermore I will discuss what caused it to take place and conclude by talking about the differences and similarities between these two categories I have chosen. What caused ruwanda war? In the beginning of April, 1994, Hutus began slaughtering the Tutsis in Rwanda. As the vicious killings kept on going, the world stood quit and just watched the slaughter. As 100 days past, the Rwanda genocide left around 800,000 Tutsis and Hutu dead. The Hutu and Tutsi are two clans who shared the same past. When Rwanda was first established the people used to raise cattle`s. Eventually, the people who had the most cattle were called Tutsi and the rest was†¦show more content†¦The members of the presidential guard started killing Tutsi civilians in a section of Kigali near the airport. 7 April same year, the Radio Television â€Å"Libres Des Mille Collines â€Å" aired a broadcast telling the plane crash to the RPF and a contingent of UN soldiers. Later that day the Prime Minister, Agathe Uwilingiyimana and 10 Belgian negotiators promised to protect her. But unfortunately she got brutally murdered by Rwandan government soldiers at her home. Other Hutu members were similarly assassinated. Belgium later withdrew the rest of its force after the massacre of its troops. On 21 April, afterwards other countries that asked permission to withdraw troops, the UNAMIR force decreased from 2,165 to 270. What caused the second world war? The Second World War occurred when Germany invaded Poland on the 1 September 1939. After nearly two days later, Britain and France announced war on Germany. The war stretch throughout whole Europe, involving everyone. Many countries were invaded by German troops, war wagons whilst others joined with Germany. There were only some countries in Europe that still neutral during that war. Those were Sweden, Switzerland, Turkey, Portugal, Spain, Ireland and the Vatican. German troops enforced thousands of Polish Jews from their homes and into the streets, and offering their properties to ethnic Germans. Building huge walls attach with dangerous wires, the Jewish in Poland wereShow MoreRelatedThe Genocide Of Rwanda s Genocide1624 Words   |  7 PagesThe Genocide in Rwanda INTRODUCTION Genocides happen when ethnic divisions become apparent. Many times, these ethnic divisions were due to colonization from people of different race. These cases are especially true in Africa when Europeans colonized their territory, with clear racial divisions between them (Gavin). These genocides go on because of nations acting on ignorance and refusing to help out the nations in turmoil, allowing the genocides to continue, without wasting their own resources.Read MoreRwandan Genocide1017 Words   |  5 PagesEgypt, one of the greatest conflicts is the Rwandan Genocide. The Rwandan Genocide included two tribes in Rwanda: Tutsis and Hutus. Upon revenge, the Hutus massacred many Tutsis and other Hutus that supported the Tutsis. This gruesome war lasted for a 100 days. Up to this date, there have been many devastating effects on Rwanda and the global community. In addition, many people have not had many acknowledgements for the genocide but from this genocide many lessons have been lear ned around the world. Read MoreHumanitarian Intervention Essay1198 Words   |  5 Pagescrime against humanity. (Humanitarian, 2008) Realism explains that humanitarian intervention came about during the genocide in Bosnia but not in Rwanda because even though it might have been the correct moral action to take, intervention in Rwanda was not in the national interest of other states. Also, there was no humanitarian intervention in the Rwanda genocide because the genocide was not explicitly known about. (Hintjens, 1999) On the other hand, humanitarian intervention occurred in BosniaRead MoreThe Rwandan Genocide And The Genocide1654 Words   |  7 PagesRwandan Genocide A genocide is defined as the deliberate killing of a group of people, especially of a certain ethnicity. By that definition and almost any other a dictionary could define, the killing of the Tutsis was certainly a genocide.The Rwandan Genocide occurred in 1994, in an African country called Rwanda. A long history of building friction between the Hutus and the Tutsis undeniably caused the mass murder of over 800,000 Tutsis, but various countries’ failure to act allowed the genocide to goRead MoreThe Conflict Of The Rwandan Civil War889 Words   |  4 Pages claims that â€Å"In 1992, Rwanda’s population was about 9.2 million with 83 percent Hutu and 17 percent Tutsi. However, half the Tutsi population was in exile† (73.) My claim is that the Rwandan Civil War was a fault line conflict and catalyzed the genocide between the two ethnic groups of the Hutu, and the Tutsi. The Belgian colonial power influence that was left for the Rwandan people, negatively disassociated civilizations, and insinuated the dispute over which ethnicity was superior. The BelgiansRead MoreThe Rwandan Genocide And The Genocide1382 Words   |  6 Pages In 1994, a mass genocide broke out in Rwanda, a small country in Africa. The genocide occurred between the two ethnic groups where the Hutus were targeting the tutsis. The Rwandan genocide, ranking in the top five largest genocides in the world, was caused because of the resentment the hutus had towards the tutsis and was even more instigated by media and outsiders causing differences between the two parties. This quote is trying to provide an insight on what happened in rwanda and why. The localRead MoreThe Conflict Of The Rwandan Civil War887 Words   |  4 Pages claims that â€Å"In 1992, Rwanda’s population was about 9.2 million with 83 percent Hutu and 17 percent Tutsi. However, half the Tutsi population was i n exile† (73.) My claim is that the Rwandan Civil War was a fault line conflict and catalyzed the genocide between the two ethnic groups of the Hutu, and the Tutsi. The Belgian colonial power influence that was left for the Rwandan people, negatively disassociated civilizations, and insinuated the dispute over which ethnicity was superior. The BelgiansRead MoreRwandan Genocide : Behind The Media s Eyes1088 Words   |  5 PagesRwandan Genocide: Behind the Media’s Eyes Could the Rwandan Genocide have been prevented? Absolutely. If Rwanda hadn’t been under Belgian rule, and if western countries would have sent troops in to help, the genocide could ve been avoided. There was no light shed on the genocide by the western media. The media twisted and contorted the reality of the genocide. While Western media claimed that Tutsis were victims of genocide, they failed to identify the true victim of the genocide. Hutus and TutsisRead MoreThe Rwandan Genocide And The Genocide1393 Words   |  6 PagesRwandan Genocide was one of the most violent genocides in the history of the world and was intricately planned and implemented by the ethnic group called the Hutu in an attempt to eliminate another, the Tutsis. Though the genocide lasted only one hundred days, the number of deaths is estimated to be approximately 800,000. In the wake of the genocide, mass chaos plagued the country of Rwanda, deepening the divide between the groups Hutu and Tutsi. Although it can be said the genocide was caused onlyRead MoreRwanda Genocide : The First Conviction1264 Words   |  6 Pages Rwanda Genocide: The First Conviction Kaylee Schmit Ms. Sandbulte Advanced Composition January 11, 2016 Kaylee Schmit Ms. Sandbulte Advanced Composition January 11, 2016 Rwanda Genocide: The First Conviction Rwanda is a small country in Africa, made up of three ethnic groups: the Hutus, who held the majority of the population; the Tutsis were only a small portion of the population; and there were also very few Twa. All three groups spoke Kinyarwanda. There were differences in the

Monday, December 23, 2019

The French Revolution - 1909 Words

Brandon Chen Ms. Crawbuck Sophomore English March 23, 2016 Final Draft Many dictators in history have created bad legacies and committed horrific crimes during their time in power. One dictator, however, created a legacy that any person would know and created an ideology that is used in almost all first world countries, and many other second war countries now as well. This dictator is Napoleon Bonaparte. He is a catalyst for change because he created a dominant army from the scraps of the French Revolution, which led to his dominance throughout Europe, creating a lasting principle that most people now think of it as a norm. The French Government was rapidly losing power during the Bourbon Dynasty because of the vast spendings of King†¦show more content†¦Radical nationalists quickly took control of the government and country and made very radical acts, that dug France into a bigger hole (French). One of the first things the radicals did when they gained power was â€Å"declared war on Austria and Prussia, where it believed that Fre nch á º »migrà ©s were building counter revolutionary alliances; it also hoped to spread its revolutionary ideals across Europe through warfare,† which caused not only a war inside of France, but also a war against countries outside of France (French). Soon a group of extremist Jacobins attacked and captured the king in Paris (French). The next month, citizens of Paris started massacring many accused counter revolutionists and got what they wanted; the establishment of the French Republic (French). Soon after the establishment of the republic, â€Å"Jacobins seized control of the National Convention from the more moderate Girondins and instituted a series of radical measures, †¦ They also unleashed the bloody Reign of Terror, a 10-month period in which suspected enemies of the revolution were guillotined by the thousands,† which were put out by the order of Robespierre, the leader of the Committee of Public Safety (French). Soon after this radical phase a modera te phase came in and the French people revolted against the radicals because of their actions (French). The French revolution finally ended when a group of Girondins approved a new constitution that

Sunday, December 15, 2019

Analysing The Baby Bonus Scheme Health And Social Care Essay Free Essays

For the past few old ages, aging population has been the chief concern faced by several developed states. British Columbia is one state that faced an aging population. Much research was conducted in this state to work out the job and it was revealed that the chief cause of this state of affairs is the worsening of birthrate rate over decennaries [ 1 ] . We will write a custom essay sample on Analysing The Baby Bonus Scheme Health And Social Care Essay or any similar topic only for you Order Now Entire Fertility Rate ( TFR ) is defined as the figure of kids an mean adult female would hold presuming that she lives her full generative life-time [ 2 ] . Considered as a developed state, Singapore has besides faced a serious job of worsening TFR. With TFR of 1.16 in 2010 [ 3 ] , Singapore is ranked hundred-and-seventieth [ 4 ] in the universe and arguably one of the lowest TFR in the universe. Singapore authorities has implemented some policies to promote Singaporean to hold more kids, and hence increase the TFR. The latest and most comprehensive policy to this terminal is the babe fillip strategy. A group of research workers from Melbourne Institution of Applied Economics and Social Research investigated the consequence of babe fillip towards TFR. Based on their theoretical account ; baby fillip exerted a little positive consequence on birthrate purpose which leaded to a positive impact on birthrate rate. The consequence seemed to be stronger for 2nd and perchance higher-order numbered kids. In add-on, the consequence showed that fillip consequence is lasting [ 5 ] . However this survey could non find that the consequence would be similar in local context, Singapore. Since there is no formal research particular on look intoing TFR and pamper fillip strategy, our research will concentrate chiefly on look intoing the effectivity of babe fillip on TFR and position of the immature coevals with respects to this strategy. We regard a policy is effectual when it is able to change by reversal the current diminishing tendency of TFR. We will besides look into the most of import factor that peoples consider with respects to be aftering for kids. Suggestions that will function to better the effectivity of this policy will be given every bit good. The expected consequence for our analysis is that babe fillip is less effectual in increasing Singaporeis TFR. Other factors such as the psychological-thinking and societal factors which may impact TFR will non be included in our survey. To do our research clearer and all-rounded, we introduce two subdivisions under debut, which describe the worsening tendency of TFR from 1990 to 2000 and reexamine the factors that affect TFR. The treatment of this paper will be separated into two chief parts, which are the method subdivision and consequences and treatment subdivision. The first portion will concentrate on explicating our study method and stuffs that we obtained from authorities records. Under the consequence subdivision, we will discourse our analysis utilizing primary and secondary informations. The treatment focuses on effectivity of baby fillip policy in Singapore. Finally in the decision subdivision we will sum up the important findings of our survey and specify the background for future research to deduce better methods to get by with birthrate. 1.1 Singapore Demographic Pattern Figure 1.1 The new way of policy since the 1990is is in stressing the importance of get downing a household and holding multiple kids to a successful and all-around life. As seen from figure above, the TFR has continued to worsen steadily throughout the late ninetiess and early 2000s. This has raised concerns to the authorities as it is below the replacing rate of 2.1 [ 6 ] that is needed by Singapore. 1.2 Review of factors impacting TFR 1.2.1. Education derived function and alterations in political orientation Education gives one a strong head of their ain in prosecuting their dreams that include a stable and esteemed calling. A twenty-four hours of 24 hours will be used to prosecute their dreams, go forthing minimum clip for household planning and childbirth. Puting high value on work by both females and males would increase the chance cost of holding kids. This might explicate the falling tendency in TFR. 1.2.2. Fiscal grounds The lifting costs of life and holding babes are discouraging newly-weds from childbearing. The mean earning of an employee is about S $ 4000 per month in 2010 [ 7 ] . If we were to take merely two most basic disbursals, kid lovingness fees and hospitalization measures that are incurred during and instantly after gestating, we can cognize that fiscal load is an disposed account for the worsening TFR in Singapore. Childcare services are priced at S $ 776 and S $ 572 for mean full twenty-four hours and half twenty-four hours fees severally in 2010 [ 8 ] . While hospitalization fee for female parents after bringing in an mean ward of B2 fluctuates between S $ 1000 and S $ 1200 [ 9 ] . The entire charge for these two constituents of expected disbursals can amount to S $ 2000, which is already half of the wage of an mean worker in Singapore. Such high degree of disbursement on one kid can so deter a important figure of newly-weds in holding kids, and our analysis is non even taking into hi story the changeless economy of financess for advanced acquisition and schooling in Singapore every bit good as day-to-day disbursals on nutrient and vesture for the kid. Clearly, childbearing is non an easy undertaking as it takes old ages of support from the point of gestating till the point of independency. Fiscal restraints can possibly be the most of import ground why there is a diminution in TFR observed in Singapore. 2. Method We use secondary and primary informations to discourse the effectivity of babe fillip strategy. Secondary information was obtained from administrative records while primary informations was taken from study. The sample of our study was NTU undergraduates aged from 19 to 26 and selected by convenience sampling. We restricted our sample merely on Singaporeans and Singaporean PRs because babe fillip strategy is more eligible to them. The targeted size was 100 participants, 50 males and 50 females. A pilot study was done on 50 respondents with our drafted sample study. We received feedback that our inquiries were insistent and ill-defined. Leading inquiries were besides heedlessly included. Some of the open-ended inquiries were left space, demoing that the inquiries discouraged participants to reply wholly. Consequences shown from this pilot study were inconsistent and hard to analyse accurately. To better on our research work, we conducted another study with freshly phrased inquiries which are simpler and more straightforward. At the start, we had inquiries aiming the figure of kids our respondents are be aftering to hold. The consequences here gave us a unsmooth thought of the TFR that Singapore will hold with its current subsidy policies in topographic point. Subsequently, we required respondents to rank the factors that affect their determination on the figure of kids they were to hold. The most highly-ranked factors can help Singapore in planing or revising constabularies for greater impact on Singaporeis TFR. Next, we had inquiry taking to happen out whether babe fillip had a say in their household planning. This was to find the comparative importance of babe fillip strategy. Relatively high importance placed by Singaporean will let greater infinite for control over the population size. We besides suggested a superior system for Singaporeis authorities inducement strategy to happen out about the policy that authorities should concentrate on. Last, we welcomed suggestions from respondents to give them an avenue for showcasing their point of views sing the subsidy policies in inquiry. 3. Result and Discussion The Baby Bonus Scheme is a two-tiered strategy, comprising of a direct hard currency gift from the authorities and a co-saving agreement in which the authorities lucifers dollar for dollar the sum parents put into a Child Development Account ( CDA ) , capable to a maximal sum [ 10 ] . It was foremost implemented in 2001. With the babe fillip strategy, 2nd or 3rd kid can convey important pecuniary benefits for the parents from 2001 [ 10 ] . The Baby Bonus Scheme did assist to settle the concerns of twosomes who find the fiscal load of raising a kid excessively heavy to bear. Monetary wagess given out to parents can be used subsidise the childis early old ages of instruction and medical demands. Figure 3.1 Table 3.2 From the figure above, we noticed that between 1997 and 1998, TFR dropped significantly by 0.15, compared to a twelvemonth before where the lessening was 0.06. We notice that there was a important difference in the lessening. A possible account is that Asiatic fiscal crisis had taken topographic point during 1997-1998 and this might back up our outlook that fiscal factors are impacting the determination of twosomes to hold kids. The authorities may therefore make up one’s mind to undertake the low TFR job from the fiscal facet by implementing babe fillip strategy in 2001. 3.1. Secondary informations Figure 3.2 shows that after execution of the babe fillip policy, the TFR from 2001-2004 dropped by 0.15. In the span of four old ages ( 1997-2000 ) we observed that TFR had dropped by 0.20. Comparing these two Numberss, TFR still falls, but it is falling at a diminishing rate, this suggests that babe fillip is so effectual to a certain extent. There was a alteration of policy in 2004 because the declared end of returning birthrate to replacement had non been achieved. Under the new strategy, the hard currency gift that parents received from the authorities was increased for the first to 4th born kid. Looking at period of 2004-2008, there was an overall addition of TFR by 0.02. Further sweetening was done in 2008. However looking at the TFR tendency, it showed a autumn of TFR by 0.12 from 2008-2010. Hence, the effectivity of babe fillip is so problematic. In decision, the execution of babe fillip is good in assisting to decelerate down the lessening in TFR but it was non able to change by reversal the tendency. This shows that baby fillip policy is uneffective in increasing the TFR. 3.2. Primary informations The consequences attained from our study will be brooding of the younger coevals about their position towards the authorities subsidy policies. 3.2.1 Entire Fertility Rate Figure 3.3 Figure 3.3 shows that 56 % our participants planned to hold a two kids and 20 % of them chose three kids. The per centum of people non be aftering to hold any kid is 10 % . This can be interpreted that most of the respondents will be willing to hold kids. TFR Gender Female Male Both female and male Average or average 1.76 2.3 2.03 Standard Error ( Deviation ) 0.87037 0.99488 0.96875 Table 3.4 To specify the entire birthrate rate more accurately, we will look into the different in expected TFR for both genders. Our findings show that if male is the determination shaper, the TFR will be 2.3 and if it is female, the expected TFR is 1.76. To acquire an accurate scope for the expected Entire Fertility Rate, we will use the interval appraisal method. We used 95 % assurance interval ( C.I ) as our base. For given a, ( 100- 100a ) % assurance interval means that ( 100- 100a ) % in chance that the true value of this TFR is inside this estimated interval. Hence, the value of a is equal to 0.05 if we use 95 % C.I. The lower edge of assurance interval is defined as ( X-tn-1 ( a /2 ) * s/vn ) , and ( X+ tn-1 ( a /2 ) * s/vn ) is the upper edge for assurance interval. We get the value of tn-1 ( a /2 ) from the t-distribution tabular array. Explanations: 1. N is the sample size 2. Ten is the mean ( refer to postpone 3.4 ) 3. s is defined as standard mistake ( mention to postpone 3.4 ) 4. t49 ( 0.025 ) = 2.01 and t99 ( 0.025 ) = 1.984 Therefore, the estimated interval of TFR when male is the determination shaper is 2.01720 = TFR = 2.58280 While the estimated interval of TFR when female is the determination shaper is 1.51259 = TFR = 2.00741. As the optimal TFR of the authorities is 2.1 [ 6 ] , we can see that if female was the determination shaper, the TFR is below 2.1. However, in doing determination of holding kids, it is non up to one person merely but a joint determination by both male and female. Therefore, it will be more appropriate if we consider the norm TFR as the expected TFR in the hereafter. The expected TFR in the hereafter is between 1.83780 and 2.22220 utilizing the interval appraisal method 3.2.2 Ranking of factors Figure 3.5 The above information show the figure of participants that give rank i1i for the factor that they consider as the most of import with respects to child planning. Consequences revealed that 58 out of 100 respondents chose fiscal factors, followed by calling with 19 out of 100 participants. This consequence supported our outlook that fiscal is the most influential factor with respects to be aftering for kids. Hence, our research will be valuable in helping to better the TFR. 3.2.3 Baby fillip strategy Figure 3.6 Figure 3.7 Figure 3.6 shows that 90 % of the respondents knew the babe fillip strategy, this suggests that the participants are cognizant of the babe fillip strategy. From figure 3.7, 50 % of the participantis determination is affected by the babe fillip strategy. With this sum, we might non be able to reason that it is effectual. However, sing the state of affairs without the strategy, the TFR that we calculated supra has a high likeliness that it is traveling to be lower. This is because half of the participants might make up one’s mind to take down their figure of kids planned if babe fillip strategy had non been implemented. Hence, the effectivity of babe fillip is problematic. Figure 3.8 The figure above shows the grounds why Baby Bonus does non impact participantsi determination. 24 out of 50 people thought that babe fillip subsidy is deficient. This shows that they are non satisfied with the current strategy. If pecuniary benefits to be increased, there is a high possibility that this strategy will be more important to increase the TFR. This is besides supported by the grounds, that babe fillip alteration in 2004 was effectual, as TFR increased by 0.02. Figure 3.9 Figure 3.9 shows the figure of participants that give rank i1i for the authorities subsidy policies that they consider as the most of import. As shown above, there is important figure of participants that prioritized health care, instruction and lodging loan with 27 % , 26 % and 25 % severally. However, merely 9 % of the participants chose baby fillip policy as the most of import policy. This shows that authorities should non concentrate their alteration of policies merely on babe fillip. The information suggested that there is an emerging tendency, that people are more disquieted about wellness attention, instruction and lodging affairs. Hence it is advisable that the authorities looks into these three subsidy policies in greater deepness to increase the Singaporeis TFR. Figure 3.10 Figure 3.11 If we separate our treatment into different genders, the impact of babe fillip strategy is greater on males. Referred to calculate 3.10 and 3.11, 60 % of the maleis determination was affected by the strategy, while 40 % of female participants were affected. This shows that babe fillip strategy plays a larger function in act uponing the maleis determination. Uniting the findings, TFR is below the replacing rate of 2.1 if female is the determination shaper. This means authorities should aim more on females and seek to increase the figure of kids they would be after to hold to increase the TFR. As shown from the figure 3.5, females considered fiscal factor as their precedence with 32 out of 50 female participants ranking it as figure 1. With this, focal point should still be given to fiscal factors, such as increasing pecuniary benefits to increase the willingness of adult females to hold more kids. Merely 40 % of the femaleis determination was affected by the babe fillip. We can deduce that increasing the subsidy for babe fillip may be less effectual. Hence, greater focal point should be placed on other subsidy benefits such as health care subsidy, instruction and lodging loans as shown from the figure 3.9. 4. Decision This undertaking studied the impact of Singaporeis babe fillip policy on its entire birthrate rate. Baby fillip policy is non effectual in change by reversaling the tendency of the TFR. However, credits have to be given to pamper fillip as TFR was worsening at a diminishing rate. From our study, we conclude that fiscal facet is the most of import factor in oneis determination in household planning. We found that the expected TFR for female is below the replacing rate ; therefore greater focal point should be put on females. Greater accent should besides be placed on wellness attention, instruction and lodging affairs. One restriction of our undertaking could be found in our study sample. Because the study is conducted within school compounds, we treated all Singaporean respondents as a homogeneous group of highly-educated personal. This is non representative for the whole of Singapore population. We would urge future research to be conducted on a more heterogenous study sample so tha t Singaporean of all backgrounds can be reached. How to cite Analysing The Baby Bonus Scheme Health And Social Care Essay, Essay examples

Friday, December 6, 2019

Lessons Through a Broken Bone free essay sample

When I was four years old I broke my elbow. After numerous weeks with a cast on I returned to the hospital to finally have it removed. My mother found it odd that I was so enthusiastic about returning to the place in which I had experienced so much pain. Yet she soon discovered my fascination with the healing process and how doctors help to enhance it. I was in awe as the doctor removed my cast and asked me to move my arm. Yet I immediately became confused and scared as the pain came shooting back through my elbow. After another series of X-Rays and examinations I was put into a new cast and my mother was told to bring me back in another several weeks. I had begun to doubt the reliability of doctors and my mother expected that I would be reluctant to return to the hospital. When the day came that I would have my cast removed for the second time I was nervous. We will write a custom essay sample on Lessons Through a Broken Bone or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page The hospital seemed like a more frightening place than it had ever been. Yet I was optimistic enough to trust the doctor as he once again removed my cast and asked me to move my arm. After a brief moment of hesitation I extended and contracted my arm and was shocked by the result. My arm was fixed! Nothing hurt! As my mom and I made our way out of the busy hospital I released her hand and sprinted away. My mom was instantly fearful that I would find my way into the arms of someone dangerous for at the age of four I was already known for conversing with strangers that I felt were potential friends. As she frantically moved through masses of people in the crowded hospital she caught sight of me. I was crouched down with my head turned up to the face of an old man. Just as my mother reached for me I said, â€Å"Don’t worry man, the doctor will fix your legs. You’ll walk again! Look how he fixed my arm!† I proceeded to show him all the directions I could move my newly healed elbow. My mother instantly felt embarrassed and began to apologize to the man and the elderly woman pushing him in the wheelchair. Yet she stopped when she saw their smiles as I patted him on his knee. She had realized that optimism, enthusiasm, and trust were nothing to be sorry for. Since then I have continued to be fascinated with the human body and medicine. I also still love to help people and will never miss an opportunity to encourage or console someone. But most of all, I still believe that optimism and trust are the building blocks for happiness and success in life. Many things can change in thirteen years, but I am proud to say that these parts of me have always stayed the same.

Monday, November 25, 2019

The Spread of Religions Essays

The Spread of Religions Essays The Spread of Religions Paper The Spread of Religions Paper Short Writing Assignment # 2 Topic: The Spread of Religions 11/20/2011 Question 1: How did Buddhism, Christianity, and Islam spread across the world, and why are they practiced so far from their origins? Answer 1: Buddhism, Christianity, and Islam spread across the world by use of four common practices. Missionaries spread the faith to new areas. These missionaries adapted their message to the existing culture of the area and adopted elements of existing religious traditions. Pilgrimage was encouraged and allowed the pilgrim to express devotion through the hardships of travel and expand their world-view. Through the use of relics, people were allowed a personal connection to the story of the religion. They are practiced all over the globe, far from their origins. One reason is forced conversion such as the conversion of the Saxons by Charlemagne under threat of death. Another is diaspora such as when the Romans expelled the Jews from Judea and they scatted all over the earth. Question 2: How did these three major world religions change and adapt to diverse cultural circumstances? Answer 2: Buddhism adapted the Chinese culture in China and flourished there to an extent that China became the center of pilgrimage and dispersion even though India was the source. It adapted to Chinese culture easily because the Chinese idea of Wuwei was very similar to the idea of Nirvana as taught by Buddha. Christianity adapted to the indigenous religions in many ways. Just a few: The Church of the Holy Sepulcher was once the site of a shrine to Aphrodite. Christmas is now the celebration of Christ’s birth even though no one knows the day he was born. European Christians absorbed their old pagan tradition of the celebration of Yule into the practice of their new religion. Sufi missionaries adopted local cultural practices into the practice of Islam to attract converts. Question 3: Why did Buddhism, Christianity, and Islam emerge when and where they did? Answer 3: Each religion spread mostly in near proximity to its source: Buddhism throughout eastern Asia from India to China then on to Japan and Korea. Islam spread from Arabia through western Asia and across North Africa. Christianity spread across the Mediterranean from Judea then through Europe during the dark ages when Europeans needed a sense of unity and stability after the loss of the same after the fall of the Roman Empire. Europeans then carried it with them when they settled the New World. Question 4: How did Buddhism, Christianity, and Islam interact with, provide justification for, and conflict with various states and empires in Afro-Eurasia? Answer 4: Buddhism became the state religion of China as the nobles embraced and patronized it. Christianity became the state religion throughout Europe after the nobles embraced it then forced the conversion of their subjects as in Kiev and the mass conversion of the Saxons under the threat of death. Islam supports trade so Arabian traders spread it throughout their travels.

Thursday, November 21, 2019

How to do job interview and Questionnaire about the Morrison Company Essay

How to do job interview and Questionnaire about the Morrison Company - Essay Example These open-ended questions will develop the interviewer’s understanding of the interviewee’s strengths and weaknesses pertaining to the duties and responsibilities that the job requires. These questions also give insight in the interviewee’s work experience, elicit opinions from them and give some indication of their suitability for the job (Department of Civil Service, 2008). The structure of the interview can follow a six-point format. Firstly, introduce yourself and greet the interviewee with a smile. Secondly, go through their application form and C.V. with them and ask them to provide more details on his/her previous job responsibilities, duties and projects they may have completed. Their responses will imply what they find interesting or challenging, how suitable they are for the job and how good their communication skills are. Thirdly, give the interviewee the job description verbally and summarize the main duties and responsibilities. Fourthly, to gain as much information that is feasible as to the interviewee’s suitability for the job, encourage expansive responses with open-ended questions, such as those suggested below. Fifthly, ask the interviewee if they have any questions regarding the job or the company, and that either the interviewer or the Personnel Office will be there to answer any questions that may come to mind after the inter view has ended. Lastly, end the interview by stating what will happen next in the hiring process, and thank them for their time (Department of Civil Service, 2008). Allbusiness.com. (2008). How to Conduct an Effective Employee Interview. [Online]. Available at: http://www.allbusiness.com/human-resources/workforce-management-hiring-interviewing/1253-1.html. [Assessed 23 November 2008]. Department of Civil Service. (2008). How to Conduct a Job Interview. [Online]. New State Department of Civil Service. Available at:

Wednesday, November 20, 2019

Employee Reward nd Development Essay Example | Topics and Well Written Essays - 1500 words

Employee Reward nd Development - Essay Example Organizational learning has been proposed as a fundamental strategic process and the only sustainable competitive advantage of the future (Vera and Crossan, 2004) as it increases the rate of change, provides flexible organization of structures, continuous improvement, and organizational interactions are actively managed and optimized (Easterling, n.d.). Smith, Araujo and Burgoyne (Vera and Crossan et al (2004) developed a theoretical model with 4I framework linked by four social and psychological processes like intuiting, interpreting, integrating and institutionalizing. Organizational learning is viewed as a process of change in thought and action among individual and group which is embedded in and affected by the institutions of the organization. It is further argued that tension between assimilating new learning (exploration) and using what has been learned (exploitation) is the basic challenges of organizational learning. The learning organization concept is about building learni ng and knowledge creating capacity in individuals and enabling the effective dissemination of this knowledge through the organization. The learning organization is the product or result of a critical combination of internal change mechanisms concerned with structure, process and human capability allied to continuous environmental reviews which is intended to improve performance (Thomas and Allen, 2006). According to Egan, Yang and Bartlett (2004) organizational learning culture can enhance employee’s job satisfaction and both of these variables influence the organizational outcome variables of motivation to transfer learning and turnover intention. The analytic framework of the learning organization developed by Watkins and Marsick (Egan, Yang and Bartlett, 2004) provides a lucid and broad definition of the construct of learning organization which not only identifies underlying learning organization dimensions but also integrates such dimensions in theoretical framework which specifies interdependent relationship and was also agreed by Ortenblad (Egan, Yang and Bartlett 2004)). Vince (2001) while examining the organizational learning in Hyder Plc mentioned that the conceptualization which indicates that â€Å"individual staff can benefit from on-the-job learning and training which is highly practical and applied† (p.1326) and further argued that organizational learning is visible in the organizational dynamics which is created from the interaction of politics (power relations) and emotions. According to Miner and Mezias (1996) various theories have tacitly assumed a fixed world of exogenous conditions to which organizations must adapt while ‘learning’ carries a positive connotation in many cultures. Behavioral learning scholars claim that incremental learning is common and has useful outcomes. It is pertinent to mention that incremental and radical learning are both meaningful concepts that enhance survival and prosperity while may c ause damage the organizational culture. According to Yeo (2002) behavioral or adaptive learning approach clarifies that learning is directly associated to some action which follows it. Cognitive learning assumes that learning is more than just applying rules or responding to small scale problems and making basic elements of a subject. Sanchez, Vijande and Gutierrez (2010) mention that

Monday, November 18, 2019

Consumer behavior and pruchasing decisions Essay

Consumer behavior and pruchasing decisions - Essay Example It is only through this manner that the understanding between the business world and the consumer can transform into a profitable venture. Customers need the business world to understand them and avail to them what they want. On the other hand, the players in the business world need the resources that the consumer has in order to turn in a profit. Hence the concept of understanding the marketing stimuli is a mutually beneficial affair. This paper then discusses this concept through an analysis of the marketing dynamics and the marketing stimuli in the need to anticipate and fulfill the customer’s expectations and wants. In so doing, the paper will examine several elements under this concept which includes an explanation of how an understanding of consumer behaviour reduces decision risk for marketers in the definition of target markets and the design of marketing mixes, the analysis of the consumer decision making process, the understanding of how consumers evaluate the goods and services they buy and consume, the consumer involvement and types of buying decisions that these consumers make, the cultural factors that influence purchase decisions, the social factors and purchase decisions and the individual psychological factors influencing the purchase decisions. ... Marketing mix and stimuli defined Marketing mix is a concept widely applied in the world of business to ensure that the products that are delivered to the customers fit the four basic dynamics of place, price,  product and promotion. Marketing stimuli takes a look into the four elements as have been analysed in the marketing mix too. However, the marketing stimuli goes further to address other elements namely economic, technological, political, cultural as well as competitive element. For a product to be attractive to the customers, it must be selling at a price that appeals to the specific target of consumers, it must be made available where and when it is needed and a certain degrees of promotion of the product must have been carried out. However, it is important to note that other factors also influence the manner in which the marketing is conducted out. The marketing stimuli as named above clearly shows that the marketing dynamics could also be affected by other external forces . The economic aspect is one of them. If the economy of a country is doing well, then that particular country becomes a target for many marketers and many business people. Technological forces may also affect the marketing stimuli. Without the knowledge and subsequent employment of technology in such a manner that allows for the production of goods in an optimal capacity, there is a challenge of producing products that fit with the consumer’s expectations. The other factors namely political, technological, cultural and even competitive also contribute towards the market stimulation or otherwise. The coca cola brand; brief introduction Coca cola is worldwide recognized brand. They are the makers of the

Saturday, November 16, 2019

Womens Roles In The Canterbury Tales English Literature Essay

Womens Roles In The Canterbury Tales English Literature Essay Geoffrey Chaucers The Canterbury Tales has been thought to serve as a moral guidebook for the 1300s and years after. He exhibits in each story what is right and wrong and how one should live through the blunders of both men and women. However, the underlying message within the sub context of the tales is a jaded look at women and how they are the cause of the demise of men. While most readers have said a womans role in The Canterbury Tales was to break free from a mans dominance in a secretive inconspicuous manner, and maintain faithful and steadfast devotion and affection for a man and his decisions. A close and careful reading shows that instead womens strength and need to break free from mans dominance can eventually lead to the demise of the mans role in society. Michael Calbrese wrote in Chaucers Dorigen and Boccacios Female Voices, that man represents sensuality and error, while woman embodies reason, self-mastery, and the wisdom that inspires virtue and order. Women remind men of their better selves, and even, at times, make chaste brothers and friends out of sexual pursuers (Grady, 272). That being said, however, more of The Canterbury Tales actually points to how women are more destructive on men than helpful. More specifically, I assert that in the Knights Tale it can be demonstrated that women are corruptive. The Knights Tale appears to be a tale of chivalry and upstanding moral behavior to the average reader. However, the theme of the evil nature of women lingers below the presented storyline. In the story, Emily plays the part of the beautiful woman who captivates the hearts of two unsuspecting men and leads to the death of one. Those two men are cousins Arcite and Palamon, both knights who eventually duel for Emilys hand in matrimony. Arcite and Palamon begin the tale as the best of friends and then roommates in a jail cell that is to be shared for eternity because of crimes the two committed together. But with one look at Emily, the Palamon and Arcite start bickering impulsively and almost come to blows over a woman neither will ever be able to have, or so it seems. So, essentially one could argue that had Arcite and Palamon had never seen Emily, their relationship never would have been severed and the two would have upheld the promise they made to one another to forever remain friend s. Chaucers knack for irony revels itself when King Theseus releases Arcite from his life sentence but disallowed from ever coming back to Athens. Theseus claimed that if Arcite ever returned to Thebes. This upsets Arcite are great deal because he is doomed to never see Emily again. His broken heart causes him sickness as hes weakened by love and as readers we witness him slowly wither away. Once Arcite devises a plan to return to Thebes successfully, the potential of seeing Emily begins encouraging Arcite to get better. In the meantime, Palamon remains in captivity, rendered helpless due to his lifelong punishment in prison. He knows that he will never be able to talk to Emily and certainly not marry her because of his plight yet he. All he can do is watch her from a distance and admire her beauty, for Palamon though what little experiences he has with Emily are still worth living for. Despite being locked in jail, Arcite believes that Palamon is better off than he is, though, as he says: O dere cosin Palamon, quod he, Thyn is the victorie of this aventure Ful blisfully in prison maistow dure; In prison? Certes nay, but in paradys! Wel hath fortuen y-turned thee the dys, That hast the sighte of hir, and I thadsence. à ¢Ã¢â€š ¬Ã‚ ¦ But I, that am exyled and bareyne Of alle grace, and in so greet despeir, That ther nis erthe, water, fyr, ne eir, Ne creature, that of hem maked is, That may me helpe or doon confort in this: Wel oughte I sterve in wanhope and distresse; Farwel my lyf, my lust, and my gl adnesse! (58 60) Being unable to see Emily has caused him such anguish that he weeps constantly and contemplates killing himself so he wont have to feel this daily pain that appears to have no end. Arcite and Palamons distress occurs all because of a woman, that maintains no actual interest in either man nor realizes they even exist. Emily is not a typical female character her for her time we soon realize. She is sweet and very conscientious of the world around her. In an outlandish twist for a woman of The Canterbury Tales, she worships Diana and is content alone and doesnt ever want to be married much like that of her goddess wishes. Despite Emilys disinterest, Palamon and Arcite battle twice for Emilys love, this eventually leads to Arcites death. Even though Palamon, wins her by default, she still dismisses his love. He then commits himself to Emily faithfully for several years before she agrees to marry him, even though she still does not love him. This conclusion demonstrates that no one wins in The Knights Tale, but it is the two men who fight over the woman who lose the most. The general argument made by author Jill Mann in her work, Feminizing Chaucer: The Feminized Hero, the question Are women good or bad? is relentlessly turned back onto the sex that asks it and is transformed into What makes a good man?   I believe that although this may be true, more can be said about how the idea of the women is directly correlated to the man she is associated with. In conclusion, it might seem that despite whether the female has a passive or active attitude her actions will always be turned back onto the male at hand, therefore reinstating the belief that women are what creates or destroys a man. The Nuns Priests Tale is possibly the most notable depiction of a mans ruin due to the persuasion of a woman. This tale revolves around a rooster, Chauntercleer, that oddly enough can be seen as a symbolic representation of all men. He has seven wives but his favorite was Pertelote, and it is this female hen that brings about a great deal of trouble for Chauntercleer. One night Chauntercleer awakens suddenly from a terrible dream. Seeking comfort from Pertelot, he tells her about the dream which involves a wild, rampant dog with beady eyes coming after Chauntercleer with the intent to kill him. Rather than console Chauntercleer, she challenges his masculinity and states that no man of hers should be frightened of a dream. Offended by Pertelots reaction, Chauntercleer reminds her about the numerous times in history dreams have predicted the future and how non-believers suffered the consciences of not taking the appropriate precautions. Despite his reminder though, he dismisses his con cerns and says that Pertelot is probably right and so he goes off about his day not reflecting more about his dream. At this point, the nuns priest takes an aside from the story to tell the reader his own opinion on women but says that it is the belief of many men and not his own in an attempt to perhaps cover himself. In this aside he says: Wommennes counseils been ful ofte colde; Wommannes counseil broughte us first to wo, And made Adam fro paradys to go, Theras he was ful mery, and wel at ese. But for I noot to whom it mighte displese If I counseil of wommen wolde blame, Passe over, for I seyde it in my game. Rede auctours, wher they trete of swich matere, And what they seyn of wommen ye may here. Thise been the cokkes wordes, and nat myne; I can noon harm of no womman divyne. (438-442) The aside being included from a readers perspective could be construed as maybe Chaucer the authors own viewpoint on the situation. Since the nuns priest takes it upon himself to tell of the downfalls of men that have been brought about by women it reiterates the belief that can be gathered by the reader by spelling it out verbatim. Although as readers it is unnecessary for the nuns priest to have spelled it out so simply because he then shows yet another example of how this occurs, this signifies that this point is one that Chaucer wanted to be sure we gathered sufficiently. Had this not been a belief he had held, would he have spelled it out so plainly? Chauntecleer later is indeed attacked by a wolf and carried away to the woods to his certain doom before slipping away, proving the point that women are the downfall of men. If he had listened to himself and his own ideas instead of Pertelote, Chauntecleer would have been more cautious and would not have had the near-death encounter he did. Essentially the moral of the nuns priest tale can be parsed down to the idea that men should not listen to the beliefs of women because this will in due course lead to their death. As a final point, the prologue to the Wife of Baths Tale illustrates yet another type of woman of the era, this time in the effect of the story teller. The Wife of Bath demonstrates qualities that women of her time typically did not exude; she is a tough individual with a mind of her own and she refuses to allow society to dictate her actions. She intimidates her societal peers due to the strength she possesses. To undermine her strength however, Chaucer includes physical characteristics of the Wife of Bath that make her less than appealing; he crafts her physique so that she is toothless and ugly. She has also had five husbands over the span of a few short years and countless affairs, thus demonstrating that she breaks innocent mens hearts. At one point of the prologue, the Wife of Bath comments on marriage and women from a mans point of view: Thou lykenest wommanes love to helle, To bareyne lond, ther water may not dwelle. Thou lyknest is also to wilde fyr: The more it brenneth, th e more it hath desyr To consume everyt thing that brent wol be. Thous seyst right as wormes shende a tree, Right so a wyf destroyeth hir housebonde; This knowe they that been to wyves bonde. (5583-5602). The Wife of Baths constant blurring of gender roles seems to create a threat against many of the very masculine aspects of late medieval culture. Glenn Burger states in an article, the Wifes apparently successful and entrepreneurial role in wool Englishing and the growing centrality of people of her type in defining the English mainstream; and the ways that such newly emergent groups appropriated the identificatory strategies and patterns of discursive author of previous groups, such as the celibate clerisy and the aristocracy, in order to define their identities (193). In my view, Burger is right, because as a reader you get to experience the reaction of the male characters to her prologue. While she is boasting about her success and issuing her oration on her way of life, she gets cut off by the monk who tells her direction she is not of the authority to discuss such matters. If the Wife of Baths character was not meant to be seen as a threat, this interjection would be likely to h ave never happened. It can be believed that Chaucer intentionally included a strong female character in the tales to make a statement against self sufficient females. The monks interruption could convey Chaucer as a writers own insecurities and beliefs that the strong female individuals could eventually lead to the destruction of men because they could become marginalized by powerful women. Since the Wife of Bath goes through so many husbands as a device to uphold her own stability we do see where this belief could derive from. That being said, we as readers know that Chaucer and many of the other pilgrims find ways to dismiss her strength because of her use of husbandry. The Wife of Bath brings up many a valid point throughout the prologue but Chaucer voids her opinion because of her social class and looks, when in truth she is very wise. It is as if her intelligence is overshadowed by the fact that she has had five husbands and considered something of a whore. These three narrations that contain women who are thought of as having an evil-like quality, that always tempt and take from men, are not the sole example of how women aid to the downfall of men; almost every one of the tales told can been seen as commenting on this principle. They are depicted as untrustworthy, selfish and very vain throughout the collection of tales. Chaucer obviously has very opinionated views of the marriage and the opposite sex and expresses it very strongly in The Canterbury Tales. Simply put, would Chaucer have included these details in his tales if they were ones that did not coincide with his own personal belief system? Scholars will continue to debate over Chaucers use of gender in The Canterbury Tales because no one individual will ever be able to state what Chaucers true intent was, as readers and scholars we can simply postulate.

Wednesday, November 13, 2019

Equity Feminism for the Next Generation :: Feminism Feminist

Still Enduring: Equity Feminism for the Next Generation Webster defines feminism as both "the theory of the political, economic, and social equality of the sexes" and "organized activity on the behalf of women's rights and interests" (Webster 418). Equality of the sexes (in terms of rights) and the furthering of women's rights are seemingly positive aspirations; yet people tend to describe feminism using negative terms, and feminism today has acquired a bad reputation. "Radical" and "extremists" are adjectives commonly applied to feminism as a whole, when, in truth, feminists who adopt extreme positions constitute the minority. Moreover, these "gender feminists," or "militant feminists," as many call them, although they receive the most public attention because of their aggressive tactics and high visibility, alienate people in broadcasting their views. Their goal, to create a "sentimental priesthood" that will achieve collective power and retribution as oppressed "victims" of a white-male supremacy, seems unreasonable (Himmelfarb 20). In contrast, "equity feminists," or "academic feminists," embrace the basic principles of feminism. They celebrate women's achievements, work for the individual rights of all women, and, as Christina Hoff Sommers aptly says, "want for women what they want for everyone, equal protection under the law" (Himmelfarb 20). Though not all feminists agree on how to reach this goal, most argue for a reasonable, realistic, and positive method. By contrasting the differing feminist ideas of writers like Adrienne Rich, Gertrude Himmelfarb, and Camille Paglia, one defines a winning brand of feminism: a philosophy founded on equity feminist ideology and dedicated to the achievement of social, political, economic, and intellectual reform. David Thomas and Camille Paglia, two contemporary cultural critics concerned with gender issues, share the belief that men and boys have aggressive tendencies that women must learn to understand and live with. Thomas, in his essay "The Mind of Man," asserts that women should accept boys' nature: "Boys are not on the whole, docile creatures who wish to live in harmony with one another, but are, instead, highly competitive, physically energetic creatures who hunt in packs" (341). Paglia shares this view: "There are some things we cannot change...hunt, pursuit, and capture are biologically programmed into male sexuality. Generation after generation, men must be educated, refined, and ethically persuaded away from their tendency toward brutishness" (50-51). Because Paglia believes that man's nature is inherently aggressive and poses a danger to women, she maintains that feminism of the academic type gives women a false sense of equality and ease.

Monday, November 11, 2019

Mind Games Essay

The goal of argumentative writing is to persuade the audience that their ideas are valid or more valid then other authors. Greek philosopher and writer, Aristotle, divided persuasion into three sections: Ethos, Pathos, and Logos. These persuasion guidelines give readers a sense of credibility, emotion, and reasoning. Ethos is associated with credibility or ethical appeal (Ch. 3, Ethos). Does the author portray the characters as people who are worthy of respect? One problem with argumentation is the ability to impress the reader. By making the character someone that is respected and therefore likable the reader is more interested in the work. An example of this would be a doctor, lawyer, or veteran. Even though all of these jobs serve our community in different ways, they are all respected by society. Another example of logos that the book noted was â€Å"If a company is well known, liked, and respected, that reputation will contribute to it’s persuasive power (Ruszkiewicz, 56).† If its character is problematic in any respect, it may have to use argument to reshape an audience’s perception (Ruszkiewicz, 56). Authors will also use ethos from personal experience. Writer and activist Terry Williams attacks those who poisoned the Utah deserts with nuclear radiation (Williams, 58) Terry Williams is a women worth listening to because she has lived with the nuclear peril. These are just some of the ways authors can show authority. Pathos is emotional and persuades by appealing to the reader’s emotions (Ch. 2, Pathos). Language choice affects the audience’s response, and emotional appeal can enhance an argument. The book gives an example of a teacher telling her students that she is legally blind (Kleege, 45). While reading this example, you are probably envisioning yourself sitting in the classroom in shock from what you just heard. When someone gives you information about them or reveals a truth, as the listener, you are taking in everything the speaker is saying; while relating that to every circumstance you can recall. As a student sitting in her classroom, you are thinking about your personal experience with another blind person and forming your own opinion on this person. This example plays in on your emotional side because from the very first day you are aware of your teacher’s disability. Pathos does not always have to be sad; it can also be humorous. Writers can use humor to lighten up the mood and make the reader more comfortable with an argument. The example from Dave Barry (Barry, 49) touches on the idea that men do not need to read the manual but often times make mistakes. This particular example is saying men think they know all, but in reality, they still need help. Logos persuades by the use of reasoning (Ch. 4, Logos). The heart of the argument is presenting the reader with reasons. Effective persuasion can help you back up your claims as well as give proof to your argument. Aristotle divided argumentative writing into facts and reason (Ruszkiewicz, 69). He used what we call hard evidence and reason or common sense (Ruszkiewicz, 69). The book gave an example of U.S. ambassador to the UN asking ambassador Zorin if he had â€Å"placed or is placing medium and intermediate range missiles and sites in Cuba (Ruszkiewicz, 70)?† Representatives allowed him to ask this question because he had hard evidence of spy photographs to prove his claim (Ruszkiewicz). Logos can be shown through text also. By reprinting a single page from a document, you have proof from years past. The example in the book stated the connection between statements and proofs was credible. The article talked about gun ownership (Lindgren, 75). Logos is important in argumentative writing because readers like to have more then one credible source. As a college student, I would write an article on local colleges and universities providing more activities to 18-20 year old students. This article would show ethos because I am a nineteen-year-old local college student. This topic would show pathos because I am appealing to local people that might be affected by drunken college students driving on the roads. I would use the local police records to provide logos to persuade my readers. Another college student might write an essay to persuade local governments to allow 18-21 year old students into the bars. It would be important for the writer to be a responsible college student to establish ethos. The student could argue that this policy would allow underage students to be designated drivers for the legalized students. This would demonstrate pathos. The writer could use local traffic records and news stories to create logos. When an author writes a good rhetorical essay it is similar to a sales representative selling a product. The writer is selling their idea to the public just like the sales rep is selling their product. It will be important for both of them to establish ethos with their audience to make credible representations. They will both use pathos to interest a person in their product or idea. It is also important for both of them to use logos to back up the claims they are making. A sales rep will be rewarded with a commission, and a successful write will be rewarded with future writing assignments. Works cited Ruszkiewicz, Andrea A. Lunsford John J. Everything’s an argument. Vol. 56. Boston: Bedford/St. Martins, 2009.

Saturday, November 9, 2019

Abortion Essay essays

Abortion Essay essays In the past decades, a serious issue has come into a worldwide viewpoint. This issue, abortion, has become a massive concern and needs to be paid close attention to! Abortion should be outlawed in the U.S. forever. There needs to be a law to stop all abortions. Due to overwhelming evidence, having an abortion should be made illegal in the U.S. because there are three important ways that abortion hurts people worldwide. First, women who choose to have an abortion might suffer psychological damage. After a woman goes through the procedure of the abortion, she might start having nerve disorders, sleep disorders, regrets, or be recommended for psychiatric care. If the woman does suffer from this, she might abuse any other unwanted children that didnt have any other options, but to live with their biological mother. The fear, anxiety, pain, and guilt associated with this procedure are mixed into this perception of grotesque and violent death. Many women who choose to have an abortion argue that it is their choice and that having an abortion doesnt hurt anyone! However, after she has an abortion she could suffer from psychological damage and hurt any others that are around her emotionally and physically. The woman can suffer in many other ways. After she has an abortion she could start abusing alcohol and hurt the people around her with violent behavior, divorce, separation, auto accidents, and job loss . She could also start abusing drugs, which can cause someone to get HIV/AIDS infections, congenital malformations, and assaultive behavior to people at work, on the streets, or in her family. For at least some women could suffer from post-abortion stress is associated with eating disorders such as binge eating, bulimia, and anorexia nervosa. Post-abortion stress is linked with increased cigarette smoking. Women who have abortions are twice as likely to start smoking heavily and suffer the health risks that co ...

Wednesday, November 6, 2019

Invention of telephone Essays

Invention of telephone Essays Invention of telephone Essay Invention of telephone Essay When Alexander Graham Bell foremost invented the telephone his purpose was to make a device that would do communicating over great distances easier. Today. when we want to speak to another individual. what do we make? We pick up the telephone. coil through our contacts. and imperativeness send. Because of the engineering that was foremost invented in the mid 1800’s we can immediately link to people in other metropoliss. provinces. and even other states. But have you of all time wondered how different today’s universe would be without the innovation of the telephone? In my sentiment. the telephone has brought about the most far making and permanent alterations in our civilisation. The innovation of the telephone has caused both positive and negative results to our society. Some of the advantages of the innovation of the telephone are: We can now immediately reach our household and friends. concerns can distribute their services worldwide. we can reach exigency forces in the event that we need them. and it was used to assist make the cyberspace. Some of the disadvantages of the innovation of the telephone are: America is a state that thrives on instant satisfaction. there are a batch of safety and wellness concerns due to the overexploitation of the telephone. and the fact that people today are non every bit societal as they one time were. Back when this state was foremost founded if a individual wanted to acquire in contact with another individual in another metropolis it meant a courier had to go a great distance and manus present the missive to the intended individual. The procedure from start to complete could take months. or even near to a twelvemonth. because of the bringing clip. In today’s universe though. a individual has the ability to pick up the telephone and immediately acquire an reply to a inquiry they have. Businesss use telephones within their offices to pass on with colleagues and they besides utilize the telephone to speak to clients. concern spouses. or sellers that may populate in different provinces or different states. In the 1700’s if a baker needed milk he could non pick up the phone and order 100 gallons from Cobourg Farms that was located 200 stat mis off. the baker would hold to purchase that milk from a local husbandman. Families that were separated by an full ocean truly had no agencies of communicating until the early 1900’s. However. today non merely do we hold the ability to name person on our telephones. but we besides have to ability to see the other individual while speaking on the phone with them. In the crude cyberspace yearss we used the telephone lines to dial into the cyberspace. The innovation of the telephone has opened impossible doors for the universe. However. with the good the telephone brings society. it besides brings some negative things into society every bit good. Most first universe states in the universe thrive on instant satisfaction. We ever have our phone with us and when we are without it we feel like a piece of us is losing. I myself have been guilty of speaking to older coevalss and inquiring them how they of all time survived without a cell phone. because holding a phone within my range 24/7 is 2nd nature to me. When we want to cognize something or want to speak to person all we have to make is make down into our pockets and we immediately get replies. Peoples are less patient now-a-days and I’d like to believe that has something to make with the fact that we have the universe at our finger tips at any given point throughout our twenty-four hours. Because of the innovation of the cellular telephone there are a figure of safety and wellness hazards that are caused by the overexploitation of these devices. Cellphones emit little sums of radiation. and over clip the radiation end product can take to memory jobs. tumours. and other wellness issues. Peoples now besides can speak on their cell phones and thrust. or text and thrust. A driver is non to the full cognizant of his or her milieus when they are being distracted by a cellular telephone in their manus. or a Bluetooth device that is in their ear or built into their auto. Having the ability to utilize a phone anyplace. at any clip causes wrecks and human deaths every twenty-four hours in the impulsive universe. We now have runs against texting and driving and in some provinces it is illegal to speak and drive without a grip device because of the figure of deceases that phones have caused. I can vouch if you walk into any dining installation at dinner clip you will see at least one household whose olfactory organs are all buried in their phones. Because of the innovation of the smartphone we have entree to the whereabouts of everyone in our household and all of our friends. The telephone has played a immense function in the decomposition of our societal behaviour. Twelve people can be in a room with each other. but neer talk to each other because they are all preoccupied on their phones. Families don’t communicate every bit much as they used to in individual. because directing a simple text message is much easier than speaking in individual. In today’s coevals holding a phone is a natural portion of life. When the phone was foremost invented it was merely available to the rich. but over clip it has become less expensive which allows more people to hold entree to it. The innovation of the telephone has greatly changed how society maps. I don’t believe Alexander Graham Bell knew how the engineering for the phone would turn when he foremost invented it. The phone has many positive properties. but it besides has many disadvantages every bit good. I urge you the following clip you pick up your phone attempt and believe about how you would hold functioned 200 old ages ago when communicating was non so readily accessible.

Monday, November 4, 2019

Market Security Valuation Essay Example | Topics and Well Written Essays - 1000 words

Market Security Valuation - Essay Example Headlines of Market Development in the Past Week Survey on ISM manufacturing registered a growth of 1.0. The growth increased moved from 53.4 to 54.4 suggesting that manufacturing sector has a steady growth (Payden & Rygel). FOMC Minutes posted a negative growth in the market with regard to previous trends. The market concern has focused on possibility of FOMC Minute falling off in second quarter in 2012. ISM Non-Manufacturing survey registered a slow growth in the last month. The survey showed the trends at 56.0 up from 57.0 and further 1.3, a fall from February trends, which stood at 57.3. However, the trend does not create any course of alarm. Initial Jobless Claims has posted a strong grip from the previous trend with 357,000 claims last week (Payden & Rygel). The observation suggests a continued downward trend. The financial market report suggests that the market is progressing well because an increase in number of jobless entering into the payroll suggests a growth in the money market. The trend suggests that a further drop in jobless claim would occur when the market remains stable. The job data suggests an improvement in US economic fundamentals. In most cases, increase in jobless claims is an indication of debilitating market. Major Global Releases and their Impacts Europe stock went down by -2.47%. Eastern Europe markets registered varied outcomes in the market. A survey on the Manufacturing Purchasing Manager’s Index (PMI) indicated an improvement in first quarter of 2012. A survey in Hungary’s PMI indicated an upward trend from 51.2 to 56.8 (Payden & Rygel). Analysts believe the trend observed was because of increase in demand from external players in the month of March. Czech Republic registered a growth in PMI from 50.5 to 52.1because of new orders and higher readings. Poland posted a stagnated result as observed 50.0 to 50.1. The probable reason for the above result is the consumption behavior in the domestic market and earlier weak nesses observed in the Euro area (Baker& Nofsinger 554). The average trend for the PMI was above fifty, which a positive mark is considering the trends in the last quarter of 2011. Global Currencies and Bonds Global bonds did not post an active result during the week. Many investors are speculating to see the trends in the next week. German Bund and Short dated UK Gilt did not register any change of marketing trends in Bank of England and ECB (Payden & Rygel). Spanish market indicated an increased borrowing because of auctioning of Spanish Government debts. The observation tends to suggest that Spanish is unable to solve its fiscal problems without seeking monetary assistance from IMF or EU. Further, observation indicates that tensions created in the Spanish market influenced Portuguese and Italian debt markets. Conversely, sovereign yields were strong over Bund in this week’s market. US currency gained in the currency market versus major currencies in the US reserve. Analyst s suggest that March FOMC US Federal Reverse’s meeting had a stake in the quantitative easing. The Draghi’s comment had an influence on weakening of EUR. Australian dollar registered a continuous weakening of greenback. The trend has influenced Reserve Bank of Australia to create constant rates speculating of the changes that are likely to occur in the coming months. Emerging Market Bonds The trends observed in the market indicated that tight gains for emerging dollar pay debts. Standard and Poor included Uruguay in the Investment grade which restored

Saturday, November 2, 2019

Global health Assignment Example | Topics and Well Written Essays - 500 words

Global health - Assignment Example Secondly, the most vulnerable population should be protected and prioritized than the invulnerable ones. This includes the poor who have less access to medical facilities and have a difficulty in affording these services. Making these facilities available and affordable for them can be a huge step towards effective health care. Statement: The WHO report (2012) shows that over 6.6 million children under 5 years died in Africa, especially in third world countries. Increasing the medical care facilities for children can help reduce the death of the future generation. Statement: In 2008, CDC declared that the statistics of mortality at birth in Africa has gone high in developing countries and that there is need to reduce the risk of both the mother and the child of dying. The Pregnancy risk assessment program (PRAP) is an initiative that would see less annual mortality at birth. Statement: Mubi (2013) notes that Malaria claims about 0.66 million people among them children along the coastal regions of the world. This high rate of death costs the economy and should be avoided at all cost. Providing adequate medical supply within these areas would help improve the situation. Statement: Mudur (2003) notes that over 85% of India is covered by water and that this has resulted in the prevalence of waterborne diseases within this country. Hence, it is crucial to control the impact of diseases such as diarrhea and typhoid by increasing medical care in this environment. Statement: Research by Mabey and Mayaud (2004) indicates that developing countries spend over 13% of their economy budget on STD. As the number of reported cases increases every year, it would be vital to launch awareness campaigns to reduce the infection rate. Statement: In the near dry regions of the world, most communities cannot afford medical care and the death rate in these regions is very high. Providing free medical insurance will make health services free for them. Statement:

Thursday, October 31, 2019

Professional Skills Assignment Example | Topics and Well Written Essays - 2500 words

Professional Skills - Assignment Example The paper under consideration will focus on the professional skills for the career development of a new graduate job applicant. The author will touch upon employment criteria expected in first job, small medium enterprises (SME) and its employment potential. Also the writer will discuss the ethical duties and responsibilities of a computer professional, investigate the hard and soft skills best to offer to the employer. Team skill was given a special attention in this paper, and the writer presents his personal experience and ability in team skill. The reference list includes both online and written sources. Introduction. Working in different job environment and acquiring new information and knowledge about particular profession enhance the professional skill of an individual. In order to acquire perfect professional skill an extensive knowledge in current technology is also essential. Since the world is progressing at a staggering rate, the demands of employers and customers are getting high. The public is highly knowledgeable and sophisticated and hence demands high care and service from the professionals. Even organizations which are modern require professionals who are qualified and exceptionally skilled. They want their employees to be extremely good at communication and interpersonal skills and offer quality service to the organization. If the professionals are less competent they can lag behind in their profession .It is also essential for the professional t o learn continually when they are at work. Professional skills can vary in every individual as it is depended upon the personality and training received by a person. People who understand and assess their own skill have a better opportunity to grow in a professional environment Employment Criteria Expected in First Job As a graduate in Business computing, certain employment criteria’s are looked in for when joining a new Job. Since I have just finished the education, the anticipation is to join a company which can give me maximum professional knowledge relating to my fieild.The employment offer should be from a multinational company as it can increase my exposure to outside world and also deliver maximum opportunity to understand more intense technical skills. The company should be efficient in providing training to enhance my professional skills so that I can deliver maximum service to the company. I want to join a company who values my ability and have trust and faith in me. As per Wise Geek(2011)â€Å" To employees, faith and trust in an employer are extremely important. These two components will go a long way in earning an employee's respect, but there are a number of other factors to consider†. I must feel that the employer understand my professional skills and knowledge and put enough trust in me to do justice to my position in the new job. The employment also should offer a reasonable remuneration to me which I consider is compatible with my qualification and technical knowledge. The environment of the work place should also be safe, comfortable and friendly so that less discomfort is experienced while working. The work timings should not be too constraint as it can develop stress and pressure in personal life. Being a new professional, the credibility of the

Tuesday, October 29, 2019

Shopping Mode Choice Essay Example for Free

Shopping Mode Choice Essay This study aims to explore how consumers evaluate these time attributes; i. e. the value of time, when they are facing a shopping mode choice between physical store shopping and e-shopping. For this purpose, it conducts an experiment to acquire data on respondents’ stated preference choices between physical bookstore shopping and online bookstore shopping. It is finally found that the value of delivery time for a purchased book from an online bookstore to a consumer is approximately $0. 53 per day, which means an online bookstore will have to lower a book’s price by price by $0.. 53 to attract a physical bookstore shopper if the delivery is delayed for one day. It is also found that in terms of monetary values, avoiding a shopping trip produces far more benefits than bearing waiting for the delivery of books for an online purchase. Keywords * E-shopping; * Shopping mode choice; * Stated preference experiment; * Value of travel time; * Value of product delivery time 1. Introduction In the past decade, the way people shop has dramatically changed. Besides shopping at physical stores, with the aid of information and communication technologies (ICT), consumers are able to shop via the Internet. This new type of shopping mode, coming in different names like e-shopping, online shopping, network shopping, Internet shopping, or Web-based shopping, featuring in freeing consumers from having to personally visit physical stores, is anticipated to greatly change people’s everyday lives. Such a high anticipation towards e-shopping has provoked multitudinous studies on this topic. Most of the existing literature, however, has focused on the advantages and disadvantages of Internet marketing. Such a psychological perspective has been widely adopted in the marketing and information management areas in particular. Comparatively, very little of the existing literature has concerned about how consumers make the choice between e-shopping versus store shopping ( [Lee and Tan, 2003]  and  [Farag et al. 2007]). One of the reasons for this may be attributed to the intricate nature of the shopping activity. It has been widely recognized that shopping activity is conducted not only for the goal of goods acquisition. The appeal of traditional store shopping is multifarious, including social interaction, entertainment, movement, and trip chaining (Mokhtarian, 2004). Much of the appeal cannot be easily displaced by e-shopping, making traditional store shopping still quite competitive over e-shopping. In a conceptual analysis of the transportation impacts of B2C e-commerce, Mokhtarian (2004) reviewed the comparative advantages of store shopping and e-shopping, and conclude that neither type uniformly dominated the other. Because of such an intricate nature of shopping behavior and the relative dominances of e-shopping versus store shopping, modeling the relationships between these two shopping modes has been not an easy task. The referable literature on this issue, from Koppelman et al. 1991) who modeled consumers’ choices between store shopping, catalog shopping and teleshopping, Lee and Tan (2003) who developed an economic model of consumer choice between on-line and in-store shopping, to Farag et al. (2007), who applied the structural equation modeling (SEM) technique to model the relationships between e-shopping and store shopping, is appreciably limited. This motivates this study to address the choice behavior between e-shopping versus store shopping rather than e-shopping alone. Another noticeable point at issue is how ICT leads to changes in the allocation of individuals’ time and money resources. It is generally believed that the ongoing advancement of ICT is leading to a reorganization of activities in time and space (Lenz and Nobis, 2007). The ‘fragmentation’ concept introduced by Helen Couclelis means the interruption of one activity by another and the subsequent continuation of the former enabled by the use of ICT (Lenz and Nobis, 2007). This then leads to increased transport demand, as activities are no longer imperatively bound to particular times and/or particular places (Lenz and Nobis, 2007). For instance, e-shopping could lift the time and space constraints of the shopping process, leading ultimately to a fragmentation of the shopping activity in time and space ( [Couclelis, 2004]  and  [Farag et al. , 2007]). Such a ‘fragmentation’ of activities should end up leading individuals to reallocate their time and money resources, and eventually change the way they value time. This motivates this study to address the role time and cost attributes play in consumers’ shopping mode choice behavior. For shopping activities, two fragments of time may be worth exploring further. First, e-shopping frees consumers from having to go in person to the shopping place, and as a result saves them travel time. Second, e-shopping requires consumers to wait for the product delivery after online purchases, and as a result generates waiting time for delivery (or product delivery time).

Sunday, October 27, 2019

Identifying factors contributing to high readmission of diabetic patients

Identifying factors contributing to high readmission of diabetic patients INTRODUCTION. Diabetes Mellitus (DM) is a chronic disease. Where the blood circulation contain of high sugar level, it can occurs when the pancreas does not produce enough insulin, or when the body cannot effectively use the insulin it produces (WHO). Diabetes is a progressive disease that can lead to a significant number of health complications and profoundly reduce quality of life. While many diabetic patients manage the health complication with diet and exercise and require medications to improve uncontrolled blood glucose level. Diabetes has been treatable since insulin became available in 1921, and type 2 diabetes may be controlled with medications. Preeti (2008). Both type 1 and 2 are chronic conditions that usually cannot be cured. Acute complications include hypoglycemia, diabetic ketoacidosis, or nonketotic hyper osmolar coma. Serious long-term complications include cardiovascular disease, chronic renal failure and retinal damage. Adequate treatment of diabetes is important, to control blood pressure and healthy lifestyle such as smoking cessation and maintaining a body weight. Treatment of diabetes involves diet, exercise, education, and drugs. If people with diabetes strictly control blood sugar levels, complications are less likely to develop. The goal of diabetes treatment, therefore, is to keep blood sugar levels within the normal range as much as possible. Treatment of high blood pressure and cholesterol levels can prevent some of the complications of diabetes as well. A good health education from the medical staff in the ward can give a good condition to patient health and prevent patient from admit again to the ward. The health education in the ward should begin from day 1 patient admit to the ward until the patient discharge from the ward. This health education should not stop when the patient is discharge from the ward but it must be continued from the health community to make sure that the patient is healthy. PROBLEM STATEMENT. General Objective: To identify factors contributing to high readmission of diabetic patients post discharge. 1.2.3 Specific objective. To identify why the patient is not take their medication after discharge from the ward. To study relationship between knowledge and medication to the patient. In Malaysia, the Third National Health and Morbidity Survey showed that the prevalence of type 2 Diabetes Mellitus (DM) for adults aged 30Â  years and above was found to be 14.9% in 2006. Salwa et. al., ( 2010). Patients with diabetes should know that how importance their health after they has confirmed have diabetes. Health education to patients and families were given continuously by the nurses when these patients were admitted for stabilization of their DM, from day 1 of admission and continued until they discharged. With proper health education, the patient should be able to take care for them self until follow up in the clinic. The health education must include dietary intake and medication. The talk is given by the nutritionist and medication by clinical pharmacist. Nurses should take part in the dietary and medication talk when the patient attends the talk to ensure the compliance by the patient continuously after they discharge from the ward. In January 2011, there are 4 patient has been readmitted to the male and female medical ward within 2 weeks after discharged from the ward. To prevent from this admission, health education should be given continuously to the patients either in the ward or by the community health care provider when the patient is discharge from the hospital. CHAPTER 2 2.1 LITERATURE REVIEW. The literature review has been searched from internet. Diabetes mellitus is now a major global public health problem. The incidence and prevalence of diabetes are escalating especially developing and newly industrialized nations. In Malaysia, diabetes is a growing concern. Through the Ministry of Healths six year thematic Healthy Lifestyle Campaign which began in 1991, diabetes mellitus was the theme for the year 1995. Here, the promotion of adopting healthy lifestyle practices relating to the prevention of diabetes namely creating awareness and balance diet, maintain ideal body weight and physical activities were encouraged. The campaign emphasized on creating, awareness of the disease and its complications to the public. Rugayah ( 2007) According to Zook et.al (1980). Hospitalizations account for about half of all health care expenses, and it has been estimated that 20% of the inpatients in Malaysia and 13% in the USA use more than half of all hospital resources through repeated admissions. During past decades, hospital readmissions have been the subject of retrospective surveys and prospective trials with a view to their prevention. The objective is to review these studies and focus on the frequency of readmissions of diabetes mellitus patient, their causes and validity as a measure of quality of care, and the attempts for their prevention. The recent literature on hospital readmissions and found that most of them are believed to be caused by patient frailty and progression of chronic disease. However, from 11% to 52% of all readmissions have been judged to be preventable because they were associated with indicators of substandard care during the hospitalization, such as poor resolution of the main problem, unstable therapy at discharge, and inadequate post discharge care and advice. Furthermore, randomized prospective trials have shown that 15% to 85% of all readmissions can be prevented by patient education, pre discharge assessment, and domiciliary aftercare. However, high readmission rates of patients with diabetes mellitus may identify quality-of-care problems. A focus on the specific needs of such patients may lead to the creation of more responsive health care systems for the chronically ill. Most complications are the result of problems with blood vessels. High sugar levels over a long time cause narrowing of both the small and large blood vessels. The narrowing reduces blood flow to many parts of the body, leading to problems. There are several causes of blood vessel narrowing. Complex sugar-based substances build up in the walls of small blood vessels, causing them to thicken and leak. Poor control of blood sugar levels also tends to cause the levels of fatty substances in the blood to rise, resulting in atherosclerosis. Poor circulation to the skin can lead to ulcers and infections and causes wounds to heal slowly. People with diabetes are particularly likely to have ulcers and infections of the feet and legs. Too often, these wounds heal slowly or not at all, and amputation of the foot or part of the leg may be needed. Currently there are at least 4-5 patients will be readmission for stabilization then discharged. Upon admission of a patient, this would cause overpopulation of ward, increase expenses and uncontrolled condition of the patient in the ward. Nurse also must provide health education to the patients, their relative and refer patients to nutritionist and education unit for counseled. Browne (2000) conducted a scientific research on factor for diabetes patient on knowledge and the diabetic drugs for diabetic patients. The major purpose of the research are to identify the important factors for patient compliance in the usage of diabetic drugs, specific knowledge on the action drug, the correct dosage and adverse side effects. . From Browne (2000), noted that only 15% of the patient knows the action of the drug they are consuming, where as 62% of them consume at the right time and 23% of patients gained a proper knowledge on medication or drug that they are consuming. In summary it is concluded that the diabetes patient has the more knowledge and information on the adverse effect of the drug compared to the action of oral hypoglycaemic drugs. According to Ranjini et al,(2003) done a research on knowledge, attitude and practice from patient diabetic at Klinik Kesihatan Seri Manjung, Perak. The findings showed correlation between knowledge, attitude and practice. The finding showed that increases knowledge for patients who have education is better from the patient who does not have any education. Hospitalizations account for about half of all health care expenses, and it has been estimated that 20% of the inpatients in Malaysia and 13% in the USA use more than half of all hospital resources through repeated admissions. Zook et al (1980). For past decades, hospital readmissions have been the subject of retrospective surveys and prospective trials with a view to their prevention. The objective is to review these studies and focus on the frequency of readmissions of diabetes mellitus patient, their causes and validity as a measure of quality of care, and the attempts for their prevention. Soeken et al (1991), done a research on readmission rates according to demographic, social, and disease-related characteristics. Researcher Wray et al (1988), done a meta-analysis of 44 studies published before 1990 revealed that age, length of stay during the index hospitalization, and previous use of hospital resources were among the main independent predictors of readmissions. These findings indicate that patient-specific factors predict readmissions. A study of a national sample of patients with chronic obstructive pulmonary disease or dementia revealed that after adjusting for severity and clinical and demographic characteristics, patients discharged to nursing homes were less likely to be readmitted within 30 days after discharge than those discharged to personal homes. According to Comberg et al (1997) Finally, some studies have found an association between readmission rates and inappropriate care during the index hospitalization. A case-control study revealed that 5 criteria of inpatient care (resolution of main problem, adequacy of the post discharge destination, stability of doses of therapy, and appropriate timing of the first follow-up visit) predicted readmissions within 30 days. Ashton et al (1987) Another case-control study found that a set of disease-specific, explicit criteria of appropriateness of care predicted readmissions. It has been suggested that 1 of 7 readmissions in patients with diabetes, 1 of 5 readmissio ns in patients with heart failure, and 1 of 12 readmissions in patients with obstructive lung disease were attributable to substandard care. Absence of documentation of discharge planning, increased temperature, intravenous fluids on the day of discharge, or unaddressed abnormal test results at discharge were related to an increased subsequent mortality. Ashton et al (1997). A meta-analysis of 29 studies published from 1975 through 1993 confirmed that low-quality inpatient care during the index hospitalization increased the risk of subsequent readmissions. Wei et al (1995). At least some readmissions, therefore, are associated with modifiable factors. Readmission rates have been reported to decline after the implementation of pre-discharge reviews and improved follow-up after discharge. Bean et al (1995) However, non-experimental, before-after study designs are subject to confounding and to regression toward the mean. Confounding refers to changes beyond the planned intervention that occurred over time and that in and of themselves may have reduced readmission rates. Regression to the mean is the tendency of above-average rates to fall toward average over time. Since programs aiming to reduce readmission rates are likely to be implemented in institutions with high readmission rates, their favorable results may reflect a decline that would have occurred on subsequent determinations even without any specific interventions. The findings concerning the effect of interventions indicate that improved hospital and post discharge care are associated with fewer readmissions. Still, there is evidence that global readmission rates have a limited value as indicators of quality of care. For example, about half of the studies failed to uncover any relationship between quality of care and readmissions. Ashton et al (1997). In all clinical condition readmission rates of patients who received poor-quality care were similar to those of patients whose care was judged acceptable. Thomas (1996). Similarly, assessed risk-adjusted outcomes after renal failure, gastrointestinal tract hemorrhage, stroke, myocardial infarction, and heart failure and concluded that length of stay, death, and unplanned readmission were predicted mainly by age, severity, and co morbidity. Roe et al (1996). Hospital readmissions raise concern among health care providers, and therefore efforts for their reduction are likely to be endorsed by clinicians and administrators. CHAPTER 3 METHODOLOGY 3.1 Introduction. This is a prospective study. The data is collect from the patient who admitted to the ward. The project was conducted in the one of the district hospital at Negeri Sembilan. Data on diabetes was obtained from adult respondents through interviews by trained nurses using a questionnaires. A 2-hour-post glucose load test was conducted by the nurses to the respondents who self-professed that they were non-diabetics and have not been diagnosed by any, medical personnel. These non-diabetes were measured for their blood glucose level using glucophotometer in a dry non-wipe technique. Those who refused to be examined were classified as refused to be examined and those who could not tolerate glucose due to old age were classified as unable to be examined. For the purpose of analysis in this survey, the respondents were categorized into 3 categories. The known diabetes were the adult respondents who self-professed they were diabetics and diagnosed by medical personnel. Those non-diabetics who had undergone the 2 hour post glucose load test and whose blood glucose measurement level of 11.1 mol/1 or more were categorized as undiagnosed diabetes. Those with blood glucose measurement of 7.8 < 11.1 mmol/1 were classified as impaired glucose tolerance (IGT) The known diabetes were enquired about their treatment status, utilization pattern of health facilities and perceived complications associated with their diabetic condition. 3.2 Research design. This is prospective study. Data will be collected by reviewing medical records and completing a structured data collection sheet. Data including admission diagnosis, the type of medication that patient receive in the ward, sign and symptom of diabetic mellitus, the correct statement for people with diabetic, when the patient feel hypoglycemia, the hypoglycemia condition, and no identifiers such as medical record numbers, patients names and gender will be used on the data collection instrument. In this study it will have a graphs, charts, table and summary. 3.3 Sample size. There is 10 questionnaire was given to diabetic patient in the medical male and medical female ward at the district hospital at Negeri Sembilan. About 30 respondent involved in the interview. 3.3.1 Inclusion i. How many years the patient have diabetes. ii. The patient should understand and can read in Bahasa Melayu or Bahasa English. iii. The age of the patients above 40 years 65 years.. 3.3.2 Exclusion. i. The patient who do not understand and can read in Bahasa Melayu or Bahasa English. Ii For patient who senile or psychiatric patient which they cannot give a cooperation and understand the question during the interview. 3.4 Instrument. There is 10 questionnaire about diabetes are given to the patient in the ward. The patient should give a correct answer when answer the question. There is time frame of the project. It starts from 1st March to 31st March. 2011. There question are divided to part I and part II. There is 8 question on part I where the answer is to choose a, b, c or d. Part II has 3 question where the patient have to choose true or false in the statement. The question adopt from the: Diabetes and Hormone Center of the Pacific Ala Moana Pacific Center www.testprepreview.com/modules/diabetes.htm 3.5 Ethical Consideration. 2.5.1 Letter from Head of Department, Health Sciencs UiTM to the Hospital Director for the project. Appendic 1 Approval letter from the Hospital Director to the Health Sciences for the project. Appendic 2 2.5.3 Consent from patient, if respondent refused to be interview, the respondent should be droped from this project. Appendic 3. 3.6. Limitation. 2.6.1 Receive late approval letter from the acedemic. 2.6.2 Because this is the distric hospital the total number of admission into the ward is low. 2.6.3 If the patient refused for the interview, the respondent should be droped from the project. 2.6.4 The duration time to collect data from the patients should be finish in one month. CHAPTER 4 4.1 Result . A total number of 40 patients were admitted to the both male and female medical wards from 1st March to 31st March 2011. The gender distribution was 33.33% is female and 66.66% is male. There is 96.7% or 29 of the respondents said that they eat too much of sugar or sweat drink when they are young before they diagnose have diabetes mellitus. The patient was admitted to the ward for stabilization of sugar level. See table 1 Table 1 Frequency Percent Caused by eating too much sugar 29 96.66667 Condition which the body cannot use the food properly 1 3.333333 Total 30 100 About 80% (24) of the respondents have the common symptoms of diabetes such as frequent urination specially at bed time, where they will get up 2 to 3 times to toilet. Hunger and thirsty specially in the morning before lunch time and 20% (6) of the respondents craving for sweets. See table 2 Table 2 Frequency Percent Frequent urination, hunger, thirst 24 80 Craving for sweets 6 20 Total 30 100 70% (21) of the respondents said the following statement is correct for people with diabetes that they should have snacks between-meal. Because they feel hungry and thirsty before they had their lunch in the afternoon or in the evening. They like to had drink and eat some snacks to prevent hunger. See table 3 Table 3 Frequency Percent Everyone with diabetes should have between-meal snacks 21 70 Changes lifestyle (meal, planning, exercise, medication, stress) 4 13.33333 Travelling should avoid taking insulin 5 16.66667 Total 30 100 76.7% (21) patients who take insulin once a day said that they take the breakfast 30 minutes after the insulin injection. It show the patient understand why it is important to take breakfast after the medication to prevent from hypoglycemic attack. See table 4. Table 4 Frequency Percent About 30 minutes before breakfast 23 76.66667 I do not know 7 23.33333 Total 30 100 46.7%(14) of the patients have the symptoms of hypoglycemia attack, 20% (6) have sweating, sudden weakness, 16.7% (5) have trembling or shaking, sudden weakness, and 16.7% (5) have trembling or shaking and sweating. It showed that the symptom is different between each patient. See table 5 Table 5 Frequency Percent 1 and 2 5 16.7 2 and 3 6 20 1 and 3 5 16.7 all of the above 14 46.7 Total 30 100 What is the reaction of the patient if they get hypoglycemic attack, 73.3% (22) of the patients said that they will eat some food that has sugar or chew some sweet to prevent from severe hypoglycemia attack. They will bring along the sweets if they on exercise, working in the farm or they on vacation. See table 6 Table 6. Frequency Percent Ignore it and it will go away 5 16.66667 Eat some food that has sugar 22 73.33333 lie down and see whether it will pass 3 10 Total 30 100 50%(15) of the patients said that confusion is not an indicator of hypoglycemia. Because the patient know about the sign and symptom of the hypoglycemia and they will prevent from get this attack either in the house or out site of their house compound. They will bring some sweets along with them. See table 7. Table 7. Frequency Percent Fatigue 7 23.3 Poor Appetite 7 23.3 Tachycardia 1 3.3 Confusion 15 50 Total 30 100 73.3% (22) patients said that they are allowed to use as much sugar as they want because they use too and lack of knowledge of the diabetes symptom when they are young. All of the respondents (100%) said that they have greater change to get the complications such as hypoglycemic attack from a patient who does not have diabetes. 93.3% (28) patients said if they did not control the blood sugar level there is greater change of infection and illness. The infection will take time to heel. See table 8 Table 8 CHAPTER 5 5.1 Discussion. The World Health Organization (WHO) has estimated that in the year 2030, Malaysia would have a total of 2.48 million people with diabetes compared to 0.94 millions in 2000. In Malaysia, the First National Health and Morbidity Survey (NHMS I) conducted in 1986 reported a prevalence of diabetes of 6.3% and in the Second National Health and Morbidity Survey (NHMS II) in 1996, this had risen to 8.3%. The NHMS I and NHMS II involved subjects above 30 years. The third National Health and Morbidity Survey (NHMSIII) conducted between April to July 2006 and included the diabetes module in the survey on subjects above 18 years. Zanariah et al (2008). Diabetic is a costly, disorder. Defining the distribution of specific characteristics among diabetics can assist in the planning, implementing and evaluating diabetic programmers for primary, secondary and tertiary prevention and control of diabetes. In planning of services for diabetes control, equity policies have to be considered. In this study it show that the patients know that they prone to get diabetes because of take a sweet drinks and rich of sugar in their food. When the patient in the ward, the nurse should teach the patient how to do the insulin injection, where are the side of injection and tell the patient that he should change the site of the injection to prevent from boil. The nurse should observe the patient how he syringe out the insulin and how to inject to his body. The nurse should remind the patient about sign and symptom of hypoglycemic attack and the precaution of the disease. The health education should continuously given to the patients from day 1 they admitted until the patient discharge from the ward and continued by the health community by do a home visit to the patient if the patient cannot go to the clinic for follow up. Regarding the diet, health education from the nutritionist and the medication from the clinical pharmacist should be continued since the patient stay in the ward. 5.2 Conclusion. Diabetes prevalence rate in Malaysia has risen much faster than expected, almost double over the last decade. Prevention and control of this chronic disease should be stepped up. Diabetes is certainly a diagnosis that nobody ever wants to receive. There is no cure, but it can be managed through diet, medication and exercise. Having high blood sugar level is out of control, the result in irreparable damage to the body, particularly with the kidneys, cardiovascular and blindness. Health education to patient on how to manage the disease and how to avoid or prolong adverse effects on the body.