Sunday, October 6, 2019
(Argument of Definition)Japan is a western country Essay - 1
(Argument of Definition)Japan is a western country - Essay Example In medicine, research mainly involves interactions with living things such as human subjects and therefore there is great need to have knowledge of ethical issues in medical research. This ensures that study subjects are treated well and that no harm begets them in the course of a study. When dealing with human subjects, researchers should make sure that risk levels are minimal to prevent any harm. Human subjects, should be handled like normal human beings and not just like mere study subjects. In a bid to reduce risk levels, federal laws have clauses protecting human subjects for the federal funded projects. The clauses insist that risk levels should be equivalent to results expected (Brown, Anderson, Chervin, Kushida, Lewin, Malow, Redline, and Goldman, 2011, p.1). This implies that study subjects should not be exposed to extremely high risks for research projects that only have little significance. In a bid to prevent harm to human subjects, use of placebos is allowed under special conditions. Use of placebos should not be used for all studies but only to the studies that have no proven alternative study approach. However, in some cases the risk levels may pose a challenge to determine and are therefore not known. This implies that there is no certainty of the risks involved for that particular study. In such a scenario use of placebos may be recommended in order to reduce harm chances. However, this does not mean that placebos are always the chosen option in all such cases. Other methods such as use of continuous positive airway pressure (CPAP) in disease processes associated with Obstructive Sleep Apnea (OSA) may be preferred depending on the nature of the study. Nevertheless, this methods are followed by strict instructions that involve keeping human subjects from participating in all activities that pose risks. For example, under CPAP, human subjects at high risks of car crashes due to sleepiness may be advised not to drive when feeling even
Saturday, October 5, 2019
Econ ON OLIGOPOLY & SOME GAME THEORY IDEAS WITH OLIGOPOLY Assignment
Econ ON OLIGOPOLY & SOME GAME THEORY IDEAS WITH OLIGOPOLY - Assignment Example In the contestable market the evaluation of dealings among current firms and prospective entrants is investigated more critically. The market incumbents maintain an oligopoly through the determination of price levels in the market in their favor. Again the oligopoly is maintained by the government favor and creates a barrier for other firms from venturing in the market. 2) Suppose there are two firms operating in an oligopoly (termed a ââ¬Å"duopolyâ⬠), where the firm 1 cost function is given by C1 = 18Q1, for C1 = total cost, and Q1 = firm 1 output. The cost function for firm 2 is given by C2 = 21Q2, and C2 = total cost of firm 2, and Q2 = output of firm 2. The inverse demand for the product, Q, being sold by the oligopolist firms is given by P = 127 ââ¬â 3Q, where Q = Q1+ Q2, and Q1 and Q2 are the same product (vats of toxic solution for breaking down chemical components to be used in downstream plastic manufacture). Taking into the consideration the Cournot model in regard to the duopoly that is two firms where both firms concurrently decide a quantity to produce. Designating the quantity q1 as the amount produced by firm 1 and q2 as the corresponding amount produced by firm 2. Therefore the total quantity The firm production choices are strategic substitutes. That is, an increase in the amount produced by firm1 (holding fixed the underlying amount produced by the corresponding firm 2) will considerably lower the market price and thus resulting in lesser profits for firm 2. Thus, every firm ought to take into consideration the prevailing the production decisions of the other supplementary firm in the process of undertaking its individual production decision Firm 1 possess a marginal cost of production equivalent to c1 accompanied by firm 2 which possess a marginal cost of production equivalent to c2. The corresponding Nash equilibrium is computed through the employment tow
Friday, October 4, 2019
Holocaust Denial Essay Example for Free
Holocaust Denial Essay The holocaust is the term used to describe the period of persecution and extermination of European Jews by Nazi Germany. During this period, an estimated six million Jews were murdered in a series of state-sponsored killings. This was a culmination of a Nazi policy which was ââ¬Å"the final solution to the Jewish questionâ⬠(Michman, 2003) Why did Nazis Hate Jews? The Nazis hatred for Jews had been in existence for a long time, but it is after the World War 1 that it intensified. Prior to that, there had been strong feelings of anti-Semitism in Europe, mainly from the Christians. This is because of the Jews reluctance to embrace Christianity and their stubborn adherence to Judaism. (Israel G. 1990) After the First World War in which German lost, Hitler sought to find a plausible explanation for their defeat. Since at the time most banks and financial institutions were run by Jews, the Nazis blamed then for not availing enough funds for the war. They were viewed as being tight-fisted, corrupt and vile people, who could do nothing but destroy. This aroused feelings of hatred for the population, and the Nazi regime went on churning propaganda that blamed all of Germanyââ¬â¢s problems on the Jews. (William, 1995) From another angle, the Jews were generally viewed as being an inferior race to the Aryans. Hitler believed that Aryans were the master race and even made a table of sorts which classified the races according to superiority in genes, with Aryans at the top, and Jews, Gypsies and Blacks at the bottom . The Nazis therefore saw the need to eliminate them from Europe to avoid weakening the racial purity of the Aryans (William, 1995) Holocaust Denial Holocaust denial is a term used to refer to the movement which seeks to deny that the holocaust really happened, and if it did, whether it occurred in the manner and scale that historians claim it did. It is a movement especially active in the United States, Canada, and Western Europe. However, the first people who sought to deny that the holocaust ever happened were the Nazis themselves. They attempted to destroy all evidence and even denied the proof that was presented at the Nuremberg trial. The organized version of the movement called Holocaust Revisionism was founded in 1979, by Willis Carto, founder Liberty Lobby, an anti-Semitic organization in America, when he incorporated the Institute of Historical Review. He is quoted as saying History is far too important to be left to history professors, pundits and politicians. History is power The leading activists for the IHR include Mark Weber, Bradley Smith and Fred Leuchter in the United States, Ernst Zundel in Canada, David Irving in England, Robert Faurisson in France, Carlo Mattogno in Italy and Ahmed Rami in France. However, among these, Bradley Smith, the self-styled director for the Committee for Open Debate on the Holocaust, CODOH, has been the most visible in the United States. He has placed series of ads in college newspapers since 1991 on behalf of CODOH. In one such ad, Bradley promises a $50,000 to anyone who can convince a radio station to air a ninety minute video to show that the holocaust was a hoax. The IHR also writes a journal called the Journal of Historical Review and holds annual conferences, which are used as vehicles for holocaust denial. http://www. adl. org/holocaust/introduction. asp The revisionists offer the following arguments to prove that the holocaust is a farce. First of all, they claim that there is no single document which has been identified, which expressly shows a master plan for the execution of Jews. This, according to them, is proof that the whole idea of Jewish annihilation is a creation by the Jews to gain sympathy from the world. ( http://www. remember. org/History. root. rev. html) Secondly, there were no gas chambers at Auschwitz and the other camps, so the allegations of people being gassed to death are mere lies. There are no documents about gas chambers of any kind anywhere so no mass murder of Jews in gas chambers took place. (http://www. jewishvirtuallibrary. org/jsource/Holocaust/denial. html) Another reason why they deny the holocaust is because they purport that the scholars rely on the subjective testimonies of alleged ââ¬Å"survivorsâ⬠. These testimonies are highly biased and because there is no supporting documentation proving the genocide, these accounts can only be taken to be false. (Raul, 1985) The revisionists also claim that there was no net loss in the Jewish population in Europe between 1941 and 1945; therefore the claim that 6million Jews were killed cannot be true. According to them, there were not even enough Jews in Europe to account for the 6million victims. ( http://www. remember. org/History. root. rev. html) Furthermore, according to the revisionists, the Nuremberg trials were stage managed in favor of the Jews. They were a sham and were just held so that Jews could benefit from the sympathy they aroused. To further strengthen their arguments, the holocaust deniers have posed a series of questions that put in doubt the truth about the events that took place during the holocaust. To start with, they ask; it is said that the gas chambers were ventilated, and if so, wouldnââ¬â¢t the gas have killed the people outside as well. Since this didnââ¬â¢t happen, then surely, there was no such thing as Zyklon-B used to gas people to death. The next question is, if as many as 6million people were killed and cremated, then where did all the ash go to. It should be so much going by the numbers, and going by what is available now, the numbers must grossly be exaggerated. ( http://www. remember. org/History. root. rev. html) Moreover, Zyklon-B, which was allegedly used had to be dropped into the chambers by people, so, the people would have died from the gas themselves, wouldnââ¬â¢t they? In addition, how come the eyewitnesses to the gassings survived, why didnââ¬â¢t the Nazis eliminate them since they knew so much. That is not all; there was a swimming pool at Auschwitz, this means that the people there lived in luxury, so this could nit have been an extermination camp. Also, the death lists from there do not show that any person was gassed, and the number of people who died there was very small. Finally, since much of the area around Auschwitz has a high water table, then the said burning of the bodies in ditches could not be possible. (http://www. remember. org/History. root. rev. html) Some of the revisionists also pose counter-statements against the evidence given by the survivors. In regard to the deaths in Treblinka, the victims were said to have been killed using diesel fumes; so the revisionists say that fumes from a diesel engine are not enough to kill a person. This implies that the people could not have died as a result of inhaling the fumes. The doors of the gas chambers which used the engine exhausts would not withstand the pressure of the gas accumulating inside, which would lead to an explosion; how come that did not happen? ( http://www. remember. org/History. root. rev. html) In one of the most controversial denials, the revisionists assert that the Anne Frank diary was a fabrication written by someone else who wanted to further the Jews agenda. Did the Holocaust really happen? For every claim made by the revisionists, evidence has been produced to prove that the genocide actually happened. The Nazi regime itself had documents that clearly pointed out to their intention to massacre the Jews. Although they destroyed much of the documents, some remnants were later recovered. (Lucy, 1975)The evidence available includes written documents in terms of letters, memos, blueprints, orders, bills, speeches, articles, memoirs and confessions. There are accounts given by eyewitnesses, who include survivors, Jewish Sonderkommandoes, SS guards, commandants, local townspeople and some of the Nazis. (Michael et. Al, 1997) Indisputable evidence can also be gleaned from photographs taken by the military, press, civilians and survivors. Some of the camps where the mass murders took place still exist, some in almost original state. Inferential evidence is also available in form of population demographics which confirms the change in Jewish population. Therefore, it can be concluded that the evidence of the holocaust is so compelling that we cannot deny that it took place. (Michael et. al, 1997) REFERENCES http://www. jewishvirtuallibrary. org/jsource/Holocaust/denial. html http://www. adl. org/holocaust/introduction. asp http://www. remember. org/History. root. rev. html Israel G. (1990), Encyclopedia of the Holocaust, Volume 2, New York Lucy D. (1975) The War Against the Jews, 1933-1945, New York Michman, D (2003). Holocaust Historiography: A Jewish Perspective: Conceptualizations, Terminology, Approaches, and Fundamental Issues. London Michael S. and Alex G, (1997) Denying History Who Says the Holocaust Never Happened and Why do they Say it? â⬠University of California Press Raul H. (1985) The Destruction of the European Jews (Student Edition), New York William L. P (1995) Novelist of Hate, ADL Research Report. Brugioni, D. A. , Robert G. P. (1979) The Holocaust Revisited: A Retrospective Analysis of the Auschwitz-Birkenau Extermination Complex. (Central Intelligence Agency, Washington, D. C. )
Thursday, October 3, 2019
Patient Satisfaction with Public Healthcare | Literature
Patient Satisfaction with Public Healthcare | Literature Literature Review: Alian A. Alrasheedy, Mohammed Azmi Hassali, et al., published a research study in Australasian Medical Journal, 2014 entitled as ââ¬Å"Assessment of general public satisfaction with public healthcare services in Kedah, Malaysiaâ⬠. They conducted a cross-sectional study to assess patientsââ¬â¢ level of satisfaction with public healthcare services and to determine the factors that may affect patient satisfaction among convenience sample of general public. They developed a questionnaire which consists of five sections including demographic data, patientsââ¬â¢ perceptions of their relationship and interaction with healthcare professionals in the public healthcare sector, patient perception of skills of healthcare professionals, patientsââ¬â¢ assessment of the amenities, accessibility to and facilities available in the public healthcare sector and general satisfaction of patients with public healthcare services. To perform the statistics they used chi-square test and for it ems expected to have lower frequency, Fisherââ¬â¢s exact test was used. The findings showed that almost half of the participants were satisfied with current health care services in public hospitals and clinic. It shows a significant association between satisfaction and some participantsââ¬â¢ characteristics such as age, gender, waiting time. Other factors influencing satisfaction level includes the length of consultations and process of patient registration. The limitation of the study is that illiterate people were not included in this study as it is a self-administered questionnaire. It concludes that improving the health services which leads to shorter waiting time may increase the patientsââ¬â¢ satisfaction level. Krupal Joshi, Kishor Sochaliya, et al., performed a cross-sectioanl study to identify the factors that affect patient satisfaction regarding health care services. The study was entitled as ââ¬Å"Patient satisfaction About Health Care Services: A Cross Sectional Study of Patients Who Visited the Outpatient Department of a Civil Hospital at Surendranagar, Gujaratâ⬠which was published in International Journal of Medical Science and Public Health, 2013. The patient were interviewed using pre-structured questionnaires which can be replied in choices like satisfactory/unsatisfactory, yes/no, good/moderate/poor, adequate/inadequate. The study revealed that overall the patient satisfaction was good regarding the quality of the services provided by the hospital. But revealed mild to moderate satisfaction regarding waiting time and specialist availability. Patient satisfaction was considered to be important in both evaluation and shaping of health care. Mansour Alturki, Tahir M.Khan published a study entitled ââ¬Å"A study investigating the level of satisfaction with the health services provided by the pharmacist at ENT hospital, Eastern Region Alahsah, Kingdom of Saudi Arabiaâ⬠in Saudi Pharmaceutical Journal,2013. They conducted a cross sectional study to evaluate the satisfaction of the patients related to pharmacy services provided to the patients at the hospital pharmacy. A self-administered 15-item questionnaire was used in the study which comprises of three sections which considered patient demographic data, information about health status of respondents, pharmacist-patient interaction level. The results were analyzed using independent sample t-test and one-way ANOVA. This study shows that the patient were majorly satisfied about the availability of the pharmacist and the explanations/clear labeling of drugs, politeness and prompt services of the pharmacist. The elderly patients were highly satisfied with the services p rovided by the pharmacy than the other age groups. But overall the satisfaction levels of the Saudi patients were least than that of the Egyptian and others and it may associate with the demographic features such as age, sex, and level of the education. Sumeet Singh, Paramjeet kaur, et al., conducted a study entitled ââ¬Å"Patient satisfaction levels in a tertiary care medical college hospital in Punjab, North India.â⬠It has been published in International Journal of Research and Development of Health, 2013. The study was aimed to assess the patientsââ¬â¢ satisfaction regarding care provided in the hospital, behaviour of medical, nursing and supportive staff and availability of necessary services and amenities in the hospital. A cross-sectional study based on a pre-designed and pre-tested Indoor Patient Feedback Form was done. This study shows that most of the patients were more satisfied with the behaviour of doctors. The major problem was found to be in identifying the location of various areas mainly labs in the hospital. Satisfaction regarding the service and the behaviour of the paramedical staff was found to be high. This study shows that assessing patient satisfaction is simple, easy and cost effective for evaluatio n of hospital services. Afolabi MO, Afolabi ERI, et al., published a study in African Health sciences, 2012, entitled as ââ¬Å"Construct validation of an instrument to measure patient satisfaction with pharmacy services in Nigerian hospitalsâ⬠. The study aimed to develop a questionnaire used to assess the quality of the pharmacy services provided by the hospitals and to define the scale construct validity with an opinion to identify the factors that affect the target users. First they developed a 35-item Patient Satisfaction Survey questionnaire and then based on the pilot study conducted to assess the internal consistency reliability there was a reduction of items on the scale to 25 items. They used Cronbach coefficient Alpha, Spermann Brownââ¬â¢s and Guttmannââ¬â¢s coefficients to determine the reliability of the scale and Scree plot was also carried out for the final 25-item scale. The reliability coefficients attained for the instrument by means of various methods were comparable and statist ically significant. The final scale which consists of 25 items showed stable and significant correlation coefficients and produced six consequent dimensions of patient satisfaction which includes attitude of pharmacy personnel, accessibility and convenience of pharmacy location, quality and cost of the drugs, conducive physical environment, and availability of prescribed drugs and timeliness of service delivery. This study established a scale to evaluate satisfaction of the patients regarding pharmaceutical services. Amany M. Abdelhafez, Lina Al Qurashi et al., published a study in American Journal of Medicine and Medical Sciences, 2012, entitled ââ¬Å"Analysis of factors affecting the satisfaction levels of patients toward food services at general hospitals in Makkah, Saudi Arabiaâ⬠. This study aims to determine the factors that the satisfaction levels of the patient with the food services in a sample of general hospitals. They performed a cross-sectional study using an interview questionnaire. Spearman correlation was used to identify the relationship between the various aspects of food and food services and the overall satisfaction. In this study the temperature of the food was one of the determinants of overall dissatisfaction. Overall satisfaction levels can be increased by increasing the quality of food and hospital food services. As hospital malnutrition is a main problem, so hospital services should be considered as an important part of the patient treatment plan and hence it is imp ortant to evaluate patient views to make sure that the expectations of the patients regarding the food services were achieved. M V Kulkarni, S Dasgupta, et al., had done a study entitled ââ¬Å"Study of Satisfaction of Patients Admitted in a Tertiary Care Hospital in Nagpurâ⬠which was published in National Journal of Community Medicine, 2011. It states that patient satisfaction is one of the important tools to measure the success of the services provided in the hospital. They performed a hospital based cross sectional study to evaluate the satisfaction of the patients admitted in the hospital regarding behaviour of the medical, nursing, and supportive staff, and other services provided in the hospital. They used a pre-designed and pre-tested ââ¬Å"Indoor Patient Feedback Formâ⬠which was filled up by the patient through an interview on the day of the discharge. They analyzed the data using Epi-Info statistical software by calculating chi-square test and proportions. Their study reveals that the most of the patients were satisfied with the provided hospital services, behaviour of the doctors but s howed dissatisfaction towards the cleanliness in the toilets, quality of the food. Leticia R. Moczygemba, Jamie C. Barner, et al., published a study entitled ââ¬Å"Patient satisfaction with a pharmacist-provided telephone medication therapy management programâ⬠in Research in Social and administrative pharmacy, 2010. They conducted a non-experimental and cross sectional survey to measure the patient satisfaction with pharmacist-provided telephone MTM program. They mailed the questionnaire developed to measure the patient satisfaction on MTM program. Descriptive statistics have been used to calculate the patientsââ¬â¢ responses. The study revealed that the patient were pleased about the services provided by the pharmacist during MTM consultation. And also the patients are willing for face-face to consultation to learn more about their medications. From this study it is proved that for some patients MTM program can be carried out in telephone without compromising patient satisfaction. Mehrnoosh Akhtari-Zavare, Mohd Yunus Abdullah, et al., performed a study entitled ââ¬Å"Patient Satisfaction: Evaluating Nursing Care for Patients Hospitalized with Cancer in Tehran Teaching Hospitals, Iranâ⬠in Global Journal of Health Science, 2010. The study was aimed to assess the relationship between cancer patientsââ¬â¢ satisfaction and the nursing care in order to assist nurses in defining more clearly their roles. They performed a cross-sectional study in which a proportional stratified sampling method was used to collect the data from face-to-face interviews based on validated Patient Satisfaction Questionnaire. In this study, they conducted binary logistic regression to predict factors that influence the satisfaction level. It was seen that patients receiving chemotherapy were more satisfied with the nursing care than patients receiving other type of treatment such as radiotherapy, surgical etc. Though the study found that most of the patients were satisfied with t he nursing care, they suggested some improvements regarding interpersonal relationship which may improve patient satisfaction. Z Iliyasu, IS Abubakar, et al., published a study entitled ââ¬Å"Patientsââ¬â¢ satisfaction with services obtained from Aminu Kano teaching hospital, Kano, Northern Nigeriaâ⬠in Nigerian Journal of Clinical Practice, 2010. Their study aimed to evaluate the patient satisfaction and their relatives with the hospital services. They considered satisfaction was from the perspectives such as ease with which patientsââ¬â¢ accessed care, time of waiting, patient-health care provider relationship, payment and facilities provided by the hospital. The data was collected by a cross-sectional survey based on structured questionnaires which were distributed to the patients and focus group discussions with the patient relatives. The results shown that most of the patients were satisfied about the accessed care, patient provider relationship, inpatient services and the hospital facilities. And the patients were asked for the complaints which were mostly related to the waiting time and th e payment cost. In focus group discussions most of the patients relatives complained about the missing of laboratory data and delay in the laboratory data. Overall the satisfaction of the patients and patient relatives showed a high satisfaction level with the tertiary care services. Ranjeeta Kumari, MZ Tdris, et al., published a study entitled ââ¬Å"Study on Patient Satisfaction in the Government Allopathic Health Facilities of Lucknow District, Indiaâ⬠in Indian Journal of Community Medicine, 2009. They performed a cross-sectional survey to detect the areas and reasons of low satisfaction among the patient and to suggest methods for improvement. By using a multi-stage stratified random sampling technique three representative hospitals (Tertiary level hospital, Secondary level hospital and a primary level hospital). A quantitative structured interview schedule was used to record information from the patients attending the health care facilities. Data was analyzed using Epi-info software (version 6). From the results it was seen that the most important factor for them to visit the secondary and tertiary level of health facilities was the trust on doctors or health facility, availability of the specialists whereas the closeness of the health facility to thei r homes, belief on doctors or health facility and cost-effectiveness were crucial at the primary level. They concluded that, there is a need to communicate effectively with patients about their disease and treatment and to clarity their doubts and fears to achieve good standards of health. Juan Francisco Marquez-Peiro, Carmen Perez-Peiro published a study entitled ââ¬Å"Evaluation of Patient Satisfaction in Outpatient Pharmacyâ⬠in Farm Hosp in 2008. The main objective of this study is to identify the satisfaction and dissatisfaction levels among patients receiving care from the Outpatient pharmacy. Dissatisfaction has been defined as the lack of correspondence between the patient expectations and their final perception of the healthcare service provided. They conducted a cross-sectional study to establish patient satisfaction levels by using a valid questionnaire and patient dissatisfaction were established from the complaints made by the patients attending the outpatient pharmacy. The reasons for complaint were grouped based on the classification system created by Pichert et al and also on the items described in the patient satisfaction survey. Patient satisfaction was evaluated with the help of a patient satisfaction indicator Satisfaction index recognized by the Regional Ministry of Health for the Autonomous Community of Valencia. The results show the high patient satisfaction index with the services provided by the outpatient hospital pharmacy department. The aspects scoring least points in patient satisfaction were mainly dispensing area (waiting room and access to the OP) and the dispensing process (waiting time and the consultation hours) which were also the main reasons for dissatisfaction. Pharmacistââ¬â¢s technical expertise and professional attitude are the most valued aspect in the patient satisfaction survey. Pharmacistââ¬â¢s professional competence and the pharmacist-patient relationship were the reasons for complaints made by the patients to the Patient Service Department of the hospital. The features that require improvement are area and process at the dispensing and the increased structural and human resources required. They concluded that, although the satisfaction index high and is useful for identifying what impro vements are needed, it is also important to identify the reasons for dissatisfaction to complement this information. Maria Luz Traverso, Mercedes Salamano, et al., published a study in the journal International Journal for Quality in Health Care, 2007, entitled ââ¬Å"Questionnaire to assess patient satisfaction with pharmaceutical care in Spanish languageâ⬠. The main objective of their study was to design and validate a questionnaire in Spanish language, to assess patient satisfaction with pharmaceutical care provided by the community pharmacies. A questionnaire of 27 items, with randomly assigned order consisting give dimensions which includes general satisfaction, explanation, managing therapy, consideration and setting was designed. The reliability of the instrumentââ¬â¢s scale was assessed with Cronbachââ¬â¢s alpha and to determine the questionnaire construct validity, Mann-Whitney test was applied to compare the data form two groups of pharmacies. Although overall results of the construct validity test did not presented significant changes among the two groups of pharmacies in whic h one group provides pharmaceutical care and other group do not provide pharmaceutical care, but 23 items presented significant variances among the two groups of pharmacies. The results suggest that the developed questionnaire was found to be a reliable and valid instrument in Spanish to evaluate patient satisfaction related to pharmaceutical care in community pharmacies. R.K.Sharma, conducted a study to identify the patient satisfaction level in both out-patients and in-patients entitled ââ¬Å"Patient satisfaction- A case study of zonal hospitalâ⬠which was published in Nursing and Midwifery Research Journal, 2005. They assessed the patient satisfaction in terms of services and amenities. In this study it was observed that most of the indoor and outdoor patients were dissatisfied with most of the amenities. Most of the patients were satisfied with the behaviour and attention given by the doctors but were not satisfied with the behaviour of paramedical staff and other employees of the hospital. And most of the patients were not dissatisfied with the availability of the medicines in time. It concludes that frequent patient satisfaction surveys are essential to make necessary improvements on basis of opinions and suggestions given by patients. C Jenkinson, A coulter, et al., performed a study entitled ââ¬Å"Patientsââ¬â¢ experiences and satisfaction with health care: results of a questionnaire study of specific aspects of careâ⬠which was published in Quality and Safety in Health Care, 2002. The purpose of their study was to determine what aspects of health care provision are most likely to influence the satisfaction with care and willingness of the patient to recommend hospital services to others and also to determine the extent to which satisfaction is a significant indicator of patientsââ¬â¢ experience of healthcare services. They had done a postal survey in which the questionnaires based on picker survey of patient experiences questionnaire was used. From the descriptive statistics it is evident that there is an association between the level of satisfaction and the number of item completed in the questionnaire. The study states that patient satisfaction scores and the related issues of willingness to recomm end a hospital to others present a limited and optimistic picture. It also suggests that detailed questions about specific aspects of patientsââ¬â¢ experience are more beneficial for observing the performance of different departments of the hospitals and which helps in improving the health care delivery. Differences Between Leadership and Management | Tesco Differences Between Leadership and Management | Tesco Management is a function that must be exercised in any business (Maccoby, 2000, pp57-59) management is a process of planning, organising, commanding, coordinating, and controlling and it is a systematic way of doing things. According to Mullins (2010, p429) Fayol describes these elements as: Planning examining the future, deciding what needs to be achieved and developing a plan of action. Organising providing the material and human resources and building the structure to carry out the activities of the organisation. Command maintaining activity among personnel, getting the optimum return from all employees in the interest of the whole organisation. Co-ordination unifying and harmonising all activities and effort of the organisation to facilitate its working and success. Control verifying that everything occurs in accordance with plans, instructions, established principles and expressed command. Leadership is an attempt to influence group or individuals (Russell C, Richard J, 2002, p406) he further explains that leadership gets organizations and people to change. Leadership is communicating to people their worth and potential so clearly that they are inspired to see it in themselves. Differences between Leadership and Management Mullins demonstrated the differences of leadership and management. Managers tend to adopt impersonal or passives attitudes towards goal. Leaders adopt a more personal and active attitude towards goals. In order to get people to accept solutions, the managers needs continually to co-ordinate and balance in order to compromise conflicting values. The leaders create excitement in work and develop choices that give substance to images that excite people. In their relationship with other people, managers maintain a low level of emotional involvement. Leaders have empathy with other people and give attention to what events and actions mean. (2010, p374) Leadership differs from management in a sense that: Management includes focus on function, authority relationship and creates stability. However, for a business to excel leadership is vital, because leaders motivate, secure commitment and inspire people. Relationship between Management and Leadership Leadership and management are the terms that are often considered synonymous. Leadership is defined as the potential to influence and drive the group efforts towards the accomplishment of goals. This influence may originate from formal sources, such as that provided by acquisition of managerial position in an organization. According to Mullins (2010, p374) Despite a continuing debate on differences between management and leadership, there is a close relationship between them and it is not easy to separate them as distinct activities. He further describes management and leadership, they overlap and you need both qualities. Increasingly, management and leadership are being seen as inextricably linked. It is one thing for a leader to propound a grand vision, but this is redundant unless the vision is managed so it becomes real achievement. A manager must have traits of a leader. Leaders develop strategies that build and sustain competitive advantage. Organizations require strong leadership and strong management for optimal organizational efficiency. Both managers and leaders aim to achieve goals, mobilize and utilize resource. Section 2 Managers have to perform many roles in an organization, how they handle various situations will depend on their style of management. According to Mullins (2010, p381), there are many dimensions to describe leadership style and he simplified three fold heading; The authoritarian (autocratic) Style: The manager alone exercises decision making and authority for determining policy, procedures for achieving goals, work tasks and relationships, control of rewards or punishments. The democratic Style: The leadership functions are shared with members of the group and the manager is more part of team. The group members have a greater say in decision making, determination of policy, implementation of systems and procedures. A laissez faire (genuine) style: The manager consciously makes a decision to pass the focus of power to members, to allow them freedom of action to do as they think best, and not to interfere; but is readily available if help needed. There is an often confusion over this style of leadership behavior. The word genuine is emphasized because this is to be contrasted with the manager who could not care, who deliberately keeps away from the trouble spots and does not want to get involved. From my own experience of working in ABA Beverages, management decided to implement HACCP using autocratic style of leadership style. This decision of quality control was taken to attract new customers and satisfy existing customers. According to Wikipedia (ONLINE: http://en.wikipedia.org/wiki/Hazard_analysis_and_critical_control_points) HACCP (Hazard analysis and critical control points), is a systematic preventive approach to food safety and pharmaceutical safety that identifies physical, allergenic, chemical, and biological hazards in production processes that can cause the finished product to be unsafe, and designs measurements to reduce these risks to a safe level. In this manner, HACCP is referred as the prevention of hazards rather than finished product inspection. A key role of the quality manager in the company is to maintain the food safety. He has vital responsibilities and challenges to achieve HACCP. In order to achieve HACCP, he uses autocratic style of leadership. This autocratic style was necessary because it is a matter of food safety. Employers view this safety principal as a critical, therefore use autocratic style. Employees must comply with instructions at all times. The positive impacts food safety is met, objective of customer satisfaction met. If they do not use autocratic style, quality would be compromised and customers would not be satisfied. Sri Lanka Red Cross Society SLRCS (Sri Lanka Red Cross Society) (ONLINE: http://beta.redcross.lk/vision-mission.asp) has operated since 1936. The SLRCS covers all 25 administrative districts of the Sri Lanka and the total membership 100,000.The total number of active volunteers 6,500. From my own experience of working in SLRCS, during the war in 2007 in Sri Lanka, it was involved to help victims who affected by war. They have divide teams and work under a coordinator. The coordinator gives freedom to the team leader to take appropriate actions within agreed boundaries (within set time limit and safety clearance). For example teams have to reach the camp and distribute all foods to beneficiaries. In case any problem arises team leaders have to make the decision. At this point Laissez Faire style help to achieve the scope of the organization. Here, team leader is trusted to make decision by the coordinator follows laissez faire style. On the other hand, when the team is in dangerous war zone, for the safety of team members team leader follows an autocratic style of leadership. For example if the supply not distributed on the agreed time limit or if the situation becomes dangerous, team leader take own decision either stay or leave for the camp and team members fol low his autocratic style of leadership. Tesco Tesco is a British multinational grocery and general merchandise retailer in United Kingdom. One of the business objectives of Tesco is customer satisfaction. Tesco is a customer-orientated business. It aims to offer products that provide value for money for its customers and to deliver high quality service. Tesco wants to attract new customers, but it also wants to keep its existing customers happy. To keep at the top of its game and to maintain its number one spot in the market, the company needs skilled staff at all levels and in all roles. The style of leadership can vary depending on the task. Some managers allow teams to take charge of their own decision-making for many tasks. Team leaders will set the objectives but empower team members to decide how these objectives are achieved. This has several advantages. It helps to motivate individuals in the team and it draws on the expertise of the members of the team. Berian manages a team of 17 in a Tesco in-store bakery. One of the key challenges of Berians job is to ensure his team produces the right products to meet demand at key times. His usual management approach is to allow the team to take responsibility for achieving the desired result. In this way, the team not only buys into the activity, but also develops new skills. For example, when the bakery expanded its product range and Berian needed to ensure that all the products would be on the shelves by 8.00 am, rather than enforce a solution, he turned to the team for ideas. The team solved the problem by agreeing to split break times so that productivity could be maintained. Berians approach produced a positive outcome and increased team motivation. (ONLINE: http://businesscasestudies.co.uk/tesco/developing-appropriate-leadership-styles/management-and-leadership.html#axzz2DWoXdm7O) Berian uses democratic style of leadership to achieve the target. This style encourages ideas, feedback, suggestion and team sprit from all team members. Words 525/ 1480
Wednesday, October 2, 2019
Life :: essays research papers
1. Evolutionary Psychology assumes that human behavior, just like human anatomy and physiology has been shaped by the evolutionary process. A. Can you justify that assumption? Yes, because it is saying that the mental mechanisms that underlie human behavior are held in common among people all over the world. These mental organs constrain and shape people's thoughts, perceptions and behaviors. Also, evolved mechanisms in the brain channel the evolution of human societies and human culture that make some outcomes more likely than others. B. Don't the advanced learning capacities of humans negate the relevance of an evolutionary approach to human behavior? No, because not all behavior is learned or just there from the beginning. According to human behavioral ecology, peoples' interests are defined in evolutionary terms: as wanting to maximize their fitness. 2. Evolutionary psychology assumes that the brain is composed of many domain-specific cognitive modules. A. What does the phrase ââ¬Å"domain-specificâ⬠mean? It means that there are socialized cognitive mechanisms designed to solve problems important in the EEA. B. Why is this assumption justified theoretically? Because empirical evidence shows that animals are predisposed to learn some things and not others. C. What empirical evidence exists to suggest that it is correct? A study on rats concluded that their food aversions are based solely on the taste of foods that have made them sick, not the food's size, shape or color. However, there are certain foods that rats won't touch because their diet is strictly controlled by genes. 3. Human mating and parenting behaviors are critical to fitness and should have been responsive to selection. A.Do you expect men and women to have the same mating and parenting adaptations? Why or why not? No, because with women and men are predisposed to certain types of mating and parenting adaptations. Women tend to mate with fewer people and are more inclined to heavily partake in parenting of the offspring. Men are generally inclined to mate with whomever, whenever, and however often they can and because they aren't sure of paternity, they are less inclined to parenting the offspring.
Free Essays - Tale of Two Cities :: Tale Two Cities Essays
à Tale of two Cities à à In the fictitious novel Tale of Two Cities, the author, Charles Dickens lays out a brilliant plot. Charles Dickens was born in England on February 7, 1812 nears the south coast. His family moved to London when he was ten years old and quickly went into debt. To help support him, Charles went to work at a blacking warehouse when he was twelve. His father was soon imprisoned for debt and shortly thereafter the rest of the family split apart. Charles continued to work at the blacking warehouse even after his father inherited some money and got out of prison. When he was thirteen, Dickens went back to school for two years. He later learned shorthand and became a freelance court reporter. He started out as a journalist at the age of twenty and later wrote his first novel, The Pickwick Papers. He went on to write many other novels, including Tale of Two Cities in 1859. à Tale of Two Cities takes place in France and England during the troubled times of the French Revolution. There are travels by the characters between the countries, but most of the action takes place in Paris, France. The wineshop in Paris is the hot spot for the French revolutionists, mostly because the wineshop owner, Ernest Defarge, and his wife, Madame Defarge, are key leaders and officials of the revolution. Action in the book is scattered out in many places; such as the Bastille, Tellson's Bank, the home of the Manettes, and largely, the streets of Paris. These places help to introduce many characters into the plot. à One of the main characters, Madame Therese Defarge, is a major antagonist who seeks revenge, being a key revolutionist. She is very stubborn and unforgiving in her cunning scheme of revenge on the Evermonde family. Throughout the story, she knits shrouds for the intended victims of the revolution. Charles Darnay, one of whom Mrs. Defarge is seeking revenge, is constantly being put on the stand and wants no part of his own lineage. He is a languid protagonist and has a tendency to get arrested and must be bailed out several times during the story. Dr. Alexander Manette, a veteran prisoner of the Bastille and moderate protagonist, cannot escape the memory of being held and sometimes relapses to cobbling shoes. Dr. Manette is somewhat redundant as a character in the novel, but plays a very significant part in the plot.
Tuesday, October 1, 2019
My Favorite Show Essay
I have many favorite shows; one of my favorite would have to be Prison Break. There are so many reasons why itââ¬â¢s my favorite. My main reason is the plot of the story/show. Two brothers who broke out of jail with a group of other prisoners. Another reason is the suspense of the show. Itââ¬â¢s literally impossible to guess whatââ¬â¢s going to happen next. My last reason is probably just me but the little messages the show gives here and there. Messages in the sense of what it shows for what a real friendship should look like. The plot of the show is two brothers of which the young one, Michael Scofield, gets himself thrown in jail to break his older brother, Lincoln Burrows, out who is sentenced to death for a crime he didnââ¬â¢t commit. With just that happening in the show itââ¬â¢s amazing. People escaping you can see happening, but getting thrown in jail to break someone else out is interesting. Also what got my attention is how Michael planned the escape. Besides being a genius, he tattooed the prisons blueprints and needed information on how to stay out on his body. There was never a boring episode, since day one in prison the escape started he just needed to get the people necessary to escape from the prison like: the guy with the money, the guy with the transportation, and finally he needed his cell mate to agree. Finally, the relationship between both of the brothers. It isnââ¬â¢t your typical love story between brothers. They werenââ¬â¢t in each otherââ¬â¢s life after they turned 18. And for Michael to break Lincoln out even after they lost touch of each other and Michael never showed any understanding of why Lincoln is a bum. Itââ¬â¢s interesting that he still risked his entire career and life for this escape. Another reason is the suspense of the show, and how true it is to its category. You can never guess whatââ¬â¢s going to happen next, for example, the first season starts off right, everything is going as planned and then the first attempt to escape isnââ¬â¢t what everyone expects when the escape fails. After that episode, I was completely hooked on it. I also liked that Michael kept part of the plans to himself; he never revealed his complete plan to anyone, keeping the audience in complete suspense as in how is he going to pull it off. Also, itââ¬â¢s very emotional not in your typical love story between both characters but in every relationship within the characters. I think itââ¬â¢s very popular with other shows that itââ¬â¢s just two characters and forget about the others. The show was very true to its point/plot. Finally, my personal reason to loving the show is the little messages/quotes they sent throughout the series. The friendship between Michael and his cellmate, Sucre. It was as if they were the brothers, very close, always had each other back. They had their differences but sometimes people have to realize that thereââ¬â¢re more important things when time is limited. The relationship with the brothers was very different and admirable. I appreciated that a lot and I can honestly say it made the relationship with my brother and me a lot closer and stronger. Michael and Lincoln arenââ¬â¢t really brotherââ¬â¢s even though they find out at the end Michael never stopped his plan and that was inspiring because it showed that nothing was going to separate them nothing was going to stop them from being free. My favorite quote from the show is you canââ¬â¢t go back and have new beginnings, but you can start now and have a happy ending. I find so much meaning into this quote. You obviously cant start a new beginning, but you can always change the end if itââ¬â¢s going terrible. When Michael told Lincoln this I was convinced that Michael truly loved Lincoln even though they were really brothers. I understood even though we werenââ¬â¢t born brothers, weââ¬â¢re dying brothers. In conclusion, I became obsessed with Prison Break. The show was so creative and amazingly written. The cast in my opinion did an amazing job they were so believable. The suspemse of the show was good and was smart; they never revealed the entire plan. Then thereââ¬â¢s the messages the show throws out. You have to stay true to your own. Family is family at the end.
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