The impact of cultural differences on the hierarchy of a hotel Research Paper - 1

The impact of cultural differences on the hierarchy of a hotel - Research Paper Example Customers would think that quality service is being delivered to them if the employees can understand them better. Whether it is food, services, employee policies etc, the global requirements need to be considered in all operations. While cultural diversity and incorporating the trends of globalization is indispensable for the hotel industry, various cultural conflicts occur as a result of this cultural diversity. These misunderstandings are of various types and due to various reasons. Every culture has a different set of beliefs and norms and when people of different cultures come together and work, differences are bound to arise. These differences become more challenging in an industry where customers to be dealt with are also from different cultures and have different demands. While various inter-cultural challenges are faced, one such issue is the impact of cultural differences on the hierarchy of a hotel. People from poorer countries usually have lower positions and from the developed have higher positions. This creates a barrier amongst the higher and lower level employees and creates many problems regarding cultural differences as what one may think is right as part of their culture, the other might not. This study aims to determine the impact of cultural differences on the hierarchy of a hotel. The findings of this study would be very helpful in determining how the barrier between high and low-level employees can be reduced in the light of cultural differences. Cultural diversity if managed properly can help to increase organizational performance (Kemp & Dwyer, 2001). There are various levels in an organization where culture has an influence and where a higher degree of cultural awareness is essential (Roper & Brookes, 1997). This study would hence facilitate in understanding how this diversity can be managed in a batter way to become a pro rather than a con for a hotel. Finally, it would also aid in giving better understanding to hotel managements

The Effects of War on Afghan Women, Children and Refugees Public Health Essay Example for Free

The Effects of War on Afghan Women, Children and Refugees Public Health Essay INTRODUCTION Armed conflicts have been major causes of disease, suffering and death for much of human history. The fatalities, injuries and disabilities suffered on the battlefield are obviously direct effects of conflict. But there are also health consequences from the breakdown of services and from population movements. The diverting of human and financial resources away from public health and other social goods contributes to the spread of disease. These indirect consequences of war may remain for many years after a conflict ends. Both the experience of conflict itself and the impact of conflict on access to health care determine the physical health and the psychological well-being of women and girls in very particular ways. Women are not only victims of the general violence and lack of health care they also face issues specific to their biology and to their social status. To add to the complexity of the picture, women also carry the burden of caring for others, including those who are sick, injured, elderly or traumatized. This in itself is stressful and often contributes to illness. Defining Terms Gender: The term gender includes both masculinity and femininity, not just one or the other. Across continents and cultures, established gender norms and values mean that women typically control less power and fewer resources than men. Not surprisingly, this often gives men an advantage in the economic, political, and educational arenas, but also with regard to health and health care. Certainly, there are instances where gender differences hurt mens health as, for example, when greater risk-taking among young men leads to higher accident rates, or higher levels of violence between men leads to greater death and disability . But, by and large, many health professionals believe that gender inequalities have led to a systematic devaluing and neglect of womens health. Children: are those who are still under the care of their parents. Who is below the legal age. After more than two decades of war, the health of Afghanistans people is ranked among the worst in the world. More than 800 children die every day, largely from preventable diseases. Nearly 1 in 4 Afghan children will not reach his or her fifth birthday, and their mothers do not fare much better. An Afghan woman is 100 times more likely to die of pregnancy-related problems than her American counterpart. These deaths are preventable. Since the fall of the Taliban, the Afghanistan Ministry of Health has been working steadily to improve access to basic health services specifically focusing on reaching women and children. Since early 2002, with funding support from the United States Agency for International Development (USAID), Management Sciences for Health has been working with the Ministry of Health to establish a foundation upon which a national health care system can be built and health services can be delivered within Afghanistan. The Effects of War on Afghan Children and Women Public Health War is one of the most destructive human activity. It destroys not only the physical side of a person but it degrades the human dignity. These happens to Afghanistan. Today it has one of the world’s poorest human development. Among the population of 24 million roughly 10.7 million are children under the age of 18 and half of the remaining population is women. The crisis of more than 23 years has left devastating effects on the health and well being of millions of women and children. It has killed over 1.5 million people, including more than 300,000 children. An extensive review of   social, physical, and mental health of Afghan children with an aim to depict the severity and complexity of the situation induced by war of more than a decade. Child Vulnerability Indicators in Afghanistan Series of wars and drought for more than three years have threatened the survival and existence of tens and thousands of women and children. According to a survey 60 % of Afghan children have lost their family member, and 39 percent have lost their home. The burden of poverty falls heaviest on the children, who frequently abandon education in order to contribute to family income. They work on farms, collect water and firewood and scavenge the garbage cans for food scraps. In Kabul alone, more than 50,000 children work as shoe polisher, selling fruits or newspaper or begging on the streets. More than five million people with a huge proportion of children are internally displaced. More than 6 million displaced Afghans represent the largest single group of refugees world-wide. Alone in Pakistan approximately three million Afghans have taken refuge in the last few years. Children comprise 20 % of the total number. Poverty prevails, with 80% of people living below the poverty level. Adult life expectancy is 45 years for men and 47 for women. According to the UNICEFs estimations more than 5 million people-70 percent of them women and children rely on humanitarian aid to survive. 75% of the population living in rural areas have no access to any kind of health facilities. According to the UNICEF, 2001 the total number of under five population in Afghanistan is 728049. War induced displacement and famine have forced large populations to move towards big cities in search of food and shelter. Among the internally displaced populations majority is under five, approximately 429567 in Kabul, 80930 in Logar, 126000 in Wardak, 49700 in South Parwan and 41852 are in Kapisa. Displaced populations are exposed to an unprecedented scale of disease, deaths and disabilities. Reports show that one in every four children dies before his or her fifth birthday and one in five children is born in a refugee camp. Infant mortality is 165 (per 1000 live births), under five child mortality 257 (per 1000 live births) and prospects for improving child health are still dimmer. Maternal morality is one of the highest in the world, i.e., 1700 per 100,000. Poor obstetric care and illiteracy have been proved to have a direct relation to the infant mortality. The deteriorating child health has been out of focus for decades. Repeated wars, political turmoil and disasters have left grave effects on the physical and mental health of children. Post traumatic disorders, widespread infectious diseases, malnutrition have increased the sufferings of Afghan children to an unacceptably higher level. The situation of internally as well as externally displaced Afghan children is grim. The trend of childhood mortality in Afghanistan from 1955 to 1990 has remained almost static and has shown very little improvement change so far. Neighboring countries like China and Iran, both have achieved considerable decline in the under five mortality ranging from 225 to 38 and 239 to 45 respectively while infant mortality in Afghanistan is still 165 (per 1000 live births) and childhood mortality 257 (under five per 1000 births)11. Nutritional Crisis and War injuries among children According to UN agency around 120,000 Afghan children currently face famine. Iodine and vitamin A deficiency is largely noticed. Report from Terre Des Hommes determined that chronic malnutrition remained high, with 53.7% of children between 6–59 months stunted, including 27.3% severely stunted making children more vulnerable to disease. An estimated 7.5 million children and adults are currently at risk of hunger and malnutrition. Rights of children were seriously and widely violated. Girls’ right to education and sports is still overtly denied. Socio-cultural norms put additional restrictions on women and girls. Because of the current crisis it is predicted that about 20–40 000 children could die and around 10 million people will be forced to live on US$1 a day. It certainly impacts access to health services, health allocations by the governments, access to drugs against HIV/AIDS, TB and malaria, and child health. There are currently estimated 5.3 million vulnerable people inside Afghanistan. Country’s health system performance is paralyzed and extensively damaged during the war on terrorism. None of the children growing up today in Afghanistan has ever known peace. It is estimated that over 2 million Afghans suffered from mental health problems. UNICEF-supported study in 1997 found that the majority of children under 16 years in Kabul suffer from psychosocial war trauma. Ninety-seven per cent had witnessed violence and 65 per cent had experienced the death of a close family relative. Experts say that approximately 30%–50% of a population undergoing violent conflict develops some level of mental distress. There are estimated 10 million land mines, the equivalent of roughly one for every child. Reported by Save the Children survey, 85% of all unexploded ordnance (UXO) victims were children in Kabul, during the years 1990-94. Alone 3,000 injuries from landmines and UXO in 1999 have been reported. More than 130,000 Afghans under the age of 18 have been killed by land mines so far. Disease Profile Measles, cholera, tuberculosis, malaria, meningitis, hepatitis, typhoid, childhood respiratory infections, and diarrhea are the major killer diseases. Diarrhea alone causes the death of 85,000 under five children per year. Two to three million malaria cases with 6% P. falciparum were notified to the health authorities in the last few years. Similarly leis mania affects seriously women and children in Afghanistan. Immunization coverage is profoundly low. Lastly noticed overall mortality due to measles and related complications was 10.8% in Kabul. In South Asia, over 40 percent of the total confirmed cases of polio occurred in Pakistan and Afghanistan in 2000. The mass migration of Afghans to Pakistan and to other neighboring countries has posed serious threat to the global polio eradication program. Moreover a tuberculin survey in Pakistan revealed that the prevalence of tuberculosis infection was 13.8% (May 1985) in a sample of 4108 Afghan children (average age of 8 years). Thirty-three percent had not received their BCG vaccination. A survey during the 1990–94 on cancer reported 22 % prevalence of 1655 children. 69% were males, 31% females Afghan refugees referred to the cancer hospital in Northern Pakistan. The Afghan Women In recent years more and more societies all over the world have begun to recognize the vital contributions of women to commerce, their communities, and civic life. Whether it be Afghan women voting in a presidential election or women starting micro-businesses in Ethiopia, the worldwide trend toward greater equality is clear. Yet the denial of womens basic human rights is persistent and widespread, as a 2005 United Nations Population Fund statement put it. ON DECEMBER 13, 2003, 502 members of Afghanistans constitutional Grand Council, or loya jirga, met in the capital, Kabul, to begin writing the document that would henceforth shape governance of an Islamic, representative democracy. Three weeks later, after at least two rocket attacks near the councils meeting place and even more explosive politicking among the councils members, the council emerged with a new constitution. Among those who watched the process with attention were Afghan women and their activist partisans in other parts of the world, who wanted the new constitution explicitly to reflect the rights and needs of women. They had particular reason to worry that the assembly gathered in Kabul would be hijacked by conservative extremists who would interpret womens rights narrowly using religion as an excuse, or who might eliminate mentions of womens human rights altogether. The Grand Council met just two years after the United States toppled the Taliban, the extremist party that had been in control of Afghanistans capital since 1996. The American objective was to destabilize a regime that had given refuge to Osama bin Laden and the leaders of Al Qaeda, whose bases were in Afghanistan. At that time, the United States linked its military agenda in Afghanistan with the need to liberate Afghan women from oppression. As First Lady Laura Bush put the matter in a national radio address in November 2001, The brutal oppression of women is a central goal of the terrorists. Long before the current war began; the Taliban and its terrorist allies were making the lives of children and women in Afghanistan miserable. The first lady went on to assert that the removal of the Taliban from power would mean the liberation of Afghan women. For the next year, Afghan women were big news: There were books and reports, and pictures on the front pages of newspapers showing formerly illiterate women learning to read. Women began the work of reconstructing their lives by returning to the streets, to school, to work. Then the war in Iraq began, and Afghan women, and Afghanistans reconstruction, became old news. By the beginning of 2003, warlords in provinces who had been allies of the United States when it went to war against the Taliban were instituting measures themselves that were reminiscent of the Taliban era. Human Rights Watch reported in January 2003 that in the Western province of Herat, girls and boys would no longer be permitted to go to school together. Because most teachers are men, the ruling effectively shut girls and women out of an education. Other restrictions against interactions between the sexes were imposed; girls or women seen in public with a male might be taken against their will to a hospital to check for their chastity. These alarming trends coincided with a sharp drop in international scrutiny, although Afghan women themselves continued to seek access to good health, higher education, and equal pay for their work. Their experience in the last two years has made it clear that simply removing a dictatorial regime and installing a democracy does not automatically guarantee womens rights. Indeed, the challenges facing womens effort to make sure their rights are legally enforceable in the future highlight broad conflicts in Afghanistan between conservative and liberalizing factions of the future government and between forces competing to control interpretations of Islam in the public sphere. Islam is the prism through which human rights are articulated in Afghanistan, and it is it is therefore crucial for women that their rights to education, work, and freely chosen marriages be articulated in its terms. The importance of the relationship between Islam and rights is one supported by women. Indeed, Ninety-nine percent of Afghan women are Muslims, and their faith is extremely important to them. Most feel their rights are available to them through Islam, says Masuda Sultan, the spokesperson for Women for Afghan Women (WAW), a New York City-based grassroots organization of Afghan women and their supporters. Sultan explains that the number of women who frame their rights in secular terms is much smaller. Womens rights doctrine that would take Islam into account was in evidence in the making of the Womens Bill of Rights, authored in September 2003 by a representative group of 45 women who found ways to interpret relevant Islamic edicts in ways that amplified their human rights. The bill of rights was the achievement of a unique conference on women and the constitution sponsored by WAW. Organized with the help of the Afghan Womens Network and Afghans for Civil Society, the Kandahar conference brought women together to deliberate over how their rights could best be reflected in the constitution. Kandahar, unlike the more liberal capital, is one of Afghanistans most conservative provinces, and it was unclear until the day of the conference whether it would be secure enough for the gathering to take place. It was, but only under heavily armed guard. The conference participants comprised elite female decision-makers as well as largely illiterate everyday women from all over the country. For some, simply completing the trip, whether alone or in the company of a male relative, was itself a triumph. Over the course of three days, these women reviewed the 1964 constitution on which the 2003 draft was based and began composing the 16-point bill of rights, framed by the demand that the rights be not simply secured in the constitution but implemented. Some of the demands are basics on the menu of modern human rights: women require mandatory education, equal pay for equal work, freedom of speech, and the freedom to vote and run for office and to be represented equally in Parliament and the judiciary. But other points are specific to the situation of Afghan Muslim women and responsive to the recent forms of deprivation imposed by the Taliban and long-standing excesses based on tribal convention. There is, for example, the demand that women and children be protected against sexual abuse, domestic violence, and bad-blood price when one family compensates a second for a crime by giving them one of the familys women. There is a request for the provision of up-to-date heath services for women with special attention to reproductive rights. Under the Taliban women were denied healthcare by male doctors, who were not allowed to touch the bodies of women to whom they were not related, and severe restrictions on womens movements made it difficult for female doctors to supply healthcare. Women made it clear they wanted the right to marry and divorce according to Islamic law. At the end of the conference, the document was presented publicly to President Hamed Karzai, and women were promised that their rights would be incorporated explicitly into the new constitution. However, when the draft constitution was released in November 2003, there was no explicit mention of womens rights. Instead, the constitution granted rights to all Afghan citizens. As Ritu Sharma, the co-founder and executive director of the Womens Edge Coalition and Afifa Azim, the director of the Afghan Womens Network, argued in a joint editorial on the eve of the councils meeting, lumping together men and women in the text of the constitution, rather than clearly designating rights for women as well as men is an important distinction because Afghan women are not issued the identification cards given to men. Therefore, some men argue, women are not citizens and entitled to equality. A crucial question at the Grand Council was whether women would be identified separately from men in the final constitution. It was a triumph when the constitution that was released contained an article stating that The citizens of Afghanistanwhether man or womanhave equal rights and duties before the law. At the same time, other challenges remain. The introduction of womens rights to the national political agenda cannot itself be taken for granted while control of the country is still in question. Although it is true that on paper, the government of Afghanistan is headed by President Karzai and moving toward democracy along well established lines such as the creation of a constitution, the actual situation in many parts of the country do not reflect this shift in power. The Taliban have reasserted power in Southern and Eastern parts of the country. Indeed, in the few days leading up to the meeting of the constitutional Grand Council, coalition forces waged their largest attacks to date on Taliban members who threatened violence against the proceedings. As a recent Amnesty International report also noted, Northern Alliance commanders who committed human rights abuses under the Taliban government now hold government positions themselves (the October 2003 report, Afghanistan: No one listens to us and no one treats us as human beings. Where these commanders govern, womens movements remain as restricted, or nearly as restricted, as they did before they were liberated. So, one of the threats to womens rights is related to the ongoing danger to the entire nations stability as well as to the ability of the most conservative or militant actors in Afghanistan to influence the political process. Extremists exploit claims to Islam to intimidate women. This means that although women themselves frame their rights in terms of Islam, they can also be intimidated into making claims for interpretations that dont serve their needs at all. Sultan explains: Security is still a huge issue, and regional warlords and extremists are around. A woman who doesnt speak in terms that acknowledge Islam will face trouble. The affirmation of being Muslim is important because otherwise theyll be called infidels or be threatened or seen as secular or non-Muslim. in the view of Sultan and others who work closely with Afghan women, is to promote the education of women in Islamic law and history so that they can express their own rights as well as refute interpretations that do not serve them. As the legal system begins to hammer out laws that confirm the bases of the constitution, such knowledge will be increasingly important. Jurists are qualified in Afghanistan through higher education or training in Islamic law. As Sultan notes, these qualifications leave open the door for those trained informally by radical Islamist clerics to shape law. Womens education in the language, tradition, and law through which they understand their rights and themselves is a practical and necessary step in this context. This may appear counterintuitive to onlookers in the United States and Europe, whose recent revolutions in rights have often taken place in social and political contexts that opposed democracy to religion. Enhancing the rights of women by encouraging their access to religious education may also seem counterintuitive in the present media environment, which is saturated by the idea that Islam is inherently undemocratic. But women working for their rights in Afghanistan make it clear that both Islam and democracy are evolving practices that permit competing interpretations. It is their right to shape both in ways that confirm their identities as women, Afghan citizens, and Muslims. The needs of women and children; Refugees in Iran Since at least the 1970s Afghans have been coming to Iran, some in search of work, others to seek protection. The political dominance by the Taliban since 1995 has been a significant factor in the acceleration in the flow of refugees. Refugees who came in the 1980s were given green cards’ which entitle them to live and work in Iran, and to benefit from schooling and health care. In the early 1990s the government’s policy towards refugees changed in the face of the worsening domestic economic situation. After 1992 the authorities stopped issuing refugee cards. The vast majority of Afghans who arrived in Iran since 1992 are considered illegal and have no right to asylum. Furthermore, between 1992 and 1994 many thousands of refugees lost their legal status in a systematic campaign of confiscations of green cards from Afghans living in Khorassan province (bordering Herat). It is not uncommon to find families who repatriated under the UN-sponsored programmed in 1996 and 1997, who have returned to Iran because of hardship or fear of persecution. These families had to give up their refugee cards when they repatriated and now live as illegal’ refugees who risk being arrested if found. In such a situation it is extremely difficult to keep accurate figures on the number of refugees in Iran. According to recent official figures, there are about 1.4m Afghans in Iran at present, of which only 22,000 (1.7 per cent) are living in camps. The vast majority of Afghans live integrated into Iranian society scattered around the country, mostly in cities where they can get jobs but also in villages and settlements in rural areas. The refugees areas are Kerman, Shiraz, Sistan- Baluchistan, Mashad, Teheran and Shahriyar (Teheran province). The area in which refugees face the most difficulties (in the south- eastern province of Sistan-Baluchistan), and highlighted the neglected issue of child labor. The most common types of work done by women and children and the income they earn. Work done at home includes shelling pistachios, cleaning wool, making brooms, cleaning saffron, making chains and carpet weaving. Children usually start work at an early age (sometimes as young as five years old). Once they reach school age, those who can get into school study about four hours a day at school and work between four and ten hours every day. Many Afghan children attend schools not formally recognized by the Ministry of Education and run by the Afghans themselves. There are at least 10 informal Afghan schools in Mashad and about 24 in Teheran, serving from 50 to 500 children each. NGOs such as Ockenden Venture and Global Partners have been supporting such schools for over a year now with their own funds and some funding from UNICEF. They have provided books and teaching materials, and have conducted eye tests for children and provided spectacles. Ockenden Venture has also organised some teacher training. MSF France has been carrying out a school health project in Mashad, and a local Afghan NGO (Relief Committee for Destitute Afghan Refugee Families) is helping to identify Afghan schools in Teheran and distribute books. Many questions remain unanswered as to why some children attend these schools and others do not. Aspirations versus reality The aspirations of Afghan women and children contrast heavily with the reality of the back-breaking, repetitive and poorly-paid jobs. The reasons for taking poorly paid and low-skilled work are illiteracy, being undocumented, having children to look after, and opposition from the husband or his family. The work has to be part-time, home-based and not requiring a green card’. One obstacle which the women identified also suggested its own solution. They said that their lack of familiarity with Iran, and particularly with job opportunities, means that they tend to take on the same jobs that other Afghan women are already doing. It was suggested that a job-search service would enable them to access information on other job opportunities. Education: the top priority Having seen the poverty of many refugee families at first hand, Afghan women needs to put income-earning opportunities as their top priority. In fact the top priority identified by almost all the groups was education: for the Hazaras it was education in general, but especially literacy; for the Pashtun women it was skills- training. They all believed that they could improve their own lives if they had some education. Solutions The impact of previous conflicts and recent war on children’s social, physical and mental health is enormous and needs a great deal of attention and commitment from the Government. While the debate of reconstructing Afghanistan is currently in progress, saving the future of nation and child health development must be a top priority. Joining these efforts, international assistance is direly needed to handle the deteriorating child health situation. Improving child health in Afghanistan is certainly a daunting task and will require committed and holistic efforts over period of years. Every aspect of child health needs to be dealt with an appropriate strategy. As evident from the facts that infectious diseases and war induced injuries contribute heavily to the current burden of disease, deaths and disabilities in Afghanistan. Therefore WHO’s strategies need to be universally adopted in the country. The strategy of integrated management of childhood illness (IMCI) addresses five major killer diseases with a simple and cost effective manner. War has left tens and thousands of orphans. Fewer than five children currently make a large proportion of Afghan’s population and immediate attention. In the prolonged period of war tuberculosis control program was severely disrupted. Tuberculosis control network need to be immediately restored, drugs provided with the Directly Observed treatment; short course (DOTS) strategy among internally displaced and non-adhered patients. All interventions need to focus equally on providing rehabilitation and treatment for mental illnesses, robustly expand and include program for massive immunization in their essential package of services. All legal measures need to be taken to protect children’s rights and specially that of girls to education, health and social choices at all fronts. For Refugees Using focus group discussions in the context of understanding the problems and aspirations of urban Afghan refugees has given us a great deal of information to which we did not previously have access. In particular, the fact that the refugees were able to participate in drawing up recommendations regarding the future work of NGOs was a very positive experience. It encourages the beneficiaries themselves to think about their situation and to come up with solutions. It also gives the organisations working with refugees a much clearer picture of the hopes and fears of a refugee community. Past experience at ICRI has shown us that involving the refugees themselves in decision making improves the implementation process, bringing about better results. This does not mean that one method should replace the other, but rather that the methods should be regarded as complementary. We know that the single most important factor which determines the living conditions of refugees in Iran is their legal status. In Afghanistan Samar   bring to the forefront the health and human rights challenges that face Afghan women and children. A leading authority on these issues in her country, Samar founded the Shuhada Organization in 1989 to implement innovative programs in health, education, construction, and income generation that improve the lives of women and children in Afghanistan and those living as refugees in Pakistan. The Shuhada Organization has grown to become the largest female-led non-government organization in Afghanistan and operates an extensive network of hospitals, clinics, schools and shelters as well as numerous other programs and services for women and children. â€Å"Boston University is honored to host Dr. Samar as a visiting scholar,† said Gerald T. Keusch, M.D., associate dean of Global Health, BU School of Public Health, and director of the Global Health Initiative. â€Å"Her work to improve the lives and healthcare for Afghan women and children under extraordinarily difficult conditions has made her an icon in global health and her efforts will ideally lead to new policies that will advance the country’s medical and education infrastructure.† The recipient of numerous honors and awards, including the 2004 Jonathan Mann Award for Health and Human Rights, Samar is an international symbol of the steadfast courage required to demand basic human rights for women and children in Afghanistan. In addition to directing the Shuhada Organization, Samar served as the country’s first Minister of Womens Affairs during the interim government, leading the effort to restore economic, political, legal and social rights to women. In her current role as Chair of the Afghan Independent Human Rights Commission, she oversees the conduct of human rights education programs across the country, implementation of a nationwide women’s rights education program, and monitoring and investigation of human rights abuses. The Global Health Initiative at Boston University was established to promote multi-disciplinary research, education, outreach and policy studies across and beyond the Boston University community, and to contribute to reducing disparities in health through the generation of new knowledge, the education of students as â€Å"global citizens,† and the development of partnerships with global health leaders, scholars, and practitioners around the world. In Afghanistans villages, provincial centers, and Ministry of Public Health; in clinics, hospitals, and pharmacies; in classrooms, workshops, and training centers—REACH is empowering the Afghan people to rebuild a health system damaged and neglected during more than two decades of war. A community health worker teaches a mother in a rural Afghan village how to care for her sick child. A young woman improves her literacy level to qualify her for midwifery training. An Afghan midwife attends refresher training about safe motherhood. A provincial health team develops an immunization campaign to protect children against common diseases. The Afghan Ministry of Public Health develops management systems and standards to improve service delivery. Over seven million men, women, and children have access to primary healthcare services. Increasing access to Afghan health services thru (REACH) Through a performance-based grants program and technical support for training and education, REACH has enabled expansion of Afghanistans child health, maternal health, basic obstetric care, and family planning services now accessible to 7.1 million people. REACH grantees have trained over 5,000 community health workers who are working in 14 of Afghanistans 34 provinces. Providing health education in Afghanistan REACH promotes health education and behavioral change that is improving the ability of individuals, families and communities to protect their health. REACH also provides health-based accelerated literacy training to qualify young women to enter nursing and midwifery schools. Strengthening health systems Working with the Afghan Ministry of Public Health to develop and implement national health policies, standards, and management and information systems, REACH is helping Afghanistan shape its healthcare system for the future. Through close collaboration with counterparts in Afghanistan and with the international donor and nongovernmental community, REACH is addressing immediate needs while ensuring that current activities are consistent with long-term development objectives. References: Armstrong, J., Ager, A. (2005, March). Perspectives on disability in Afghanistan and their implications for rehabilitation services. International Journal of Rehabilitation Research, 28, 87-92. Cultural Orientation Project. (2002). Afghanstheir history and culture. Retrieved October 20, 2004, from http://www.culturalorientation.net/afghan/atoc.html Cummins, C. (2002). The front linenursing refugees. Journal for Community Nurses, 7(1), 7. Daly, C. M. (1999). The paarda expression of hejaab among Afghan women in a non-Muslim comunity. In L. Arthur (ed.). Religion, Dress and the body, Oxford: Berg. Disability World. (n.d.) Epilepsy in the Afghan Village. Retrieved October 11, 2006, from http://www.disabilityworld.org/01-03_02/arts/afghan.shtml. Farella, C. (2002). Far and away: RNs give safety, solace to Afghan refugees. Nursing Spectrum, 6(9), 36-7. Gerritsen, A. A. M., et al. (2006). Physical and mental health of Afghan, Iranian, and Somali asylum seekers and refugees living in the Netherlands. Social Psychiatry and Physchiatric Epidemiology, 41(1), 18-26. Ghatrifi, D., Ghatrifi, R., Eivazkhani, S., Ghatrifi, M. (2006). Research on sexual and reproductive health and rights beliefs and traditions among Afghan refugees. Journal of Sex Research, 43(1), 18. Giger, N. J., Davidhizar, R. (2002). Culturally competent care: Emphasis on understanding the people of Afghanistani Americans, and Islamic culture and religion. International Nursing Review, 49(2), 79-86. Grima, B. (n.d.) Women, culture, and health in rural Afghanistan. Expedition, 44(3), 34-39. Halimi, K. M. (2002, February). Afghan refugees: The ugly truth. Annals of Emergency Medicine, 39(2), 200-2. Kemp, C., Rasbridge, L. (2004). Afghanistan. In C. Kemp and L. Rasbridge (Eds.), Refugee and immigrant health: A handbook for health professionals (pp.83-90). New York: Cambridge. Lindgren, T., Lipson, J. G. (2004, April). Finding a way: Afghan womens experience in community participation. Journal of Transcultural Nursing, 15(2), 122-130. Lipson, J. G. (1993). Afghan refugees in California: Mental health issues. Issues in Mental Health Nursing, 14(4), 411. Lipson, J. G., Hosseni, T., et al. (1995). Health issues among Afghan women in California. Health Care for Women International, 16(4), 279-286. Lipson, J. G., Miller, S. (1994). Changing roles of Afghan refugee women in the United States. Health Care for Women International, 15(3), 171-180. Lipson, J. G., Omidan, P. A. (1996). Ethnic coalitions and public health: Delights and dilemmas with the Afghan Health Education Project in northern California. Human Organization, 55(3), 355-361. Lipson, J. G., Omidian, P. (1992). Health issues of Afghan refugees in California. The Western Journal of Medicine, 157(3), 271-286. Lindgren, T., Lipson, J. G. (2004). Finding a way: Afghan womens experience in community participation. Journal of Transcultural Nursing, 15, 122-130. McCaw, B. R., DeLay, P. (1985, August). Demographics and disease prevalence of two new refugee groups in San Francisco: The Ethiopian and Afghan refugees. Western Journal of Medicine, 143(2), 271-275.

Study of Rail Structure: Risk Analysis and Failure Mode

Study of Rail Structure: Risk Analysis and Failure Mode Study of Rail Structure:  Risk Analysis and Failure Mode Avoidance In this case study, a brief overview of railway structure is discussed. Defects related to rail failure are considered essential to frame out the correct maintenance strategy. As it is closely associated with safety of passenger and cargo transportation, hence it retains high risk in terms of human lives and cost of resources. There will always be some risk associated with collisions and derailments but it can be reduced by eradication of the root causes. Exposure and amendment of rail defects are major issues for all rail companies around the world. There are challenges to the infrastructure maintenance individuals to perform effective inspection and cost effective rectification decisions. If addressed properly these can reduce potential risk of rail breaks and derailments. Risk assessment and Failure mode avoidance has become a vital constraint for the organisations to decide a cost effective and improved solution that could meet the financial constraints regarding inspection, renewal and replacement of rails and wheels. This study aims to reduce costs and risks related to rail operation by effective approaches. The issues and challenges related to rail maintenance are outlined. The maintenance strategy followed by most railway companies is also defined. Large Railways infrastructures are the prime manner of transportation in several countries. Improved and better safety measurements are continuously presented but still could not be considered as incidents proof. There will always be some risk related with derailments and other occurrences such as major disruption to services, which can furthered be minimised by detailed examination of the root causes. Some of the causes require improvement in skill and efficiency, for example human error, and some may be improved by optimization of inspection regularity. Therefore, a appropriate thorough study of the defects which develop both on the rolling stock and rail infrastructure is vital to frame out the correct maintenance approach. European Union spends around à ¢Ã¢â‚¬Å¡Ã‚ ¬ 2 billion every year for maintenance and repairing of broken rails (European Commission Cordis, 2017). It is understood that the consequential cost due to derailment decreases with rise in inspection, lubrication an d grinding charges. Risk in railways could be expressed in terms of cost, loss of human lives, infrastructure unavailability, traffic delay and environmental impact which may be caused due to derailment of a train carrying hazardous material. In this report, different kinds of rail defects and maintenance procedures followed are  described. Different risk assessment and failure mode avoidance methods and tools have been discussed briefly in this report. Some of the issues and challenges related to rail  maintenance are also addressed with an aim to reduce the total cost and risks associated with rail operations. Rails are longitudinal steel members that accommodate wheel loads and distribute these loads over the sleepers or supports, guiding the train wheels evenly and continuously. It is one of the most important components of the track structure. Usually a flat bottom rail  is used in conventional railway track, which can be separated into 3 parts: rail head, rail web  and rail foot. Many standards are used for rail profiles. (Kumar, 2007) Figure 1 shows the 2 common rail profiles. Figure 1: Flat bottom and Bullhead rail profiles The rails must possess sufficient stiffness so that they can act as beams and transfer the concentrated wheel loads to the spaced sleeper supports without excessive deflection between supports. (Ernest and John, 1994) Due to economic pressure, there is a world-wide trend to increase axle loads, traffic density  and speed to reduce the operating cost and increase the efficiency of railways. Axle loads  around the world have increased in general from 22.5 to 32.5 Tonnes in last ten years (Allen, 1999). This has led to increased rate of defect formation in rails. Some of the common defects are described in the following sections. 4.1. Shelling Shelling is a defect caused by loss of material initiated by subsurface fatigue. Shelling normally takes place at the gauge corner of high rails in curves. An elliptical shell like crack propagates in the subsurface parallel to the rail surface. When these cracks emerge on the surface, they cause the metal to come out from the crack area. It is generally eliminated by grinding. (Kumar, 2007) Figure 2: Shelling caused by Head Checks 4.2. Head Checks In the crown area, the contact stresses are generally low as it has greater profile radius in  comparison to the gauge side of rail. However, high contact stresses are produced on the high rails gauge corner, which usually has curve radius from 1000 to 1500 m. Head  checks are known to occur in tighter ((IHHA, 2001). If head checks are not controlled, they can cause a rail break. Grinding is the most common practice to remove head checks. Severe head checks need rail section replacement. 4.3. Squats Unlike shelling, squats appear in crown area of straight rail sections. They are surface  initiated defects formed by RCF. A squat is formed by two cracks, a leading crack and a  trailing crack. Both these cracks propagate in opposite direction. These defects could be prevented by grinding. (Kumar, 2007) 4.4. Spalling Spalling occurs, when the surface initiated crack development path is intersected by other similar shallow cracks on the rail head area, a shallow chip of rail material falls out. Spalling is more common in cold climates as rail stiffness increases. Figure 3: Gauge Corner Spalling in rails 4.5. Tache Ovale Tache Ovale is a subsurface defect formed around 10-15 mm below the rail head surface (see Figure 4). This is caused by hydrogen accumulation during manufacturing of rail or when poor welding is done in rails. Thermal and residual stresses also contribute to form this defect. Figure 4: Tache Ovale 4.6. Plastic Flow and Tongue Lipping Plastic flow occurs in rail head area, the depth of which may be up to 15 mm. Plastic flow  occurs on the field side of the low rail due to overloading. Tongue lipping is also a form of plastic deformation, but it is initiated by surface cracks. These cracks partially separate a layer of material from the bulk of rail. (IHHA, 2001) 4.7. Bolt Hole Crack Bolt holes appear in the rail web often starting from the fastening point of fishplates. But  these become weak points to resist crack initiation. These cracks have a very high potential to cause rail break and needs urgent replacement. 4.8. Longitudinal Vertical Crack This is a manufacturing defect, which usually appears in the rail web and may extend in rail  head also. If this crack is intersected by some other crack, it may lead to an early rail  fracture. Odds of sudden fracture due to this become predominant in cold climate. Figure 5: Longitudinal vertical crack 4.9. Transverse Crack Transverse crack is mostly developed in the cross-sectional area of defective weld joints. A  welding defect may be due to variation in weld material or rail manufacturing defect. Figure 6 shows a Transverse crack develops from the centre of the rail head or the rail foot. Use of clean steel and deeper hardening of rail head may avoid its formation. (Kumar, 2007) Figure 6: Transverse crack 4.10. Buckling Lateral buckling in rails is a very common defect in which the rail bulges out on its either side  due to expansion. As the temperature rises, longitudinal expansion in rail takes place. 4.11. Corrugation Corrugation is a rail flaw consisting of the wave-like wearing of the rail tread visualized as  peaks and valleys, in other words, it is a periodic irregularity of the rail surface (IHHA, 2001),  see Figure 7. Figure 7: Corrugation in rails Rail corrugations are the result of a damage mechanism, such as wear etc. Rail corrugations do not pose risk of immediate derailment, but they may be responsible for loosening of rail fastenings, ballast deterioration, increase in noise and vibration level leading to passenger discomfort, etc. Two main types of corrugations which generally occur in rails are: Short pitch corrugations Long pitch corrugation Tables below show the percentage and type of defect detection by different rail infrastructure  companies. Railway First Second Third Fourth Rail track (1999/2000) Squats 21.7% Vertical/transverse 20.1% Horizontal/longitudinal 12.5% Bolt holes 9.6% SNCF (1999) Squats 23.4% Internal fatigue 11.5% Shells 8.4% Thermite welds 4.7% HSPC (1999) Thermite welds 31.5% Wheel burns 17.2% Horizontal split webs 13.3% Bolt holes 11.3% NS (1997) Insulated Joints 59.4% Transverse defects 18% Thermite welds 15% Fatigue Failure 5.2% DB (1996) Thermite welds 29% Sudden fracture 18% Fatigue Failure 16% Electric bonds 4.0 % Banverket (1998) Transverse fracture 55.1% Welded joint 32.7% Horizontal defect 6.1% Vertical split 2.0% HH1 (1999) Vertical split heads 34.7% Thermite welds 20.3% Detail fractures 13.1% Bolt holes 12.2% HH2 (1999) Transverse defects 23.6% Thermite welds 15.5% Wheel burns 13.2% Shells 9.6% Table 1: Causes of defective rails (Source: Kumar, 2007) Rail breaks and derailments can cost the rail players in terms of loss of revenue, property, environmental damage or even loss of life. Estimation of these costs and analysis of risks are important in deciding effective maintenance strategies. In simple terms, risk can be defined as the chance or probability of loss, damage or injury. (Reddy, 2004) 5.1. Failure Mode and Effects Analysis (FMEA) FMEA is a step-by-step procedure for systematic evaluation of the severity of potential failure modes in a system. This process was originally developed in the 1960s, to analyse the safety of aircrafts, but has been since applied to several other fields, including nuclear power plants and the military. (Villemeur, 1992-A) Figure 8: Schematic representation of the FMEA. (Source: Villemeur, 1992-A). 5.2. Risk Priority Number (RPN) Risk priority number (RPN) is a methodology for analysing the risk associated with potential  problems identified during (FMEA) (for details refer Reliasoft, 2005). Assigning RPN requires the analysis team to rate each potential problem per three rating scales: Severity Occurrence Detection After the ratings, have been assigned the RPN for each issue is calculated as mentioned below, RPN = Severity x Occurrence x Detection Rail maintenance issues can be broadly classified into: Inspection issues Issues related to rail wear, RCF and rail welding Rectification and replacement issues 6.1. Rail Inspection Issues The effectiveness of rail inspection depends on the efficiency and accuracy of the inspecting  equipment. It also depends on the skill and experience of inspectors. Error in inspection is an important issue and its reduction is a big challenge. This mainly depends on the technological limitations of the inspection equipment and the skill level of the rail inspectors. Figure 9: Rail inspection issues (Source: Kumar, 2007) 6.2. Issues related to Rail Wear, RCF and Rail Welding Figure 11 outlines the rail maintenance issues. The following sections briefly describe some  of these issues. Figure 10: Rail maintenance issues (Source: Kumar, 2007) 6.2.1. Rail Wear Issues Wear occurs due to interaction of rail and wheel. It includes mild and severe wear. Mild wear takes place slowly but severe wear is often much faster. Severe wear is predominant in curves and occurs dry conditions. Lubrication techniques are used to prevent such wears. Four commonly used techniques which are followed for rail-wheel lubrication are: Top of rail lubricators Wheel flange lubricators Wayside lubricators On board lubricators 6.2.2. Rolling Contact Fatigue (RCF) Issues In the late 1990s RCF accounted for about 60% of defects found by East Japan Railways, while in France (SNCF) and UK (Railtrack) the figures were about 25% and 15%,  respectively. RCF is a major future concern as business demands for higher speed; higher axle loads, higher traffic density and higher tractive forces increase (see Cannon et al, 2003). Rail grinding removes surface metal from the rail head. It is done mainly with intensions to control RCF defects and rail wear. Rail grinding became increasingly recognized for controlling RCF defects from 1980 onwards, prior to that it was mainly focused on corrugation removal. 6.2.3. Rail Welding Issues Small imperfection in welds can cause cracks to initiate. A defect free weld requires skilled  workforce, better weld material along with improved welding techniques and equipment. 6.3. Other Issues affecting Rail Wear, RCF and Rail Welding Risk and cost are analysed by rail infrastructure operators in maintenance decisions. It covers rail lubrication, rail grinding and rail weld. Other important issues are: Rail material Rail traffic density and axle load Track geometry In Conclusion, first a brief overview of rail structure is discussed. Then, diverse range of rail defects and degradation processes have been studied. From the literature analyses done, it is interpreted that there is a need for better ways to monitor and predict rail defects over a period based on operational conditions and maintenance tactics. A good knowledge of risk along with an idea of the methods used for risk analysis is also required. Hence, before improvement of any model or any empirical relationship associated with risk and failure, there should first be a familiarity with risk management tools and failure mode avoidance. This study focuses on some such tools. Also, the issues and challenges related to rail maintenance are discoursed. The aim is to reduce risks related to rail operation that leads to failure mode, by effective decisions associated to rail inspection, grinding, rectifications lubrications, and rail replacements. Some of the challenges in this area include development of cost effective maintenance decisions, reliability and availability of logistics support, which include availability of capable equipment, skilled personnel and availability of rail track. 8.1. References Allen, R., (1999) Finding best practice at the wheel/rail interface, International Railway  Journal, Volume 6, pp. 48-50. European Commission Cordis (2017) AutoScan Rail inspection. Available from: http://cordis.europa.eu/project/rcn/203338_en.html sighted: [February 2017] Cannon, D. F., Edel, K.O., Grassie, S. L. and Sawley, K. (2003) Rail defects: an overview,  Fatigue Fracture of Engineering Materials Structures, Volume 26, October 2003, pp.  865-886. Ernest, T. S. and John, M. W. (1994) Track Geometry and Substructure Management,  Thomas Telfold. IHHA (2001) Guidelines to best practices for heavy haul railway operations: wheel and rail  interface issues, International Heavy Haul Association, May 2001, Virginia, USA. KUMAR, S. (2007). Study of Rail Breaks: Associated Risks and Maintenance Strategies. Lulea Railway Research Center (JVTC)  MIL-STD-1629A, (1980) Military Standard Procedures for Performing a Failure Mode,  Effects and Criticality Analysis, Department of Defence, USA. Available from: http://www.uscg.mil/hq/g-m/risk/e-guidelines/RBDM/html/vol4/Volume4/Toolspec_Rec/FMEA/MIL-STD-1629A.pdf sighted: [February 2017] Reddy, V. (2004) Modelling and Analysis of Rail Grinding Lubrication Strategies for  Controlling Rolling Contact Fatigue (RCF) and Rail Wear, Master Thesis, Queensland  University of Technology, Brisbane, Australia. Reliasoft (2005) Examining risk priority numbers in FEMA, Reliability Edge, volume 4,  issue1. Available from: http://www.reliasoft.com/newsletter/2q2003/rpns.htm sighted: [February 2017] VILLEMEUR, Alain (1992-A, 1992-B). Reliability, Availability, Maintainability and Safety Assessment, A: Vol. 1: Methods and Technique. B Vol.2: Assessment, Hardware, Software and Human Factors: John Wiley Sons. 8.2. Figures: Figure 1: https://upload.wikimedia.org/wikipedia/commons/thumb/4/4b/Rail_profile.svg/800px-Rail_profile.svg.png?1487817217791 Figure 2: http://www.ndt.net/article/v07n06/thomas/fig3.jpg Figure 3: http://www.railwayexpertwitness.com/images/inspect9-300.jpg Figure 4: https://www.researchgate.net/publication/229632336/figure/fig8/AS:[emailprotected]/Figure-1-Tache-ovale-or-kidney-rail-failure.png Figure 5: http://www.ndt.net/article/0698/schub/fig1.gif Figure 6: http://mikes.railhistory.railfan.net/imfile/09192.jpg Figure 7: http://railmeasurement.com/wp-content/uploads/2015/04/corrugation-track1.jpg Figure 8: VILLEMEUR, Alain (1992-A, 1992-B). Reliability, Availability, Maintainability and Safety Assessment, A: Vol. 1: Methods and Technique. B Vol.2: Assessment, Hardware, Software and Human Factors: John Wiley Sons. Figure 9 and 10: KUMAR, S. (2007). Study of Rail Breaks: Associated Risks and Maintenance Strategies. Lulea Railway Research Center (JVTC)

Essay --

This paper takes a case analysis approach to considering the ethical and legal implications of the â€Å"right† to health care in contemporary America. The case scenario assumes that the government has enacted a new national health care policy. All citizens are guaranteed an annual income of $20,000 and the right to purchase (at an annual cost of $1,500) a comprehensive health insurance policy covering all routine medical and hospital costs. People who fail to purchase this insurance plan must pay cash for all health services. If non-insured individuals do not have the money to pay for services, the hospital and/or physician will deny treatment. This â€Å"comprehensive† insurance package is not without certain important limitations and exclusions. Notably, no coverage is provided for illness or disability arising directly from the individual’s own unhealthy behaviors (e.g., smoking, overeating, drinking, etc.). This paper examines the legal and ethical implications of this health care system (for individual patients, hospital administrators, health care providers, and the society at large) by looking at the situation facing two hypothetical patients. The first patient, â€Å"Mr. Puffer† purchased the $1,500 plan but finds that costs related to the treatment of his lung cancer are not covered (because Mr. Puffer is a long-time smoker). The second patient, â€Å"Mr. Spender† has failed to purchase the insurance plan and is now being denied admission and treatment for his acute appendicitis since he has neither insurance coverage nor the cash to pay for the treatment. Both Mr. Puffer and Mr. Spender contend that the hospital has violated their right to health care. Health Care as a â€Å"Moral Duty† versus a â€Å"Moral Right† The two patients’ claim... ...only solution to the dilemmas posed in this case is to completely re-design the health care system. It must have as its starting point a system of distributing health care benefits based on moral values, not marketplace values. A good beginning would be adherence to the moral principle that health care is (as both Mr. Puffer and Mr. Spender asserted) a basic right not a privilege based on income level or â€Å"good behavior.† If health care is indeed a right and not a privilege, an ethical system should provide for universal access to health care. Having established these basic guiding principles, the system designers would then have to grapple with the logistics of rationing existing health care resources (as necessarily limited by technology, funding, etc.) in a manner which takes into account principles of distributive justice and the underlying values of the society.

The Curse of the Sacred Fruit

In the beginning of time a serpent slithered through a garden as he notices a soft nude woman walking alone. The serpent comes up behind her and tells the beautiful woman of the apple from a sacred tree that will make her as all knowing and powerful as god. Although god had told this woman to never eat from this sacred tree, she was convinced by the evil snake. After convincing her male companion they both eat the sacred apple and immediately are awaken as their eyes open wide. That very instant they, for the first time in human history, become aware of their physical self; the birth of self hatred of the human form had emerged. Soon after God exiled Adam and Eve from the Garden of Eden and dammed their ancestors. Today a young girl stands in front of a mirror disgusted by what is been reflected upon her. This girls struggle against the disease her primordial ancestor had given her is depicted in Eavan Boland’s poem â€Å"Anorexia. † As Boland begins her own demise she is envisioned with the beginning of time where man had not yet fallen and self awareness had not been created; a vision that will consume her to do whatever it takes to go back to Eden. As the speaker stares at the mirror she is consumed with negative thoughts in her mind. She begins to believe her â€Å"flesh is heretic†(line 1) as her body is rejecting her ideal thought of what she wants it to be. Her flesh begins to play tricks on her as it â€Å"Meshed [her] head / in the half-truths†(7-8). Her flesh becomes â€Å"a witch†(2) using tricks to control the girl from not eating. To cure this manipulative disease she is to destroy her exterior. In the following lines the speaker becomes much more explicit in how she is to cure herself: I am burning it Yes I am torching Her curves and peps and wiles They scratch in my self denial Here it shows how she is starving herself by burning away whatever fat remains from her fragile bones that are protruding from her skin as she now becomes â€Å"starved and curveless†(16). Boland begins a slow and painful suicide to bring an end to her disease. Boland falls sleep and enters a vivid dark dream which reveals to her the beginning of her disease. In this vibrant dream she in trapped inside a place she describes as â€Å"a claustrophobia†(22). In this â€Å"sensuous enclosure†(23) she hears the â€Å"warm drum†(25) beat of a man’s heart and the â€Å"song of his breath†(26). â€Å"Sleeping in his side†(27) she is â€Å"a rib†(19). Boland has regressed back to the beginning of time before the sins of Eve when she was only one rib of Adam. In this dream she discovers what she needs to do to get ride of her disease. She wants to return back inside the womb of Adam. To return to Eden were life was blessed with no self-awareness, and no anorexia. She hopes to erase Eve’s mistake of the past and not eat the scared fruit. She will finally be able to live a life without self awareness and end the struggle that has consumed herself against her own flesh. Boland will finally â€Å"grow / angular and holy†(35-36) again. After she is awakened she is obsessed with returning back to Adam and the Garden of Eden to finally be filled with bliss. Returning to Eden â€Å"will make me forget†(40), forget â€Å"the fall†(42) she proclaimed. She will forget the fall of mankind and the creation of the disease that has destroyed her from within. She wants to also forget the hell of what is anorexia as she goes â€Å"into forked dark / into [the] python needs†(43-44). Sadly the only way she can possibly reach the gates of Eden would be through suicide which she has already begun. â€Å"Only a little more†(28) she says, â€Å"only a few more days†(29) until she is dead and can be â€Å"back into him again†(32). It is unknown what happens to the girl next, all we are certain off is that the disease of anorexia had beaten her to nearing or even committing suicide. The â€Å"witch† was able to trick her to figuratively burn herself alive in agony and pain. In the mist of all this, her lack of nutrition caused her to hallucinate of the beginning of time when Humanity was only one being, a time when there was no self awareness and no anorexia, a time when man had not yet fallen. This vision that continues to consume her was merely an illusion from the witch and the serpent. All it was was a mere trick to convince her to committee suicide and break god’s major law. Killing herself to return back to Eden will come to no prevail as suicide will only lead her to an eternity in the depths of hell with the serpent, an eternity of living with anorexia.

Skinner &Behaviorism essays

Skinner &Behaviorism essays Behavioral Cognitive Theories And Techniques Frederick Community College There were several predominant theorists in the cognitive behavioral meta-theory. Each theorist came to their conclusions, were received, and added to therapeutic skills in different ways. Their biographical history allows for a better understanding of how they came upon their conclusions. Their theories add to the understanding of human nature. Their critics expose flaws or oversights in the theories. The techniques used in the action stage of therapy today all have some historical roots in these theories and the theories of others. The overall goal being to focus on making changes in behaviors, thoughts, and feelings while continuing to explore feelings and examine values, priorities, barriers. Behaviorism began when Ivan Pavlovs dogs began to salivate upon hearing the sounds of food being prepared. Unfortunately this phenomenon ruined his saliva measuring experiment but it contributed the theory of classical conditioning. The theory is that when an unconditioned stimulus is paired with a neutral stimulus many times a conditioned stimulus and conditioned response will result. The unconditioned stimulus (US) in Pavlovs experiment was the food, which caused the dogs to salivate. The unconditioned stimulus normally elicits this reaction. The neutral stimulus, something that does not normally elicit the same reaction as the unconditioned stimulus, was a tone or bell. When the two were presented together the conditioned stimulus or learned stimulus became the tone and the learned behavior or conditioned response was to salivate. John B. Watson (1878 1958) expanded Pavlovs theory into the behaviorism. Due to his contribution he became know as the Father of American Behaviorism. He described behaviorism as the study of overt rather than covert behavior. His emphasis was on objectivity instead of extrospection. This concept was drastically diff...

The Advantages and Disadvantages of One Mass Media Essay Example

The Advantages and Disadvantages of One Mass Media Essay Example The Advantages and Disadvantages of One Mass Media Paper The Advantages and Disadvantages of One Mass Media Paper Topic: The advantages and disadvantages of one mass media Writing In the modern twenty-first century, media has played an irreplaceable role of people’s daily life. Among many kinds of mass media like TV, newspaper, books†¦ the Internet stands out to be one of the most important and essential kinds of media, even considered as the most crucial one. The Internet has greatly benefit human in the modern life since the first day of its existence, despite having been existing for only one century, much less than other kind of media, such as the radio and the television, the Internet has proved itself to be very effective, convenient and entertaining to its users. The first to mention is that Information has been made available easily because of this wonderful technology. Search engines, websites dedicated to different subjects and large amount of articles and papers are available for everyone in a matter of few seconds. Whether this information is about the latest news happenings in the world or information about your favorite celebrity, everything is available at your fingertips. With this housing tool of information, people cannot only easily improve their knowledge, but also save much time of reading hundreds of books at the library or doing some exhaustive researches. This enormous amount of information is particularly quite valuable to students who need it for their school subjects and further study in their favorite subjects. Furthermore, now many books are being converted into the digital editions, and e-education have become very popular and has been considered quite useful, the source of information now not just stop at the library or in the classroom, but available online everywhere. The second but not less important is that it brings people great convenience. With email and many social networks, communication now has become easier than ever, in other words, the internet has opened up a new era for communication. It is now quite easy for us to send a message to a friend across the globe in just a nick of time with only a click, which seemed to be impossible 70 years ago. This also allow businesses to expand more widely and develop much faster than before, they can communicate with their customers and co-workers, who may live all around the world via Internet. The chat room, conference and even chat with webcam, which allows you to talk as if the person you’re talking to is right next to you, is now also available thanks to internet. Also, shopping has had a complete makeover on account of the contribution of the Internet. Online shopping now is so convenient that they have many websites selling a variety of products of products online and one just needs to select or bid for the desired product and the entire financial transactions can be conducted through the internet. Transferring money no longer so money-consuming, with some action on the keyboard, your money can be transferred safely to where you want it to be. Last but not least, the entire entertainment industry has been completely revolutionized by this marvelous invention of man. There is not a need for you to go to the cinema to watch a movie any more, just sit back comfortably in your couch and enjoy it on your computer. There are now many companies offering you services to let you download the movie or may even watch it online via their fast Internet connection. Just like that, now you can download your favorite songs, videos, images to your PC or laptop almost free of charge, there are number of software that allow you to download and share your music and videos. Moreover, Internet gaming now is very popular, it allows gamers to compete with each other on the game even if they are staying far apart. The Internet also create chances for people from different cultures and background to share their thoughts, have fun and make friends. Likewise, it also help people finding their soul mates with online dating. In conclusion, modern life and business has become easier and the world markets have shrunk thanks to the immense contribution of the internet technology to communication and information sharing, it not only allows for ease in communication through email but also ensures easy availability of information, images, and products among other things, every day the Internet provides us with many facilities that is immensely convenient and make life much easier for many people all around the globe. _____________Nguyen Duc Anh – CNN 10A __________

Wolfgang Tillmans essays

Wolfgang Tillmans essays Wolfgang Tillmans was once quoted to say that with his work he was challenging the institutionalization of the image within both the gallery and the magazine. The photographs that he takes are of everyday things, such as a woman picking vegetables in a grocery store, gallons of juice sitting on a shelf, or even a mans shoe. There are many pictures found in magazines that consist of the same type of subjects. But look closely, and you will see that their views on these subjects are completely different. The way in which Wolfgang Tillmans portrays everyday life through his work shares both similarities and differences with the way in which the mainstream magazines decide to portray it. Tillmans photographs share a few similarities with some of the pictures that are used in common magazines, whether they are advertisements or a photo accompanying an article. Using Tillmans photograph of the city and comparing it to others found in magazines, it is easy to see the similarities between them. In Tillmans work, the city is presented as dark and dismal. You obtain this feeling when you look at the gray sky that casts a heavy shadow on the city below it. It is as if the city is being engulfed in darkness. It is the same scene in the magazine pictures. Many of the pictures of cities in the magazines had the same effect. The sky is dark, and it casts deep shadows onto the ground below. The buildings hardly contrast from one another in both Tillmans and the magazines photographs. The colors are the same on each building. It is as if they blend together, creating something dull and boring. Even the trees become dark and mixed in with their surroundings. Everything seems to become one, leaving little contrast between foreground subjects. Tillmans photograph focuses on one main subject, which is the woman. There are no other people around her. She is alone in this city. The magazine pictures do the ...

The Symposium Reflective Journal Term Paper Example | Topics and Well Written Essays - 500 words

The Symposium Reflective Journal - Term Paper Example Socrates’ speech is one of the latest ones and it is in typical Socrates’ manner – dialogue. Using persuasive arguments Socrates responds to the, previous to his, speech of Agathon asking the man some questions that logically lead them to some crucial conclusions about Eros. Socrates claims, and it sounds really reasonable, that â€Å"Eros is love, first of all, of some things, and secondly, of whatever things the need for which is present to him† (Plat. Sym. 200e). The next following logical arguments that come after this one claim that Eros strives to beauty but it isn’t beautiful itself as it wants only to possess beautiful things. The point seems not really convincible as the concept of love becomes totally vague. The first reason is that if Eros is a kind of love that wants to have beautiful things in its possession and preserve them, then how does it work in real life and where does this Eros exist? What kind of phenomena is this? Retelling hi s dialogue with some woman Diotima, Socrates comes to the conclusion that it turns out that Eros is ugly as far as it strives to possess beauty, and Socrates argues that ugly thing cannot be good (Ibid. 201c). From this point it is impossible for Eros to be a god. Diotima solves the dilemma and answers the question of the essence of Eros. She points out the Eros is â€Å"a great spirit: for the whole of the spiritual is between divine and mortal† (Sym. 202e). The Diotima’s definition of the essence of Eros shows that it is a special force which is a kind of medium between gods and humans, it is a sort of connection between them which also helps people to connect with gods. The Socrates description of Eros becomes logical in connection with the entire doctrine of world view described in Plato’s dialogues. Probably, Eros is the force that connects the world of ideas with the material reality and makes everything in this world to move and

The Irish Economy Essay Example | Topics and Well Written Essays - 2500 words

The Irish Economy - Essay Example Our paper is divided into five sections. The first one is the discussion of the current economic state of Ireland particularly using the 2008 and 2009 data plus the recent 2010 figures for an update, then we discuss the contributing factors to such a state in the next section. To get into the details, we examine and analyze the fiscal and monetary policies done recently. This will compose of the third and the fourth sections respectively, wherein analyses using economic theories will be in-depth. The last section discusses the question of how successful has the Irish government and the Central Bank been in managing the economy. Here we will be able to directly answer the question. Ireland has been a success story, until the recent global economic recession. From an agricultural country at the start of 1900, Ireland experienced an unprecedented economic growth with its GDP doubling in size in a little more than a decade (ESRI). It entered the European Union in 1973, as one of the pioneering countries. Fuelled by its EU membership and several investment promotion policies, the Irish economy became the fastest growing economy among the EU members (iExplore). "In recent decades the Irish economy has been transformed from being agrarian and traditional manufacturing based to one increasingly based on the hi-tech and internationally traded services sectors. In 2007, the services sector accounted for 64 per cent of Irish GDP, while industry accounted for 33 per cent and agriculture just 3 per cent" (ESRI). Ireland's economic transformation was achieved through the promotion of export-led and advanced technology business thorough an open economy. It has attractive packages to investors with its banking and finance growing significantly, together with tourism (iExplore).Mr. John Hurley, Governor of the Central Bank and Financial Services Authority of Ireland noted that the current Irish economy is not comparable to what it has been 20 to 25 years ago, particularly in the area of standard of living, transforming from a relatively low standard of living to one with an average per capital income being above the entire EU Average (Hurley). Over-all, it is the EU membership that can be safely assumed to have brought forth the change in Irish economy, transforming it from a mainly agricultural society into the "modern, technologically advanced Celtic Tiger economy" (European Union). The remarkable economic growth that the country has achieved face an uphill at the start of 2007. "The pace of economic growth decelerated in the second half of 2007, largely due to a contraction in housing construction. In 2008 it is estimated that output fell for the first time since 1983, and the recession deepened in 2009" (ESRI). The graph below shows the GDP growth from 1997 to 2009. After 11 years of positive growth, with the highest posted in 1999 at near 12%, Ireland suffered a recession in 2008 and 2009. It posted a real GDP growth of around -2.5% in 2008 and around -7.1% in 2009. Source: (ESRI) The decline in GDP has been manifested in various economic aspects such as prices, production and employment. Volatile Money Supply: Irish Inflation Inflationary pressures has

Strategic management Essay Example | Topics and Well Written Essays - 500 words - 4

Strategic management - Essay Example n order for JetBlue Company to grow, the company should put new emphasis on the grand strategy for growth, operational excellence, and customer intimacy at the corporate level. It should also engage generic strategies of differentiation and overall low cost leadership at the functional level. Mainly, the strategy should include offering an amazing quality product and service that should be summarized under JetBlue experience, network expansion, low fares, and quest for low operating expenses and should invest in new and economical planes. JetBlue Company puts in place five core values to replace the formal mission statement. These values are safety, care, fun, integrity, and passion. The five values are more significant in that they are printed on every paper that JetBlue company issues. These values also provide a framework for the company’s culture. Adams insists that once a company’s values are framed, the company’s culture follows. The company looks forward to enhance the JetBlue experience so that it can differentiate itself from the competition from other companies with similar interests. For the JetBlue Company to continue to grow, it needs to formulate a new vision and mission statements. This is if the company is to remain true to being a low-cost carrier that endeavors to deliver on-time service with the most competitive airfares in the industry. It is the duty of any company to form a strategic management once it formulates a mission statement. This statement allows the firm to realize its potential while having minded what it wants to avoid as it grows successfully. JetBlue Company’s mission has been to be renowned low cost-carrier and the company has been reluctant to change its vision and mission statement. For JetBlue Company to have a clear direction of where it is headed, the company should put together more than a ten-word sentence in order to convey the firm’s mission. The values should be differentiated by making five core

Globalisation and Mass Media Essay Example | Topics and Well Written Essays - 2500 words - 1

Globalisation and Mass Media - Essay Example Mass media has always acquired a prominent position in the first world countries like the United Kingdom and the United States. ‘Marketplace of Ideas’ is the term which is often applied to mass media. This media includes video, film, recorded materials, books, newspapers and magazines. The United Kingdom, like many of the other developed countries, is flooded with communities from almost all the continents. Therefore, much like the USA, a heterogeneous population has been formed automatically in this country. Mass media is a huge political and social motivator and history has proved its unparalleled power time and again. In today’s scenario, the actual influence of mass media in the era of globalisation is particularly noticeable on the field of marketing. Internationalization of marketplaces has considerably influenced the electronic mass media in the United States of America, so also in other first world countries. We can support this argument by keeping a track of revenues generated from film and television industries. In 1991, bulk of revenues came to the capital flow in the US marketplace through film and television industries. Crossing the national borders, it has been possible for the media corporate to reach out for markets in other countries. With the rapid advent of technology, mass media has captured the attention of international audience through services like cable television, multichannel radio and video outputs. Moreover, cultural industries in the US have crossed the linguistic and geographic barriers to reach out to an audience which is heterogeneous in characteristics. (Globalization of the Mass Media, p. 3) Global economic liberalization, deregulation and privatization in recent times have initiated changes in the context of communication. This liberalization is also involved with intellectual property laws. Trademarks, copyrights and legal privileges have been made flexible keeping the issue of international business as the

The International Jurisdiction of the Internet - A Study in Essay

The International Jurisdiction of the Internet - A Study in Perspective - Essay Example According to Leiner, et.al. (2003), the history of the Internet revolves around four distinct aspects: the technological aspect, operational and management aspect, social aspect, and commercialization aspect. â€Å"The technological evolution that began with early research on packet switching and the ARPANET (and related technologies), and where current research continues to expand the horizons of the infrastructure along several dimensions, such as scale, performance, and higher level functionality. There is the operations and management aspect of a global and complex operational infrastructure. There is the social aspect, which resulted in a broad community of Internauts working together to create and evolve the technology. And there is the commercialization aspect, resulting in an extremely effective transition of research results into a broadly deployed and available information infrastructure.† (Leiner, et.al. 2003)According to Leiner, et.al, the history of the Internet r evolves around four distinct aspects: the technological aspect, operational and management aspect, social aspect, and commercialization aspect. â€Å"The technological evolution that began with early research on packet switching and the ARPANET (and related technologies), and where current research continues to expand the horizons of the infrastructure along several dimensions, such as scale, performance, and higher level functionality. There is the operations and management aspect of a global and complex operational infrastructure.

Case summary Assignment Example | Topics and Well Written Essays - 250 words

Case summary - Assignment Example Despite its success in early periods of operation, LEGO faced some internal issues which jeopardized its competitiveness in the market. Between 1998 and 2004, the company registered massive revenue loss linked to inefficient manufacturing and distribution systems of the company. The management ignored production costs, which led to high volume of wastes. The company has developed a complex operation mechanism, courtesy of its many operating years. This only meant an increase in operation costs associated with its supply chain and production sections. There are a multiple issues facing LEGO, which need strategic planning in order to overcome. First, the company faces stiff competition from other companies entering the building toy industry. Some companies even manufactured plastic bricks products attuned to LEGO’s products. The situation worsened in 1988 when the company’s plastic design patent expired, reducing competition barrier in the industry. Second, acquisitions, for example Disney acquired Marvel Entertainment increasing the pressure of competition on LEGO. Third, legal battles also threatened the company’s efficiency. Court fights with other companies such as MEGA Brands over trademark registration resulted into massive loss for the

Globalisation and Mass Media Essay Example | Topics and Well Written Essays - 2500 words - 1

Globalisation and Mass Media - Essay Example Mass media has always acquired a prominent position in the first world countries like the United Kingdom and the United States. ‘Marketplace of Ideas’ is the term which is often applied to mass media. This media includes video, film, recorded materials, books, newspapers and magazines. The United Kingdom, like many of the other developed countries, is flooded with communities from almost all the continents. Therefore, much like the USA, a heterogeneous population has been formed automatically in this country. Mass media is a huge political and social motivator and history has proved its unparalleled power time and again. In today’s scenario, the actual influence of mass media in the era of globalisation is particularly noticeable on the field of marketing. Internationalization of marketplaces has considerably influenced the electronic mass media in the United States of America, so also in other first world countries. We can support this argument by keeping a track of revenues generated from film and television industries. In 1991, bulk of revenues came to the capital flow in the US marketplace through film and television industries. Crossing the national borders, it has been possible for the media corporate to reach out for markets in other countries. With the rapid advent of technology, mass media has captured the attention of international audience through services like cable television, multichannel radio and video outputs. Moreover, cultural industries in the US have crossed the linguistic and geographic barriers to reach out to an audience which is heterogeneous in characteristics. (Globalization of the Mass Media, p. 3) Global economic liberalization, deregulation and privatization in recent times have initiated changes in the context of communication. This liberalization is also involved with intellectual property laws. Trademarks, copyrights and legal privileges have been made flexible keeping the issue of international business as the

Case summary Assignment Example | Topics and Well Written Essays - 250 words

Case summary - Assignment Example Despite its success in early periods of operation, LEGO faced some internal issues which jeopardized its competitiveness in the market. Between 1998 and 2004, the company registered massive revenue loss linked to inefficient manufacturing and distribution systems of the company. The management ignored production costs, which led to high volume of wastes. The company has developed a complex operation mechanism, courtesy of its many operating years. This only meant an increase in operation costs associated with its supply chain and production sections. There are a multiple issues facing LEGO, which need strategic planning in order to overcome. First, the company faces stiff competition from other companies entering the building toy industry. Some companies even manufactured plastic bricks products attuned to LEGO’s products. The situation worsened in 1988 when the company’s plastic design patent expired, reducing competition barrier in the industry. Second, acquisitions, for example Disney acquired Marvel Entertainment increasing the pressure of competition on LEGO. Third, legal battles also threatened the company’s efficiency. Court fights with other companies such as MEGA Brands over trademark registration resulted into massive loss for the

In Miltons paradise lost, god Essay Example for Free

In Miltons paradise lost, god Essay In Miltons Paradise Lost, God is portrayed as having limited influence and contact with our world. This is perhaps a result of his respect for free will/conscience. This lack of contact is supported by one; Gods passiveness, there are several situations in the book in which God seems like he should be able to influence events but he simply doesnt act. When he does act, he acts indirectly. God seems to execute his plans through either his angels or his son. Finally, perhaps the best indication of Gods limited connections is in the cases where God uses complicated, elaborate plans to do things that if he really had 100% power he would perform simply and immaculately. In the book Paradise Lost, God plays a relatively passive role considering that he is by far the most significant character in this book. He seems to sit up on his heavenly throne and observes rather than interact with his creations. A good case of this is in Book three lines 80-90, when God watches Satan ascending from hell. It would seem that when he was alerted by Uriel, the archangel would have been a good time to intervene and smite down Satan. It almost seems like Miltons God wants the events of Paradise Lost to transpire because he yields so many times at so many opportunities to stop Satan. Satan should have been stopped at the very beginning. God must have foreseen this incident (the partaking of the forbidden fruit,) after all, does he not have sight of the future, past and present? (Book Three lines 75-80) Sadly, no-one will ever know what God was planning when he allowed Satan to run rampant in the garden. Or then again, maybe God wasnt planning anything at all but rather leaving events to unfold without divine intervention, thus his seeming respect for free will. The only problem with that theory though, is that God punished Adam and Eve for making a decision with the free will that he gave them. Two other instances make cases against Gods absolute power. Why was hell so easily escaped by Satan? One would think that a Purgatory created by God himself would be impenetrable. Even stranger is the case with the Angelic War. Although for the most part symbolic, God either was not capable or at least unwilling to strike down Satans attempted conquest before it began. Instead, God chose once again to remain passive and allow things to go along for awhile. A good question to ask at this point is just what are Gods intentions? If he truly wanted a perfect heaven with conformist angels, what is stopping him from taking their free will? That leads to the point that possibly the reason why Gods influence is limited is his own conscience, based on his respect of free will. When God does act in the story, it is almost exclusively indirectly through his Son, (as in Book Nine,) or through his Archangels. The most well-known case where God acts through his Son is when God sent him down to be sacrificed upon the cross. Although this specific event does not occur within this story, the reasoning behind it is lengthily discussed especially in Book Three. This however, only supports the thesis if one believes that Jesus is the son of God rather than the Christian view that God IS Jesus. (John, 8:58) Based on how Milton writes, it shows that he is using the interpretation of the Bible in which Jesus was created by God. Jesus plays a sympathetic role when it comes to mankind and often influences Gods decisions on what to do about Adam and Eve. He persuades God to allow him to go down to heaven to inform Adam about his state of sin. In this case, Jesus actually influences God rather than the usual case with God giving orders and Jesus acting carrying them out. God also acts a lot through his throng of angels. The archangels are his main instruments of manipulation. Of the seven archangels, Raphael, Michael, and Gabriel are the three most influential. God acts through Raphael most often. Raphael plays a large role in starting in Book Five lines 246-249 So spake thEtetnal Father, and fulfilld All Justice: nor delayd the winged Saint (Raphael)after his charge receivd. Raphael then proceeds down to the Garden to warn Adam and Eve of the impending danger posed by Satan. Raphael also spends Book Six and Book Seven informing Adam of the war in heaven and then telling him the nature of his own creation. Michael and Gabriel have slightly smaller roles than Raphael does; but they do get a chance to enact Gods will when he orders them to lead the faithful Angels in the war against Satan. The final case to prove Gods limited interactions and influence is when God seems to have to work around rules that he must have created himself. A good example of this is when he prepares for the redemption of man. It simply doesnt make sense that if God desires to redeem his creations that he simply doesnt grant them redemption from their sins. Instead he schemes up the elaborate plan to send his son down to receive punishment in place of man. Once again, this could be explained by God having to act within the parameters of what his conscience will allow, (regarding free will). Maybe God has to do these elaborate things so that he can justify to himself the redemption of man. Maybe he thinks that it is only right that somebody receives punishment. Cases similar in nature occur when God didnt keep Satan from entering the Garden of Eden and when he had to send the great flood. If not for his respect for free will, God wouldnt have had to allow mankind to sink so low. In Paradise Lost, Milton presents a God that is strangely limited in his actions and influence with his own creations. Whether through passiveness, indirectness, or a conscious distancing of himself God seems to allow many things to happen without direct intervention. However, this is not really a novel concept; people throughout history have questioned the concept of an all-powerful God in a very imperfect world.

Non Experimental Research Design Psychology Essay

Non Experimental Research Design Psychology Essay This chapter details the methodology that will be used to conduct this study. Methodology is an approach, or method used to conduct a research. The aspects that will be discussed in this chapter include the researchs design, approach, sample, instrument, procedure, and also data collection and analysis. 3.2 Researchs Approach and Design 3.2.1 Researchs Approach There are two types of approaches used in research, which are quantitative approach and qualitative approach. According to Blaxter, Hughes and Tight (as cited in Hughes, 2006) Quantitative research is a study that concerned with the collection and analysis of data in numeric form. It emphasizes relatively large-scale and representative sets of data, and is often presented or perceived as being about the gathering of `facts. Qualitative research is concerned with collecting and analysing information in as many forms as possible, mainly non-numerical form. It focuses on exploring smaller numbers of instances or examples which are seen as being interesting or illuminating, and aims to achieve `depth rather than `breadth. In this study, the data collected by researcher will be in numerical form, which obtained from the questionnaires. Thus, the approach used in this study is quantitative research. 3.2.2 Researchs Design According to Chua Yan Piaw (2006), there are three main designs in research, namely true experimental design, non-experimental design, and quasi-experimental design. True experimental design studies the relation between the independent variables and manipulated variables, manipulates the independent variables and observes the changes on manipulated variables. Non-experimental design is used when the treatment is not possible as the independent variables naturally exist, and the respondents will be randomly distributed into every group. This design studies the relation between independent variables and manipulated variables without manipulate the independent variables. Besides that, quasi-experimental design normally used to evaluate the effectiveness of certain program when then the randomly distribution of the respondents in the study is not possible. It studies the relation between independent variables and manipulated variables (Chua, 2006). Non-experimental research design According to Chua Yan Piaw (2006), there are a lot of non-experimental designs, including survey, field research, case study, action research, ethnography, and so on. Survey is one of the most widely used non-experimental research design, which used in different form of media, such as magazine, newspapers, and television to collect data from subjects who respond to a series of questions about behaviors and opinions regarding to certain issue, or to survey the effectiveness of a product or plan. Normally interview or quetionnaires will be used in collecting data. Field research refers to gathering primary data from a natural environment without doing a lab experiment or a survey, where the researcher must be willing to step into new environments and observe, participate, or experience those worlds by themselves. Case study is an in-depth analysis of a single event, situation, or individual, where the researcher examines existing sources like documents and archival records, conducts in terviews, engages in direct observation, and even participant observation, to collect the information in depth regarding to individual behaviours and social conditions. Action research refers to the research initiated to solve an immediate problem or a reflective process of progressive problem solvin lef by individuals working with others in teams or as part of a community of practice to improve the way they address and solve problems. Survey 3.3 Sampling According to Gay and Airasian (2003), sampling is the process of selecting a number of participants for a study in such a way that they represent the larger group from which they were selected (p. 101). Selecting a sample is a very important step in conducting a research study, particularly for quantitative research. The goodness of the sample determines the meaningfulness and generalizability of the research results (Gay Asian, 2003, p. 103). 3.3.1 Population The first step in sampling is to define the population. A sample comprises the individuals, items, or events selected from a larger group referred to as a population. The population is the group of interest to the researcher, the group to which the results of the study will ideally generalize (Gay Airasian, 2003, p. 102). The location of this study is Sabah, and the populations of this study are all the upper form students in secondary schools in Sabah, who are 16 to 17 years old. Initially, the researcher will obtains the information about the upper form students from all the secondary schools in Sabah, and then determine the samples which are involved in this study. The researcher will get the information about the total number of upper form students in each of the schools, because it might influences the outcomes of the study. 3.3.2 Sampling Method According to Chua Yan Piaw (2006), there are two main sampling methods, which are probability sampling and non-probability sampling (p. 189). According to Gay and Airasian (2003), probability sampling, which also known as random sampling, methods are possible for the researcher to specify the probability, or chance, that each member of a defined population will be selected for the sample, and these sampling are all based on randomness in the selection of the sample (p. 103). Non-probability sampling, which is also known as non-random sampling, methods do not have random sampling at any stage of sample selection, it is used when the random sampling is not possible, such as teachers or administrators select students or classes as the samples (p. 114). In this study, random sampling method will be used to select the sample. Gay and Airasian (2003) states that there are four basic random sampling techniques or procedures, namely simple random sampling, stratified sampling, cluster sampling, and systematic sampling, which are also referred to as probability sampling (p. 103). Simple random sampling is the process of selecting a sample in such a way that all individuals in the selected population have an equal and independent chance to be selected for the sample, where the randomness in sampling takes the selection of the sample completely out of the researchers control by letting a random, or chance, procedure select the sample (p. 103). Stratified sampling is the process of selecting a sample in such a way that identified sub-groups in the population are represented in the sample in the same proportion that they exist in the population (p. 106). Besides that, cluster sampling randomly selects groups, not individuals; all the members selected groups have similar characterisics, and it is most useful when the population is very large or spread out over a wide geographic area (p. 108). Lastly, systematic sampling is the sampling technique in which individuals are selected from a list taking every Kth name (p. 110). Although the instrument of students national identity is designed to be applicable to all students in Malaysia, the secondary school students will be selected to test the instrument in this study. The rationale of choosing upper form students as the target population to test the instrument is they might be more mature if compared to the lower form students who are only 13 to 15 years old. They might have a better understanding on the items stated in the questions, and perhaps they will give their response seriously. So, the outcomes which obtained from the upper form students might be more reliable and trustworthy if compared to lower form students. All upper form students from the secondary school in Sabah are over sampled. Two random samples of 200 students and 2500 students will be purchased for the two survey studies by using cluster sampling method. A number of schools will be randomly selected from each of the districts in Sabah as the representatives of those districts. The secondary school students in Sabah are eligible to receive the mailed survey. In the first survey study, the questionnaire will be initially sent to the random sample of 200 students to examine test-retest reliability of the instrument and its subscale. Then, a repeat mailing survey will be sent to the respondents from the initial mailing again. The test-retest reliability of the instrument will be examined using the data from the remaining surveys returned from both the initial and repeat mailings. In the second survey study, the sample needed to be large in order to conduct factor analysis to test the construct validity of the instrument. There is a general agreement among measurement methodologists that large sample sizes are required for the stability of results of factor analysis, the use of larger sample sizes in applications of factors analysis tends to provide results such that sample factor loadings are more precise estimates of population loadings and are also more stable, or less variable, across repeated sampling. The researcher will send the refined questionnaire to the second random sample of 2500 students in order to perform factor analysis, and then to test construct validity and internal consistency reliability of the instrument. 3.4 Researchs Procedures This study will be conducted in two stages. Stage one is the instrument development, and stage two is the instrument testing and refining. Stage one consists of three steps and stage two consists of five steps. Each of these steps is described in the following section. 3.4.1 Stage One: Instrument Development The instrument development stage has three steps: (1) developing conceptual and operational definitions of the construct of students national identity, (2) generating item pool, and (3) determining the format for measurement (or selecting a scaling technique for the measurement). All the three steps in this stage involved determination of content validity of the instrument of students national identity. a. Step 1: Developing Conceptual and Operational Definitions of the Construct. The first step in developing this instrument is to determine clearly what the concept of students national identity is. The definition of the construct, students national identity, is based onà ¢Ã¢â€š ¬Ã‚ ¦Ãƒ ¢Ã¢â€š ¬Ã‚ ¦Ãƒ ¢Ã¢â€š ¬Ã‚ ¦Ãƒ ¢Ã¢â€š ¬Ã‚ ¦Ãƒ ¢Ã¢â€š ¬Ã‚ ¦ (need more information from chapter 2) b. Step 2: Generating an Item Pool for the Instrument The focus of second step is to generate a large pool of items for all the dimensions of the construct of students national identity. In the beginning stage, it is better to generate more items. Thus a 60 items scale might be evolve from an item pool over a hundred items. The instrument of students national identity is designed to measure the degree to which a student à ¢Ã¢â€š ¬Ã‚ ¦. Wording of the items is very important and should reflect this goal of the instrument. Appropriate wording can accurately capture the essence of the construct. The items are evaluative in nature and can reflect respondents views about the desirability of something. Moreover, the researcher developed several negatively worded items with careful wording that examine students à ¢Ã¢â€š ¬Ã‚ ¦ besides developing positively worded items that measure students national identity. The purpose of constructing several negatively worded items is to detect respondents with acquiescence bias by their response pattern if there is any. Those respondents will not be included in the data analysis to avoid or minimize the influence caused by acquiescence bias. The issues related to acquiescence bias were discussed in detail in Chapter 2. After a large pool of items that measures students national identity is established, the dissertation committee will be first critique all the items before sending the item pool to the expert panel for content validity review. The researcher will revises the item pool based on comments of the dissertation committee. The items which are repetitive, inappropriate or poorly worded, confusing, or irrelevant to the construct will be eliminated or revised. After this revision, 84 items were retained in the instrument. c. Step 3: Determining the Format for the Instrument The researcher considers the format simultaneously with the generation of items so that the two are compatible. The Likert scales with five responses options is chosen to develop the instrument measuring the students national identity. Each item is presented as a declaration sentence, followed by the response options that indicate varying degrees of agreement with the statement. The five response options are: (1) strongly disagree, (2) disagree, (3) either agree or disagree, (4) agree, and (5) strongly agree. These five points Likert scales are ordinal scale level. Each item in the instrument is classified as two broad categories, which are favourable (positive) or unfavourable (negative). Scoting is reversed for negatively worded items such that disagreement with a negatively worded resulted in high score. At this step, the development stage is completed. Then, the researcher will moves on to the next stage, which is instrument testing and refining. 3.4.2 Stage 2: Instument Testing and Refining The instrument testing and refining stage includes give steps: (1) establishing content validity of the instrument, (2) developing directions for responding, (3) preparing a revised draft of the questionnaire, (4) examining test-retest reliability and pretesting internal consistency reliability, dan (5) testing construct validity and internal consistency reliability. All steps in this stage involve refining the instrument and testing the psychometric properties of the instrument. a. Step 1: Establishing Content Validity of the Instrument Determining the number of experts needed has always been somewhat arbitrary in content validity determination. According to Lynn (1986) (as cited in Wynd, Schmidt, Schaefer, 2003), a minimum of five experts (rates, observers, or judges) and a larger number of categories for data assignment yield greater absolute agreement and increase the risk of chance agreement. The use of more experts may therefore contribute directly to chance agreement (pg 511). The use of only two judges is not only statistically unjustifiable, but also it places the instrument developer at great risk of an erroneous conclusion that content validity has been achieved when it actually has not (Bu, 2005, pg 73). In this study, five experts who either have conducted research related to students national identity or have interest in students national identity will be asked to review the instrument as the content experts. A delineation of the full content dimentions of the construct of students national identity with specific instructions pertaining to the content relevance of each item are provided to the experts by mail or email for review. The five will be asked to return the instrument and their comments within four to five weeks. This review serves multiple purposes related to determining and maximizing the content validity of the instrument. First, having experts review the item pool, confirm or invalidate the definition of the phenomenon of students national identity and the content validity of the instrument is quantified. The experts will be asked to rate how relevant they think each item is related to what the researcher intends to measure. The instrument of students national identity includes three subscales. The general objective of the subscale of à ¢Ã¢â€š ¬Ã‚ ¦ is to measure the degree to which the studentà ¢Ã¢â€š ¬Ã‚ ¦ Under the broad objective, more specific objectives that are assumed to measure relevant items will provided as well. The intensity of students national identity can fluctuate over time but they are considered stable during a certain period of time, typically three to four weeks. These objectives will be sent to experts along with the instrument. The experts will be asked to rate the content relevance of each item to its general objective and its more specific objective. Content validity index (CVI)à ¢Ã¢â€š ¬Ã‚ ¦.. In addition, the experts will be asked to clarify reasons and provide suggestions if they disagree with some items included in the instrument. Second, the experts will be asked to evaluate the items clarity and conciseness. Sometimes, the content of an item may be relevant to the construct but its wording may be problematic. This yields problems on item reliability because an ambiguous or otherwise unclear item, to a greater degree than a clear item, may reflect factors extraneous to the latent variable. Third, in addition to judging each item, the experts will be asked to identify phenomena that were omitted from the instrument as a part of the content validity assessment. Thus, by asking experts to review the instrument in a variety of ways the researcher could capture the phenomenon of interest, and the expert reviewers help the researcher maximize the content validity of the instrument. The researcher will be paid careful attention to all suggestions from these content experts then made an informed decision about how to use their advice. The instrument will be revised to enhance content validity with the consensus of the dissertation committee. b. Step 2: Developing Directions for Responding The procedures for responding to the statements, as well as the meaning of the anchor points on the continuum, will be carefully develop and then reviewed by the dissertation committee chair and colleagues to avoid confusing respondents. Dillman (1978) (as cited in Bu, 2005) proposed some ideas about providing directions to subjects on how to answer questionnaires. He states that the encirclement process results in fewer ambiguous markings and should be encouraged. It is important that the same marking procedure be used throughout the questionnaire. Lower case letters are preferred for directions because of their greater readability (pg 76). The researcher will apply these suggestions when developing directions for responding. c. Step 3: Preparing a Draft of the Questionnaire. This step involves constructing a draft of the questionnaire and assessing the questionnaire. Three activities will be completed in this step. First, a section of questions for gathering demographic information from participants will be designed and included in the survey along with the instrument of students national identity. The purpose of developing this section of questions is to gather information that would be used to describe characteristics of the participants. Second is the issue of ordering the questions in the questionnaire. In this study, items that are measuring the same dimension will be grouped together. The questions that request demographic information are put at the end of the questionnaire. The questionnaire consists of two parts. Part one is composed of a series of items pertaining to students national identity. Items represented à ¢Ã¢â€š ¬Ã‚ ¦.dimensionsà ¢Ã¢â€š ¬Ã‚ ¦.. The form of the instrument of students national identity looks like the following sample. Item Strongly disagree (1) Disagree (2) Either disagree or agree (3) Agree (4) Strongly agree (5) Item 1 1 2 3 4 5 Item 2 1 2 3 4 5 Item 3 1 2 3 4 5 à ¢Ã¢â€š ¬Ã‚ ¦ Part two of the questionnaire consists of the demographic questions and includes à ¢Ã¢â€š ¬Ã‚ ¦Ãƒ ¢Ã¢â€š ¬Ã‚ ¦Ãƒ ¢Ã¢â€š ¬Ã‚ ¦ as well as characteristics such as age, gender, ethnicity, geographic location. Third, the questionnaire is distributed to à ¢Ã¢â€š ¬Ã‚ ¦. For the review of clarity of directions, ease of responding and time needed to fill out the questionnaire. d. Step 4: Examining Test-Retest Reliability and Pretesting Internal Consistency Reliability After questionnaire is produced, the researcher conducts two survey studies to gather data to examine construct validity and reliability of the instrument. Step 4 is to examine test-retest reliability of the instrument, preliminarily test internal consistency reliability of the instrument, and perform item analysis. It is assumed that the construct of students national identity does not change in subjects within two to three weeks. The researcher initially mailed the questionnaire to à ¢Ã¢â€š ¬Ã‚ ¦Ãƒ ¢Ã¢â€š ¬Ã‚ ¦.. In two to three weeks, a repeat survey will be mailed to the respondents from the initial mailing. The test-retest reliability of the instrument of students national identity and its à ¢Ã¢â€š ¬Ã‚ ¦Ãƒ ¢Ã¢â€š ¬Ã‚ ¦Ãƒ ¢Ã¢â€š ¬Ã‚ ¦..subscales are examined among the subjects responding both the initial and the repeat mailings. Cronbachs alpha of the instrument and its à ¢Ã¢â€š ¬Ã‚ ¦. Subscales is calculated using the data from the questionnaires returned from the initial mailing to pretest internal consistency reliability of the instrument and itsà ¢Ã¢â€š ¬Ã‚ ¦.subscales. In addition, an item analysis for each subscale will be performed using the data from the returned questionnnaires from the initial mailing for the purpose of refining the instrument. An item needed to meet Likerts criterion of internal consistency in order to be retained in the scale. A given item whose score significantly correlated with the relevant scale score, which is à ¢Ã¢â‚¬ °Ã‚ ¥ 0.3 is considered to meet the criterion of internal consistency and is retained in the instrument. An item whose score does not significantly related to the scale score, which is à ¢Ã¢â‚¬ °Ã‚ ¤ 0.3, is rechecked and determined for retainment, elimination or revision depending on theory, content of the item, function of the item in the instrument. e. Step 5: Testing Construct Validity and Internal Consistency Reliability In this step, the refined survey will be sent to à ¢Ã¢â€š ¬Ã‚ ¦.. to collect data in order to examine the construct validity of the instrument using factor analysis and the internal consistency reliability of the instrument using Cronbachs alpha. Factor analysis is performed using data from the returned questionnaires. Factor analysis is used to determine construct validity of the instrument of students national identity and select items for inclusion in the instrument. Factor analysis is a broad category of approaches to determine the structure of relations among measures (Nunnally Bernstein, 1994). Factor analysis can be used to determine: (1) grouping variables, (2) which variables belong to which factor and how strong their relationship, (30 how many dimensions are needed to explain the relations among the variables, and (4) a frame of reference to describe the relation among the variables more conveniently. There are two major approaches to factor analysis: exploratory factor analysis and confirmatory factor analysis. In exploratory factor analysis, one seeks to summarize data by grouping together variables that are intercorrelated. The variables themselves may or may not have been chosen with potential underlying structure in mind. Exploratory factors are defined to achieve a mathematical objective such as maximizing the variance accounted for. In confirmatory factor analysis, factors are defined directly, which incorporate the properties such as the number of factors and content (or variables) of each factor that have been hypothesized and then determine how well these fit the data (Nunnally Bernstein, 1994). According to Tabachnick Fidell (1983), exploratory factor analysis is usually performed in the early stages of research to consolidate variables and generate hypotheses about relationships in a reduced data set. Confirmatory factor analysis generally occurs later in the researc h process, when a theory about structure is to be tested or when hypothesized differences in structure between groups of research units are tested. Variables are specifically chosen to reveal underlying structural processes. Data used in confirmatory factor analysis, then, might be different from those used in exploratory factor analysis. Cronbachs alpha will be calculated in this large sample to determine the internal consistency reliability of the instrument of attitudes toward patient advocacy and its three subscales. Up to this step, the instrument of students national identity will be established. 3.5 Data Collection Schedule and Procedures There are some differences between the data collection schedule and procedures for the test-retest study and the construct validity study. For the test-retest reliability study, surveys with the cover letters will be mailed to the 200 randomly selected subjects. A stamped returning envelope will be included in the mail for return of the survey. A code number will be attached to the 200 subjects, and those respondents from the initial mailing survey will be identified and sent a repeat survey within two to three weeks after the initial mailing in order to examine test-retest reliability. Thus, anonymity of respondents is not ensured in the test-retest reliability study for the purpose of the repeat mailing to those who returned the survey. Considering budget limitation for the dissertation, the researcher will makes only one contact with the 2500 randomly selected subjects. In this contact, a mailing that included the survey, a detailed cover letter explaining the nature of the study and asking for response and a business reply envelope will be sent to the 2500 subjects. Since only one contact was made to the 2500 students, anonymity of respondents is ensured in the study. A codebook for data entry will be developed and reviewed. A data entry program will be set up to facilitate inputting data. Data will be entered as responses to the questionnaire are returned. Entered data will be verified to check for errors in data input by going over 25% of the returned and entered questionnaires and running frequencies of each item of the questionnaire. Any differences between original data entry and verification required checking the raw data and correcting the entered data. Data analysis will begins after completion of data entry and involved statistical consultation with the dissertation committee members. 3.6 Data Analysis and Interpretation Three types of data analyses will be conducted in this study, which are analysis related to reliability, analysis related to validity, and descriptive statistics. First, the content validity of the instrument will be determined by CVI. The CVI was the proportion of items given a rating of 3 (relevant and needs a little revision) or 4 (very relevant) to the objectives of a measure based on 4-point ordinal scale by at least six out of the seven experts (à ¢Ã¢â‚¬ °Ã‚ ¥86% agreement) in this study. Second, data from the respondents returned from the initial mailing in the test-retest study will be used for the analysis of Cronbachs alpha to pretest the internal consistency reliability of the instrument. Data from the questionnaires that are returned from both the initial and the repeat mailings will be used for examining the test-retest reliability. A total score for each of the subscales and the whole instrument will be obtained with the initial mailing, and a second total score for each of the subscales and the whole instrument will be obtained with the second mailing. The test-retest reliability coefficient of the instrument and its subscales will be obtained by correlating the initial mailing scores with the second mailing scores using Pearson Product Moment Correlation Coefficient. High correlation coefficient indicates high stability or test-retest reliability of the instrument. This reliability coefficient above .70 is considered satisfactory. Third, item analysis will be performed using data from the questionnaires returned from the initial mailing. Correlations among items within each subscale and between each item with the total subscale score will be examined. Items with low correlations with the relevant subscale score ( Fourth, factor analysis will be performed using data from the questionnaires to determine the construct validity of the instrument of students nationasl identity. Factor analysis is à ¢Ã¢â€š ¬Ã‚ ¦() In this study, exploratory and confirmatory factor analysis approaches will be used to examine the construct validity of the instrument. Exploratory factor analysis will be first performed to extract factors from the instrument of students national identity and determine the items to be included in the instrument. If evidence for construct validity exists, the number of factors resulting from the analysis should approximate the number of dimensions assessed by the instrument, and the items with the highest factor loadings defining each factor should correspond to the items designed to measure each of the dimensions of the instrument (Waltz et al., 1991). Exploratory factor analysis consists of two stages: extract factors and rotating extracted factors (Nunnally Bernstein, 1994). The analysis first condenses the variables (items) into the smallest number of factors that explain the most variance. Principal component analysis (PCA) and principal axis analysis (PAF) are two most popular ways to condense data. à ¢Ã¢â€š ¬Ã‚ ¦.. Then, three most common statistical rules were used to determine the number of factors. First, the Kaiser-Guttman rule retains factors with absolute eigenvalues of 1.0 or greater. However, this rule tends to suggest too many factors. The second rule is scree test that uses relative changes in these eigenvaluesà ¢Ã¢â€š ¬Ã‚ ¦.. Since the unrotated factors are usually difficult to interpret, the second stage of exploratory factor analysis is to rotate these factors to make them more meaningful or more interpretableà ¢Ã¢â€š ¬Ã‚ ¦.. Orthogonal and oblique rotations Results of the exploratory factor analysis will also be used for identification and selection of indicators (items) for the instrument. Confirmatory factor analysis was used to validateà ¢Ã¢â€š ¬Ã‚ ¦In confirmatory factor analysis, the researcher specifies which items load on each factor according to preconceived theory to test the theory. The result of this analysis indicates how well the empirical data actually conform to these specifications, that is, whether the items actually form the theorized constructs. In order to test the fit of the model to the data, multiple fit indices that reflect somewhat different facets of model fit are suggested à ¢Ã¢â€š ¬Ã‚ ¦.. Goodness-of-Fit Index (GFI) Comparative Fit Index (CFI) Adjusted Goodness-of Fit Index (AGFI) Root Mean Square Residual (RMR) Root Mean Square Error of Approximation (RMSEA) Finally, Cronbachs alpha will be calculated using the data from the returned surveys to determine the internal consistency reliability of the instrument and its subscales. High Cronbachs alpha indicates that the instrument has high internal consistency. Nunnally and Bernstein suggest that, for the newly developed instrument, the Cronbachs alpha with .70 is acceptable. Also, descriptive statistics such as frequency, mean, and standard deviation will be used to describe the characteristics of the sample in both the test-retest reliability study and the construct validity study. Test-retest reliability, item analysis, descriptive statistics, exploratory factor analysis and Cronbachs alpha will be performed using SPSS version 20.0.0 for Windows. AMOS 5.0 for