Travel and tourism Free Essays

Student Name: Cheryl Facial Define Tourism: Tourism is when someone travels within their own country or to another country such as Spain, weather it is for leisure or business reason and for all other purposes. Types of Tourism Description: Example: Describe Domestic: A domestic holiday Is where someone who lives In the UK travel to another part of the LIKE. An elderly couple who lives Bradford goes on a two week holiday to Scarborough. We will write a custom essay sample on Travel and tourism or any similar topic only for you Order Now Describe Outbound: An outbound holiday is when someone who travel out of the UK to a different entry. A group of friends from Liverpool goes on holiday to Pizza to have fun. Describe Inbound: An inbound holiday is when someone who live in a different country that comes to the I-J. A Chinese doctor travel to London for a medical convention. VISITOR TYPE Identify Tourism type (domestic/inbound/outbound. When someone goes on holiday to relax and have fun. A family of five goes to Disneyland Paris. This is an outbound holiday. When someone stays in they own country or goes to another country for a business eating. A business woman from London travel to Paris for meeting This Is an outbound holiday. 1 OFF When someone travels to visit family and friends. A girl from Bradford goes to London to visit her auntie. This is a domestic holiday. EDUCATION When a group of school student goes on an educational trip. To Normandy for a history trip. SPORT Year ten student goes When someone goes to a sporting event trip such as football. A football fan from Spain come to the I-J to watch the final of the champion league This is an inbound holiday. How to cite Travel and tourism, Papers

In the Line of Fire free essay sample

Author. Pervez Musharraf 3. Chapters 22 4. Pages 237 5. Price. Not Known 6. Year of Pub 2006 Introduction 7. With the publication of his memoir, In the Line of Fire, Pervez Musharraf has virtually launched his campaign for the next presidential election due towards the end of 2007. Through the medium of this book he intends to convey to the people of Pakistan what he has accomplished for his country, and to the world community, how he has endeavored to counter the forces of extremism and obscurantism that have brought bad name to Pakistan. About The Author 8. The title, In the Line of Fire, serves to project Musharraf’s image as a bold and courageous leader of a country beset by innumerable internal and external difficulties and threats. The idea is to make him appear as a man of crisis and saviour of the nation ,a leader who salvaged the sinking ship of Pakistan. SUMMARY Of THE BOOK 9. Divided into six parts and thirty-two chapters, In the Line of Fire contains a â€Å"Prolo gue† and an â€Å"Epilogue†. Inclusive of â€Å"Index†, the book is spread over three hundred and fifty-two pages, and contains several memorable photographs. 10. The book’s part one, â€Å"In the Beginning†, comprises chapters 1 to 5 and is devoted to Musharraf’s early life and youthful years. a. The chapter 1. Entitled same as Khushwant Singh’s famous novel, â€Å"Train to Pakistan†, opens with the words: â€Å"These were troubled times. These were momentous times. There was the light of freedom; there was the darkness of genocide. It was the dawn of hope; it was the twilight of empire. † (p. 11) Any student of English literature would immediately gather that the source of inspiration for this paragraph is Charles Dickens’ classic A Tale of Two Cities. Set in the background of the French Revolution, A Tale of Two Cities begins thus: â€Å"It was the best of times, it was the worst of times, it was the age of wisdom, it was the age of foolishness, it was the epoch of belief, it was the epoch of incredulity, it was the season of Light, it was the season of Darkness, it was the spring of hope, it was the winter of despair . . . .† b. Chapter 2. The Chapter 2 â€Å"Settling in Karachi†, narrates the story of housing and other problems faced by Musharraf’s family in their new homeland. Representing the ordeal of nearly every Mohajir household, Musharraf states: â€Å"Other uprooted members of our family assorted aunts and uncles and cousins came to live with us. At one time there were eighteen of us living in those two rooms. † (p. 15) Ultimately, Musharraf’s family settles down, and he as â€Å"an uprooted little boy found earth that was natural to him. He took root in it forever. † (p. 18) There is the commitment emanating from the innermost depth of his heart: â€Å"I would protect that earth with my life. † (p. 8) This represents the crisis of Mohajir identity: preoccupation with the search for roots after having been uprooted, and a desire to monopolize patriotism. c. Chapter 3. In chapter 3, â€Å"Turkey: The Formative Years†, Musharraf talks about his adolescent years in that country where his father was posted in Pakistan’s embassy. It was here that he developed admiration for the founder of modern Turkey: â€Å"Wi th the fall of the Ottoman caliphate, Mustafa Kemal had saved Turkey from balkanization and modernized it by dragging it out of dogma and obscurantism. † (p. 9) Ataturk is the role model, Musharraf is in search of his footsteps but the terrain is entirely different. As if to prove that his family was not â€Å"obscurantist†, the author says, â€Å"Both my parents loved music and dancing, especially ballroom dancing,† (p. 20) He seems to be conscious of the controversy that was created by the photograph in which he was carrying two puppies, as he reminds, â€Å"My love of dogs began in Turkey. †(p. 24). d. Chapter4. The chapter 4. â€Å"Home†, describes his life back in Pakistan where first Musharraf’s family took residence in Nazimabad Block 3. Here â€Å"a boy had to be street-smart to survive. There were the inevitable street gangs, and needless to say, I joined one. Needless to say, too, I was one of the tough boys. † (p. 26). While living in this Mohajir neighbourhood, Musharraf relates with pride that he thrashed a bully and became known as a â€Å"dada geer† (p. 27). The discernable reader would not fail to observe the author’s mental affinity to the stuff from which the MQM was to emerge. Perhaps Musharraf feels that without reference to some love affairs the story of his youthful years would remain incomplete and barren. So one finds mention of a couple of superficial love affairs. e. Chapter5. The next chapter, â€Å"Leaving the Nest†, takes the reader to Musharraf’s college years where he got his first experience in public speaking as a candidate in the election for class representative. (p. 32) Musharraf also got introduced to Tariq Aziz who was destined to become his principal secretary after he became president and was later to be appointed secretary to the National Security Council. It was also in the FC College that he â€Å"learned how to make a time bomb, which I later used as a commando to good effect. (p. 33). f. Chapter 6. The part two, â€Å"Life in the Army†, chapter 6, â€Å"The Potter’s Wheel†, is devoted to the author’s life in Pakistan Military Academy (PMA). Musharraf is all praise for the PMA, and describes it as the best in the world (p. 41). This is the beginning of his lifetime love with the institution of the armed forces. Here one in cident took place that probably became significant in the future: â€Å"I was one of four candidates short-listed to go to Sandhurst, England, to complete my training, but another cadet, Ali Kuli Khan Khattak, was selected. He retired as a lieutenant general and chief of general staff when I became army chief, but I suspect that his retirement, which was optional, had more to do with disappointment at not becoming chief himself, which is perfectly understandable. † (p. 41) . A little circumspection and Musharraf could have skipped the mention of above incident. g. Chapter 7. In chapter 7, â€Å"Into the Fire†, Musharraf gives account of his valiant contribution to the India-Pakistan War of 1965, which earned him an award for gallantry. He could have earned two awards but due to certain act of indiscipline court-martial proceedings were to be taken against him, which were dropped as a reward for his performance in the war. The author is silent about the Operation Gibraltar and Operation Grand Slam that had provoked India to attack Pakistan in the early hours of September 6, 1965. His comments on the developments preceding the war would have enhanced the value of the book. h. Chapter 8. In chapter 8, â€Å"Life in the Fire†, Musharraf makes a lot of criticism of Z. A. Bhutto. In his zeal for Bhutto-bashing, Musharraf makes an absurd point that instead of becoming chief martial law administrator Bhutto could have reverted to the Constitution of 1956 with amendments to the clauses that pertained to East Pakistan. (p. 57) He conveniently ignores that Yahya Khan had done away with â€Å"One Unit† with effect from July 1, 1970, and elections for four separate provincial assemblies had been held in December 1970. i. Chapter 9. The chapter 9, â€Å"Living through the Dreadful Decade†, is primarily an indictment of the civilian facade, 1988-1999: Never in the history of Pakistan had we seen such a combination of the worst kind of governance or rather, a nearly total lack of governance along with corruption and the plunder of national wealth. During these eleven years, every army chief there were four of them eventually clashed with the prime minister. The head of the government invariably got on the wrong side of the president and the army chief. Ad vice to Nawaz Sharif or Benazir Bhutto fell on deaf ears, leading every time to a confrontation. † (p. 78). j. Chapter 10. In chapter 10, â€Å"From Chief to Chief executive†, Musharraf relates the story of his becoming the army chief and not â€Å"chief executive† of the country as the title wrongly suggests. This glaring mistake cannot be condoned in a book meant for high caliber audience. Musharraf gives some detail of the conflict between Prime Minister Nawaz Sharif on the one hand and President Farooq Leghari and Chief Justice Sajjad Ali Shah on the other. He accuses Nawaz Sharif of sending â€Å"his party goons to storm the Supreme Court building while the court was in session. . Chapter 11. In chapter 11, â€Å"The Kargil Conflict†, Musharraf gives his side of the Kargil story. He stresses that the Kargil operartion was just one in a series of moves and counter-moves at tactical level by India and Pakistan along the Line of Control in Northern Areas. (p. 87). According to him the Indians could have possibly used the reportedly increasing activities of the â€Å"mujahideenâ⠂¬  as a casus belli to launch operation against the positions of Pakistan armed forces. He states, â€Å"We knew that thousands of mujahideen, mostly indigenous to Indian-held Kashmir but also supported by freelance sympathizers from Pakistan, did operate against the Indian forces. † (p. 88) l. Chapter 12. The part three, â€Å"The Hijacking Drama†, chapter 12, â€Å"Plane to Pakistan†, contains detail of what happened on board flight PK 805, which was bringing Musharraf back to Karachi from Colombo. Musharraf accuses Nawaz Sharif of not allowing his flight to land in Karachi even if it had to be diverted to Bombay, Oman, Abu Dhabi or Bandar Abbas. The reason: â€Å"I had been dismissed and Ziauddin had been made the chief. Obviously, Nawaz Sharif did not want me around to counter his illegal action. † (p. 107) m. Chapter 13. In chapter 13, â€Å"The Conspiracy†, Musharraf charges Nawaz Sharif of staging a coup against him. According to Musharraf, â€Å"It was a gross misuse and misapplication of the law: you cannot summarily dismiss the army chief, a constitutional appointee, without giving him just cause and affording him due process. †(p. 109) n. Chapter 14 The chapter 14, â€Å"The Countercoup†, describes how the loyalists of Musharraf managed to thwart the alleged plan of Nawaz Sharif and removed him from power. . Chapter 15. In chapter 15, â€Å"Anatomy of Suicide†, Musharraf tries to explain why Nawaz Sharif took the decision to remove him. He refers to various irritants that had developed between him and the prime minister. He conjectures, â€Å"It could be that such affronts on my part made the prime minister realize his folly in selecting me for my position. He had probably thought that being the son of immigrant parents, I would acquiesce in his demands ___ that I would feel insecure and vulnerable and do his bidding. He couldn’t have been more wrong. . Chapter 16. In chapter 16, â€Å"Pakistan First†, Musharraf explains the reasons why he did not impose martial law repeating the earlier argument: â€Å"Our past experience had amply demonstrated that martial law damages not only military but also civilian institutions, because as the army gets superimposed on civil institutions the bureaucracy becomes dependent on army officers to make the crucial decisions that they themselves should be making. I therefore decided that there would be no martial law. †(p. 143). q. Chapter 17. The chapter 17, â€Å"The Quest for Democracy† makes a brief and superficial survey of constitutional developments, and government and politics in Pakistan. Here too Musharraf does not spare Bhutto: â€Å"Zulfikar Ali Bhutto masqueraded as a democrat but ruled like an autocrat. † (p. 159) Nawaz also becomes Musharraf’s target: â€Å" This time he had a brute two-third majority in the National Assembly and could bludgeon through any amendment to the constitution he wanted. He used his majority to silence dissent. He forced the army chief out of office. He attacked the press and arrested many journalists. And he had his party’s goons physically attack the Supreme Court. † (p. 162) r. Chapter 18. In chapter 18, â€Å"Putting the System Right†, Musharraf points out the flaws in Pakistan’s politico-constitutional setup, and discusses the measures that he has adopted to remove them. He primarily identifies two problems: â€Å"the absence of democracy at the grassroots level and the absence of effective checks and balances over the three power brokers of Pakistan: the president, the prime minister and the army chief. (p. 164) s. Chapter 19. In chapter 19, â€Å"Kick-Starting the Economy†, Musharraf presents a lot of figures to make the point that under his government there has been a revival of economy. What he conveniently ignores is the fact that since early 1990s Pakistan was facing sanctions whereas the actual starting point of revival was 9/11 when Pakistan became a US ally in its â€Å"war on ter ror. † And sanctions were lifted. It is yet to be seen if there has been any structural change in the economy or the present kick off is short-lived. The recent scandal concerning the sale of Pakistan Still Mills, the sugar crisis and uncontrollable inflationary trends are black spots on the management of Pakistan’s economy. The part five of the book deals with â€Å"The War on Terror†. t. Chapter 20. This part begins with chapter 20, â€Å"One Day that Changed the World†, an obvious reference to 9/11. During an important meeting at the Governor’s House, Musharraf received the famous phone call of the US secretary of state. He recalls, â€Å"Powell was quite candid: ‘You are either with us or against us. I took this as a blatant ultimatum. † (p. 201). u. Chapter 21. The chapter 21, â€Å"Omar and Osama†, contains details about Mulla Omar’s and bin Laden’s background and their worldview, and discusses the origin of the Taliban. Musharraf â€Å"suspects† that the United States did not disapprove of the Taliban phenomenon in the hope that they could bring peace to A fghanistan. (p. 211). v. Chapter 22. The chapters 22, â€Å"The War Comes to Pakistan†, 23, â€Å"Manhunt† and 24, â€Å"Tightening the Noose† are about the network and activities of Al-Qaeda and its allies in Pakistan. These chapters also contain the details of Pakistani agencies’ operations to break terrorist network in the country. Referring to Al-Qaeda members, Musharraf boasts: â€Å"We have captured 689 and handed 369 to the United States. We have earned bounties totaling millions of dollars. Those who habitually accuse us of ‘not doing enough’ in the war on terror should simply ask the CIA how much prize money it has paid to the government of Pakistan. † (p. 237).

Cost Of Medical Decision Making From Non Medical Managers - samples

Question: Discuss about the Cost Of Medical Decision Making From Non-Medical Managers. Answer: Introduction. Procedures of clinical making decision is the essential in our day to day clinical exercises. The processes involving interactions of applications of biomedical and clinical problems solving, knowledge, probability weighing and several outcomes, and to balance risk-benefits. Crucial tasks are balancing personal experiences and common knowledge(Hajjaj, et al., 2015). Evidences based medicine protocol provides the path to physicians allowing them in making comprehensive therapeutic decision with elements of self-confidence instead of based on individual experiences. Making clinical decisions is processes and to make an informed judgments about the treatments essential for the patients(Hardy Smith, 2009). Making decision processes are complex involving numerous significant steps in which patients involvement is essential(Hajjaj, et al., 2015): Cost of clinical decision-making is defined in different ways depending on different referenced article. According to (Hajjaj, et al., 2015), it is defined as the utmost essential parts of a clinical practices, it permits the medical practitioners in making scientific, logical and valid decisions in regard of the care implementation and planning of the intervention. In any clinical situation, where patients presents their medical complications, the initial sequence of actions by the healthcare specialized requires logical clinical making decision. Consequently, the significance of the clinical making decisions are dominant when it arises to the healthcare industries(Stevenson, et al., 2012). Even though, it requires to be considered that this kind of particular actions are complicated and any single mistake while making critical clinical decision mat cost the patients even their lifes(Stevenson, et al., 2012). Henceforth, decision making in clinics may be reflected as the foundations based on which the treatments recovery and delivery of patients will be carried on. Conversely, typical misconceptions when clinical making decisions are discussed, are that it depend on the self-control of the healthcare professional, like the doctors, nurses or so on(Park Yabuuchi, 2016). Nevertheless, the clinical decision-making are parts of health care that are most influenced sectors, in both by external and internal factors. The literature review focusses on the cost in decision making. Introduction to nonclinical influences. Even though clinical decisions making, most of them are based on formally or traditionally clinical criteria for making clinical decision, they are furthermore affected by a broad range of nonclinical aspects, such as, the socio-economic conditions of the patient. Some effects cannot be distinguished whether it fall in nonclinical or clinical factors, for instance, adherence of the patient. Adherence of the patient may fall in clinical factor, but then, if associated with, such as, regular absenteeism from the follow-up appointment, it is then taken as nonclinical influence. Patient age could be considered to be a clinical rather than nonclinical influence because it is associated with physical ability and other co-morbidities. Likewise, the age of the patients may be a nonclinical effect because of the associated nonclinical features, such as transportations problem in the ageing, making follow-up appointment much problematic(Hajjaj, et al., 2015). Consequently, sometimes it is impossible to classify every effects on clinical decisions into either nonclinical or clinical, since there exists an overlap in the two. Artificial descriptors of nonclinical influences on clinical making decision can be used so as to focus thoughtful on a broad aspects of clinical medicines. The following are some nonclinical effects on clinical making decisions: Factors related to patient. These factors involves: concerns and worries of the patient, attitude and behavior of the patient, wishes and preferences of the patient, gender and age of the patient, and other individual characteristics. Race of the patient, patient's socioeconomic status and also adherence to treatment or inappropriate behavior of the patient that may influence adherence such as chaotic life style. Physician-related factors These may involve; physician's professional interaction like interaction of staffs and colleagues within clinics, time constraint and work overload of physician in the clinic, personal characteristics of physician like race, faith, culture, age and gender. Practice-related factors These type of practices such as public or private, practices size, practice organizations, geographical locations, and accessibility of health resources Literature review. The main purposes of the literature reviews are to help in understanding what other researchers and writers have documented about the importance of the economic and social cost in medical decision making from non-medical managers. Int this part few factors mentioned above are examined. Factors related to the patient The socioeconomic status of the patient The socio-economic status of the patient affects way the decisions are made in the managements. In many countries, being alert of the socioeconomic status of the patients, let say the patient have a low socio-economic may influence primary care physician to change his/her managements plans to outfit the patient with financial difficulties(Bernheim, et al., 2008). The influences of socio-economic status can lead to non-standard treatments or the patient may receive less than ideal. The ability of the patient to pay and the cost of care influences the therapeutic plan of the physician. Patients having a socio-economic status having the ability to carter the cost of health facilities are possibly able to have more medical tests as compared to patient with a low socio-economic status(Scott, et al., 2016). Physician may change his/her prescription strategies, shifts to an inexpensive drugs within therapeutic classes or they tend to shift to an alternative drug which is insured(Huttin Andral, 2010)(Hajjaj, et al., 2015). Even amid patients who are insured there may exists some with insurances plan which may give a coverage which is limited(Huttin Andral, 2010)(Shi, 2013). This socio-economic status disparities may decrease the qualities of patients care and result in unwanted consequences. The age of the patient. The age of the patients can affect cost of clinical management decisions. Physician is probably in categorizing the grievances of aged persons as ordinary or age related instead of the signs of diseases(Haug Ory, 2007). A cross-sectional study(Little, et al., 2005) of two universal practices found that aged persons are not as much of younger persons to be offered health promotions advices. The gender of the patient The gender of the patient plays an deceptively inappropriate roles in clinical making decisions. For instance, women receives more physical examination test, drug prescription, blood pressure check, laboratory test and return appointments as compared to men. Women similarly have more physicians visits per a given period of time and more services per visit(Verbruggei, et al., 2011). Physician typically perceives that the complaints of women are more possible to be affected by emotional factors and furthermore, women makes extreme demands on the time of the physician(Hajjaj, et al., 2015). The adherence to treatment of the patient The views of the adherence to medications to the patient by the physician is other essential factors which might influence management making decisions(Piette, et al., 2014). Physician might be more unlikely to treat patient who he or she suspects would abandon to treatments(Bogart, et al., 2016). The attitude and behavior of the patient Occasionally physicians may encounter patients who are rude, aggressive, demanding, violent or patient seeking secondary gain. These kind of patients visits their doctors or nurses more often than normal, receives extra prescription, having extra tests prepared, and they are referred to specialists more frequently(D Tabenkin, 2011). Other patient-related influences Management policies There are some weight put on insurance companies, hospitals, physicians and employers in considering cost when do provide care to patients. Here, there exist risks that the pressure might results to decrease in the general value of healthcare. For instance, resources constraint in ICU (Intensive Care Units) may lead in early release of patient and these may be related to an improved mortality rates(Murray, 2010). The decision making of the manager may differ from one person to another or from healthcare to another to another due to variances in treatment policies and healthcare systems(Hajjaj, et al., 2015). Physician personal characteristics The physicians decision making processes may be affected by his or her own personal characteristic. For instance, the characteristics of the doctors or nurses determines, as a minimum in parts, their approaches to patients managements. Physician can be categorized(Eisenberg, 2000) as either oriented towards health maintenances or interventionists. Health maintenance physician is patient-oriented, while Interventionist physicians are disease-oriented. In general, the health maintenance-oriented physicians are prepared in observing the situations, but, the interventionist is inclined toward immediate actions(Hajjaj, et al., 2015). The ethnicity, age and gender of the physician plays a role in decision-making Research Question, Aim/Objectives and Sub-goals Research Objective: Statistical analysis based on different hospitals data base to find out the economic and social cost in medical decision making from non-medical managers mainly those relate to patients characteristics. Research Question: What are some nonmedical Characteristics of the patient that contributes to collective medical decision making? Theoretical Content/Methodology Method Here, the observations was taken in French cancer centers in medical decision making at which nonstandard gears involves some improbability were debated on May to July 2014(Thmis, et al., 2016). Verbal statements of the physicians and predefined background parameters was collected with a nonparticipants observational approaches. Nonnumeric information collected in the forms of open notes was then coded for quantitative analysis. Multivariate and univariate statistical analyses was performed. Hypothesis: Contribution to the knowledge gap in healthcare management to highlight the loop holes of administration by non-medical managers. - Analysis of data through various aspects to improve the administration role in healthcare management by discussing decision making techniques. Results, Outcome and Relevance The final samples of records of the patient included and discussed where n=290, nonmedical characteristics was stated as n=95, that is 32.8 percent of the eccentrics. There were n=66 (that is 22.8 percent) of these cases characteristics resembled to demographics. Psychological information in 11.7 percent (that is n = 34), and relational information in 6.2 percent (that is n = 18). The patients age and his/her congeniality was found to be more frequently stated characteristic. In 17.9 percent of these eccentrics debated, the concluding decision was delayed: the outcomes were completely related with the nonmedical characteristics of the patient and with indecision about the outcomes of the therapeutic options available. Amongst completed case-records planned for debate at the medical decision making process meetings, two hundred and ninety patients cases was involved in the analysis. The cases was excluded were two hundred and forty two cases that did not meet the included criteria either due no argument was needed about the medical managements or is due to removal of the agenda of the medical decision making process. The issues to be discussed at future session can be included since main medical data was absent or a better method to collect the data was not used. The mean age of the patients used was 61.1 having a standard deviation of 14.3. The gender of the patient used were: male were 118 representing 41.8 percent while female were 164 representing 58.2 percent. Project Planning and Gantt chart. Gantt charts arranges different activities or events in synchronism and associates respectively tasks with its precedency and time. It displays activities or events as timed bars and graphically visualize the sequences of those activities/events(Bryan, 2016). TIME Activities Week 1 Week 2 Week 3 Week 4 Week 5 Research Design Layout Develop Finish Conclusion The deficiency of sympathetic of nonclinical affects by the physicians while assembling management decisions might possibly results into suboptimal individuals patients care. Nonetheless physician can try acting in a evidence based, rational and professional manners, they furthermore, must take into consideration in the unique circumstance of individuals patient in his or her clinical practices and respects the value of the patients and beliefs. Treatments policy promotes managements of all patients similarly deprived of differentiating between them since of religion or race, sexual orientation, age and gender for ensuring provision of the highest qualifies healthcare to any patient. From the literature review, it indicate that one of the highest challenge clinical medicine encountered in the current centuries are developments of strategic that can integrate and acknowledge significant nonclinical effects with evidence-based medicines deprived of affecting the standards of complete healthcares(Hajjaj, et al., 2015). Physician cannot be able to practice true evidence-based medicine unless nonclinical effects on decision making are understood, documented and cooperatively taken into account during the process of cost of clinical decision making.. References Bernheim, S., Ross, J., Krumholz, H. E.H., B., 2008. Influence of patients' socioeconomic status on clinical management decisions: a qualitative study.. Ann Fam Med, 6(1), pp. 53-59. Bogart, L., Kelly, J., Catz, S. Sosman, J., 2016. Impact of medical and non-medical factors on physician decision making for HIV/AIDS antiretroviral treatment. J Acqui Immune Defic Syndr, Issue 23, pp. 396-397. Bryan, J. W., 2016. A PROJECT PLANNING GUIDE FOR HEALTHCARE FACILITY, s.l.: Walrath. D, S. Tabenkin, H., 2011. The difficult patient as perceived by family physicians.. Fam Pract, Issue 18, p. 497. Eisenberg, J., 2000. Sociologic influences on decision making by clinicians. Ann Intern Med, Issue 90, p. 960. Hajjaj, F., M.S., S., Basra1, M. Finlay, A., 2015. Non-clinical influences on clinical decision-making: a major challenge to evidence-based practice. Journal of the Royal Society of Medicine, 103(5), pp. 178-187. Hardy, D. Smith, B., 2009. Decision making in clinical practice. Br J Anaesth, Issue 9, pp. 28-30. Haug, M. Ory, M., 2007. Issues in elderly patient-provider interactions. Res Aging, Issue 9, pp. 11-15. Huttin, C. Andral, J., 2010. How the reimbursement system may influence physicians' decisions. Results from focus groups interview in France. Health Policy, Issue 54, pp. 67-80. Little, P., Slocock, L., Griffin, S. Phillinger, J., 2005. Who is targeted for lifestyle advice? A cross sectional study in two general practices.. Br J Gen Pract , Issue 49, pp. 809-810. Murray, S., 2010. Relation between private health insurance and high rates of caesarean section. qualitative and quantitative study, pp. 1503-1504. Park, I. Yabuuchi, A., 2016. More options, more considerations: how new treatment options influence clinical decision making.. Journal of thoracic disease, 8(10), p. p.E1408. Piette, J. P., Wagnes, T., Potter, M. Schillinger, D., 2014. Health insurance status, cost-related medication under use and outcomes among diabetes patients in three systems of care. Med Care, Volume 9, p. 103. Scott, A., Shiell, A. King, M., 2016. Is general practitioner decision making associated with patient socio-economic status?. Soc Sci Med, pp. 35-46. Shi, L., 2013. Types of health insurance and the quality of primary care experience.. Am J Public Health, p. 18481855. Stevenson, L. et al., 2012. Decision making in advanced heart failure. Circulation, 125(15), pp. 1928-1937. Stough, C. et al., 2016. ignette methodologies for studying clinicians decision-making: validity, utility, and application in ICD-11 field studies.. International Journal of Clinical and Health Psychology, 15(2), pp. 162-180. Thmis, A., Anne-Dborah, B., Sylvain, G. Aurran, T., 2016. Patients Non-Medical Characteristics Contribute to Collective Medical Decision-Making at Multidisciplinary Oncological Team Meetings. Research Article, p. 15. Verbruggei, L., Steiner, R. ., 2011. Physician treatment of men and women patients: sex bias or appropriate care?. med care, pp. 610-620.

Kants Moral Philosophy in the Contemporary World

Over the years various issues have developed in the world. Things that were once clear cut as either morally wrong or right, have become very contentious. Various philosophers have studied and proposed different ideas on the subject of morality. Kant’s moral philosophy holds that the final result of an action has no value; the value of an action lies on the motivation behind it (Kant, 3). Kant argued that there exists an unconditional and absolute requirement that all other moral obligations are based on.Advertising We will write a custom essay sample on Kant’s Moral Philosophy in the Contemporary World specifically for you for only $16.05 $11/page Learn More In order for one to uphold the highest moral law, his or her actions must conform to this requirement which he termed as the categorical imperative (Kant, 15). Kant’s ideology can however be seen as too simplistic when dealing with the modern society characterized by actions tha t cannot be easily categorized as morally right or wrong; those that may be termed as morally ambiguous. Kant, a German philosopher, undertook a study to find the ultimate principle on morality. Kant identified three maxims that would enable one to identify morally right or wrong actions. The first maxim states that every person should act in such a manner that the action would be the right action for other people in similar situations (Kant, 14). The second maxim states that an action is morally right if it treat others not as a means to an end but as an end in themselves (Kant, 29). The final maxim is a summation of the first two and it states that a moral action occurs when one acts as if his actions were setting a universal law that could be used by others under the same circumstances (Kant, 24). When Kant was developing his moral philosophy, the society was mainly religious and culture played a big part in shaping how people acted. The contemporary society is however less gover ned by religion or culture and science (logic) plays a big part on how people make decisions or act. Actions that were previously termed morally inappropriate are under fire with people trying to understand what makes an action morally right or wrong. Kant’s categorical imperative has three formulations that govern all moral action. These formulations can be summed up by the universality principle that states that all actions should be carried out in such a manner that they become universal laws without contradiction (Kant, 30). This formulation in itself is too simplistic for the complicated modern society that we live in. One contentious issue in modern societies has been that of abortion. According to the requirements of categorical imperative, it would be morally wrong for a woman to carry out an abortion.Advertising Looking for essay on philosophy? Let's see if we can help you! Get your first paper with 15% OFF Learn More Kant argues that the moral value of an action is not based on its results but on its underlying principle and such action should be such that it can be universally adopted. As such, abortion which is mainly carried out to preserve the happiness, well-being or priorities of the woman, goes against this formulation (Denis, 548). Kant also puts forward the principles of good will and duty. According to Kant, good will is that will that is derived from moral laws and has no qualifications (Kant, 5). Kant argued that the expected results of an action are morally neutral and not important when considering morality. He added that good will is the only basis that the value of morality can be recognized. Kant also argued that duty determines whether an action is moral right or wrong. Kant argued that since the moral value of an action does not derive from the expected results, it must then be derived from the principle under which the action is carried out regardless of personal desires or surrounding circumstances (Kant, 7). It is the basic human duty to populate the world and ensure the continuity of life. Abortion goes against this duty thus it must be considered morally wrong. Modern medicine has enabled deformities and complications to be identified before birth. Kant’s argument is ineffective as it would be cruel to give birth to a child who will suffer constantly or to put the life of the mother in jeopardy due to pregnancy complications (Denis, 560). Kant’s morality principle is too simplistic and fails to take into account circumstances that have developed in the contemporary societies. Decision making in modern societies is carried out with regards to a multi-cultured society as a whole. Simplistic ground rules cannot effectively cover all situations under which an action may be undertaken. Abortion is an action involving two parties, the agent and the fetus. The fetus cannot be deemed a rational being hence Kant may propose that laws of morality do not apply to it. However, the fetus is a part of the continuity of life and according to instinct (nature), child birth is a duty common to all. It is thus morally wrong to carry out an abortion as it goes against this duty. Kant’s philosophy cannot cover all aspects found in many contentious issues of the modern world hence it has no place in contemporary society. Works Cited Denis, Lara. â€Å"Abortion and Kant’s Formula of Universal Law.† Canadian Journal of  Philosophy 37.4 (2007): 547-580Advertising We will write a custom essay sample on Kant’s Moral Philosophy in the Contemporary World specifically for you for only $16.05 $11/page Learn More Kant, Immanuel. Groundwork for the Metaphysic of Morals. Trans. Jonathan Bennet. New York: Oxford University Press, 1995 This essay on Kant’s Moral Philosophy in the Contemporary World was written and submitted by user Eloise Butler to help you with your own studies. You are free to use it for research and reference purposes in order to write your own paper; however, you must cite it accordingly. You can donate your paper here.

Life of John Rolfe, Husband of Pocahontas

Life of John Rolfe, Husband of Pocahontas John Rolfe (1585–1622) was a British colonist of the Americas. He was an important figure in Virginia politics and an entrepreneur who played a significant role in founding the Virginia tobacco trade. However, he is best known as the man who married Pocahontas, the daughter of Powhatan, head of the Powhatan confederacy of Algonquin tribes.   Fast Facts: John Rolfe Known For: British colonist who married Pocahontas  Born: October 17, 1562 in Heacham, England  Died: March 1622 in Henrico, Virginia  Spouses Names: Sarah Hacker (m. 1608–1610), Pocahontas (m. 1614–1617), Jane Pierce (m. 1619)  Childrens Names: Thomas Rolfe (son of Pocahontas), Elizabeth Rolfe (daughter of Jane Pierce) Early Years Rolfe was born on Oct. 17, 1562 to a wealthy family in Heacham, England. His family owned Heacham manor and his father was a successful merchant in Lynn.   Not much is known about Rolfes education or life in England, but in July of 1609, he left for Virginia on the Sea-Venture, the flagship of several vessels carrying settlers and provisions and the first group of government officials to the new colony at Jamestown.   Shipwrecked in Bermuda Rolfe brought with him his first wife, Sarah Hacker. The Sea-Venture was wrecked in a storm on the Bermudas, but all the passengers survived and Rolfe and his wife stayed on Bermuda for eight months. There they had a daughter, who they named Bermuda, and- importantly for his future career- Rolfe may have obtained samples of West Indies tobacco.  Ã‚   Rolfe lost both his first wife and daughter in Bermuda.  Rolfe and the surviving shipwrecked passengers left Bermuda in 1610. When they arrived in May 1610, the Virginia colony had just suffered through the starving time, a grim period in early American history. Over the winter of 1609–1610, the colonists were beset by plague and yellow fever, and sieges by the local inhabitants. An estimated three-quarters of the English colonists of Virginia died of starvation or starvation-related diseases that winter.   Tobacco Between 1610 and 1613, Rolfe experimented with the native tobacco at his home in Henricus and succeeded in producing a leaf that was more pleasing to the British palate. His version was named the Orinoco, and it was developed from the combination of a local version and seeds from Trinidad that he had brought with him from Spain or perhaps obtained in Bermuda. He is also credited with inventing a curing process to prevent rot during the long sea voyage to England, as well as the dampness of the English climate.   By 1614, active exports of tobacco were being sent back to England, and  Rolfe is often credited as the first person to suggest cultivating tobacco as a cash crop in the Americas, the major source of income for Virginia for centuries to follow. Marrying Pocahontas Throughout this period, the Jamestown colony continued to suffer from an adversarial relationship with the Native American inhabitants, the Powhatan tribe. In 1613, Captain Samuel Argall kidnapped Powhatans favorite daughter, Pocahontas, and eventually, she was brought to Henricus.  There she received religious instruction from the settlements minister, Rev. Alexander Whitaker, and converted to Christianity, taking the name Rebecca. She also met John Rolfe.   Rolfe married her around April 5, 1614, after sending a letter to the governor of Virginia asking for permission to do so, for the good of the Plantation, the honor of our Country, for the Glory of God, for my own salvation, and for the Converting to the true knowledge of Jesus Christ an unbelieving Creature, namely Pocahontas.   A Temporary Peace After Rolfe married Pocahontas, relationships between the British settlers and Pocahontas tribe settled into a time of friendly commerce and trade. That freedom created opportunities to build up the colony as it had not seen before.   Pocahontas had a son, Thomas Rolfe, born in 1615, and on April 21, 1616, Rolfe and his family joined an expedition back to Britain to publicize the Virginia colony. In England, Pocahontas as the Lady Rebecca was received enthusiastically: among other events, she attended The Vision of Delight, a royal court masque written by Ben Jonson for King James I and his wife Queen Anne.   Return to Virginia In March of 1616, Rolfe and Pocahontas started for home, but she was ill and died aboard the ship before it left England. She was buried at Gravesend; their infant son, too ill to survive the voyage, was left behind to be raised by Rolfes brother Henry.   Before and after Rolfe returned to his estate in Henricus, he held several prominent positions in the Jamestown colony. He was named Secretary in 1614 and in 1617 held the office of Recorder General.  Ã‚   Death and Legacy In 1620, Rolfe married Jane Pierce, the daughter of Captain William Pierce, and they had a daughter named Elizabeth. In 1621, the Virginia colony began actively raising funds for the College of Henricus, a boarding school for young Native Americans to train them to become more English.   Rolfe grew ill in 1621, and he wrote a will, which was drawn up in Jamestown on March 10th of 1621. The will was eventually probated in London on May 21, 1630, and that copy has survived.   Rolfe died in 1622, a few weeks before the Great Indian Massacre of March 22, 1622, led by Pocahontass uncle Opechancanough. Nearly 350 of the British colonists were killed, ending the uneasy peace which had been established, and nearly putting an end to Jamestown itself. John Rolfe had a significant impact on the Jamestown colony in Virginia, in his marriage to Pocahontas which established an eight-year-long peace, and in the creation of a cash crop, tobacco, on which the fledgling colonies could use to survive economically.   Sources Carson, Jane. The Will of John Rolfe. The Virginia Magazine of History and Biography 58.1 (1950): 58–65. Print.Kramer, Michael Jude. The 1622 Powhatan Uprising and Its Impact on Anglo-Indian Relations. Illinois State University 2016. Print.Kupperman, Karen Ordahl. Apathy and Death in Early Jamestown. The Journal of American History 66.1 (1979): 24–40. Print.Rolfe, Jo. Letter from John Rolfe to Sir Thos. Dale. The Virginia Magazine of History and Biography 22.2 (1914): 150–57. Print.Tratner, Michael. Translating Values: Mercantilism and the Many Biographies of Pocahontas. Biography 32.1 (2009): 128–36. Print.Vaughan, Alden T. Expulsion of the Salvages: English Policy and the Virginia Massacre of 1622. The William and Mary Quarterly 35.1 (1978): 57–84. Print.

Do we live in a death denying culture Essay Example | Topics and Well Written Essays - 2250 words

Do we live in a death denying culture - Essay Example Death is something that is natural and nobody can stop it. When the time comes all of us have to go and the sooner we accept this fact, the more at ease we will be. We do not teach our children about death and it is something that the children learn themselves, when they experience a death of a loved one or through their experience of the world. We can say that we live in a death denying culture. There may be a few exceptions where people accept death and greet it with open arms when it comes otherwise majority of the people are scared of it; the problems, the diseases and the plagues that it brings with it. The concept of death has changed with time. During the Middle Ages people accepted death more easily and with tranquility. It was considered shameful to die suddenly; the concept of tame death was common among these times. People wanted to prepare for their deaths and for this they needed time, thus the tame death was what everybody wanted for themselves. Also, friends and family would gather around to offer their support and prayers. At this time people believed that the person entered sleep-like state to peacefully await salvation. It was believed that the dead person slept tranquilly during this period in a garden of flowers (Moller, 1996). Cemeteries were built far away from towns and cities as people were scared in the presence of the dead. The cemeteries slowly moved into the Churchyard as towns spread, but only the people who the Church recognized as virtuous or holy could be buried there. One very interesting fact was that to make space for the dead, the old graves were dug up and the bones were removed. As more time went by, the cemeteries became an attraction to the people; more people met up there and started living around the area. This was because the population started to grow and there was not enough space for housing. People started to be less scared of death and could be around it for a longer period of time. Many theories and patterns of death evolved; tame death being the first. The second patter was that of the death of self. An individual's acts, during this time, were categorized as good or bad and people had the ability to choose which path they will follow. The participation of the devil and the angel were brought into consideration and the records that they kept were evaluated when a person died. Based on there records, an individual was either sent to heaven or hell. In the fifteenth century, the concept of the day of final judgment emerges. "The salvation of a person's soul was now to be determined by the act of death rather than the acts of life. Dying a good death became the key to salvation." (Moller, 1996) According to this concept, a good death was when a person died while praying and if during the dying process if the dying person was tempted by the devil his death was to be damned. The main different between the two concepts then becomes the difference between universal salvation and individual judgment. During the sixteenth century, the plague happened and people realized that death could come at any time without them knowing it. Thus, at this time it became more important to do whatever a person had set out to achieve in life, so that when death does actually knock on the person's door, he has no regrets. This led people to develop calmness

Business Week Article Example | Topics and Well Written Essays - 500 words

Business Week - Article Example These kinds of sessions are particularly important when a company is poised to seek an edge over its counterparts in a rather expanding business. Such sessions supplement the essential steps of decision making, particularly in gathering data and coming up with ideas that can possibly be implemented. Extreme brainstorming sessions entail nearly all the essential steps of decision-making, with particular influence on information gathering and analysis steps. In terms of electronic business, where prices keep plummeting down with unrelenting advancements in technology with each passing day, businesses can only tackle their rivals by fulfilling the needs of customers at lower prices. Business related to electronics is highly versatile, hence it requires creative ideas and in-depth understanding of customers to meet their needs and beat the competition. Best Buy has serious competitors like Newegg and Circuit City; and therefore, such sessions are highly critical to a company’s dec ision making process if it is to mark its name against its competitors. Such sessions would give rise to further creative ideas coming up from employees because people belonging to the same sector and similar expertise would constantly turn up with diversified views of situations, hence these kinds of sessions involve enormous collaboration between employees of similar discipline. In addition to this, having a strong bond with people and sharing of ideas would culminate in supplementary creative thoughts springing up for the business. Irrefutably, businesses such as that of electronics are always at an imminent threat by the competitive world. A slight advancement would leave behind all the old technology; therefore, it requires an acute sense and better understanding of technological changes to survive in electronics retailing business. For this reason, sessions such as these would