Social Security's role in our society and public administration Essay

Social Security's role in our society and public administration - Essay Example This Civil War Pension program provided benefits to war veterans with disabilities, in addition, widows and orphans could receive pensions equal to the amount paid to veterans. Starting with the year 1906 old age has become the main qualification for the benefits payment. Thus, by the year 1960 the following groups of people were receiving benefits: Civil War veterans, survivors with disabilities, and the old-aged. Later, these programs would become known as Social Security. In particular, four major demographic changes led to the emergence of Social Security in the early 1930s: the Industrial Revolution, the urbanization of America, the disappearance of the extended family and the market increase in life expectancy. Also, as a result of an Agricultural Revolution the majority of self-employed workers were transformed into industrial working class. When primary income comes from wages, economic security is threatened by recessions, layoffs and business failures, factors that employees have no control over. Industrialization has led to city growth and by 1930 half of the population was living in cities. The trend towards urbanization resulted in the disappearance of the extended family. This was due to large families living in the same residence. The major advantage of an extended family was that when one member became too old too work, the other members assumed responsibility for his well-being. Urbanization limited this kind of support and many old peo ple appeared behind the line of poverty. Finally, due to improved healthcare and sanitation Americans began to live significantly longer. The net result from these demographic changes was that Americans were older, more industrial and fewer people lived in extended families. The existing provisions of economic security were becoming increasingly fragile. The Social Security programs adopted in late 1935 relied on the concept of social insurance common in Europe at that time. The initial aim of the Social Security system was to shift the responsibility for economic security to the governmental institutions. In the late 19th century several European and Latin American states already had some form of the social insurance campaigns. The major points of the American Social Security included old age assistance, unemployment insurance, aid to dependent children and grants to the states to provide medical care (Tanner, 2004). The section on old-age benefits is what people think about Social Security today. Although the American social insurance program has been initiated much later, it was relatively successful compared to the other systems. For example, in the book "Relief and Social Security" Meriam notes the following: " . . . social insurance and the allied services, as they exist today, are conducted by a complex of disconnected adminis trative organs, proceeding on different principles, doing invaluable service but at a cost in money and trouble and anomalous treatment of identical problems for which there is no justification. In a system of social security better on the whole than can be found in almost any other country there are serious deficiencies which call for remedy" (Meriam, 1946, p. 2). Meriam talks about the American Social Security Act of 1935 as one of the most successful. Particularly, she outlines four major benefits this act has offered (Meriam, 1946, p. 16-19): The creation of the Civilian Conservation Corps by the national government

Imagining the west Thesis Example | Topics and Well Written Essays - 1000 words

Imagining the west - Thesis Example The proclaimed ideological objective of Early American expansionists was to secure living space in the entire American West for the whites agricultural settlement by cleansing the new space for â€Å"whites† through the displacement of the Native Americans (Carroll 8). The ‘American West† involved racial-imperialist continental territorial expansion incorporating ‘taking’ indigenous’ land by force (Carroll 43). In 1893, Jackson Frederick Turner, a historian of the American West, expressed that frontier and westbound expansion served numerous purposes. The frontier acted like the â€Å"safety valve† reducing overpopulation by allowing Americans to free land. Moreover, the frontier exhibited new financial or economic opportunities as people searched for resources and land to exploit with the goal to guarantee prosperity (Koetzing 4). Turner’s Frontier Thesis accounts factors in the course of American imperialism since it crystallizes many of the desires and hopes that Americans had in the last decades of the nineteenth century (Koetzing 5). According to Turner, the frontier was "the gathering, meeting, point in the middle of civilization2 and savagery". Turners idea of the frontier enveloped ideas of progress, conquest, and individual accomplishment or achievement. Turners concept resonates with the definition of what it is to be an American today: he believed that the advancements of American settlements westwards with the conquest or triumph of landscape clarified American development (Koetzing 6) Turners frontier myth, the "gathering, meeting, point between of civilization and savagery", characterized the American’s relationship with the natural world found and misused for the name of advancement. The West availed the free land on which democracy and equality based system could thrive. The present of a continuously growing frontier was to account for remarkable American qualities: "the presence of a zone of free land, its consistent

Reasons for Delay in Insulin Therapy

Reasons for Delay in Insulin Therapy Although the reasons for poor glucose control amongst diabetics is complex, one concerning issue remains the reluctance of physicians and patients to begin insulin therapy. This has been widely documented, despite awareness amongst both caregivers and Type 2 diabetics of the increased health risks caused by inadequate glucose control. Diabetes, and the complications caused by poor management of the disease, are rapidly becoming a health concern of epidemic proportion in Europe and the United States. According to Celafu (2004), normal glucose levels are seldom maintained over time in Type 2 diabetics. â€Å"Even with early intervention and education, many patients with type 2 diabetes are unable to achieve treatment goals through lifestyle changes alone† (Anon 2005, 4). Oral antidiabetic drugs, the initial treatment for Type 2, â€Å"eventually fail to provide adequate glycemic control† (Anon 2005, 4). Targets are missed both due to the progressive nature of the disease and to a reluctance to initiate insulin therapy (Davies 2004). Davies (2004, S15), citing an unpublished study by the British Diabetic Association, reports that â€Å"in the UK a large dataset of over 600, 000 from across the country in the year 2000 reported a mean HbA1c of 8.6 in type I patients and 7.8 in type II patients.† This is significantly above the 6.5 recommended (Davies 2004). Funnell and Kruger (2004) similarly report that over half the Type 2 diabetics in the United States regularly exceed recommended glycemic goals, such as an A1C of less than 7%. However, they cite three large independent trials which all show significant A1C improvement with the introduction of insulin therapy (Funnell and Kruger 2004). Results from the 1998 UK Prospective Diabetes Study suggests that even a 1% Hb reduction can lead to a 21% reduction in diabetes-related death (Stratton et al 2000). Similar reductions also result in a 14% reduction in myocardial infarction, and up to a 37% reduction in microvascular complications (Stratton et al 2000). Reductions in peripheral vascular disease by over 40% are also cited (Stratton et al 2000). According to Davies (2004, S14), a number of studies show â€Å"unequivocally that reducing hyperglycemia reduces both the incident risk and progression of diabetic complications, with no threshold level of HbA1c beneath which further prognostic advantage cannot be achieved.† â€Å"Given the scope of the problem, clinicians need to identify type 2 diabetes early and initiate aggressive intervention to positively influence patients at risk for the disease and help prevent disease progression and associated complications† (Anon 2005, 3). â€Å"In order to achieve the suggested targets for glycemic control necessary to reduce the incidence of diabetic complications, it has been established that a more intensive insulin regimen† and earlier use of insulin is often called for (Cefalu 2004, 1149). Unfortunately, such early insulin use is uncommon (Cefalu 2004). Literature reviewed cites a number of barriers responsible for the slow introduction of insulin regimens to Type 2 diabetic treatment. Barriers on the part of patients typically include fear of injections, feelings of failure, misconceptions regarding the effects of insulin, and concern that the disease is worsening. Cefalu (2004) found that fear of pain and inconvenience of having to inject insulin greatly increases patient anxiety regarding initiating insulin. He concludes â€Å"a major limitation for advancing to intensive insulin therapy is that the only viable way to administer insulin is through injection† (Cefalu 2004, 1149). Davies (2004, S18) similarly found that in Type 2 diabetics, â€Å"needle phobia presents as a common additional barrier to good control.† Patients may also view moving to an insulin regimen as a indicator they have failed at other therapies, such as lifestyle management (Cefalu 2004). This can produce guilt over even minor incompliance in previous treatment, and cause the patient to want to â€Å"try harder† on their existing treatment plan rather than move to insulin (Cefalu 2004). In a recent survey, nearly forty percent of patients agreed that ‘Starting insulin would mean that I have not followed my treatment recommendations properly’ (Davies 2004, S16). Kuritzky and Nelson (2004, S11) additionally found that â€Å"well-intended practitioners may have inadvertently set the stage for patient nonreceptivity by portraying insulin as appropriate therapy for patients who have failed with oral agents.† Davies (2004) goes further, offering anecdotal evidence of practitioners who attempt to coerce non-compliant Type 2 diabetics into lifestyle and oral medication compliance by the threat of beginning insulin therapy. This can result in strong patient resistance to insulin when it is eventually called for (Davies 2004). This can even lead to belief that insulin indicates inevitable complications or death to the patient. â€Å"The perception is that use of insulin signifies progression to a more serious phase of their disease; some patients view insulin use as a ‘prelude to death’ (Cefalu 2004, 1152). Some patients also â€Å"mistakenly believe that insulin intensifies insulin resistance† (Kuritzky and Nelson 2004, S11). Others claim considerations of weight gain outweigh their desire for tight glucose control (Anon 2005). Physicians and caregivers more often cite hypoglycemia, obesity, and patients lack of coping skills as reasons to delay insulin initiation. Davies (2004, S16) found â€Å"concerns about causing hypoglycemic episodes or increasing patients’ obesity means that physicians may permit poor control to continue unduly by delaying the initiation or intensification of insulin therapy† and â€Å"regard insulin as treatment of last resort.† Instead, Kuritzky and Nelson (2004, S11) recommend â€Å"patients should be taught that insulin therapy is appropriate at any time during the course of diabetes to achieve glycemic goals.† Finally, those diabetics on insulin therapy are often on less than optimal dosages. Mayfield and White (2004, 489) conclude from their study of Type 2 diabetics that â€Å"statistics suggest that suboptimal insulin therapy is too common.† Nearly thirty percent of Type 2 diabetics use insulin therapy, â€Å"but less than one half achieve the recommended A1C level of 7 percent or less† because even physicians who are willing to intiate insulin therapy are hesitant to aggressively use insulin (Mayfield and White 2004, 489). REFERENCES Anon 2005. The Role of Basal Insulin in Type 2 Diabetes Management. Supplement to The Journal of Family Practice, October 2005, 2-8. Cefalu, W. 2004. Evolving Strategies for Insulin Delivery and Therapy. Drugs 2004, 64(11): 1149-1161. Davies, M. 2004. The reality of glycaemic control in insulin treated diabetes: defining the clinical challenges. International Journal of Obesity, 28(Suppl 2): S14–S22. Funnell, M. and Kruger, D. 2004. Type 2 Diabetes: Treat to Target. The Nurse Practitioner , January 2004, 29(1):11-23. Kuritzky, L. and Nelson, S. 2004. Insulin therapy in primary care: Practical issues for clinicians. Supplement to The Journal of Family Practice, June 2005, S10-S11. Mayfield, J. and White, R. 2004. Insulin Therapy for Type 2 Diabetes: Rescue, Augmentation, and Replacement of Beta-Cell Function. American Family Physician, August 1, 2004, 70(3): 489-500. Rizvi, A. 2004. Type 2 Diabetes: Epidemiologic Trends,Evolving Pathogenic Concepts, and Recent Changes in Therapeutic Approach. Southern Medical Journal, November 2004, 97(11): 1079-1087. Stratton et al 2000. Association of glycaemia with macrovascular and microvascular complications of type 2 diabetes. British Medical Journal, 321: 405–412. UKPDS 1998. UK Prospective Diabetes Study (UKPDS) Group: Intensive blood-glucose control with sulphonylureas or insulin compared with conventional treatment and risk of complications in patients with type 2 diabetes. Lancet 1998, 352: 837-853.

Edgar Degas and his influence on the art of Mary Cassatt Essay

Mary Stevenson Cassatt's Miss Mary Ellison (1880) and Edgar-Hilaire-Germain Degas's Mademoiselle Malo (1877) are two paintings that, when compared and contrasted, shows numbers of influences that Degas had on Mary Cassatt's art. Both of these paintings are portraits done in tbe standard  ¾ point of view. Even at a mere glance, it is easy to see the striking similarities between the two portraits. It is not too farfetched to assume that Degas had a lot of influence on Mary Cassatt's work because it is known that he was one of her biggest inspirations (Wallis, 14). Furthermore, even within the Impressionist group the bond that Degas and Cassatt shared was an important one to her, since she looked up to him as a model artist (Englemann, 80). Mary Cassatt was born in Philadelphia to Robert Simpson Cassatt and Katherine Johnston Cassatt in1844 (Mathews, 9). Her father was a wealthy banker and her mother was well-educated and spoke french fluently (Wallis,14). They were both part of the upper circles of the Pittsburg Society (Mathews ,9). As such, they had a vested interest in providing their children with the best of educational and cultural experiences (Mathews, 9) Cassatt's interest in art, seems to originate from a 5 year sojourn that the family took in 1851 (Wallis, 14). Although only a mere child at the time, it seems the expatriate life appealed the young Cassatt; furthermore, the sights she saw must have deeply affected her because she would soon return to the life abroad (Mathews,9) As a teenager she studied art privately and later as an adult she attended the Pennsylvania Academy of the Fine arts (Wallis, 14). She was able to practice art and complete her studies with the support of her father's finances. Alt hough he d... ...ferent continent, the paths of Edgar Degas and Mary Cassatt intertwined much. In her second stay in Europe as an expatriate, Degas took his role as her guide and mentor. She, having been inspired and motivated by Degas's work â€Å"accepted with delight† (Wallis, 14). Degas took an active role in encouraging her and inspiring her, he often worked with her and alongside with her, and sometimes he even helped her with the artwork; such was the case with Little Girl in a blue armchair, Degas worked on the background. (Mathews, 45). The two had a long professional relationship that survived all the way until Degas's death and even in his death â€Å"she revered him as an artist† (Mathews, 45). Since Degas was her mentor and guide, it is expected that he had influenced her art, and he did. However, it is surprising that he begun influencing her art, even before the two ever met.

Reasearch Proposal

TABLE OF CONTENT I: CHAPTER ONE 1. 0 Introduction 2. 1 Background of the study†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 1. 2. 2 Problem statement†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 1 2. 3 Statement of the Study†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. 1 2. 4 Objective of the Study†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. 2 2. 5 Significance of the Study†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. 2 2. 6 Research Question†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 2 2. 7 Hypothesis of the Study†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã ¢â‚¬ ¦Ã¢â‚¬ ¦2 2. 8 Limitation of the Study†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. 2 2. 9 Delimitation of the study†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦3 II: CHAPTER TWO . 0 Literature Review†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 3 III: CHAPTER THREE 3. 0 Research Methodology 4. 10 Introduction†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 3 4. 11 Sample Size†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 4 4. 12 Data Collection, Methods And Instrument†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 4 IV: CHAPTER FOUR 4. 0 Data analysis or Presentation†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢ € ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦4 4. 1 Time and Findings Interpretation†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦4 V: CHAPTER FIVE 5. 0 Summary 6. 13 Conclusion†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦4 6. 14 Recommendation†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 6. 15 Bibliography†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦5 6. 16 Appendix†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦5 CHAPTER ONE 1. 0. INTRODUCTION. This research work intends to make an investigation on poor performance in Math ematics Subject and the factors leading to poor performance of form four students in Kimala secondary school which is the community school. This study will also evaluate the performance of Kimala secondary school form four National exam results of two years as of 2011 and 2012. 2. 1.HISTORICAL BACKGROUND OF MATHEMATICS PERFOMANCE IN SECONDARY SCHOOLS IN TANZANIA PARTICULARLY KIMALA SECONDARY SCHOOL. Mathematics is compulsory subject in Tanzania but it is the using in scientist matter in Tanzania and it is used as a major of instruction from secondary schools to tertiary level. All official and legal documents are written appreciate the Mathematics subject as the best in refresh brain and to make somebody to calculate each and every thing in mathematics methods. Mathematics was introduced in Tanzania by the British during the colonial era. . 2. PROBLEM STATEMENT The topic to be investigated in this study is the performance of Mathematics subject in form four National examinations in Kimala secondary school. 1. 2. STATEMENT OF THE PROBLEM The researcher wants to make an evaluation on the performance of Mathematics subject in form four National examinations in Kimala secondary school. 1. 3. OBJECTIVES OF THE STUDY 1. 4. GENERAL OBJECTIVE To evaluate the form four students’ Mathematics performance in National examinations. 1. 5.SPECIFIC OJECTIVE .To investigate how Mathematics subject is performed in National examinations by Kimala secondary school, form four students. .To examine and evaluate the Mathematics performance in form four National examinations of two years in Kimala secondary school. 1. 5. SIGNIFICANCE OF THE STUDY The research will help to improve Mathematics Subject and academic performance in Kimala secondary school. 1. 6. ORGANIZATION OF THE STUDY This research proposal consists of three (3) chapters.The first chapter will help the researcher to discover the causes of poor Mathematics performance of form four students in Kimala secondary sch ool. Chapter two will be about other researchers’ findings. Chapter three will talk about research methods which will be used in this research work. HYPOTHESIS OF THE STUDY 1. May be the lack of text book 2. May be the shortage of the can be the factor that affects the performance of form four students in Kimala secondary school 3. May be undisciplined of the students. DEFINITION OF TERMS. 1. 7. LIMITATION OF THE STUDYThe researcher faced some problems during research proposal writing as follows; Lack of enough funds for typing, printing and binding this research proposal. a. DELIMITATION OF THE STUDY. Researcher has tried to type, print and bind this proposal by using his pocket money. CHAPTER TWO 1. LITERATURE REVIEW. This chapter will provide a range of reviewed literature which will be relevant to the study which will speculate school environment in relation to performance of mathematics subject in Kimala secondary school. THE LACK OF TEACHING AND LEARNING MATERIALS AFFEC T MATHEMATICS PERFORMANCE.Anderson, B (1990:2) stated that, â€Å"Kilimanjaro region success in education sector is made possible by the donor who funded school teaching materials like mathematics books. Though Kilimanjaro region became the second after Dar-es-Salaam. † some schools in Kilimanjaro including Kimala secondary school receive support from world food program, international fund for agriculture development and other organizations which all together helps to feed schools and most students even those who are found among secondary schools in Kilimanjaro do not turn back home until they use evening time for studies.Mwendapole (2009:4) Reported that, â€Å"half of the students who attempted leaving certificate examination failed the Mathematics subject, as the minister for educational and vocation training announced publicly through radio and television. † The minister’s report showed that most students performed poorly in Mathematics subject. This was the indication that there is lack of teaching and learning facilities like Mathematics books, Mathematics teaching aids like manila and others.According to Ahiakwo, M. J (1989:295-6), A Crisis in the school of some countries is being caused by irrelevant curricula, in adequately trained teachers, lack of teaching materials such as Mathematics text books which are designed for use in teaching as whole or part of particular study course, reference books which are designed for use in teaching as whole or part of particular study course, reference books which contain collected information. Wickliffe N.J (1997:181) Said, drawings combine the features of both picture and charts in that they represent something that is real and at the same time, do so in form of summary, drawings are symbolized summaries of the real earth and it is important to remember this, for symbolism is code and children need to be taught to reach such codes. This significance of objects is depicting the whole situation of lacking in English teaching in secondary schools in Tanzania. CHAPTER THREE 2. RESEARCH METHODOLOGYThe research design was used especially cross section research design where the information for study was collected on time in which both question for students ad interview for the head of the school and academic matter were used. The researcher was able to access many people so that he made genuine interpretation and generalization to other subject by using this research design. Also the researcher was able to spend few hours to complete the whole process of collecting data by using survey research. 3. 1. INTRODUCTIONThe researcher will use the questionnaires method which includes both open and closed questions and the observation method whereby he will visit Kilimanjaro secondary school. The targeted population will be considered 3. 2. SAMPLE SIZE: TARGETED POPULATION For successful research in Kimala secondary school likewise the researcher decides to use the sample size of 50% from Kimala secondary school. Researcher intends to provide the questionnaires to 50% of the respondents The researcher will use both probability sampling and non probability sampling to collect information whereby each and every element will have equal chance of be selected.Probability sampling gives every member of the population equal opportunity of being included in the study. The researcher will use simple random sampling because it has no complexities involved. 3. 3. DATA COLLECTION METHODS AND INSTRUMENTS The researcher decides to use questionnaire methods, and actual observation in collecting information. A. QUESTIONNAIRE METHOD A Questionnaire consists of planned questions related to the topic in order to gather information required to accomplish the research work. 3. 4. DATA COLLECTIONThe researcher will use questionnaire to get information from the respondents. 3. 5. DATA ANALYSIS AND PRESENTATION This study is aimed at analyzing the factors and reasons causing poor acade mic performance of form four students mathematics examinations. Researcher will use tables, pie charts, columns, bars and line charts to analyze and interpret the data he will obtain. BIBLIOGRAPHY: Ahiakwo, M. J (1989). Faculty of Technical and Science Education. Mozambique: River State Ahiakwo, M. J (1992), An investigation into Public Perception and Knowledge of Science.Mozambique: River State Ahiakwo, M. J (1995), Cognitive Study and Students. Mozambique: River State. Ahiakwo, M. J (2000), An investigation into Public Perception and Knowledge of Science. Mozambique: River State Anderson, B (1990), Pupils Conceptions of Matter and its Transformations Studies in education Science. Bajah, B (1988), African Science in School Curriculum. New Jersey: African World Press. Basalla, G (1976), The Persistence Stereotype: Childs Image. London: Virago Ltd APENEX EVALUATION QUESTIONNAIRESThis questionnaire consists of five sections as shown below: SECTION AYES/NO SECTION BMULTPLE CHOICE SECTI ON CSHORT ANSWER SECTION D TRUE AND FALSE Please answer all questions as instructed and return the dull filled questionnaire to the researcher. Your contribution will be highly appreciated in the completion of this work. Any information given in this paper will be treated as confidential and will not be revealed anywhere. Do not write your name please. SECTION A Part 1 Write YES/NO to the following questions. . Basic Mathematic performance is affected by traditional values 2. Low motivation of teachers lead to poor performance is science discipline 3. Lack facilitates lead to poor performance on basic mathematics PART II Multiple choices 1. Performance in Basic mathematics subject is affected by a. Parent teachers and students b. Facilities 2. Poor performance in Basic mathematics affects a. Historical background b. Scientific and technological matter 3. Poor performance have been a problem mostly in . Science disciplines b. Basic mathematics PART III 1. List at least any four facto rs leading to poor performance is basic mathematics subjects a) _______________________ b) _______________________ c) _______________________ d) _______________________ PART IV Write a word TRUE or FALSE to the following statements given 3. 8. Mathematic is an art subject. 3. 9. Majority of the student are not serious in mathematic subject. 3. 10. In Kimala secondary school there are many mathematic books in the library 3. 1. The change of the curriculum caused poor performance in mathematic subject at Kimala secondary school. 3. 12. Many students failed in mathematic subject because of the lack of mathematics teacher. TIME TABLE MONTH| ACTIVITIES| TIME SCHEDULE| REMARKS COMPLETED| Feb 28| Surveying of school | 10:00 am – 01:00 pm| | March 2| To bring letter to authority | 08:00 am – 10:00 pm| | March 11| Researching day (Data collection) | 08:00 am – 12:00 Noon| | March 12| Compelling data | 07:00 pm – 1o:00 pm| |March 18 | Data analysis | 03:00pm â€⠀œ 07: 00 pm | | March 27| Data presentation | 03:00 pm – 07: 00 pm| | April | To write report | 08:00 am – 10:00 am | | April 15| Submission of report to authority| 10:00 am – 11:00 am| | BUDGET S/NO| ACTIVITY| REQUIREMENT| AMOUNT| 1| My income| . | Nil| 2| Transport| petrol| 97000| 3| Stationary charge| Tipying,pen,ruler| 50000| 4| Meals/accommodation| Food charge, lodge| 30000| 5| miscellanies| Caution money| 15000| 6| Assistance| Salary| 20000| TOTAL 212000

Bus210 Motivational Case Study Essay

I believe in the â€Å"Two Men and a Truck† case study, the motivational theory that Mrs. Sheets’ uses is the goal setting theory. Her initial goal was to help support her sons’ part-time jobs. She created a marketing campaign, although she may not have seen it as such, by designing the stick figure drawing that is still being used today in the company. As a single mother, she did not want to turn away the phone calls that continued to be received, even after her sons went away to college and therefore, she purchased an inexpensive truck and hired two workers to maintain the business operations. Mrs. Sheets expanded the company and set out a goal of being the most customer-friendly moving company. To assist with this goal, she arranged trainings for her employees, and franchisee employees, where they learn basic customer service tools and how to be a high-functioning team member. These tools include how to properly answer the phone and to always shake the customer’s hand when the work is completed. She also asks employees to complete a survey card so the organization can use the feedback as coaching opportunities. All of these tools helped Mrs. Sheets’ company become one of the most successful moving companies in the area. In the Siemens case study, the motivational theory that is described is Management by objectives. Mr. Kleinfield took over a Siemens unit in 1998 and immediately requested a change in work shifts, including working weekends. The employees were shocked by what was being requested but also recognized that due to a competitor, their jobs were in jeopardy from a lack of production. Mr. Kleinfield expressed an interest in the work being performed by being in the factory and asking questions related to the operations. This interest helped win over the employees and with the new schedules, production times were cut from six weeks to one. Although the employees did not know what was going on, Mr. Kleinfield recognized what the ultimate goal of the production facility was and put a plan into action as soon as he took it over to make it a success. By demonstrating this leadership, he ultimately was offered the CEO position, even though he never worked in any facility for very long, especially as a Consultant, but did have experience in every department that was associated with Siemens.

Population Growth 1750-1830 essays

Population Growth 1750-1830 essays In this essay we are going to consider the population growth from 1750-1830. The basis for the material is taken from the "Macmillan Series, Mastering Economic and Social History" written by David Taylor. In his book, Taylor gives several reasons as to why the population increased between 1750-1830. He argues that the practice of living-in disappeared, there was a decline in apprenticeships, and the speenhamland allowance encouraged large families. He also concluded that the general well-being of the people improved though diet. There's no one explanation as to why this happened, or one history. It may have been the fall in the death rate and the increase in the birth rate. Up to the nineteenth century no official census had taken place. In 1086 the Doomsday book placed the population at about 3.5 million. Attempts were made at counting the population in the seventeenth century by Gregory King a civil servant. Nevertheless, it proved unreliable and was more or less a guesstimate basing his figures on hearth-tax returns and parish records. Taylor states concerning Gregory Kip^i M(ie estimated the number of people living in a house and gradually built up a cumulative total of people of the whole country - the figure he arrived at was 5.2 million". The first official census was taken in 1801 and has been conducted every ten years apart from 1941. The population was low before 1750 owing to a number of factors. "Between 1520 and the end of the seventeenth century the population of England and Wales seemed to have risen from about 2.5 million to about 5.2 million. This contrasts with the fact that the population had risen hardly at all since the Black Deat h, and from 1650 to 1750 it rose only by a further million. Interrupted by bad harvests, with or with out outbreaks of plague, influenza, smallpox and dysentery in 1550s, 1580s, 1590, and 1630s". (A new History of England 410-1975) The bubonic plague of 1665 also took its toll on the po...

Activity 1 - Simple Random and Stratified Random Samples SP 14(4)(1) E

Activity 1 - Simple Random and Stratified Random Samples SP 14(4)(1) E STAT 1350: Elementary Statistics Collaborative Activity 1 Simple Random and Stratified Random Sampling Sampling Frame The sampling frame provided with this Collaborative Activity represents the student body as of the first day of autumn semester at a small liberal arts school in central Ohio. A Simple Random Sample The college believes that 75% of the student body resides on campus. Use the random number table (attached) to randomly select 10 students. Label the sampling frame using two digit numbers. STEP 1: Label the Sampling Frame STEP 2: Generate Random Numbers starting at row 145 of Table A a. List the 10 students. Indicate whether the student resides on campus or commutes to campus. |Label Number |Dorm or Off Campus|Label Number |Dorm or Off Campus| | | | | | | | | | | | | | | | | | | | | | | | | | b. What percentage of your SRS live in a dorm? ________________________ c. I selected 5 other SRS of size 10 and recorded the percentage of each sample who lives in a dorm. Compare your percentage from part (b) to the percentages given below. Explain why the percentages are not all the same. 30%; 20%; 30%; 40%; 40%; d. Does your data support the college's belief? Explain why or why not. Stratified Simple Random Sample - a variation of the SRS. To take a Stratified Simple Random Sample, divide the population into 2 or more strata (naturally occurring subgroups). Take a SRS from the first strata then take a SRS from the second strata and so on until you have a SRS from each of the strata. Combine the SRS selected from each strata to make your stratified simple random sample. Pick a stratified sample, by gender of 20 students. Select 10 students from each stratum and record the class rank of each student. First select a SRS of 10 females. Then, continuing on the random number table where you left off, select a SRS of 10 males. Use the labels as you assigned them for the first SRS. STEP 1: Female labels: ____________________ Male: _______________________ STEP 2: Start at row 137 of Table A. a. List the 20 students |Label Number|Gender |Class Rank |Label Number|Gender |Class Rank | | |Female | | |Male | | | |Female | | |Male | | | |Female | | |Male | | | |Female | | |Male | | | |Female | | |Male | | | |Female | | |Male | | | |Female | | |Male | | | |Female | | |Male | | | |Female | | |Male | | | |Female | | |Male | | What does your sample reveal about class rank and gender? Answer in complete sentence(s). TABLE A Random digits Line 101 19223 95034 05756 28713 96409 12531 42544 82853 102 73676 47150 99400 01927 27754 42648 82425 36290 103 45467 71709 77558 00095 32863 29485 82226 90056 104 52711 38889 93074 60227 40011 85848 48767 52573 105 95592 94007 69971 91481 60779 53791 17297 59335 106 68417 35013 15529 72765 85089 57067 50211 47487 107 82739 57890 20807 47511 81676 55300 94383 14893 108 60940 72024 17868 24943 61790 90656 87964 18883 109 36009 19365 15412 39638 85453 46816 83485 41979 110 38448 48789 18338 24697 39364 42006 76688 08708 111 81486 69487 60513 09297 00412 71238 27649 39950 112 59636 88804 04634 71197 19352 73089 84898 45785 113 62568 70206 40325 03699 71080 22553 11486 11776 114 45149 32992 75730 66280 03819 56202 02938 70915 115 61041 77684 94322 24709 73698 14526 31893 32592 116 14459 26056 31424 80371 65103 62253 50490 61181 117 38167 98532 62183 70632 23417 26185 41448 75532 118 73190 32533 04470 29669 84407 90785 65956 86382 119 95857 07118 87664 92099 58806 66979 98624 84826 120 35476 55972 39421 65850 04266 35435 43742 11937 121 71487 09984 29077 14863 61683 47052 62224 51025 122 13873 81598 95052 90908 73592 75186 87136 95761 123 54580 81507 27102 56027 55892 33063 41842 81868 124 71035 09001 43367 49497 72719 96758 27611 91596 125 96746 12149 37823 71868 18442 35119 62103 39244 126 96927 19931 36089 74192 77567 88741 48409 41903 127 43909 99477 25330 64359 40085 16925 85117 36071 128 15689 14227 06565 14374 13352 49367 81982 87209 129 36759 58984 68288 22913 18638 54303 00795 08727 130 69051 64817 87174 09517 84534 06489 87201 97245 131 05007 16632 81194 14873 04197 85576 45195 96565 132 68732 55259 84292 08796 43165 93739 31685 97150 133 45740 41807 65561 33302 07051 93623 18132 09547 134 27816 78416 18329 21337 35213 37741 04312 68508 135 66925 55658 39100 78458 11206 19876 87151 31260 136 08421 44753 77377 28744 75592 08563 79140 92454 137 53645 66812 61421 47836 12609 15373 98481 14592 138 66831 68908 40772 21558 47781 33586 79177 06928 139 55588 99404 70708 41098 43563 56934 48394 51719 140 12975 13258 13048 45144

4 Strategies to Avoid Truck Driver Burnout

4 Strategies to Avoid Truck Driver Burnout Long haul driving is hard. Period. Truck drivers are said to work 70-hour work weeks, but we all know the reality is more like 90. Compared to a normal office worker, clocking in at 40 hours a week, this is already a recipe for exhaustion. Add in the fact that off-duty time, usually spent waiting between loads or at a truck stop, requires a certain amount of vigilance and maintenance of the rig- and isn’t really down time after all. Plus the fact that the human body prefers to sleep at night, in the dark, when the body’s natural rhythm calls for it. And that, to be healthy, one needs better access to healthier food than can be found at truck stops or fast food eateries- and you’ve got a whole lot of drivers barreling down the highway towards depression, exhaustion, poor-health, and the dreaded burn out.Here are four strategies to make sure this doesn’t happen to you, whatever stage you might be at in your trucking career:1. Take vacationsYou might think yo u can’t afford the time off, even if you’ve been allotted it. But really, it’s the other way around; you can’t afford not to take the time off to rest and recharge. It will make you a safer, happier, and healthier driver. Take holidays as well! Family time is important. The normal rhythms of civilian life are too.2. Take breaksYou may get bonus points with your boss, and perhaps an extra couple of bucks, for getting there an hour sooner. But at what cost? Breaks, especially when you’re feeling even slightly fatigued, can be a game changer and a serious morale booster.3. Get regularIf at all possible, try and get on a regular route. You’ll be able to stop in the same places, build yourself a routine, and get on a more regular sleep pattern. If this isn’t possible, put yourself on the spare board on a regular, rotating basis. Falling asleep at the wheel is never worth the risk.4. Embrace the electronicNobody is particularly thrilled wit h these new electronic logs, but they may actually help level the playing field. They’ll take everyone off the road after 70 or so hours, and enforce breaks and rests. You’ll never have to worry that someone else is putting in double hours to make bank. And you can take your much-deserved break in peace.

Effect of the media, TV advertising and commercials to individual, Essay

Effect of the media, TV advertising and commercials to individual, families and to society - Essay Example This essay "Effect of the media, TV advertising and commercials to individual, families and to society" outlines the changes that media and advertisement industry has brought to our society. To improve the body image, teenagers go fasting getting into unhealthy cycle of malnutrition, anemia and become an open field for attacking diseases. At the same time, young men devote their focus on a well-built, athletic body to make their mark in the female arena, and in the world at large. Both these pressures hardly give the youngsters any time for their intellectual or educational development. All advertised images of men and women are full of perfectly shaped bodies, drooled over by the lesser fortunate mortals. The average viewer watches 400 to 600 advertisements every day and this enormous amount of messaging can create a permanent mindset. Fatty foods are shown with awfully thin bodies triggering off a confused and strange eating tendency among the really younger sets. Acceptance of violence, almost expecting it, is another tendency that is unhappily growing among viewers. Children are becoming more and more bloodthirsty. Recent media story about a TV game where the little viewer had to blow up President Kennedy’s head was an ultimate example of the horrifying intellectual bankruptcy. Children know all names in the TV game world, but cannot recognize the next-door kid, as they hardly play in the open. Perhaps a positive and encouraging, almost ethical approach is necessary for TV to make the right impact on viewers.

Employee Scenarios Essay Example | Topics and Well Written Essays - 500 words

Employee Scenarios - Essay Example This paper analyzes internet abuse, sexual harassment, and substance abuse as fictional scenarios, which employer deals with regarding employees. All these scenarios have effects to the employee and the employer. The employee finds it difficult to cope with such situations in the company. It makes it impossible for the employer, to delegate duties to such workers, because of poor performance. On the other hand, employees find it difficult to cope with work demands, when the scenarios’ affect them. It is important for employers to form and develop regulations within their work place that tend to regulate occurrence of such scenarios within the work place. Technology enables majority of employees to use the internet when undertaking company duties. The internet gives relevance to the type of work an employee undertakes and some irrelevant to his or her work. In both cases, internet plays a crucial role when performing different company duties. In econet wireless company, a company that offers internet wireless services to his customers, Bradley, the companies’ supervisor director, gets into serious problems with his manager, after he is found watching pornographic videos using the company’s internet at work. Clearly, the company has rules and regulations that regulate internet usage of the employees. The rules and regulations seem not right to Bradley and he decides to abuse the rules by going to unpleasant sites to watch the videos. According to his employer, this becomes a gigantic scenario as the company’s rules and regulations violation. Regular conduct of job examination studies and certification of the resul ts helps guard employers from unfair treatment (Jackson, Schuler & Werner, 2012, p.153). Bradley’s manager positions himself as a perfect employer because he had the regular examination, but Bradley had not taken it seriously. However, the company still

Strategic management Case Study Example | Topics and Well Written Essays - 250 words - 1

Strategic management - Case Study Example The creation of high quality products requires a substantial investment. First, the organization needs to hire talented designers and other employees. Second, it needs to source for high quality raw materials. Third, it needs to create a process that ensures that the products that are produced are of the highest quality standard possible. IKEA has managed to adopt management practices that reduce its overhead costs. In addition, it has developed sustainable operations. As a result, it is able to create high quality furniture at competitive prices while also remaining profitable. In addition, it is costly for other furniture retailers to create high quality products with excellent design while keeping the price low. Furthermore, building the brand awareness that IKEA has built requires a consistent and expensive marketing effort. As a result, the organization has a competitive advantage over its competitors. The organization has developed an organizational culture that focuses on customer satisfaction. In addition, it has a long record of accomplishment in the furniture business. Consequently, it has developed the supply chain and distribution channel that is essential for a retailer. Furthermore, it has developed substantial industry

Choose one Essay Example | Topics and Well Written Essays - 1500 words

Choose one - Essay Example – This is the thesis†¦ II. The Progressive Period The Progressive Period in the US approximately started in 1890 to 1920 as a social movement that grew into a political movement, and somewhere in 1900 to 1918, was the training ground for a transformation of the relationship between a democratic government and the people, essentially highlighting Prohibition and woman suffrage (PBS; GWU). This period was also generally referred to as the transition from agrarian to urbanization, a depiction of more advanced transformation of the civilization and high level way of thinking. III. World War II On the other hand, World War II began in 1939 to 1945, and women were considered partners in winning the war due to the following points: there was a changed image of women’s roles, they joined the nurse corps and armed forces, they were encouraged to serve the military, they filled in traditional male jobs particularly in production, and they performed functions both at home and in the community and so on (National Women’s History Museum). The point is that women were started to be viewed as equal with men and that made them essential counterparts in order for the US to successfully win the war. IV. Post-War Expansion Period Right after the World War II is the Post-War Expansion Period. ... After all, Post-War Expansion Period was the economic expansion of the US, by which women had special participation in the process. V. Analysis It is evident, based on the information as stated so far that the transition in the US history of development over the course of time was fueled by social, political and economic factors. However, men and women substantially worked out for this. Therefore, having the thought like this will pave the way for understanding that the involvement of women in particular in the entire scenario of development is not just only a sole controversial issue, but a specific subject that requires fundamental analysis to understand its actual transformation as directly influenced by socio-economic and political factors. What therefore is one of the most important actions to take is to know the varying attitudes to women’s roles in the workforce in each of the three introduced periods. Another important point is to further analyze how these attitudes we re changed. Finally, to understand why these attitudes changed is just another important point to consider. Clearly, women were not considered equal counterparts of men from the beginning and this was due to social understanding linked in particular to a patriarchal society in the US and even in other parts of the world. This dates back to the beginning, but what is much more explicit observation was the aggressive considered nature of men by then, as depicted from their ability to conquer. Such history remains vivid in the minds of the Americans especially supplemented by one of the thoughts like on how Christopher Columbus discovered, subjugated and put the entire native America

A Joint Venture Agreement and Central Park Medical Group Essay

A Joint Venture Agreement and Central Park Medical Group - Essay Example This is essentially what I am being asked to do; I am being asked to pay "monthly bonuses" to the Central Park Medical Group in order to form a business arrangement in which patients of the Central Park Medical Group are sent to my establishment, Sundown Community Hospital. In addition, it seems that the board, as well as myself, are fully aware of the fact that 60% of the Central Park Medical Group patients are covered by government health coverage. This is obviously why the board is eager to seal this deal with the medical group. The fact that this is a joint venture agreement makes some of the facts a bit subject to interpretation as the Board of Medical Directors has implemented certain rules depending on the state. Anti-kickback statutes specifically state that income that may surface from joint venture activities must be compensation for services rendered. The "bonuses" given to physicians in the joint venture agreement between my organization and the medical group in question is very clearly not for any purpose but a referral incentive. The Medicare and Medicaid Protection Act of 1987 clearly states that the type of actions described by the board to me as the administrator would qualify as a federal offense punishable with fines of up to $25,000 as well as other possible sentencing. I absolutely would make this clear to the board, that the terms under which they would like to issue the joint venture agreement are not only unethical but also illegal and could result in criminal prosecutions of not only board members but the members of the Central Park Medical group and myself. My suggestions would follow a more legal and ethical approach. I would suggest to the board that first of all, each and every board member refresh their reading on anti-kickback statutes and laws. I would remind the board that although certain allowances are made in these statutes, the terms which they have decided on regarding the medical group in question are specifically why the statutes are in place, to begin with. I would resubmit to the board a legal revision of the arrangement. It would include the merger between the Central Park Medical Group and the Sundown Community Hospital as one that promoted a helpful liaison to the patients, regardless of their insurance type. This would under no circumstances include any type of monetary gain from Sundown to the medical group, in the form of bonuses or perks. By definition of a joint venture agreement, the compensation received by the medical group would be limited to shared profit as well as losses. This is simply the only legal and ethical way to enter into such an agreement under these circumstances. I would also stress to everyone involved that since we are dealing with a medical group that has made us aware of their 60% Medicare patients, that we as the Sundown Community Health Center should be that much more concerned for the how the legality of this union appears. There should be careful measures taken to ensure that no one is receiving any type of kickback of any sort. I would also emphasize that since we are indeed a community center, we should be focused on the needs and best interest of the community and not our personal gains from the members of that community. In addition, I would remind everyone involved of the case of Feldstein M.D. vs Nash Community Health Services Inc.  

Privacy and confidentiality ( health care ethics) Essay - 1

Privacy and confidentiality ( health care ethics) - Essay Example it, I see or hear, in the life of men, which ought not to be spoken of abroad, I will not divulge, as reckoning that all such should be kept secret† (as translated by Francis Adams). Why is it appropriate that the healthcare practitioners to keep mum over the medical conditions of patients? It just makes practical sense that medical professionals should uphold the confidentiality of their clients. This is because in the clinical setting patients are expected to fully disclose their habits, their ailments, their strengths, and their weaknesses. Beyond this, they are frequently required to undress and allow physicians access to their bodies for examination, treatments, and surgery. Thus, the patient is vulnerable, needy, and prone to feelings of shame. Patients endure these experiences because they want to be treated for what ails them and because they trust their physicians to keep their secrets. If this trust were eroded, it might follow that patients would become unable to seek medical attention or they will be hesitant to disclose some information that is vital for their treatment. Most often, dilemmas arise when medical practitioners should or should not disclose patient information. For, example, confidentiality is regarded as crucial by those involved in the care of mentally ill or emotionally disturbed patients. A stigma has traditionally surrounded those with mental disorders. This is why the preservation of confidentiality is necessary to ensure that patients are prepared to come forward for treatment and that they continue with treatment. Patients require that assurance. They do not want the risk of becoming the butt of cruel jokes and being socially ostracized. Another example, in family research, is that when both the husband and wife may report on sensitive topics such as his and her own and the partner’s extramarital relationships, marital aggression, or alcohol use. Margolin et al. (2005) revealed that the â€Å"standard safeguard for discomfort

A Joint Venture Agreement and Central Park Medical Group Essay

A Joint Venture Agreement and Central Park Medical Group - Essay Example This is essentially what I am being asked to do; I am being asked to pay "monthly bonuses" to the Central Park Medical Group in order to form a business arrangement in which patients of the Central Park Medical Group are sent to my establishment, Sundown Community Hospital. In addition, it seems that the board, as well as myself, are fully aware of the fact that 60% of the Central Park Medical Group patients are covered by government health coverage. This is obviously why the board is eager to seal this deal with the medical group. The fact that this is a joint venture agreement makes some of the facts a bit subject to interpretation as the Board of Medical Directors has implemented certain rules depending on the state. Anti-kickback statutes specifically state that income that may surface from joint venture activities must be compensation for services rendered. The "bonuses" given to physicians in the joint venture agreement between my organization and the medical group in question is very clearly not for any purpose but a referral incentive. The Medicare and Medicaid Protection Act of 1987 clearly states that the type of actions described by the board to me as the administrator would qualify as a federal offense punishable with fines of up to $25,000 as well as other possible sentencing. I absolutely would make this clear to the board, that the terms under which they would like to issue the joint venture agreement are not only unethical but also illegal and could result in criminal prosecutions of not only board members but the members of the Central Park Medical group and myself. My suggestions would follow a more legal and ethical approach. I would suggest to the board that first of all, each and every board member refresh their reading on anti-kickback statutes and laws. I would remind the board that although certain allowances are made in these statutes, the terms which they have decided on regarding the medical group in question are specifically why the statutes are in place, to begin with. I would resubmit to the board a legal revision of the arrangement. It would include the merger between the Central Park Medical Group and the Sundown Community Hospital as one that promoted a helpful liaison to the patients, regardless of their insurance type. This would under no circumstances include any type of monetary gain from Sundown to the medical group, in the form of bonuses or perks. By definition of a joint venture agreement, the compensation received by the medical group would be limited to shared profit as well as losses. This is simply the only legal and ethical way to enter into such an agreement under these circumstances. I would also stress to everyone involved that since we are dealing with a medical group that has made us aware of their 60% Medicare patients, that we as the Sundown Community Health Center should be that much more concerned for the how the legality of this union appears. There should be careful measures taken to ensure that no one is receiving any type of kickback of any sort. I would also emphasize that since we are indeed a community center, we should be focused on the needs and best interest of the community and not our personal gains from the members of that community. In addition, I would remind everyone involved of the case of Feldstein M.D. vs Nash Community Health Services Inc.  

Charles Dickens Essay Example for Free

Charles Dickens Essay Pips childishness with his extremely lively imagination is later on in chapter 3 It was a rimy morning, and very damp. I had seen the damp lying on the outside of my little window as if some goblin had been crying there all night. And It seemed to my oppressed conscience like a phantom devoting me to the hulks. Both of these quotes show how childishly Pips imagination works. This can be compared to the opening chapter of Cider with Rosie in which Laurie Lees imagination runs away with him in a similarly childish fashion. Each blade tattooed with tiger skins of sunlight. It was knife edged, dark, and a wicked green, thick as a forest and alive with grasshoppers that chirped and chattered and leapt through the air like monkeys. These descriptive metaphors and similes are quite dark and threatening images such as some of Pips were in great expectations. Therefore both authors are showing childhood as quite a scary daunting time as well as a time when you have an active imagination. Laurie Lee has written about childhood in Cider with Rosie as he saw it because it is an autobiographical novel that describes his childhood during the war. Laurie Lee portrays his childhood and growing up with the growing up of the nation. The reason that Laurie Lee portrays this time of his life as scary and daunting is because it is also a scary and daunting time for Great Britain during the Second World War. Charles Dickens portrays childhood as a scary and hard time for his own reasons. Dickens had quite a bad childhood with his dad being in prison and himself living in the Victorian times when children were treated poorly and were worked extremely hard. Dickens wanted other people to understand the hardship that he had been through and was quite self-obsessed with his harsh childhood. He decided to tell people about this through the novels that he wrote and in the example of Great Expectations, Pip was the character that would reflect on Dickens childhood. Dickens shows Pips childhood as a time where you are extremely guilty for the things that you have done and that you are always paranoid that bad things are going to come of you because of it. Pip is almost obsessed with his guilty thoughts and fear of captivity. The theme of guilt and imprisonment often occurs in Great Expectations. These are shown in things that Pip sees and his vivid childish imagination. Part of the reason that Pip feels very guilty and that Laurie Lee does not really recall his guilt is that Pip is very much a person who has feelings and is very much a self obsessed child. Whereas Laurie Lee is more detached from his own thoughts and more interested in the world around him. This is one of the differences in the way that the two authors present childhood. Another difference in the way that the authors portray childhood is that Laurie Lee makes his childhood a beautiful childhood whereas Pips is more dark and gloomy. Lee does this in the style of his writing, which is very poetic and flowing. This is due to the fact that before Laurie Lee was a writer, he was a poet. This means that the way he portrays childhood is poetic and almost beautiful. In great expectations, however, Dickens sets gloomy scenes such as the beginning scene in the graveyard and the scenes in the marshes. Another difference is the way that guilt is portrayed along with childhood in both of the novels. Dickens shows childhood as a time when you were constantly guilty for the things you had done and the paranoia of being caught was immense. He probably had done this because as a child Dickenss father had been taken to a debtors prison because he could not afford to look after his family. This may have made Dickens feel guilty as a child and he decides to show this through Pip. A passage that shows this guilt is, It seemed to my oppressed conscience like a phantom devoting me to the hulks. This shows Pip feels guilty and is paranoid because his mind thinks that a signpost is telling him to go to prison. Laurie Lee however does not see childhood as a time of guilt but more of a carefree time where you dont have to feel guilty. A quote in chapter 3 shows this Cider with Rosie shows this, And exhaled our last guiltless days. However Laurie is not always guiltless, like pip he has a moment in the book where he felt guilty and paranoid of the consequences of his actions. This is shown in chapter 3 also, That the summons to the big room, the policemans hand on shoulder, comes almost always as a complete surprise, and for the crime that one has forgotten. Lee realises that he cannot do things such as hit people because they are of a different race. Lee is scared of the punishment that he will receive and is paranoid about when he will be found out. This is a lot like the character Pip in Great Expectations who spends his whole childhood feeling this way. This means that there is a strong link between childhood and guilt.

Samsung Organisational Structure

Samsung Organisational Structure Samsung was named by Lee Byung-chul, founder of Samsung Electronics when he established the Samsung Trading Company on March, 1938. Sam in Samsung is defined as strong, abundant and big; while Sung means high and bright. (Chnag, J. H., 2010) Interestingly, Samsungs origin was not involving electronics. Initially, Chairman Lee set up a trade export company in Korea that sold fish, vegetables, and fruit to China. Start from 1958, Samsung began to expand into other industries such as media, financial, ship building and chemicals and Samsung Electronics was established under subsidiary of Samsung Group in 1969. (Samsung History) The company then expanded to semiconductor business and became the first chip-making facilities in the country during that time. Samsung Electronics focused on four areas which are digital media, semiconductor, telecommunication network and LCD digital appliances. (Wikipedia, 2012) In 1993, the lightest mobile phone of its era was developed. (Samsung History) Fin ally, it surpassed Sony to become worlds twentieth-largest and most popular brand. Samsung was the worlds largest manufacturer of OLEDs with 40% market share worlds wide and 90% share of global AMOLED market. More than 600 American patents and 2800 international patent are owned by Samsung Electronics in 2006 that makes it as the largest owner of AMOLED technology patents. The company also became the second-largest mobile-phone maker beating Motorola in 2007 for the first time. In 2009, it became worlds largest technology company overtaking Hewlett-Packard measure by sales. In 2010, it produces 30 nm-class DRAMs and 20 nm-class NAND flashes which were the first time in the world. At 2011, it is the worlds largest mobile phone maker and second-largest semiconductor chip maker. Samsung Electronics became the largest smartphone vendor due to sales of Galaxy SII and Galaxy Note devices. (Wikipedia, 2012) Contents: Mechanistic organization is a bureaucratic organization which adheres to the chain-of-command principle, with each person controlled and supervised by one superior. The structure of this organization is taller than organic organization. Also, many rules are developed and the decision making process is centralized. Each employee has fixed duties and the communication channels are formalized in such rigid hierarchical relationship. Samsung Electronics is a type of mechanistic organizational structure because it has rigid hierarchical relationships. Figure 1 and figure 2 show the chain of command in the company, which extending from upper organizational levels to lower level that clarifies who reports to whom. Figure 2 shows that there are lots of departments under the control of Chief Executive Office. Employees have their fixed duties in respective department. For instance, employees who are specialized in producing chips are working under chips manufacturer whereas employees who are highly skilled in producing mobile phones are working under mobile phone manufacturer. (Robbins, DeCenzo, and Coulter, 2012) These two figures also clearly show that Samsung Electronics is composed of tall organizational structure. All of the powerful authorities are held by the top management of the company which is Lee Kun Hee , the chairman of the Samsung Electronics with the help of the Office of Secretaries and sometimes referred to as emperor management or dictatorship. (Chang, S. J., 2008) Office of Secretaries helped chairman to control an d direct the individual affiliates. Their main function are finance and accounting, auditing, planning, public relations, and human resource management, including the hiring and firing of all executives within the organization. Even the important strategic decision and sizable investment decision have to be examined by the office first. The percentage of decision made by the chairman is 20%; by Office of Secretaries is 40%; by affiliate presidents is 40%.(Chang, S. J., 2008)In other word, all of the important decisions are decided by the chairman, Office of Secretaries and affiliate presidents. As such, Samsung Electronics implement centralized decision authority. The communication channel of Samsung Electronics is formalized. Formalization describes how an organizations jobs are standardized and the extent to which employee behavior is guided by rules and procedures. This element makes the process of succession routine and regular. Thus, there will be minimal disturbance to an organization function if there are people being replaced. In Samsung, the personnel function is under CFO while CFO reports to and receives orders from CEO. (Chang, S. J., 2008) For instance, when the company needs to make an investment, the proposal is written by the related business unit. Then, the proposal is reviewed by the finance department, which is then passed to finance team of Office of Secretaries after CFO reports the proposal to CEO. Finally, the proposal is approved by Office of Secretaries and Chairman. (Chang, S. J., 2008) Many rules could be found in Samsung Electronics and this match with the characteristic of mechanistic organization. According to Samsung Electronics Global Code of Conduct, all the employees should follow the codes and the business principles to comply with laws and ethical practices as well as to express their commitment to social responsibility. (Samsung Electronics Co., Ltd. [SECL], 2006) The global code of conduct is served as behavioral guidelines and judgmental standards for the employees, which encompass the elimination of nationality or gender discrimination, transparent disclosure of business information, customer information protection and partner collaboration. For example, according to principle 2-2-2 from the Global Code of Conduct, the company will ensure that any proprietary information acquired through its business activities shall be recorded and safely kept and managed as intellectual property. In 2011, zero-tolerance principle was declared in all cases of miscondu ct and unethical business on Law Day. All employees and executives have to sign a pledge of compliance to agree of taking responsibility for any violation or misconduct. (Soung, S. S., Eui, H. J., Dae, S. P., Jin, Y. L. Yun, J. S., 2012) Planning: Planning includes defining goals, establishing strategy, and developing plans to coordinate activities. In Samsung, their vision is set by the top management that is Inspire the world, create the future. This vision 2020 shows that their commitment in inspiring the world by improving their three key strengths which are New Technology, Innovative Products, Creative Solutions and also promotes Samsung Electronics core network which are industry, partners and employees with the effort to contribute a better world and with lot of experiences for all. Besides, Samsung also aims to achieve one of the top five brands in the world by 2020 and established three strategic approaches in management which are creativity, partnership and talent. (Vision, 1995-2012) Leading: Leading includes motivating employees, directing the activities of others, selecting the most effective communication channel, and resolving conflicts. Office of Secretaries takes the leading role in Samsung as they carry out coordination whenever there are conflicts happen. (Chnag, J. H., 2010) However, the synergies may be created via involuntary cooperation or fiat as the business units have to accept its resolution. (Chang, S. J., 2008) Also, the Secretarial Offices spread company philosophy and improve business coordination and information, which are shared among affiliates. (Chnag, J. H., 2010) The employees of this company are motivated by the philosophy of living by strong values is the key to good business. Those values encompass people, excellence, change, integrity and co-prosperity, together with the Samsung code of conduct are the radical for them to make every decision. (About Samsung, 1995-2012) Organizing: Organizing includes determining what tasks are to be done, who is to do them, how the tasks are to be grouped, who reports to whom, and who will make the decisions. Samsung Electronics has a strong business division structure that is managed independently by business unit managers. The company is divided into five sectors, which are Digital Media, Semiconductors, Telecommunications, Digital Appliances and LCDs. Within these sectors, there are 13 Global Business Managers (GBM) who responsible to organize the firm along major product divisions in terms of personnel, sales, and production within their respective divisions. (Chang, S. J., 2008) Employees are divided according to their specialize and skills into different tasks to increase work output. (Robbins et al., 2012) Any proposal of investment that is written by GBM should be reviewed by the finance department, followed by CFO. Then, CFO reports to CEO. Finally, the proposal is approved by Office of Secretaries and Chairman. (Chan g, S. J., 2008) Controlling: Controlling includes monitoring performance, comparing it with goals, and correcting any significant deviations. In Samsung, the overall performances of BOD, CEO and employees are controlled by Audit Committee, which has a broad range of audit right from top to bottom. (Ethics Management, 1995-2008) For example, they have the right to inquire about financial reports from the BOD and employees at any time, the right to claim to suspend illegal activity of the company BOD member, the right to call a general shareholders meeting and so on. There are also separate audit teams that under the direct control of CEO with the responsible of encouraging employees to adhere to the practice of management by ethics. (Ethics Management, 1995-2008) A) What seem to be the most important things leading to the success of the Samsung Electronics? To be successful, Samsung Electronics is going global. Samsung Electronics is pushing the Galaxy S smartphone to challenge Apple Inc.s iPhone and narrow the gap with leader Nokia Oyj. It helped Samsung Electronics quadruple annual revenue to139 trillion won ($ 116 million) in the 10 years that ended in 2009. Samsung Electronics shares rose 10-fold during that time. (Lee, Y., 2010) Also, Samsung Electronics has the good planning skills as they able to see the business opportunity in the industry and set the particular goals to pursue. They able to spot the areas, which are small but growing fast. (Samsung, 2011) Such areas that spotted by Samsung are capital-intensive. Thus, it is difficult for their rivals to keep up. First, Samsung will tiptoe into the technology in the industry to get familiar with it. Then, they will wait for the suitable moment that the window of opportunity opens. For example, in 2001, Samsung catch the opportunity of rapid growth of the liquid-crystal displays that cause the dive of the price. They turned the liquid-crystal displays into televisions. (Samsung, 2011) Samsung Electronics is innovative in software and David Yoffie, a professor at Havard Business School in Boston said Leading radical innovation in the technology world today requires strength in software, not just hardware. (Lee, Y., 2010). Samsung Electronics has grown by studying their rivals to improve manufacturing and design. Samsung electronics also hired a group of Japanese Design Consultant to evaluate Samsung designers. Besides, their experienced designers are sent to work abroad in diverse industries. By doing this, Samsung design strategy could involve several initiatives and they began to implement a global brand communication strategy. As new technologies are being constantly introduced to the market, Samsung engineers strive to understand what customers need ahead of competitors and adjust their thinking to develop original and innovative products that will meet those needs as well as new technologies to lead the future market. Thus, the new markets had pioneered contin uously by them. (Samsung Electronics: Success By Design, 2008) B) What do you see as the major challenges facing by Samsung Electronics over the next five years? The major challenge that will be faced by Samsung Electronics over the next five years is how to build a stronger and better global brand. This is why the Samsungs global marketing director need to assess in how to build the global brand reputation of the company further and upgrade the companys worldwide brand image to compete with Apple brand which has dominated the market share especially in Western Europe. The challenge of Samsungs marketing director is the branding strategies in global markets and the marketing team has to examine the organizational dynamics to develop a stronger global brand that recognized by worldwide. Another challenge that will be faced by Samsung Electronics is the competition over the market share especially in smart phone. In this fast paced economic conditions, Samsung need to continue produce more and more of the smart phone with improved version and attractive design to meet with the rapid economic growth. The company needs to invest and introduce more of the new technology and incorporate the software and application into the new gadgets so that it will not lose out to another competitor. Innovation and creativity are important in this to attract the gadget lover and if the company fails to come out with a new and appealing product, they will be overcome by another competitor such as Apple, HTC or Nokia. Findings: Samsung electronics have a centralized structure making the top management own the authorities and powers over all the important decisions. This make the decision making process fast and swift and can carry out quickly. In this way, organization is more efficient as implementation of any plans, ideas or policies can be carried out quickly without any delay and this is very important especially to deal with the fast paced economic and competition in market. This is supported by a study in journal by Choong Y.Lee. (Choong, Y. L., 2012) However, overly centralization in organization is also not good for the company. All of the important decisions are made by the top management while the middle and first line management cannot voice out their opinions but to follow the order of the top. If the decision made by the top management is incorrect, it can affect the company business and thus lowering the company profits. Therefore, a good leadership is important to lead the company. This is su pported by the professor Chang Sea-Jin which stated there is no guarantee that good leader will sustain and even they can make mistake as well in his book review. (Chang, S. J., 2008) Samsung Electronics are having hierarchical management structure which reflects the importance of seniority in the Korean culture. The hierarchical structure brings synergy when things are going well but could potentially be disastrous if one part of the process goes away from planned. (Kim, J.C., 2012) This is supported by Professor John Kotter in his article Havard Business Review that hierarchical organizational are often inflexible. Hierarchical organization work in standardized processes but does not useful in dynamic environments. They are slow to react to new opportunities, which often require transformative change. (Basu, C., 2012) Also, according to researchers G.M. Stalker and T. Burns, mechanistic organizations use hierarchical top-down structures while organic organizations use more flexible structures and work best in fluid and unpredictable business climates.ÂÂ  Organic structures depend on personal interactions rather than a formal chain of command that allow the organization to respond quickly and effectively to changing circumstances in ways that the hierarchical structure cannot. Samsung Electronics should make it business to understand such structure so that it can have the benefits of both. (Thompson, S., 2012) Samsung Electronics has many rules and regulations that are governed by the top managers of the organization. When the top managers are unable to control the lower-level activities, they themselves will substitute the rules and regulations. Since they have the authority to hire and fire the executives and employees in the organization anytime, the employees have to accept the tasks given by the managers and follow whatever they said. Employees are constantly observed and monitored by top managers during their working period to ensure that they are not making any mistakes or violating the rules. Consequently, fatigue are accumulated when employees are working under such great pressures that known as organizational fatigue. Moreover, employees of Samsung Electronics have to comply the Global Code of Conduct, which consists of a number of principles. (SECL, 2006) For instance, under principle 1-4-1, it stated that employees shall not attribute their personal political opinions and conduct to the company, or cause such opinions or conduct to be attributed to the company. Besides, principle 2-4-3 showed that the company will not allow its officers and employees, while in office, to act as number of boards of company with conflicts of interest or participate in competitive business activities. (SECL, 2006) There are still a large amount of rules and principles that the employees should comply with and that can be referred from the Global Code of Conduct, 2006. The management of Samsung Electronics is known as fear-based management. The employees have to be loyal to their company in order to stay in the company. However, organizational fatigue will bring negative effects to the company. If the employees or executives are dismissed against their wills for any reasons by the top managers such as the chairman or the Office of Secretaries, their anger will lead to their betrayal and loss their loyalty. (Chang, S. J., 2008) There were several cases on which the employees of Samsung Electronics tried to sell the proprietary technologies to Samsungs competitors and to other companies. (Chang, S. J., 2008) Conclusion: In a nutshell, Samsung Electronics has a mechanistic organizational structure as it has rigid hierarchical relationships and tall organizational structure. In the company, each employee has fixed duties and they have to follow lots of rules. Also, the decision making process is centralized and the communication channel is formalized. In Samsung, the goals or visions are planned by the top management. Office of Secretaries takes the leading role as they responsible to solve the conflicts as well as help the chairman to control and direct the individual affiliates. Besides, they also spread the company philosophy to motivate the employees. Samsung Electronics is divided into Digital Media, Semiconductors, Telecommunications, Digital Appliances and LCDs, which are managed by business unit managers. The overall performances of Samsung Electronics organization are controlled by Audit Committee. In this assignment, we have learned the characteristics of the two types of organizational structures, which are mechanistic organization and organic organization that concern the work specialization, departmentalization, authority and responsible, centralization and decentralization, span of control and formalization. After analyzing these factors and searching all the related information of Samsung Electronics, we could conclude that this company is a mechanistic organization. Thus, our analyzing ability could be strengthen when carry out this assignment. Besides, we have a better understanding to recognize and differentiate these two organization models. Furthermore, more knowledge about this company could be gained during the research.

Literary Analysis Essay -- Essays Papers

Literary Analysis In James Joyce’s Dubliners, Joyce writes about difficulties and hardships of the Irish people during the 19th century. In the stories â€Å"The Sisters† and â€Å"The Dead,† the separation of an individual from the rest of society is portrayed through many occurrences of eyes and visions. There are many examples that run though out these stories that can be interpreted. Some of these examples can range from being on a symbolic level to an emotional level within the characters. In â€Å"The Sisters,† there are many emotional changes that are a result of visions through certain objects. After the little boy in â€Å"The Sisters† sees the flowers in the store, he goes through a rollercoaster of emotions (3-4). He begins to realize how his feelings are different from all of the other people about the death of the priest. The boy feels a sense of liberation due to the death of the priest (4). He is upset and annoyed by this and does not know what to do with this emotion. Being put through the death of his best friend the priest, he would change his view on life. He started out in the beginning of the book as just a normal boy, but towards the end he took a new perspective on everything. During the story â€Å"The Dead,† the vision Gabriel has at the end of the story makes him go through an emotional change. In the story, after the main character Gabriel learns about his wife’s past love (221-222), he looks out the window and stares at the snow for a little bit and then starts to cry. His emotions have taken over him as he is now thinking differently about everything he had every thought of. The previous feeling of how lovely his wife is and how he was looking forward to being with her... ...ead,† Gabriel questions many things including himself. After hearing his wife explain her sadness about her past, Gabriel looks out the window to see the dark snowy night. He questions his own role as a husband to his wife. He questions his role in society also. He does not have any answers for these questions. So he then goes to bed as his soul fades away. All of these examples show the separation of an individual from the rest of society. Joyce words stories so well that the separation can be shown through simple visions throughout the stories in â€Å"Dubliners.† To recognize these themes in the stories gives the reader a better understanding of what is going on. They can actually connect with what the main character is feeling or at least have an idea of what is unfolding. These themes bring the sad truth to us in a beautiful well written manner.

Alzheimers Disease Essay -- Alzheimers Disease Essays

â€Å"Alzheimer’s disease is a form of dementia that gets worse over time. It leads to nerve cell death, and tissue loss throughout the brain. Over time, the brain shrinks dramatically, affecting nearly all its functions. It gradually destroys a person's memory and ability to learn and carry out daily activities such as talking, eating, and going to the bathroom† (What Is Alzheimer’s). Early symptoms include personality changes, memory impairment, problems with language, decision-making ability, judgment, and personality. Alzheimer’s was named after Dr. Alois Alzheimer. In 1906, Dr. Alzheimer noticed changes in the brain tissue of a woman who died of an unusual mental illness. After she died, he examined her and found plaques and tangles in her brain which are the two main features of Alzheimer’s. â€Å"Patients with Alzheimer’s often die earlier than normal, although a patient may live anywhere from 3-20 years after diagnosis.† Death often occurs from an infection or a failure of other body systems. â€Å"Early diagnosis relies largely on documenting mental decline. Biomarkers are reliable predictors and indicators of a disease process.† Alzheimer’s begins as early as 10 to 20 years before any problems are evident. It develops in your 30s, 40s, 50s, but usually after age 60. As many as 5.1 million Americans may have this disease. â€Å"There is no specific test today that confirms you have Alzheimer’s disease. Your doctor will make a judgment about whether Alzheimer's is the most likely cause of your symptoms based on the information you provide and results of various tests that can help clarify the diagnosis.† Doctors typically rely on physical and neurological exams to check your reflexes and sense of touch and sight, lab t... ... Researchers are looking for new treatments to alter the course of the disease and improve the quality of life for people with dementia. Works Cited 1. "Alzheimer's Disease." www.ncbi.nlm.nih.gov. 2014. Web. 3 Mar. 2014. . 2. "Alzheimer's Disease." helpguide.org. 2014. Web. 3 Mar. 2014. . 3. "Alzheimer's Disease." www.alz.org. 2014. Web. 3 Mar. 2014. .. 4. "Alzheimer's Disease." www.nia.nih.gov. 19 Feb. 2013. Web. 3 Mar. 2014. . 5. Powell, Lenore S. Alzheimer's Disease. New York City, USA: Addison-Wesley Publishing Company, 1983. Print.

Goblin Market by Christina Rosetti Essay

Goblin Market by Christina Rosetti I believe this poem tells a story, a story about temptation and lust, about the desire to obtain something the narrator clearly is not meant to take or have. It has similarities to the Story in the bible about the Garden of Eden. Adam and Eve have been told â€Å"You are free to eat from any tree in the garden; but you must not eat from the tree of the knowledge of good and evil, for if you eat you will surely die. † When I read the poem by Christina Rosetti it makes me think about that story because of the opening lines â€Å"I ate and ate my fill, Yet my mouth waters still;† The narrator, like Adam and Eve, felt discontented with what they were getting. They were always going to want more, never satisfied. There are subtle hints that the narrator should not be eating the fruit, but this makes the fruit taste better and more appealing. The words that have been used are double edged for example â€Å"Cherries worth getting† On it own this sounds innocent and appears to be about fruit! The double meaning here, I believe, suggests that something or someone is desired. Wanting to taste but not being quite sure; this also links with virginity, ‘untouched’ and this is where the lust comes in I think the words Christina Rosetti has chosen are extremely clever because you have to read the poem time and time again to get the true meaning; this keeps the reader interested for longer. Every time you look at this poem you find something else you didn’t notice before. I feel that to try and pull out the striking words would not be of benefit, as they are all seemingly striking and without the rest of the poem attached they would not appear as exceptional; I believe this would not be doing justice to the poem. For example the word â€Å"Pellucid† to me is very striking but alone, without the rest of the sentence, it makes no sense and the feeling is not the same. The line â€Å"Pellucid grapes without one seed† To me has much more of an effect and shows a lot more about the narrator’s emotions. I think the tone of this poem is unpredictable as there are different meanings. When you first read this poem and you see that it is about fruit, one may start to feel that the narrator is babbling, as it does not make a great deal of sense. For example â€Å"To-morrow night I will buy some more; and kissed her†. This, in the context of fruit, seems out of place and somewhat irrelevant. It is only when you read the poem again, this time realising that it is not quite as ‘innocent’ as it first seemed, that the tone changes; it becomes more exciting and profound. I would say that the mood of the poem changes when the realisation of the poem’s true meaning sinks in. While the poem just seems to be about fruit I found the persona offered no excitement or anticipation. This changes quite dramatically when you realise that the poem is actually quite unconventional as it is hinting at a sexual relationship between two women. For example â€Å"Cheek to cheek and breast to breast Locked together in one nest† At this point the voice then seems to become playfully mischievous. There are a lot of similes in this poem, for instance â€Å"Like two pigeons in one nest† I think Christina Rosetti wanted the reader to really visualise what was going on; also I feel that she used simile to create a feeling of anticipation, using a familiar image of closeness. â€Å"Like two flakes of newly fallen snow† Is very clearly talking about two people who are having a sexual relationship, but also telling us that it is the first time and in actual fact they are both virgins. Snow, when it has just fallen, is untouched and perfect in everyway thus symbolising purity. â€Å"Not a bat flapped to and fro Round their nest† Is an example of the use of metaphor in this poem. People do not sleep in a nest and yet these two people are being likened to animals. This I believe creates a feeling of peacefulness, nothing moving. This is representing that they have reached a climax and they are now enjoying the serenity of the moment. An illustration of the use of personification in this poem is â€Å"Wind sang to them a lullaby† The wind of course cannot sing but the image is used to create a peaceful atmosphere. I image it would be really calming and relaxing to have the wind singing a lullaby. Alliteration is not strongly used in this poem I could only find one example which is â€Å"And sugar sweet their sap† I feel this is to heighten the readers’ experience, making them almost taste the sugariness, thus allowing the reader to really get in touch with what is happening in the poem. This poem uses a lot of run on lines an there are only two full stops in the poem. I think this increases the anticipation as well as the feeling of expectation as you can never see how it is going to end. The metre is quite smooth and sinuous and it is used by the narrator to keep the sequence of events told in the poem flowing. The tempo and manner of the poem, as I said earlier, changes when you realise its true meaning. I feel that this happens to keep the suspense. This poem has a sporadic rhyming style because some lines rhyme and others don’t but I feel that this is in keeping with the rest of the poem’s style as it is all rather unconventional.

The Sustainability Of The South African Coastal Environmental Sciences Essay

The sustainability of South Africa ‘s coastal systems is at hazard due to many lending factors and South Africa as a state has begun to take action. Sustainability is the ability to reap or utilize the resource without doing depletion or lasting harm. South Africa needs to aim the jobs and set into action the Torahs that will guarantee the sustainability of South Africa ‘s coastal ecosystems and resources. The South African coastline stretches for about 3000 kilometer from the north-west adust boundary line with Namibia, around the Cape to the booming Eastern St Lucia estuaries near the Mozambique boundary line. The coastline is rugged and exposed to high moving ridge energy. For most of the twelvemonth, there are air currents along the seashore. South Africa ‘s east seashore is characterised by comparatively warm H2O, whilst the West seashore has colder Atlantic H2O. In the South, intermediate temperatures are prevailing. The alimentary rich Waterss off the south West seashore support abundant marine life while a smaller measure of fish but a greater diverseness of species can be located off the E seashore. These available resources offer chances for South Africa ‘s hereafter development, both socially and economically. Like many other states, South Africa is going progressively cognizant of the importance of the proper direction of marine resources. Extreme force per unit area is being placed on the oceans by angling vass that are able to easy turn up and catch big sums of fish. In many cases, marine life, other than comestible fish, is being caught in the fishing cyberspaces and this is holding a negative impact on the sustainability of South Africa ‘s marine resources. Fishing is a primary economic activity in South Africa. The demand for resources has resulted in fish stocks being over harvested. The depletion of these resources has and will hold rough effects for the communities depending on them and the South African economic system in general. Rural countries where the communities rely on the usage of marine resources for their subsistence have increased force per unit area on these marine beginnings through the harvest home of fish, mussels, crayfish and ear-shell and therefore hold ad ded to the force per unit area on resources. Every twelvemonth, about 4000 ships pass the Cape of Good Hope. Due to the notoriously bad conditions conditions along the Cape seashore, the hazard of marine pollution additions, peculiarly from oil oilers. Due to the high figure of foreign ships dispatching their ballast H2O in South African ports, a figure of foreign invasive Marine beings have been introduced into the South Africa coastal Waterss. These invasive beings are replacing autochthonal beings, thereby puting utmost force per unit area on autochthonal beings which could finally ensue in the autochthonal beings vanishing from the South African seashore line wholly. The individual greatest subscriber to environmental alteration in the coastal zone of South Africa is population growing and related development. Much of the state ‘s coastal development revolves around seven big commercial ports including Cape Town, Durban and Richards Bay. The alteration in coastal land usage, through urban invasion, consequences in estuaries being placed under environmental strain from the environing land based home grounds. This strain frequently consequences in the closing of the estuaries and the impairment of marine H2O quality, which increases human wellness hazards because of sewerage, storm H2O and other wastewater being discharged into the estuaries. There are about 63 outflowing mercantile establishments located along the South African seashore. These mercantile establishments daily discharge a big volume of sewage and industrial waste into the sea. This causes bathing H2O and marine beings such as shrimps and mussels to go contaminated. Previously, there were legion provincial coastal development policies in topographic point in South Africa. This resulted in an uneffective scheme. In add-on, many offices were under staffed and underfunded which resulted in confused and contradictory attacks to coastal zone direction. This was exacerbated by the hold in O.K.ing support to pull off negative impacts on the coastal zone including the discharge of untreated sewerage along the shoreline. Although there has been extended research of South Africa ‘s coastal and marine systems, there are still many countries which have non yet been researched and which have resulted in many spreads in the scientific apprehension of these systems. Much of the bing information relates to piscaries including estuarial ecology. However, and although the alteration in coastal land usage is impacted on badly through urban invasion, this country of research is still dawdling behind. Marine diamond excavation along the west seashore of South Africa is being undertaken, in peculiar between the Orange River oral cavity and Lambert ‘s Bay. This excavation disrupts the seabed therefore upseting the bing home grounds of marine life. This break takes decennaries to retrieve and it is unknown whether these home grounds of all time return to their original province. Miners along the east seashore of South Africa besides mine a figure of heavy metals such as Ti. This excavation impacts negatively on and upset the sand dunes systems and estuaries. In peculiar, the damming of laguna H2O by the mineworkers adversely affects fish and crustaceans in the lagunas. South African ‘s duty and execution of policies to protect its coastal and Marine systems has historically been fragmented. However, and over the past figure of old ages, it has introduced environmental statute law and policies which have resulted in new Torahs to increase the functionality and sustainability of the South African coastal and marine systems. These Torahs and policies were introduced as a consequence of international legal duties placed on South Africa and South Africa recognizing that it has a responsible function to play in the direction and usage of its coastline and marine systems. The Torahs that have been introduced hence require more effectual and efficient direction of the seashore and marine systems. Included in the new Torahs which have been introduced, South Africa promulgated the National Environmental ; Integrated Coastal Management Act that became jurisprudence in December 2009. This jurisprudence is dedicated to guaranting the sustainability of Sou th Africa ‘s coastal and marine systems. The act besides makes mention to coordinated and incorporate direction of the coastal zones, and the saving, protection and extension of coastal public belongings. Apart from the coastal direction stairss, which have been taken, the Government of South Africa has established an estuarine research and direction unit to advance the direction of estuarial systems in South Africa. As the control of pollution at sea is besides an of import facet of continuing the coastal and marine systems in South Africa, South Africa has followed international tendencies and introduced statute law to command pollution at sea. This statute law has been extended to include an oil spillage program for the South African coastline to guarantee that in the event of there being an oil spill, that those who are responsible for battling oil spills along the seashore, are good placed to make so. Last, the United Nations Law of the Sea Convention empowers South Afric a to command all activities within its sole economic zone. This jurisprudence assists South Africa in cut downing the possible hazard of pollution along its coastline as it has the sole and sole authorization to modulate activities within this zone. South Africa needs to take action and do certain that many follow and abide by the Torahs put in topographic point Through the execution and enforcement of Torahs, South Africa will be able to take down the hazard of its sustainability of coastal resources and guarantee the safety of the state ‘s development.