Community Health Advocacy Project Part Four Essay - 1

Community Health Advocacy Project Part Four - Essay Example The most prominent causes of depression in the elderly include lack of physical activity, lower self esteem and reduction in social activity. According to psychology people who exercise properly on a daily basis are less likely to contract various diseases whereas those people who manage to maintain an appropriate level of self esteem and keep on working hard towards attaining their professional and personal goals can avoid the possibility of depression because of their healthy lifestyle (Livingston, Blizard, & Mann, 1993). The nursing and other medical staff can help older patients in fighting depression by motivating them to maintain the habit of walking. Moreover, the medical staff should also promote the habit of reading in the patients because it is believed that books can help humans in recovering from diseases. The books are helpful regarding fighting depression because they provide patients with an opportunity to shift focus from the disease and thus they experience less psychological burden (Schulz, Drayer, & Rollman, 2002). Yee, the family and friends can also play a significant role in eliminating depression and hopelessness in the elderly because old people are found to be considering their children and family as true sources of motivation. More especially elders tend to extract happiness from educational and professional achievements of the children. Therefore it is suggested that families should maintain close contact with elders in order to prolong their life span. Yes, retirement can also be taken as an active cause of depression because it forces elders to think that they are not of any use to the society anymore. But it is the responsibility of the society to keep retirees busy in healthy activities like gardening. The elders should also be encouraged towards joining social clubs so that they can have sufficient social activity as

Learning What Was Never Taugh Essay Example for Free

Learning What Was Never Taugh Essay In this short story, author Sabine Reichel tells her tale of growing up in a post-WWII Germany education system. Her main focus is the lack of history being taught at that time. The specific history she is referring to being that of Adolf Hitler, the holocaust, and the Third Reich. She looks at her own experience with her teachers and then talks at length about an interview she conducted later in her life with an older man who was a teacher in post-war Germany. This teacher, Casar Hagener, was a relatively young man at the time of the war and was very much against what was going on. Reichel conducted this interview when Hagener was seventy-six. He speaks of being forced into the Nazi party, being drafted, and his contempt for his contemporaries. The majority of her experience with teachers involves them dancing and side-stepping around the entire block of time that Germany was at war. The piece concludes stating that the German students today know more about Hitler and the Third Reich than any previous generation. Reichel could give more fact than observation if this piece were to truly hit home. She merely gives her own biased observation of what was going on with her teachers rather than any facts or case studies. Her inductive makes the story a bit weak in my opinion. I didn’t really find much to sink my teeth into in this story as Reichel only gives her point of view. There are no facts backing up her claim that German students today know more about Hitler and the Third Reich than any other generation. The language used in the story is quite descriptive. There were a few images that jumped off the page at me. One in particular was, â€Å"The dark clouds were gone, the past had been left behind, and he turned jocular and voluble again. † Another device used in the story is the simile. For instance when Reichel says the German youth must be, â€Å"resilient as leather, fast as a weasel, and hard as Krupp steel. The other example being, â€Å"A house without a fence is disorderly, like a coat with a missing button. † I read this story immediately after writing my response to Hotel Rwanda and it made me think about how much history repeats itself. In thinking about the genocide in Rwanda and the lack of action from the international community I think about the lack of action right now in Darfur. Watching Hotel Rwanda, I could only think that the international community would learn from what happened in Europe during WWII and learn from that.

Why Is the Term “World Cinema” Problematic?

Why Is the Term â€Å"World Cinema† Problematic? Generally the term â€Å"World cinema† is used for films produced in different countries of world, especially non-English speaking countries, i.e. why some people tries to explain it as a foreign language cinema. But world cinema is a much broader concept which includes the commercial and the artistic films produced by the third world countries. Actually, it has many different meanings than foreign language cinema. World cinema refers to all filmmaking countries. There is a lot of misunderstandings and complications regarding this term. To have the proper understanding of world cinema first we should have to go through with the world cinema history. Cinema was started from the year 1880s by US, but the duration between the years 1880 and 1904 is actually known as the American silent era. In these early years of cinema there a lot of inventions and innovations took place. Filmmaking was the commercial medium in US. There the first camera was invented by Dickson in the year 1890 and then first film was made. With the time many new inventions were been made. Some small studios were also made where audience could watch the film for some money. At that time cinema was limited to US audience only. At the same time, France was also efforting for cinema. In France, the Lumiere brothers invented the combination of camera, and projector named Cinematograph. And they were the first person there who produced movies and projected it publically in Paris in the year 1895.They continued it with filming many more events in France and send them to London and New York. In the year 1896, the first exhibition of Cinematograph took place in Latin America and after that it travelled many cities of the world like Bombay, Shenghai, Dakar, Manilla, etc.There, some more production companies and distribution companies distributed many films to US which improvised the image of cinema in Europe and US. But at the time of first world war, most of the European film industries were affected badly and most of them got shut. Due to which French Cinema lost its market. After the end of World War, French companies again tried to stand their industry. French film industry linked to to some art movements like Impressionism, DADA, and surrealism. Impressionism began in 1860 in France, and many of impressionists believed that art should not be competed with realism and it should pick the artist`s impression to the external world. There should be impressionists films which should relate to the viewer`s heart and value. They should express emotional and mental states of film characters by manipulating the use of camera. According to them, there should be subjective camera work, use of optical devices and rhythmic reading. Before the First World War, German cinema was relatively insignificant industry. There was very little emphasis on film making until the govt. Recognised potential political value of cinema. Ultimately, due to the war the German cinema grew up. Where as, it declined in the rest part of Europe. The major cause of growth of German cinema was growth of isolationism. The German industrialists and politicians encouraged the German cinema a lot as they were politically influenced. Almost it became the legacy of German golden age. It gave a good impact on Hollywood by reinforcement of character and narrative visually conveyed. Before the revolution in 1917, Russian cinema was struggling to survive.There was a few number of films produced at that time but after the end of revolution, it passed through much more bad condition as there were conflicts between the red people and white people.That time the Russian cinema was almost finished due to the attacks by the foreign powers.there were some practice made by the government to save it.At that time Constructivism,the art movement, circus and montage were the influence there.According to these purpose of the art was to serve the society.Russian filmmakers changed there vision for film and approached films as scientists.Then popular art was taken as much effective that the traditional arts and there were visual effects been much emphasised than the story. British cinema was similar to the cinema of US with almost same technical, narrative and popularity.But with an increase in the number of sstudios in US it was down than Hollywood.British cinema was dominated by Hollywood because of the same language.In the year 1927 The British government passed Quota Act which was designed to limitise the import of Hollywood film in Britain and to stimulate the British films.But it was not running good in it early and mid cinematic history.But after the huge success of a British movie â€Å"The private life of Henry viirsquo in US, British cinema again started running well.Then in the year 1938 a new quota act was introduced and many British filmmakers came back on work with new style and The respect for realism, social issueslike domestic problems and Fascism in Europe. There was a significant contribution on doucumenatries afterwards.At the time of World War 11, a team of filmmakers working under government prepared for the war and began with th e production of propaganda films. After the war Italys most significant era of film making occurred in 1942-51 with a movement known as â€Å"Italian Neorealismrsquo. At this time the themes of the Italian films were focussed on the social and political issues and realism bordering on documentaries.Italian film industry was influenced by the other national cinemas like US, France and Great Britain.But before the Neorealism Italian films were made with high production values and special effects.These films were used to be imported by US.And it was popular in all over the Europe.But in 1920 the Fascist government came in rule and made the propaganda films and required theatre to show them. The government tried to control the film industry by it own but was unable to control effectively. The Fascist government provided two institutions named â€Å"Cinecitta and â€Å"Centro Sperimentale di Cinematografia. Cincitta was a huge production center with 12 sound stages which got some damaged at the time of the war.And the second one was a state-sponsored filmmaking school.In the era of Neorealism 1st real Neorealist film was made named â€Å"open city in the year 1945. Italian cinema was not popular even in Italy and US audience never accepted it.US took its advantage by making co-productions in Italy.French Poetic Realism affected the Neorealism and Hollywood was enjoying the advantages of Neorealism. After the war Europe became the true competitive of Hollywood for which the two world wars became the reasons.After world war ll Western Europe promoted the â€Å"auteurism means meant to be the personal expressions of individual artists. In the late 1940 and 50s a new term came in existence Tradition of Quality.There were studio systems. theatrical and literary and high production values.One more theory was there the â€Å"AUTEUR THEORY.According to this theoryfilms should be a medium of self expression.The Auteur critics rejected the the French tradition of Quality by saying that French cinema is much literary than cinematic.These critics preferred directors of French Poetic Realism and Italian Neorealism.Then the French New Wave took place there from year 1959-68. The directors of the new waves were critics first who were not influenced by the stage and literature but by the films and borrowed money for the low-budget films.The films produced in this period were not narratively influenced, their cinematic style and editing styles were not good.but when the French new Wave declined in the year 1968, many directors were absorbed into the French studio system and made the popular films which were low-budget popular and praised internationally.It was a major step in the European art cinema.These influenced the other movments and national cinemas like US,British,etc.The Auteur Theory became universal world wide directors approached this theory.

The Cyclooxygenase-2 Essay -- Health, Diseases

The cyclooxygenase-2 (COX-2) is a key enzyme in the conversion of arachidonic acid to prostaglandins, which promote cell proliferation, angiogenesis and metastasis, and inhibit apoptosis. Unlike COX-1, which is constitutively expressed isoform, COX-2 is an inducible isoform of cyclooxygenase and which may participate in inflammatory responses and contribute to inflammation and cancersthe development of colorectal cancer as well as other human cancers (1). COX-2 is not detectable detected in most normal tissues. However, it but is rapidly induced when stimulated by in response to mitogens, cytokines and tumor promoters, which leads to the leading to increased accumulation of prostanoids in neoplastic and inflamed tissues (2). COX-2 is highly expressed at high levels in intestinal tumors in rodents and humans (1). For example, Mmore than 80% of all colorectal tumors were shown to overexpress COX-2 (3-5). Epidemiologic studies have shown that taking aspirin or other nonsteroidal anti-i nflammatory drugs on a regular basis could reduce mortality from colorectal cancer by 40-50% compared with those who not taking these drugs (1). One characteristic shared by all of these drugs is their ability to inhibit COX activity and/or expression (1). Although COX-2 is expressed in 80-90% of human colon carcinoma specimens, not all colorectal cancer cell lines constitutively expressed COX-2. Constitutive expression of COX-2 was only detected in a relatively small number of established colorectal carcinoma cell lines (6). For example, human colon adenocarcinoma cell lines, HCT116 and SW480, have been described as COX-2 negative, since they did not express COX-2, neither at mRNA nor at protein level (7). COX-2-derived prostaglandin E2 (PGE2) ... ...t as well as when the conditioned medium will be collected, with multiple parameters in which not only COX-2 mRNA and protein as well as PGE2 levels will be observed, but also other relevant molecular markers or factors like those mentioned above. Not only paradoxical observations of COX-2 expression and the functional activity in human colon cancer cell line have been documented, the role of PGE2 on inflammation seems also paradoxical. Although PGE2 is a potent mediator of inflammation (55), it was suggested that PGE2, endogenous COX products, also inhibit acute allergic inflammation (56). Thus, PGE2 may produce both pro- and anti-inflammatory effects (57). More extensive well-designed experiments are needed to help us to unveil the secret of COX-2 expression and the functional activity as well as their roles in physiological and pathophysiological conditions.

My Plays Last Scene Essay

Death is a key theme in a number of John Donne’s poems, including ‘Death Be Not Proud’ and ‘This Is My Play’s Last Scene’. I have decided to compare these two poems with Emily Dickenson’s ‘Because I Could Not Stop For Death’. From the two Donne poems he releases a mixture of feelings including terror and fear however Donne introduces quite a quantity of Christian images to present death. This could have a lot to do with the multiple times Donne came close to death himself and the pressure and constant fear of death whilst being a Catholic under Jacobean England. Donne’s father also known as John Donne died in 1576, leaving his wife, Elizabeth Heywood, the responsibility of raising his many children. A few months after the death of Donne’s father, his two sisters Mary and Katherine died in 1581. Donne’s uncle William Harrington was tortured on the rack, hanged until not quite dead, then was subjected to disembowelment, this is thought to have had a great effect on John Donne and resulting in him questioning his Catholic faith. Emily Dickinson There are many ways which Donne shows his fear of death, one of which is the way he personifies it making it seem like a feared image that is actually standing next to him. In ‘This Is My Play’s Last Scene’ Donne refers to death as ‘gluttonous’ making us think that death is greedy for more victims and waiting for more people that ‘he’ can swallow up. Donne’s use of capitol letters whilst referring to death makes it seem more like a real person. Similarly, Emily Dickenson also personifies death in her poem ‘Because I Could Not Stop For Death’’ similarly to Donne by her use of capitol letters for ‘death’. Donne says ‘†¦will instantly unjoint’ making it sound like being ripped apart from earth and taken to another life against your own will. Antonio S. Oliver once said about Donne ‘’ Some poems depict death as insignificant while others present it as something he, and therefore humans, should fear’’. I agree with this quote because ‘This Is My Play’s Last Scene’ greatly emphasises the fear that Donne quite obviously had towards death whilst writing this poem. This fear of death was probably generated by the Catholic climate in the late 16th Century and early 17th century. It was dangerous to be a Catholic in England at this time. You could not, if you remained faithful to your religion, hope to play any part in public life, and you were debarred from graduating university, something which Donne experienced firsthand. Donne was educated privately from the age of 11. After three years at Oxford he was admitted to Cambridge, where he studied for a further three years. He was unable to obtain a degree from either institution because of his Catholicism, since he could not take the Oath of Supremacy required of graduates. However, Donne uses euphemisms as a way of reassuring that death is not as fearful as he otherwise makes out. In ‘This Is My Play’s Last Scene’ it says ‘’and I shall sleep a space’’, this sibilance and the euphemism of death simply being falling to sleep seems like a way of Donne trying to calm himself of his nerves that come with living in stress and constant fear of death being close every moment of his life. Antonio S. Oliver said about Donne ‘’His faith in theology calmed his fears and doubts.’’ I strongly agree with this statement as religion was a big part of Donne’s life at the time. In 1621 Donne was made Deacon of St Pauls, a leading and well paid position in the Church of England and one that he held until his death in 1631 which emphasises just how much of his life he devoted to his religion. Emily Dickinson’s poem ‘Because I Could Not Stop For Death’ is basically an ongoing metaphor. Dickinson get’s into ‘’the carriage’’ with death and is taken through a journey of her life. At the end of her first stanza Dickinson says ‘’and immortality’’ which shows us that similarly to Donne she is comforted by the idea of life after death and is curious about what happens behind the grave. Antonio S. Oliver said about Donne ‘’His poetry is highly paradoxical, a quality that only adds to its richness and attractiveness much to the delight of its readers.’’ A lot of Donne’s poems end in paradoxes which make the reader feel frightened and comforted at the same time as well as possibly a little unsure about the actual message of the poem. ‘Death Be Not Proud’ ends with a paradox which says,  Ã¢â‚¬ËœÃ¢â‚¬â„¢One short sleep past, we wake eternally, And Death shall be no more; Death, thou shalt die’’ This is a statement of clear religious beliefs. Donne is literally saying that death one day shall actually die. Donne is still personifying death by using capitol letters. The use of alliteration for ‘death’ and ‘die’ is quite a deafening and bold sound. From this paradox it is hard to understand whether Donne is underneath quite scared about coming close to death or whether he has overcome his previous fear and by saying that one day death will die is his way of bringing death down to size. ‘This Is My Play’s Last Scene’ also ends with a paradox which says,  Ã¢â‚¬ËœÃ¢â‚¬â„¢Impute me righteous, thus purg’d of evil, For thus I leave the world, the flesh, the devil.’’

Police Ethics and Deviance Essay

This paper intends to define ethics and briefly discuss its role in policing. It also aims to talk about the ethical standards in policing. Last but not least, it will also cover the deviant behaviors, as well as, its effects. Ethics Defined Ethics is technically defined as â€Å"the practical, normative study of the rightness and wrongness of human conduct† (Dempsey et. al., 2005, p. 292).   It is upon which conduct is based (Dempsey et. al., 2005, p. 292). It determines whether or not an act is morally correct (Dempsey et. al., 2005, p. 292). Nature of Ethics and Its Role in Policing Meanwhile, with regards to the nature of ethics being a standard of moral correctness, it contributes largely in policing (Dempsey et. al., 2005, p. 292).   Explaining further, without ethics, a police officer will not be able to carry out critical thinking; it is only through ethical decision-making that he will arrive with the best solutions to any issue he or she is faced with (Dempsey et. al., 2005, p. 292).   In addition to that, through ethics police officers tend to become honest and when they stay honest they are, as well as, their respected departments are respected which allow their team to â€Å"recognize their full potential† (Dempsey et. al., 2005, p. 292). See, ethics is really important to policing because it helps police officers do â€Å"good† and the carry out the â€Å"right acts† all the time (Dempsey et. al., 2005, p. 293). Ethical Standards in Policing In fact, to keep the police force doing good and the right thing, the department has come up with ethical standards in policing (Dempsey et. al., 2005, p. 293). These include the following: The first one is known as the â€Å"organizational value systems† (Dempsey et. al., 2005, p. 293). This has been produced so that police officers are taught the correct behaviors that they ought to instill in themselves (Dempsey et. al., 2005, p. 293). It serves as a guide as to what behaviors are correct and ethical (Dempsey et. al., 2005, p. 293). The second is technically referred to as the â€Å"oath of office† (Dempsey et. al., 2005, p. 293). This is like a promise made by the police officers that they will act according to the laws/rules/etcetera stipulated in the oath (Dempsey et. al., 2005, p. 293). The third is technically known as the â€Å"Law Enforcement Code of Ethics† (Dempsey et. al., 2005, p. 293). This one is disseminated by the â€Å"International Association of Chiefs of Police† (Dempsey et. al., 2005, p. 293). The last which the police force is obliged to follow also is the â€Å"US Constitution† (US Supreme Court, 2008, n.p.). Of course, the â€Å"Bill of Rights† go along with the aforementioned as well (Dempsey et. al., 2005, p. 293). Both are known to be the basis of police ethics because of its â€Å"lawful† character; lawful indeed, since it is a collection of the â€Å"US Supreme Court, Federal, State Criminal Laws, as well as, Codes of Criminal Procedure† (US Supreme Court, 2008, n.p.). Deviant Behaviors and Its Effects However, it cannot be denied that despite so many ethical standards utilized and implemented by the police force, there are still some who do not accept and follow it (Dempsey et. al., 2005, p. 293). Some of the deviant behaviors committed and its effects are the following: A) Police Corruption â€Å"Police corruption† is technically defined as â€Å"an act involving the misuse of authority by a police officer in a manner designed to produce personal gain for himself or others† (Dempsey et. al., 2005, p. 296). Examples of police corruption are the following: 1) receiving money from â€Å"loan sharks, hijackers, etc†; 2) receiving money, free food, free accommodations, etcetera in exchange for services rendered; 3) accepting money in exchange of classified information provided to â€Å"criminals or private investigation firms†; 4) accepting payment in exchange of not having parking and traffic violators summoned; 5) etcetera (Dempsey et. al., 2005, p. 295). As expected corruption brings about negative effects and these include the following: 1) it only motivates others to practice corruption also especially if police officers realize that there is a slight possibility of getting caught; 2) the police department is affected and the public’s respect for it is lost; and last but not least 3) people will no longer respect the police officers and will not follow the rules implemented by them eventually as well (Dempsey et. al., 2005, p. 300). B) Police Misconduct Police misconduct is also included in the list of deviant behaviors committed by some of the police officers (Dempsey et. al., 2005, p. 303). This entails: â€Å"the use of illegal drugs; alcohol abuse; abuse of authority; sexual violence; as well as, domestic violence† (Dempsey et. al., 2005, p. 303). The effect of this is just like in the first deviant behavior discussed wherein people tend to lose their trust on the police force and eventually carry out deviant behaviors as well (Dempsey et. al., 2005, p. 303). C) Police Brutality Police brutality is also one of the deviant behaviors committed by some of the police officers (Dempsey et. al., 2005, p. 308). This is defined as the unfair and extreme use of force on suspects and other criminals (Mangan, 2000, n.p.). The effects of such include: 1) psychological trauma for the victim; and 2) he or she will later turn out to be rebellious and revengeful (Dempsey et. al., 2005, p. 308).

Story of Lia Lee Essays

Story of Lia Lee Essays Story of Lia Lee Paper Story of Lia Lee Paper Essay Topic: The Healers The Spirit Catches You and You Fall Down In the book â€Å"The Spirit Catches You and You Fall Down† by Anne Fadiman, a child named Lia Lee is taken away from her parents by Child Protective Services and placed in foster care. Because they aren’t giving her medication for epilepsy. Although resulting in some medical benefits those benefits were lost because of destructive psychological and emotional damage to Lia. Dr. Neil Ernst decided to call child protective services when Lia Lee’s parents Nou Kou and Foua were reluctant to give her her medicine. Dr. Neil Ernst said: â€Å"I felt it was important for these Hmongs to understand that there were certain elements of medicine that we understood better than they did and that there were certain rules they had to follow with their kids’ lives. I wanted the word to get out in the community that if they deviated from that, it was not acceptable behavior.†(pg. 79 Fadiman). Dr. Ernst could have also been arrested for not reporting it. There were some alternatives to calling Child Protective Services such as my favorite one; having a nurse visit the Lees’ three times daily to administer the medications, but this thought did not occur to Dr. Ernst and/or seemed unreasonable at the time. Although Fadiman does not mention what Dr. Ernst thought about this course of action, I can only suspect that it would have been too expensive to have a nurse visit three times a day. Also they shouldn’t be rewarded for their noncompliance by having someone else administer their daughter’s medication. It might have also provoked the Lees’ to anger because they didn’t like to give Lia the medicine because of how the medicine made her depressed and sullen. After Lia was taken away for a period of a few weeks, Nou Kou almost beat an interpreter named Sue Xiong who was interpreting for a CPS  social worker. Nou Kou said: â€Å"I was outside and Sue came inside and she called me and said, Come in here, you come in here. At that time I was ready to hit Sue, and I got a baseball bat right there. My son-in-law was with me, and he grabbed me and told me not to do it.†(pg. 91 Fadiman), so you can see the Lees’ were violent natured. The second reason the Nou Kou and Foua did not want to give their daughter the medicine was that they believed like other Hmongs that people with epilepsy are caught by a good or bad spirit which makes them fall to the ground (the Hmong word for epilepsy translates into: the spirit catches you and you fall down) and while their under siege they get messages from the gods. Many people in their culture with epilepsy become cultural healers or shamans. The plan of sending a nurse would have been my plan. It would have been allot of time and money though. And when the Hmong community is already draining our resources through welfare doesn’t make much sense to spend more money on them. It also would not have said that â€Å"our medicine is better† as good either. Although Dr. Neil’s plan of letting CPS handle it worked out for him it did not work out for Lia for she had more seizures at her foster home with the medicine than at home with missed and half dosses. The reason is because she did not want to be separated from her parents, and the emotional damage from the separation. Some people would say it was selfish and lazy that Dr. Ernst did not at least try to use a nurse to administer the medication. I believe if I was Him that I would try sending a nurse for Two weeks to see if it would work and then make a decision. But on the other hand I believe that these stubborn, ignorant people shouldn’t be pampered when they are already helping themselves to so much  from the tax payers through welfare. Because of these two issues of Dr. Ernst’s quickness to  make a decision, and the Hmong community taking so much and giving nothing back, it is hard for me to make a decision and I feel myself â€Å"slipping† towards Dr. Ernst’s decision. I don’t blame Dr. Ernst for his decision which I think is the most logical choice and even if he tried my Two weeks idea it still wouldn’t make sending a nurse any less expensive. All I am saying is that he should not have worried about teaching the Hmong community a lesson on reality so much and think more about the health of the individual named Lia Lee. The Hmongs believe that to treat the body you must also treat the soul, what happened here is that Lia’s soul got hurt so she didn’t get better at all, nor much worse. That is why I think the medicine didn’t work effectively. It is unfortunate that cultural misunderstanding and language barriers got in the way of what could have been resolved much more easily. Citation Fadiman, Anne. The Spirit Catches You and You Fall Down. New York: The Noonday Press, 1997

The Effect Exercise On Heart R essays

The Effect Exercise On Heart R essays Aim: To investigate how exercise affects heart rate. Introduction: The heart is rate is how many times the heartbeats in a certain period, normally a minute; this gives the unit bpm (beats per minute). During rest, the heart beats about 70 times a minute in the adult male, while pumping about 5 litres of blood. The heart rate is affected by many things these included; Heat Rate The body senses the need for an increased pulse rate through two main mechanisms. The first is a series of baroreceptors (these are specialized cells that can sense the pressure of the blood). These cells are in the carotid sinus. The carotid arteries are the major blood vessels that feed your brain; there is one artery on each side of your head. The baroreceptors in the carotid sinus can tell when the blood pressure is low (thus, not enough blood is making it to the brain). They then send signals over nerves to the heart, telling it to speed up and contract more forcefully. This raises blood pressure. Since the brain is the most important organ, it makes sense that these baroreceptors are in the blood vessels feeding the brain. The second major way is by our brains sensing danger or excitement and telling the heart to speed up. This is called the fight or flight response. If we see some danger (like a saber-toothed tiger) approaching us, our brains get excited and tell the heart to speed up so we will have enough blood flow to allow us to run away. In addition to the nerves that transmit signals from the brain to the heart, some nerves go to the adrenal glands and tell them to secrete adrenaline, a hormone that makes the heart go faster. This way, if there is a problem with the nerves from the brain to the heart, the message to the heart can still get there by way of the adrenal glands (which are located right next to your kidneys). The adrenal glands stimulate the heart by making adrenaline. I predict the harder the subject exercises, th...

A Little Bit of Truth Essay Essay Example for Free

A Little Bit of Truth Essay Essay ? For a week, six days in a row I went snowboarding. It was then that I thought where did the snow come from. At first I thought of â€Å"god† but of course there were no gods there are only spirits! So later on that day I thought of a weird and crazy Native American story. It had a little bit of truth with some personifications and a weird and crazy reason for why things were. So this is it. When the world was created the sheep said to their mother cow, â€Å"Why is there always rain we want something warmer†? The big, fat, and ugly mother cow snorted with her big partly abomination snout. Then she spoke with her vampire teeth that scared everyone including her (when she looked in the mirror). â€Å"You want something other than my humble and awesome rain†? she paused for a second thinking about her next statement, and then she finally said â€Å"OK I’ll give you snow† and now this is why sheep love snow. But this isn’t the end, yet there is more to come. Instead of being really mean the mother cow didn’t just punish her kid sheep, she created a short summer and fall and spring this was only because inside she had a pigs heart including the cows heart and that is why the snow melts and arrives. My theory is very reasonable and that is why you should believe in this also the wind god told me this while I was on the mountain. In conclusion my theory has truth and the wind got told me I wasn’t crazy, so you have to believe. A Little Bit of Truth Essay. (2016, Dec 09).

The Illnesses of the Government Policy Essay Example | Topics and Well Written Essays - 1250 words

The Illnesses of the Government Policy - Essay Example Social work has a significant role in helping these ex-convicts achieve greater self-efficacy outside the prison walls through enhancing their access to related basic social and health services and helping them build the relationships and resources they need for their welfare.   At the least. The government understands that the mentally ill cannot possibly care for their welfare immediately after imprisonment. As a result, it provides a free bus ticket, some pocket money, and two weeks of medication. At least, the government does not completely leave them empty-handed. In â€Å"Research Protections for Diverted Mentally Ill Individuals: Should They Be Considered Prisoners?† Amory, Amrhein, and Dery (2011) studied the concept and practice of diversion for mentally ill offenders and reviewed the literature on the concepts of â€Å"coercion,† â€Å"informed consent† and â€Å"decisional capacity† of imprisoned mentally ill individuals. They discussed the existing diversion programs for these kinds of prisoners. They explained that government policy provides pre-booking and post-booking programs that direct the mentally ill away from the traditional criminal justice system (Amory, Amrhein, & Dery, 2011, p.797). These programs help them access the medical attention they need, instead of being imprisoned only.   Possibilities for improvements. The government policy on mentally ill offenders can be amended. It can be enhanced to boost the support for these offenders. The main emphases are on their preparation for freedom.

Business Decision Malkng Projects, Part 3 Essay Example | Topics and Well Written Essays - 250 words

Business Decision Malkng Projects, Part 3 - Essay Example ft. in size. Thehomesaveragedthreebedroomsandtwobathswhile 30% of thehomeshave a pool. Of the 30 homes, 70% had a garageandtheaveragedistance from thecitycenter is 15 miles(Simon, 1979). There are manyadvantagesandopportunities in businessownershipthat may includeFlexibility, freedom, being your boss, andcontrol to create your future. Lack of self-discipline, however, createschances of businessfailure. Datainformationhavingbeenobtained from varioussourcesgaveinsight to thecurrenthappenings in thebusinessworld. Thechoice of opening a franchise is a significantbusinessdecision, andmanyrisks can be laid to restif there is sufficient data analyzed to makesurethechoice is going to be successfulandprofitable(Cooper & Schindler, 2003). Knowledge of commercialrealestateandfinancemarkettrendshelps Century 21 to establish its franchiseandto preparefor long-term survivability and profitability. After validating and analyzing the housing statistics and confirming the reliability, starting a new franchise in the identified new community is the final step to be

GI Jane Movie Review Example | Topics and Well Written Essays - 750 words

GI Jane - Movie Review Example As a Navy topographic analyst, O’Neil was determined to prove that women would be able to adhere to the rigorous training, where even men reportedly fail. The film shows the manner by which O’Neil struggled to emphasize and prove that she can comply with all the physical, emotional and mental demands of the training. Shaving her hair to ultimately depict her demand to be treated as a soldier, not as a woman, O’Neil braved exerting her physical limits under different weather conditions: doing push-ups under ice-cold surf, training under the rain, crawling through muddy ground, being resourceful for food from trash, and being subjected to all sorts of physical torture (getting punched, kicked, shot at). O’Neil was also constantly being mentally and emotionally barraged by her drill trainer, Master Chief John James Urgayle, portrayed by Viggo Mortensen. Due to O’Neil’s remarkable persistence and success within weeks of training, she was termed â€Å"G.I. Jane† by the civilian media The climax of the film finally tests O’Neil’s preparedness to go into combat through a mission in Libya where she commandeered a platoon to rescue a team of U.S. Rangers who were set to recover a satellite with plutonium that fell into the Libyan dessert. O’Neil’s skills and leadership enabled her and the team to rescue her Master Chief who got injured and, therefore, rendered her worthy to be accepted among the Navy SEALs. The clearly explicit backdrop of gender discrimination in the Navy was the ultimate example that formed the plot of the film.The initial recruitment of O’Neil in the program was a form of test to prove that women can indeed succeed in the rigorous training predominantly dominated and passed by men only. Another example of discrimination is the initial perception of the male trainees on O’Neil, who sneered and expected her failure just because of her gender. The stereotyped perception

Cometition law in international context Essay Example | Topics and Well Written Essays - 2750 words

Cometition law in international context - Essay Example Statement of purpose The Minister of Trade and Industry should prevent nationalization of electronic mail service and reinforcing the monopoly of Greek Post office. These plans are anti-competitive and will lead to prices paid by consumers. Greek is a Member State of the European Union and several provisions, Regulations and legislations of EU aim at ensuring market competition. Background of the problem The new Minister of Trade and Industry in Greece is planning to nationalise the electronic mail service, reinforcing the monopoly of Greek post office in the delivery of traditional mail. The objective is to ensure that Greek post office maintains important market share of customers. However, most customers have already switched from the traditional postal services to modern electronic mail, which is offered by efficient private companies. After nationalization, the Greek post office aims at increasing the prices of both services since the costs of delivering the ordinary post has be en increasing over the recent years. The Greek post office will decline access to its facilities including fibre optic infrastructure, to private companies who would like to offer competition to Greek post office by providing internet service and electronic mail services. International competition law According to the European Union treaty on competition, member states are not supposed to enact policies that create rigidity in trade and hinder competition or distort the market economy. Article 101 of the Treaty of the Functioning of the EU prohibits agreements that distort market competition or encourage cartels. This article aims at prevention undertakings that restrict and distort market economies of the member states within the internal market. Some of the prohibited practices include limitations on production, technical development and investments in the market. Direct or indirect price fixation or the selling and buying prices and trading conditions are prohibited by the Articl e. Member states are prohibited from applying different trading conditions on similar transactions with other trading partners in the economy1. The EC Treaty provisions regarding competition are contained in Article 3 (g) and Articles 81-89 of the Treaty that established the European Community along with several regulations and subsidiary legislations. Articles 81 to Article 86 mainly apply to the trade undertakings while Articles 87 to Article 89 apply to the Member States. The primary objective of the EU competition law is to prohibit internal markets distortion. Article 81 (1) prohibits all trade agreements between undertakings and association decisions that may hinder trade between member states2. However, the Article makes exception s for the trade agreements that aim at improving the welfare of the EU citizens by promoting the distribution of goods or technical promotion, while allowing customers a fair share of the benefits of the trade agreement. The excepted trade agreement s should not impose conditions and restrictions on the customers in the access of the goods or eliminate free competition in the market in regard to the goods being produced. Article 1 (1) of the Regulations 1/2003, the agreements that are outlined in Article 81 (1) and that contravene conditions of Article 81 (3) are unlawful. Article 1 (2) of the

My concept of leadership and how community service eperiences have Essay

My concept of leadership and how community service eperiences have impacted my life - Essay Example My first leadership experience took place when I was a child. I was the oldest of four children and as the first child I had to take care of my siblings, make sure that they went to school, prepared their homework and of course resolved their conflicts. At the same time, I had to make them respect and trust me. So, I discovered and did instinctively everything that a leader does i.e. being responsible for the group (my siblings), motivate them (to go to school and prepare their homework), influence and control them. Later on, following a strong internal lead I became a member of the National Charity League. Now, I am a Vice President of the League and in general I have accomplished 200 hours of community service. The mission of National Charity League is  to foster mother-daughter relationships in a philanthropic organization committed to community service, leadership development and cultural experiences.(http://www.nationalcharityleague.org/). The National Charity League is based mostly on volunteers i.e. people join without expecting any financial returns, they just do it because they feel they want to offer their services to other people. This makes the work of the leader easy and difficult at the same time. It is easy because people share the vision of the leader and have common goals but on the other hand it is difficult because they are not employees so it is difficult to coordinate and â€Å"oblige† them to act professionally. So,in this case the leader has to adapt his/her leadership style accordingly. This means that the leader in this case cannot be authoritative or coercive since the human factor comes first. S/he cannot be democratic since this is a style that a leader can implement when s/he is not sure about the direction that needs to be taken. The style of leadership that is most suitable for community service is the affiliative. Here, the leader focuses on strong emotional relations and then he

GI Jane Movie Review Example | Topics and Well Written Essays - 750 words

GI Jane - Movie Review Example As a Navy topographic analyst, O’Neil was determined to prove that women would be able to adhere to the rigorous training, where even men reportedly fail. The film shows the manner by which O’Neil struggled to emphasize and prove that she can comply with all the physical, emotional and mental demands of the training. Shaving her hair to ultimately depict her demand to be treated as a soldier, not as a woman, O’Neil braved exerting her physical limits under different weather conditions: doing push-ups under ice-cold surf, training under the rain, crawling through muddy ground, being resourceful for food from trash, and being subjected to all sorts of physical torture (getting punched, kicked, shot at). O’Neil was also constantly being mentally and emotionally barraged by her drill trainer, Master Chief John James Urgayle, portrayed by Viggo Mortensen. Due to O’Neil’s remarkable persistence and success within weeks of training, she was termed â€Å"G.I. Jane† by the civilian media The climax of the film finally tests O’Neil’s preparedness to go into combat through a mission in Libya where she commandeered a platoon to rescue a team of U.S. Rangers who were set to recover a satellite with plutonium that fell into the Libyan dessert. O’Neil’s skills and leadership enabled her and the team to rescue her Master Chief who got injured and, therefore, rendered her worthy to be accepted among the Navy SEALs. The clearly explicit backdrop of gender discrimination in the Navy was the ultimate example that formed the plot of the film.The initial recruitment of O’Neil in the program was a form of test to prove that women can indeed succeed in the rigorous training predominantly dominated and passed by men only. Another example of discrimination is the initial perception of the male trainees on O’Neil, who sneered and expected her failure just because of her gender. The stereotyped perception

My concept of leadership and how community service eperiences have Essay

My concept of leadership and how community service eperiences have impacted my life - Essay Example My first leadership experience took place when I was a child. I was the oldest of four children and as the first child I had to take care of my siblings, make sure that they went to school, prepared their homework and of course resolved their conflicts. At the same time, I had to make them respect and trust me. So, I discovered and did instinctively everything that a leader does i.e. being responsible for the group (my siblings), motivate them (to go to school and prepare their homework), influence and control them. Later on, following a strong internal lead I became a member of the National Charity League. Now, I am a Vice President of the League and in general I have accomplished 200 hours of community service. The mission of National Charity League is  to foster mother-daughter relationships in a philanthropic organization committed to community service, leadership development and cultural experiences.(http://www.nationalcharityleague.org/). The National Charity League is based mostly on volunteers i.e. people join without expecting any financial returns, they just do it because they feel they want to offer their services to other people. This makes the work of the leader easy and difficult at the same time. It is easy because people share the vision of the leader and have common goals but on the other hand it is difficult because they are not employees so it is difficult to coordinate and â€Å"oblige† them to act professionally. So,in this case the leader has to adapt his/her leadership style accordingly. This means that the leader in this case cannot be authoritative or coercive since the human factor comes first. S/he cannot be democratic since this is a style that a leader can implement when s/he is not sure about the direction that needs to be taken. The style of leadership that is most suitable for community service is the affiliative. Here, the leader focuses on strong emotional relations and then he

Organisation Structure Essay Example for Free

Organisation Structure Essay The structure is totally centralized. The strategic leader makes all key decisions and most communication is done by one on one conversations. It is particularly useful for new (entrepreneurial) business as it enables the founder to control growth and development. They are usually based on traditional domination or charismatic domination in the sense of Max Webers tripartite classification of authority. [edit] Bureaucratic structures Weber (1948, p. 214) gives the analogy that â€Å"the fully developed bureaucratic mechanism compares with other organizations exactly as does the machine compare with the non-mechanical modes of production. Precision, speed, unambiguity, †¦ strict subordination, reduction of friction and of material and personal costs- these are raised to the optimum point in the strictly bureaucratic administration. †[5] Bureaucratic structures have a certain degree of standardization. They are better suited for more complex or larger scale organizations. They usually adopt a tall structure. Then tension between bureaucratic structures and non-bureaucratic is echoed in Burns and Stalker[6] distinction between mechanistic and organic structures. It is not the entire thing about bureaucratic structure. It is very much complex and useful for hierarchical structures organization, mostly in tall organizations. [edit] Post-bureaucratic The term of post bureaucratic is used in two senses in the organizational literature: one generic and one much more specific [7]. In the generic sense the term post bureaucratic is often used to describe a range of ideas developed since the 1980s that specifically contrast themselves with Webers ideal type bureaucracy. This may include total quality management, culture management and matrix management, amongst others. None of these however has left behind the core tenets of Bureaucracy. Hierarchies still exist, authority is still Webers rational, legal type, and the organization is still rule bound. Heckscher, arguing along these lines, describes them as cleaned up bureaucracies [8], rather than a fundamental shift away from bureaucracy. Gideon Kunda, in his classic study of culture management at Tech argued that the essence of bureaucratic control the formalisation, codification and enforcement of rules and regulations does not change in principle.. it shifts focus from organizational structure to the organizations culture. Another smaller group of theorists have developed the theory of the Post-Bureaucratic Organization. [8], provide a detailed discussion which attempts to describe an organization that is fundamentally not bureaucratic. Charles Heckscher has developed an ideal type, the post-bureaucratic organization, in which decisions are based on dialogue and consensus rather than authority and command, the organization is a network rather than a hierarchy, open at the boundaries (in direct contrast to culture management); there is an emphasis on meta-decision making rules rather than decision making rules. This sort of horizontal decision making by consensus model is often used in housing cooperatives, other cooperatives and when running a non-profit or community organization. It is used in order to encourage participation and help to empower people who normally experience oppression in groups. Still other theorists are developing a resurgence of interest in complexity theory and organizations, and have focused on how simple structures can be used to engender organizational adaptations.

Women in Positions of Power in Northen Ireland

Women in Positions of Power in Northen Ireland Few women have made an impact on politics in Northern Ireland. The political culture and traditions of Northern Ireland politics are very much male-oriented and whilst women have worked hard for change behind the scenes for many years, few have taken the step into standing as candidates in elections, less still successfully winning elections. Following the Belfast Agreement, things may, slowly, be beginning to change. Mo Mowlam writes enthusiastically of the part that women played in the talks leading up to the Agreement: â€Å"one of the most remarkable aspects of the talks process was seeing women, not only in the Women’s Coalition, but also in other parties, sitting alongside their male colleagues and arguing their points. They brought a new quality of debate to the proceeding† (Galligan, Ward Wilford 1999).Nonetheless, despite the election of three women MPs in the first general election (2001) after the Belfast Agreement, women remain massively under-represented in politics in Northern Ireland. This dissertation examines the reasons for this. Chapter two looks at the traditional role of women in politics, both in Northern Ireland and in other parts of the world. Election in the UK and policies towards women of other British parties are examined. The chapter also looks at women’s movements abroad, in the likes of South Africa and Nicaragua and analyses how they have affected the political landscape in their own countries. Chapter three takes a general overview of women in Northern Ireland, commenting on how they have reacted to the traditional view and values of the Church and the State in the province. The formation of the earlier Women’s movements is detailed here – although these groups have remained on the borders on mainstream politics, the fact that women have for decades joined together on particular issues is important in the context of women’s involvement in politics. The difficulties face by women in what is a conservative, traditional and often sexist culture is also discussed. Chapter four looks at the attitudes towards women in politics held by voters in Northern Ireland and analyses whether the small number of women involved is determined by supply or demand factors. Using data from the Northern Ireland Life and Times Survey, this chapter argues that there is no lack of demand for women to be involved in politics amongst the electorate, rather that a number of factors around the inclination of women to enter into politics and the traditional views that still hold sway in Northern Ireland, are influential. This chapter also makes use of research undertaken in interviewing a number of women councillors in Northern Ireland about their perceptions on why many women avoid political life. Various reason for women to remain outside of representative politics are given – again he traditional culture of Northern Ireland and perceptions about a woman’s role are seen as important, Chapter five examines in details the attitudes and policies of the main political parties in Northern Ireland towards women’s issues and the role of women within the political parties themselves. Parties in Northern Ireland have traditionally focused primarily on constitutional and security issues to the detriment of women’s issues. Party leadership in parties across the political spectrum have been male dominated. This chapter looks at each of the main parties, examining firstly how party structures and leaderships accommodate female members and secondly how party policy makers address (or fail to address)women’s issues. Chapter six provides a conclusion to the dissertation. The situation in Northern Ireland where women have traditionally had difficulties establishing themselves within the formal political process has been mirrored, if perhaps not to such an extent, in other Western democracies. Evidence from UK elections indicates a historical prejudice against women candidates, whilst elsewhere in Europe and across the world, there are examples of women having to draw together on their identity as women to challenge their exclusion from politics. Analysis of general elections in Britain indicates that many fewer women than men are selected as prospective parliamentary candidates and those that are usually chosen for less hopeful seats (Leonard and Mortimore 2001, p97). However, the number of has candidates has grown reasonably steadily since 1996, with parties gradually accepting the need to take steps to increase the number of women selected. The Conservative in particular have found this difficult, largely due to the reluctance of the party leadership to interfere with the autonomy and conservative nature of many of its local associations. The Labour Party has had more success. Its party conference took the decision in1993 to try to increase its number of women MPs by introducing policies of positive discrimination. The introduction of all-women shortlist and quotas proved controversial, with the process being deemed illegal by an industrial tribunal in 1996, yet the drive by Labour to increase women’s representation paid dividends – with the party’s victory in the1997 election, the number of women in the house of Commons doubled to120 (Leonard and Mortimore 2001, p97). Elections for regional assemblies in Scotland and Wales have seen an increase in the number of women winning seats. The systems of proportional representation used in these elections has allowed Labour, the Liberal Democrats and the nationalist policies to ensure that candidates on lists were alternately male and female. As a result over38 per cent of representatives at Holyrood and 40 per cent at Cardiff Bay have been women (Leonard and Mortimore 2001, p98). Elsewhere, women have made direct interventions within their political systems to ensure that they are represented within the political process. In Spain, the Women’s Democratic Movement (WDM) began as an opposition group to the Franco regime and went onto lobby for women’s interests during the country’s democratic transition. It successfully pressured the government into ratifying the Convention for Elimination of all Forms of Discrimination against Women (CEDAW). In Iceland the Icelandic Women’s Alliance (IWA) emerged in the 1980s as a group powerful to win 11.1% of a national poll (Fearon 1999 appendix 1). In Sweden, the issue of women’s participation in politics directly compelled women to join together on a cross-party basis in the prelude to the 1994 elections. As a result, Sweden then elected what Faluditerms â€Å"the most female government in the world – a parliament that was41% female with a cabinet that was 50% female. (Fearon 199 9, appendix1). More relevant to the issues around women’s political involvement in Northern Ireland are the examples of South Africa and Nicaragua, where women have acted together to challenge male-dominated political times when their countries have been undergoing periods of transition. In Nicaragua, women achieved political gains during the revolutionary period but, perceiving that these gains were not being fully transferred to the new society after a transitional period, women joined together to form the Nicaraguan National Coalition of Women(NNCW) in January 1996. Under this cross-party coalition women joined together to educate and themselves and prepared themselves to go backend fight elections within their existing parties in October of that year. The aim was to promote the equitable participation of women in the country’s politics, something that was made difficult, as women within the coalition had historically been political or even military enemies. There were certainly so me similarities with Northern Ireland and the group had to strive hard to focus on unity and reaching a consensus. The NNCW was able to agree a minimum agenda emphasising women’s participation in civil and political society. In South Africa, women had become influenced by the experiences of women’s organisations around the world and the ANC Women’s League(ANCWL) sparked a debate across the country about ‘the necessity of organising as women’ (Fearon 2001 appendix1). In September 1991 thirty women’s organisations came together in the Women’s National Coalition(WNC) to discuss the drawing up of a women’s charter on equality. The charter was eventually produced after a huge participatory exercise that included an estimated 2 million women and was made up of twelve articles, one of which called for â€Å"mechanisms to enable women’s participation in civic and political life† (Fearon 2001 appendix 1) The charter was vitally important to the development of women in politics in South Africa as it challenged traditional perceptions and values about the woman’s place in political and civic life. Another success of the WNC was to lobby hard for a ruling passed in 1993 that required all negotiation delegations to reserve space for women. Prior to the formation of the NIWC, the impact that individuals or groups of women had made on Northern Ireland politics had been relatively minimal. There are however a few examples of women who, although not directly involved as representatives in the political process, made their presence known. In the 1970s, two Belfast women, Betty Williams and Mairead Corrigan won the Nobel Peace Prize for leading a peace movement that aimed to end the violence by way of ‘people power’. Inspired to action following the death of three children in a car chase involving IRA men, the Peace People as the movement was known called on the people of Northern Ireland to reject terrorism and quickly snowballed into a movement that could attract tens of thousands of people onto the streets in outdoor rallies. The movement eventually failed due to internal divisions within the movement, personality clashes and disputes on how to spend the Nobel Prize money. Whilst still surviving today, the Pe ace People is now a small-scale movement that failed to deliver on the hopes that it once raised. Helen McKendry was a brave Belfast woman who campaigned to raise the issue of the so-called ‘disappeared’ victims of the IRA, who had included her own mother Jean McConville, taken from the family home in1972 and never heard of again (Independent, March 2, 2005). Following the IRA ceasefire in 1994, McKendry launched a campaign to have her mother’s body returned and eventually pressured the IRA into giving details about the location of her mother’s body and those of other victims. May Blood was a woman that played a prominent role in the loyalist community for many years, prior to involvement in the NIWC. She was a determined community activist in the Shankhill Road district, concentrating on issues such as housing, welfare, jobs, training, employment and labour relations. Speaking after she had been made across-bench peer in 2000, Baroness Blood stated: â€Å"My life is about serving this community, particularly young people. For years they have just been fodder for the paramilitaries. We want the next generation to be real people with real futures.† (Independent, March 2, 2005). It is worth noting that like May Blood, the trend in Northern Ireland has generally been for women activists to concentrate on community development rather than electoral politics. The situation of women in Northern Ireland is not entirely unique. Whilst the particular circumstances of Northern Ireland affect politics at all levels, the fact remains that women in Northern Irel and share common experiences with women elsewhere in terms of the difficulties that they have making an impact in the political arena. Rightly or wrongly, representative politics around the world remains largely dominated by males, and in this respect women in Northern Ireland face the same challenges as women elsewhere. Analysis of the women’s movement in Northern Ireland or attempters tointegrate women more fully into the political process must understandsome of the cultural traditions and influences that affect women’slives. As Monica McWilliams states: â€Å"the role which both the Church andState play shapes not only the more traditional thinking behind some ofthe major institutions, such as the education system or the judiciary,but it also responsible for the extremely conservative ideology forwhich the Province has become infamous† (Hughes 1991, p91). Theattitude of the Church has certainly been that the primary role ofwomen is that of mothers and housewives and this has been somethingthat has held women back from entering into politics. Issues aroundsexuality, the dissolution of marriage or rights in the home or at workhave seen feminists face opposition from clergy, politicians and as aresult, their communities. Again McWilliams summarises the situationstating, â€Å"in the face of such traditional Catholicism and Protestantfundamentalism, it has proved extremely difficult for women to organisearound issues which are of personal and political influence to them(Hughes 1991,p81). Both the Protestant and Catholic Church have maintained a traditionalline on the domestic role of women. They have exhorted mothers to takeresponsibility for their children by looking after them at home andhave largely opposed political initiatives such as the provision of daycare for children as it poses a challenge to the traditional ideologywhich supports the segregated division of labour in the home. The viewof the Church from half a century ago has remained prevalent in modernday Northern Ireland. Bishop McGean had stated in 1945 that â€Å"the properplace for the baby is in the home and the proper guardian is themother. Nature decided that and God approved of that decision ofnature† (Hughes 1991, p89). Women’s groups in Northern Ireland have made gradual progress ininstigating political and social change. They have begun to createstructures that enable individual women to have some measure of controlover their lives. One example is found in the work of an umbrellaorganisation known as ‘The Women’s Information Day’, along withprojects such as Women’s Aid, the Women’s Education Project and theNorthern Ireland Women’s Rights Movement. All of these groups, formedprior to the establishment of the Northern Ireland Women’s Coalition,were organised in a non-sectarian way, holding meetings in bothloyalist and nationalist areas and raising controversial issues thatwere sensitive to one another’s beliefs. In 1985, whilst campaigning onchanges to the benefit system, a group of Catholic and Protestant womentravelled to London to lobby their MPs to oppose a propose SocialSecurity Bill and were appalled to find that their own political representatives were more interested in opposing the Anglo-Irishagreement (which had been launched on the same day) and refused to meetthem on the grounds that they were too busy. McWilliams writes thatâ€Å"they returned home to Belfast on the same night more convinced thanever that their political representatives were much less interested inmatters of social and economic concerns† (Hughes 1991, p92). One of the most glaring features of life for women in Northern Irelandhas been the hardship of poverty with all its social, financial andpsychological repercussions. Women in Northern Ireland have come at thetop of research tables listing infant mortality rates, unemployment ordependency on social security (Hughes 1991, p92). It is women who haveexperienced poverty as prisoner’s wives, as widows, as single parents,divorced, separated or unmarried, as managers of unemployed families,as single and elderly women living alone, or as low paid wage earners.As a result, women’s groups such as the Northern Ireland Women’s RightsMovement began to offer advice and information to women, producingleaflet to help women in the face of overpowering bureaucracy.McWilliams writes of the pressures upon women in Northern Irelandstating â€Å"existing from day to day in the North can often become anintolerable strain for women. Not only must they provide a reasonablestandard of liv ing for their kids, but they have the additional anxietyof worrying about husbands and children when they are out of the home.The years of ‘the troubles’ have added to their pressures and manyrespond y using tranquillisers or smoking excessively† (Hughes 1991,p93). Women in Northern Ireland have played a leading role in anti-povertycampaigns, a significant political role which tends to be overlooked bymedia, church leaders and politicians. Such groups have remainednon-hierarchical and have refused to let single individuals becomesolely identified with their campaigns. The non-hierarchical structurehas provided the supportive type of environment that women require andeach group has become knowledgeable about the particular issue underscrutiny. Often the women have maintained links after individualcampaigns have been dissolved. Northern Ireland feminists have played apart in various campaigns and community projects over the last fewdecades. Many cut their political teeth in the civil rights movementsof the 1960s and 1970s and had their first dealings with other feministmovements. Female students at Queens University held a public meetingin1975 which formed an action group ‘with the aim of bringing the roleof women in Northern Ireland into l ine with that of their sisters inBritain’ (Hughes 1991, p93) and went on to form the Northern IrelandWomen’s Rights Movement which successfully campaigned to bring the SexDiscrimination Act to Northern Ireland. There are of course issues that divide women’s groups in NorthernIreland. Many are related to the national question, which as in allareas of politics in the province, remain difficult to overcome.Whether groups are based on single issues such as Women’s Aid or theRape and Incest Line, or more generic groups such as the Derry, Belfastor Falls Road Women’s Centres, the political affiliations of membersmay be surreptitiously agued in order to clarify the line that theymight take on the national question. The sheer weight of issues aroundthe constitution and security in Northern Ireland make it near onimpossible for the issue to be ignored. Disputes have occurred between,for example, the Relative’s Action Committee and Women AgainstImperialism (which largely supports Sinn Fein) and other women’s groupssuch as the Belfast Women’s Collective and the Northern Ireland Women’sRights Movement. The Belfast Women’s Collective argued that it wasvital to work in as wide a range as possible, including areas which maynot initially meet with a big response because they challengetraditional political and religious beliefs (Hughes 1991, p95). TheRelative’s Action Committee, on the other hand, organising around thewithdrawal of political statues for the H Block prisoners took the viewthat the campaign about prisons should be central. Regardless of divisions within women’s movements in Northern Ireland,the fact remains that the there is a level of oppression caused by theunique nature of politics in the province. Many women arepsychologically scarred by the deaths of or injury to loved ones. Manyothers are emotionally burnt out by the years of armed troops presenton the streets. Women on both sides of the sectarian divide have seenthe destruction of family life when family members are arrested underthe Prevention of Terrorism Act and possibly held for long periodswithout trial. Women visiting husbands and son in prison have beensubjected to degrading and humiliating strip searches. They live infear for the lives of their children and have had the constant worrythat they will be caught in crossfire, caught up in a riot or killed byan explosion. On top of all of these factors, women have also had totackle continuing economic exploitation and sexual oppression. Women in Northern Ireland have had to endure an ingrained culture ofconservative sexism that emanates both from the UK and the Republic ofIreland. They have had to fight for equality of opportunity in theworkplace – interestingly, the Equal Opportunities Commission, which isknown to play a more active role in women’s lives than its GBcounterpart, was almost abolished in Northern Ireland (Hughes 1991,p96). An influential factor in the under representation of women in NorthernIreland politics has been the traditional assumption of gender rolesand values held by many within the province. These powerful politicaland cultural restraints support the theory that the lack of women inpolitics is due to supply rather than demand factors – the electoratehas little problem with female candidates, it is getting women intoposition as candidates for public office that is largely the problem. There is general support amongst the Northern Ireland public for womento be involved in politics and indeed this support has grown steadilythroughout the 1990s and the development of the Belfast Agreement. Oneof the key questions included in the 2002 Northern Ireland Life andTimes Survey was did respondents think that the greater number of womenin politics since the formation of the Northern Ireland Assembly makethings better or worse in Northern Ireland politics? Whilst 44 per centof respondents remained neutral on the question, 41 per cent thought ithad made things better, with only 14 per cent thinking it had madethings worse (NI Life and Times Survey 2002). Attitudes towards therole of women in politics shifted markedly from the survey completed adecade earlier. In 1991, only one fifth of men felt that at least onehalf of senior government posts should be held by women. By 2002 thisfigure had doubled to 40 per cent, with support from women rising from38 per cent to 50 per cent (L ife and Times Survey 2002). Research carried out in 1993 sought to use the experience of womencouncillors within Northern Ireland to attempt to gauge exactly why sofew women were involved in politics at the time. In 1989, only 60 ofthe 566 district councillors were women, equating to a mere 10.6 percent (Wilford et al 1993, p341). Following changes after direct rulewas introduced in 1972, many functions of local government had beenreplaced by intermediate bodies appointed by the Secretary of State forNorthern Ireland. This situation reduced the tiers of local governmentwith Wilford et al commenting â€Å"Thus, aspiring politicians enjoy anextremely limited opportunity to run for elected office† (Wilford et al1993, p343). In addition, council meetings throughout the 1980s wouldoften be used by political parties to argue out their constitutionaldifferences rather than focussing on the relevant issues of localpolitics – the symbolic value of politics in Northern Ireland helps toexplain the paucity of women. Interviews with women councillorsrevealed six main reasons that they believed explained the small numberof women in Northern Ireland politics – psychological, familial,organisational, functional, patriarchal and systematic. All have somerelevance. Psychological reasons included a simple lack of self-esteem felt bywomen. The vast majority of women councillors had been prompted orasked to stand for election by other members rather than have theconfidence to stand on their own initiative. It seems exceptional forwomen to deem themselves eligible for candidature, yet this is setagainst a backdrop where with relatively few people willing to standfor election in local politics and being successful would be seeminglyunproblematic. One SDLP councillor commented on the issue: â€Å"it neveroccurred to me to stand†¦we (women) had the traditional view that wewere the back up for men: making the tea and the like† (Wilford et al1993 p344). Familial reasons were most cited reason for non-participation of womenin politics and reaffirm the ideas of traditional cultural valuescontributing to the role of women in Northern Ireland. There is a cleardifferential in the assumed responsibility of men and women for childrearing in Northern Ireland and this impacts strongly on theopportunity for women to enter into public life. At the very least, astrong and supportive partner is needed by women looking to go intopolitics, yet in addition to this it would appear that many women inNorthern Ireland do not simply put family responsibilities firstbecause that is their assumed role – many believe that they actuallyshould put their family first and postpone any political aspirationsuntil their children have reached post-school age. It should also benoted that childcare facilities in Northern Ireland were poor duringthe 1980s and 1990s, a further complication for women that wanted toenter into politics. Organisational reasons for women councillors are similar reasonscommonly cited by women MPs in the UK Parliament – the unsocial hoursthat politician are required to work. Councillors in Northern Irelandfound that childcare made it difficult for them to attend councilbusiness scheduled during the day. At the time of the survey, Sinn Feinwas the only political party in Northern Ireland that paid thechildcare expenses of its councillors (wilford et al 1993, p344). Patriarchal reasons for the limited involvement of women in localpolitics in Northern Ireland are based around the attitude of malecouncillors towards their female counterparts. One councillorinterviewed stated: You’re a thorn as a female councillor. Men don’twant you there; they’d prefer it to be all male. They want to be thedominant ones in the council; it’s true everywhere† (Wilford et alp344). Mnay of the women councillors interviewed felt that they werenot taken seriously because of their sex and this was a hugedisincentive to continuing to take an active role in politics. Manyreferred to the cultural belief ingrained in Northern Ireland about awoman’s place and that the arena of politics was very much a mansworld. There is evidence that women were ‘ghettoised’ into certaincommittees that were less important and more focussed on what weredeemed to be women’s issues – home safety committees serve as anexample. Ag ain, the partisanship of politics in Northern Ireland has tobe seen as a factor here – some of the issues likely to be raised bywomen in particular, like pre-school places, education and the NHS,have a tendency to take a back seat to constitutional and securityissues. Finally, under the label of patriarchal concerns were genuineconcerns of sexual harassment within the arena of council politics.Some female councillors reported patronising language as well as outand out harassment. Systematic and functional reasons for non-participation are also given.The lack of power held by local government in Northern Ireland prior tothe Belfast Agreement has been a disincentive – women are deterred fromsacrificing family life simply due to the fact that there is relativelylittle to do in local politics and little opportunity to instigateeffective change. For the more ambitious women, local government is notseen as a step on the way to better things and many women see the listsof men waiting to become MPs and simply assume that they have littlechance of ever doing so. A final systematic reason for women stayingout of politics is the actual physical risk involved. It is not unheardof for Northern Ireland councillors to be targeted or even murdered byparamilitaries. Much of the research carried out with female councillors supports thetheory that it is indeed supply rather than demand that limits thenumber of women involved in politics in Northern Ireland. With onlythree women MPs being elected between 1972 and 1990 (Wilford et al1993, p345) there is clearly a problem in attracting candidates. In looking at the demand for women in politics, whilst there isevidence that the public has a growing desire to see women involved inpolitics, it is also important to examine the reasons that people inNorthern Ireland think that there are relatively few women involved.The 2002 Life and Times Survey asked for explanations as to why thereare so few women in politics: What is noticeable from this research is that the main factors appearto be based on a conscious choice made by women rather thandiscrimination against them. Women not putting themselves forward ascandidates and putting their families before their political aspirationappear to be more decisive factors than a view that women do not havethe interest in or capability to succeed in politics. Certainly thisattitude has hardened during he 1990s. Whilst in the 1991 survey womensaw the reason for a lack of women as a mixture of barriers andinclination, by 2002 the most important reasons are clearly women’s owninclinations and choices. Another important perception is that aroundwhether or not people assume that women candidates lose votes – in boththe 1991 and 2002 surveys, only around one third of respondents thoughtthat this was the case. One of the obvious solutions to the fact that there are proportionatelyfew women involved inpolitics in Northern Ireland would be theintroduction of positive discrimination policies by the major parties.Howver, whilst there appears to be a view that women involve themselvesin the political process and be encouraged to do so, there is littleevidence that parties should actually be required to blance theircandidate lists with similar numbers of men and women. When questionedas to whether political parties should be required to put forward aproportion of women candidates, only 19 per cent of respondents agreed– 17 per cent of men and 21 per cent of women (Life and Times Survey2002). The more common view was that political parties should beencouraged to put forward a proportion of women candidates – 55 percent agreed with this (52 per cent of men and 57 per cent of women).The survey also asked whether the parties should put more resourcestowards the campaign of women candid ates than men candidates: this metwith a slightly more positive response with 33 per cent of men and 45per cent of women agreeing that more resources should be assigned towomen candidates. A further indicator that there is sufficient demandfor women politicians came from the questions asking respondents tochoose four attributes they would most like to see in Northern Irelandpoliticians and the attributes that they would then use to describeboth male and female politicians. Clearly, the Northern Ireland see women candidates as most likely tohave the attributes that they see as desirable. Whilst male politiciansare seen largely as aggressive, ruthless and crafty, female politiciansare seen as more likely to be honest, approachable and willing tocompromise. Attitudes in Northern Ireland towards women politician are generallyfavourable. These attitudes have noticeably become more positive since1991 and voters are now looking to parties to present them with morewomen candidates both in the Northern Ireland Assembly and atWestminster. Whilst barriers to women entering politics remain, theyappear to have been diluted over the last 10-15 years and whilst thereis still some discrimination against women in politics this haslessened. Perhaps most importantly of all in terms of attitudes towardswomen in politics, there appears to be a consensus that the qualitiesthat women bring to political life are closer to the qualitiesidentified in an ‘ideal’ candidate or representative than are of thoseof men in politics. Other research on specific questions about the role of women inpolitics gives a good insight into the attitudes of the NorthernIreland electorate. Surveys On line asked respondents what proportionof senior government posts should be held by women. Male Female % % A majority 2 3 About half 18 35 At least some 47 38 Nodefinite proportion 31 21 None 2 2 This would suggest that theelectorate is generally happy to see women holding some of the mostimportant posts in government. Again, this would suggest that there isno problem in terms of demand for women to be involved in politics inNorthern Ireland. Opinions of the general involvement of women onpolitics give a similar picture. Asked about women being elected to anational assembly, respondents felt that there should be: Again the broad consensus appears to be in favour of women beinginvolved in politics. Research indicates a slight imbalance in thatwomen appear to be more strongly in favour of a greater political role,but men also are broadly in favour of women’s involvement The attitudes towards

Essay --

The World Health Organization defines being healthy as â€Å"a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity.† Unfortunately for races that are at disadvantages that definition has very little weight behind it. This issue or racism is not only apparent in health status, it is also obvious in health care and in current health care research for the treatment and cure of diseases. Therefore, current African Americans are not [FINISH THESIS] One main factor in the fight for equality in healthcare is access to health insurance. In 2012 more that 44 million non-elderly citizens did not have medical insurance and did not have the finical ability to access healthcare. Racial minorities accounted for a large disproportionate amount of that uninsured number. Over 18% of people of color under the age of 65 years old are currently without health insurance. In the United States, health insurance access is often tied to their employer. Due to many forms of discrimination, racial minorities have found themselves placed in low wage jobs. Th... Essay -- The World Health Organization defines being healthy as â€Å"a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity.† Unfortunately for races that are at disadvantages that definition has very little weight behind it. This issue or racism is not only apparent in health status, it is also obvious in health care and in current health care research for the treatment and cure of diseases. Therefore, current African Americans are not [FINISH THESIS] One main factor in the fight for equality in healthcare is access to health insurance. In 2012 more that 44 million non-elderly citizens did not have medical insurance and did not have the finical ability to access healthcare. Racial minorities accounted for a large disproportionate amount of that uninsured number. Over 18% of people of color under the age of 65 years old are currently without health insurance. In the United States, health insurance access is often tied to their employer. Due to many forms of discrimination, racial minorities have found themselves placed in low wage jobs. Th...

The Lutheran Hymnal Essay -- Observation Essays, Descriptive Essays

There it is the blue book. It used to be red, but in 1982 a new book was made. The blue book has a cross with a circle behind it on its spine. Also on the spine are the words Lutheran Worship. At the bottom of the spine is the logo for the Concordia Publishing House. On the front cover is another cross with a circle behind it and the printed name David Edward Mahen. This is the modern Lutheran Hymnal used by the Lutheran Church - Missouri Synod. This Lutheran Hymnal is not just a symbol of Lutheranism but the moderate views of the Lutheran Church – Missouri Synod. In the Lutheran Hymnal, are principles of Lutheran Theology according to the Missouri Synod. There are ceremonies for Baptism, Confirmation as well as Divine services. The Divine Service is from Lutheran tradition and is the same service that Lutherans practice today. There are also prayers, chants, psalms with music, and Luther's Small Catechism. There are hymns which span the entire year including: Advent, Christmas, Epiphany, Lent, Passion Week, Easter, Ascension, and Pentecost. There are also hymns for other times of service and year: Trinity, Morning, Evening, Beginning of Service, Close of Service, Holy Baptism, and The Lord's Supper. This was all based on the practices that Martin Luther created during the Reformation. Martin Luther, was â€Å"temperamental, peevish, egomaniacal, and argumentative† (Hooker, www.wsu.edu), but played a pivotal role in history. During Luther's time as a monk, the Catholic Church was selling indulgences. Luther took notice to the corruption and began to reason that men can only get their salvation through Jesus Christ, not the Pope or indulgences, let alone the Church itself. Luther began ... ...e symbol of the male tradition as pastors and the symbol of women giving the Eucharist. It is the symbol of Lutheranism in the middle of a conservative and liberal world. Bibliography Hooker, Richard. Martin Luther 1996. September 25, 2004. http://www.wsu.edu:8080/~dee/REFORM/LUTHER.HTM> Bainton, Roland H. Here I Stand: A life of Martin Luther. New York. Abington Printing Press. 1950 Harm F. R. Sola Fide, Solafidianism. September 27, 2004 < http://mb-soft.com/believe/txc/solafide.htm > Christian Classics Ethereal Library. Luther's Catechisms. A.D. 1529 01/04/2003 September 27, 2004 < http://www.ccel.org/ccel/schaff/creeds1.viii.iv.html > Multiple Authors. Definition of Evangelical Lutheran Church in America. November 1, 2004

Quality Of Outpatient Service Design Health And Social Care Essay

In Malaysia health-care design, developing spacial design is considered as one of the most of import undertakings in the preliminary design phase. In effect, the result of the design gives an impact to quality of service design. The choice of quality appraisal is of import in support of the mission and criterions of Malaysia health-care services. It is associated with a delivered a user-friendly, efficient and effectual service to the patient. Hence the serviceability construct is attached to user ‘s perspective rating really appropriate as a measuring. In these fortunes, the functions of installation direction are to understand and be sensitive in this issue. In add-on the installation directors are responsible in making and bettering the design every bit good as the service meets its best map and organisation mission. The intent of this paper is to reexamine and understanding the † serviceability construct † and â€Å" Usability method † as an appraisal the quality of architecture in- usage † . On top of that is to understand the useable method to mensurate health-care services. This paper will be concentrating on three serviceability cardinal factors ; efficiency, effectivity and users ‘ satisfaction. This overview will assist research workers in their hereafter survey to look into the relationships between the spacial design and â€Å" usability constructs † . This is done by taking into considerations the user experience and outlook of the outpatient spacial design in Malaysia public infirmary. { 10pt infinite } Keywords: outpatient spacial design rating, quality in-use, serviceability construct. { 10pt infinite } { 10pt infinite } { 10pt infinite } INTRODUCTION { Arial 10pt BOLD } { 10pt infinite } { 10pt infinite } The International Organization for Standardization ( ISO ) defines serviceability is a merchandise as â€Å" the extent to which the merchandises can be used by specified users to accomplish specified ends in the specific context of usage with the peculiar environment † . ISO besides pointed out that serviceability is measured based on the three basic parametric quantities ; effectivity, efficiency and satisfaction ( Blakstad, 2008 ; Alexander, 2008 ; Fenker, 2008 ) . Hence usability rating is all about users experience and feedback to the design and environment. It is besides associated between human experience and its influence on people ‘s apprehensions of a design or installations in-use and the dimension of context-of-use ( Chamorro-Koc,2009 ; Carr, 2010 ) . { 10pt infinite } The serviceability surveies started in the twelvemonth 1950s and emerging from assorted subjects backgrounds and Fieldss and is widely known in relation to applications within merchandise design, information engineering and Human Computer Interaction ( Blakstad, 2008 ; Fenker,2008 ) .Hence it is related to user friendliness and functionality of the system or design meets user demands ( Jenso, 2006 ) . In a built-environment, it started by the Facilities Management field with the construct of duty of the Facility Manager to carry through the demand of stakeholders by cognizing the action and feedback from users experience to edifice in -use. It ‘s was introduced by International Council for Research and Innovation in Building and Construction ( CIB ) Task Group 51 â€Å" Usability of edifices 2005 † , Workshop W111 – â€Å" serviceability of workplaces 2-2008 † and â€Å" serviceability of workplace 3- 2010 † has been established to use constructs of serviceability and to supply a better apprehension of the user experience. Why serviceability { Arial 10pt BOLD } { 10pt infinite } The chief focal point of Facilities Management ( FM ) has for a long clip been related to cost decreases, but in recent old ages, there is a alteration towards the demand for FM to make added value. It more focal points on the result of the procedures in FM and the effects that FM can make to better productiveness and functionality of the organisation and benefits for the stakeholders. Consequently, it related to betterment of environing, people and spacial relationships, societal, functional facet, environment and economic ( Jensen, 2010 ; Low Sui Pheng ; 1996, Diez ; 2009 ) . Therefore, to acquire a quality system or design and satisfied stakeholders involved the duties of the FM as the judge before and after the edifice occupied and during the designed procedure. From the organic structure of literature, there are assorted standards of appraisal involve in a built-environment, particularly related to healthcare sectors, including ; Healthcare design rating: Evidence based design: The rating of how design impact to patient results ( Cama ; 2009 ; Becker ; 2007 ; 2008, ) Post tenancy rating ( POE ) : The systematic rating attached to constructing public presentation and user satisfaction ( Ghazali ; 2010, De Jager ; 2008, Begum ; 2010 ) â€Å" Kansei † technology: The rating of quality design by intercession a users feeling and emotions to better future design. ( Harun ; 2008, Ayas ; 2008 ) Kano theoretical accounts: Related to satisfaction rating and design or service public presentation ( Mustafa, 2002 ) Design quality index ( DQI ) : The appraisal refers to user feedback with edifice building and edifice in usage as a usher for future design ( Volker ; 2010 ) Experimental Research: It associates to prove the variables which influence the topic or histrion by placing the results of the experiment. ( Said ; 2006, Surrenti ; 2009 ) Healthcare Service rating Theoretical and stochastic theoretical accounts: it is choice measurement theoretical accounts. Combination of Discrete Event Simulation ( DES ) and the informations of Patient Classification Systems ( PCSs ) The construct is based on a Staff-Patient Satisfaction Relation Model ( S-PSRM ) ( Komashie ; 2009 ) Service quality ( SERVQUAL ) : It is a measuring related to the spread between the client ‘s degree of outlook and how good they rated the service by looking at human facets and response to service provided ( reactivity, dependability, empathy and confidence ) ( Medabesh ; 2008, Bahari 2010 ) Service quality & A ; service useable ( SERVUSE ) : Human Factors and Usability in Service Quality Measurement ( by cognizing utilizations outlook and demands ) . Measure service quality through a study instrument termed SERVQUAL. ( Strawderman ; 2008 ; 2006 ) Service Excellence: measurement quality and excellence -direct service user input and engagement in the service planning and bringing procedure ( Abusaid ; 2007 ) Six Sigma -measurement for service quality: to better the nature, criterion and cost of public services as prosecuting a end near-perfection in run intoing client requirements-measurement for service quality ( Abdullah ; 2008 ) Additionally, most of the infirmary in Malaysia ‘s assessment determines on a quality direction system and to carry through the demands of ISO certification, which concentrating on audit and accreditation of a papers procedure. This can be seen on Malaysia Society for Quality in Health ( MSQH ) rating, which concerns on health care installations, services and in patient safety appraisal and ensures the uninterrupted quality betterment in health care. International Organization for Standardization ( ISO ) , choice direction system ( QMS ) ensures that their internal procedures are able to run into their patients ‘ and applicable regulative demands in a consistent mode. All this is for bettering the quality of the service or the rating of design, installations or systems impact to the users or organisations. Besides that on top, we can reason this overall appraisal is attached to user satisfaction and organisation betterment. Otherwise serviceability besides touched on user satisfaction but more profoundly to users experience by cognizing in-depth their demands and outlook, which focus on the effectivity and efficiency of quality in-use.ARCHITECTURAL USABILITYIn Space is the machine, Hillier ( 1996, p. 129 ) clarifies that ‘the belongings of intelligibility [ aˆÂ ¦ ] means the grade to which what we can see from the infinite that make up the system [ aˆÂ ¦ ] . ‘ And further on ‘an unintelligible system is one where well-connected infinites are non good incorporate [ aˆÂ ¦ ] . ‘ With this in head, constellations of edifice layouts have great impact on the users ‘ behaviour. ( Vrachliotis ; aˆÂ ¦aˆÂ ¦ ) Component layout plays an of import function in the design and serviceability of many technology merchandises. The layout job is besides classified under the headers of wadding, packaging, constellation, container dressing, palette burden or spacial agreement in the literature. The job involves the arrangement of constituents in an available infinite such that a set of nonsubjective scan be optimized while fulfilling optional spatial of public presentation restraints. The layout ends are normally formulated as nonsubjective maps. The aims may reflect the cost, quality, public presentation and service demands. Assorted restraints may be necessary to stipulate spacial relationships between constituents. The specifications of constituents, aims, restraints, and topological connexions define a layout job and an optimisation hunt algorithm takes the job preparation and identifies assuring solution by measuring design options and germinating design provinces. Analysis of aims and restraint s vary from job to job. Spatial knowledge and wayfinding research every bit good as design knowledge are good established as A?elds of research. It is however mostly unknown how designers ground when they try to incorporate manner finding-friendly factors into their designs. Weismans four factors, ocular entree, signage, architectural distinction and floor program complexness provide a comparatively general theoretical base. The function of architectural design on the perceptual experience and mental representation of infinite by worlds is investigated. The navigability and serviceability of reinforced infinite is consistently analyzed in the visible radiation of cognitive theories of spacial and navigational abilities of worlds. It is concluded that a edifice ‘s navigability and related wayfinding issues can profit from architectural design that takes into history basic consequences of spacial knowledge research. Architectural design of infinite has multiple maps. Architecture is designed to fulfill the different representational, functional, aesthetic, and emotional demands of organisations and the people who live or work in these constructions. The designed spacial environment can be seen as an of import tool in accomplishing a peculiar end, e.g. , making a finish or happening an issue in instance of exigency. ( Steffen WerneraˆÂ ¦.. ) Usability an appraisal of quality in-use { 10pt infinite } Serviceability is about user position on their experience. Those experiences are created non merely by elements which the supplier or direction can command, but besides by elements that are outside of the supplier control that effected end-users experience either positive or negative experience. From the organic structure of literature explain the assortment of experience: It involves the cognitive psychological science, act uponing, emotional reaction, and perceptual experience. However, experience influence by personal reading of a state of affairs based on cultural background, temper, esthesis and physical status. ( Verhoef, 2009 ; McGee, 2004 ; Pullman, 2003 ; Hekkert, 2006 ) . It is an event quality of experience. Harmonizing to Dewey ( 1963 ) it is understood as people ‘s comprehension of unrecorded events ensuing from their interaction with merchandises and their environment of usage. ( Pullman ; 2003 ) . It is attaching to sensation cognition ensuing from the interaction with different elements of a context of usage. ( Gupta ; 1999, Fenker, 2008 ) . It considered users find alone, memorable, sustainable over clip and knowing and promotes word of oral cavity. ( Pine, 1999 ) . It ‘s about the persons comparing their outlooks to the results generated by their interaction with a system, service or installations offered. It is an interrelated rhythm of trying to fulfill hopes, dreams, demands, and desires. ( Austere 2003, 2004 ; Hseih, 2009 ; Said,2007 ; Abdullah,2008 ; Alexander,2010 ; Alho, 2008 ; Garde, 2008 ; Hignett, 2009 ) . It ‘s an attitude on how users feel about their experience, while they ‘re utilizing it, how good it serves their intents and tantrums into the full context in which they are utilizing it † ( Alben 1996 ) .The manner it feels in their custodies, how good they understand how it works. Therefore, it can be concluded that usability surveies as a portion of a cultural phenomenon from understanding user ‘s experience. It is a portion of human behaviour activities and reaction survey or to value of terminal user satisfaction. Quality of experience is user ‘s outlooks that benefit to stop users, which influence to societal factors, emotional, and physical well being after deliver or reaction to plan or service. It impacted of a individual ‘s wellness on his or her ability to take a carry throughing their demands or life ( Carr ; 2001 ) . Quality can be defined as the mark that is intended to be reached. In the literature, there are several nomenclatures used to specify the term quality. Which is quality is a method of acknowledging, implementing, and entering good manners of action. Consequently, from a organic structure of usability literature in the built-environment, most of the rating is measured the values of users experience, and it related to ap praisal of quality in-use. ( as shows in table 1 ) . Table 1: Serviceability standards and results assessment in Built environmentAuthor/ focal pointServiceability standardsOutcomes -quality of experienceGranath ; 2008. Introducing the construct of usability-evaluate the results of design The consequence of the artefact Serviceability: Effectiveness ; can users complete undertakings, achieve ends with the merchandise. Efficiency ; user attempt does necessitate making the undertaking. Satisfaction ; the fulfilment of desire or a demand. Garde ; 2008 Quality design Patient country ; ( DfU and DfE ) Ambient experience The merchandises need to be operable for changing individuals with diverse. It depends on the backgrounds and users state of affairs. Comfortable-Ergonomic facets, Physical- and cognitive interaction Emotion -feel at place Handiness Aesthetics- feeling Easy to learn- user friendly Efficiency-distance Space of privateness Jenso ; 2008 Quality of design -patient focus-usability standards Flexibility: Area flexibleness Structural flexibleness Technical flexibleness Functionality: Operational functionality Structural functionality Ergonomic functionality Communicative functionality Adaptability- generalization – flexibleness – snap, Functionality-Usefulness, Accessibility, Aestheticss Identity ( internal ) -Image ( external ) , refering wellness, environment and safety, physical milieus, efficiency and cost in usage, and wellbeing and satisfaction among dwellers Voordt ; 2009 Quality architecture in usage design ( infirmary ) range ability ; handiness ; efficiency ; flexibleness ; safety ; spacial orientation ; privateness, territoriality & A ; societal contact ; wellness and physical wellbeing ; and Sustainability. relate chiefly to the user value of the edifice ( is it easy to utilize ) , to psychological wellbeing to physical wellbeing to environmental quality embracings useful, psychological and physical facets every bit good Rasila ; 2010 Journey experience serviceability dimensions that end-users utilize when they assess the serviceability of reinforced environments Dimensions: Efficiency Flexibility Learnability Memorability bar of mistakes Handiness Navigation Functionality Atmosphere Ocular design Interaction and feedback Satisfaction End product: Efficiency Flexibility Learnability Memorability Amount/tolerance/ bar of mistakes Handiness Navigation Functionality Atmosphere Interaction and feedback Servicescape Feeling secure Space Networks Alexander ; 2010 Quality acquisition environment Enjoyable Memorable Valuable. Co-learning, Co-production, Benefit to user, Connectivity, Healthy and safe, Eco footmark, Visually pleasing, meaningfulinstruction result:Increase equity and entree to instruction, Improve educational effectivity Raise degrees of accomplishment & A ; attainment. Strawderman ; 2008 ; 2006 Quality and serviceability of health care clinic service: SERVUSE, was created by modifying SERVQUAL Service quality: Dependability Tangibles Responsiveness Assurance Empathy 5 usability factors ; learn ability, efficiency, memorability, low mistakes. Satisfaction. Usability result: Excellent clinics – simple to utilize. Patients of first-class clinics will be able to larn how to utilize the system easy. Information sing first-class clinics will be easy to find. & amp ; easy to understand. Kazanasmaz,2006 design efficiency Spatial orientation layout & A ; motion, Size of infinite. Capacity of point ( bed ) Functional Classification of Spaces- Primary infinites, Secondary infinites and Circulation infinites Walking distances, spaced utilised, light strength, forms of motion, services. journeys ‘ frequence of happening, types of journeys, and distances Barlow ; 2007 Swanepoel ; 2010 Needs and Quality for future library design. interior public library to animate usage Serviceability affect by demographic and experience, which will impact their initial accomplishments. Functional and modern, aesthetically delighting, friendly design, gratifying and memorable experiences Way finding- Signage and initial orientation devices, handiness, acquaintance, landmark, user friendly, easy to utilize, Steering -future design Creates gratifying and memorable experiences.Usability rating standards and procedure of ratingPurpose of this pilot is observation dues to the issue and to prove the method of informations aggregation and prove the serviceability rating model. Whereas those related to the chief aim of this survey are to research and detect the behavior activities of user experience the serviceability of healthcare spacial design from the patient ‘s outlooks and feedback. The rating derived from Voordt 2005 ; 2009, which is an appraisal on healthcare architecture- in usage, utilizing 9 dimension, ( 1 ) range ability and parking installations, ( 2 ) handiness, ( 3 ) efficiency, ( 4 ) flexibleness, ( 5 ) safety, ( 6 ) spacial orientation, ( 7 ) privateness, territoriality and societal contact, ( 8 ) wellness and physical wellbeing and, ( 9 ) Sustainability. This rating adopted from NHS, Achieving Excellence Design Evaluation Toolkit ( AEDET ) : its Post tenancy Evaluation ( POE ) Toolkit with the systematic questionnaire ( Excel-based plan ) related to how edifice performed, provides three cardinal countries ; ( 1 ) functionality- usage, entree and infinite, ( 2 ) impact -character and invention, signifier and stuffs, staff and patient environment, urban and societal integrating, and ( 3 ) build quality and standard public presentation, technology and building ( AEDET development, NHS ; 2010 ) This survey was conducted in a replacing infirmary. A replacing infirmary is a new infirmary built to replace the original infirmary which had been closed or turned into the province wellness section or wellness clinic. Presently there are 11 replacing infirmaries and 9 have been in operation for this survey, and three infirmaries have been selected, in which the infirmary began runing in 2000 and above. It focuses on the northern part of peninsular Malaysia, is due to Lack of research worker survey and concentrate on this country and concentrate on spacial design. Two replacing infirmary been chosen with a different class, territory infirmary with 11 medical subjects and 498 beds and territory infirmary with 250 beds.The 10 respondent from each infirmary been interviewed during the walkthrough procedure due to the limited country within anteroom, parking country, outpatient country and entree to specialist clinic. The serviceability appraisal method is suited for usage in the appraisal cause the deficiency of qualitative appraisal, which in-depth focal points on patient experience and outlook. Furthermore, Usability is the measurement methods related to human factors, which is focused on understanding benefits and restrictions of the human organic structure and associated with the direction and usage of Facilities and environment. This geographic expedition pilot survey is to cognize the easiness of usage and how the system matches with the existent state of affairss which focus on: Patient experience and outlook to spacial design characteristics: Flexibility of design attaches to serve waiting process inclusive the factors effectual and efficient standards that contribute to their satisfaction. Chemical reaction and feedback of the patient journey experience through the spacial design environment and orientation start from the handiness aspect to make the service or their ends. This appraisal it has been use to happen the standards for the chief instance surveies ‘ appraisals. The methods of roll uping informations used in this survey are walkthrough observation and unstructured interviews of patients and visitants journey experience. In the early serviceability trial, study had been behavior, but the consequence finds merely fewer respondents want to be involved in that study. Therefore, those two methods of roll uping informations had been chosen and more answering action to the interview. As we mentioned the walkthrough and interview method had been chosen in this information aggregation technique. It had done cause deficiency of dependable appraisal method that thoroughly observes and identifies the user ‘s action from their experience the existent thing. Acknowledging the demand for a conjunct response to what had been design or been using from the direction or the medical contriver. Walkthrough observation behaviour activities by watching people use their environment and activities related to spatial-relationship and surrounding. It has done by analyses of the infinite and motions â€Å" tour † of the edifice measuring different qualities of maps of environment. In the same clip Interviews had used to back up worlds without upseting their activities. Interviews utile to back up behavior reaction, and we will cognize in-depth information around the subject and related issue. Those methods being used to cognize the expected utilizations, new utilizations and abuses of design, recognized demands by acquiring the narrative behind a participant ‘s experiences.Usability issues from pilotDuring the pilot, there are few cardinal inquiries of interview and observation standards related to how users experience the spacial design. It is reflecting to the chief research inquiries of the surveies: How the serviceability of spacial design can act upon the health care spacial design in order to bring forth choice architectural in-use? Why the patients concern on their procedure of journey experience and how their outlook from the spacial design to reflect support to the manner it used by them? The specific cardinal inquiries for this chief interview are: How do you experience about this infinite? Why its of import? How your experience utilizing all the installations along your journey experience and are those installations easy be used? What do you believe of this infinite and are the installations needs betterment? You want to travel where and from where? How about you ‘re experiencing and what your outlook from this experience? What are the jobs you encounter to that country? Keys of observation during visitants or patients walking into the mark country by placing any mistakes: How a respondent identified the space- utilizing signage/ map/ inquiring person. Chemical reaction to any of the serviceability issues highlighted by them. Chemical reactions of household, kids, friends who accompany patients to those above standards. The decision in this little pilot survey, we identified several serviceability jobs explains the position of patients and visitants to their experience in hospital spacial design and the account of serviceability standards in table 2. Table 2: Patient experience and outlook to healthcare design and installations provided.Pilot survey 1 & A ; 2: Quality in-useUsability issues-from interview sessionUsability standards agencies[ aˆÂ ¦ ] Do n't cognize how to travel to the cafe and other area/space and every clip to happen an country, we will inquire the security guard or receptionist. I ca n't read, I merely can acknowledge the topographic point if the signage got image or symbol. My kid is already tired, they want to travel drama†¦ †¦ but in the chief land floor†¦ afraid to allow them travel†¦ I ca n't see from here aˆÂ ¦the inside is excessively world-weary and that ‘s no topographic point for childs to play or making others activities. There ‘s non adequate sitting unit, the puting it ‘s excessively difficult and the agreement of puting unit it ‘s difficult for me to pass on with each others. Waiting so long but it ‘s nil to make and I like to wait in the anteroom aˆÂ ¦.can see the people, landscape†¦ . and it ‘s so deadening sit in a topographic point that uncle received intervention, merely watching Television†¦ Feel non safe aˆÂ ¦walking through stairway aˆÂ ¦ lower limit of light entree and the country are closed. It possible if the bannister attaches to the wall -it ‘s easy for me to walk and rest for a minute aˆÂ ¦ I ‘m already old Handiness Learn ability -Landmark Memorability Way finding-Signage system Space orientation -distance and relationship Landmark Functions Well being- Emotion Physical Comfort Bored Friendly infinite Entertainment- divert activities privateness, territoriality and societal contact ; Reach ability Physical support flexibleness of design demand for disableThe differences issues from two instancesUsability standards agenciesPilot 1:Sekarang hujanaˆÂ ¦.daripada tempat letak kereta ke entryway takde bumbung. The lavatory is clean but the door is really heavy for me with wheel chair aˆÂ ¦nice if there were separate male and female spaceaˆÂ ¦ experience more comfortableaˆÂ ¦tired waiting for my ma at that place no H2O ice chest? Aesthetic elements Design visual aspect Ambient Safety componentPilot 2:Kawasan untuk anak2 ade tapiaˆÂ ¦.tak menarik dan tiada permainan -ruang jeraˆÂ ¦kecil sangat pulak tu Kawasan menunggu khat luar ni panas emmmmaˆÂ ¦tiada peneduh dan pokok2 kenapa La takde pokok besar aˆÂ ¦.bolehlah kami rehat aˆÂ ¦.tengoklah kerusi banyakaˆÂ ¦tapi dash rosak -sakit lak tu kalu tunggu lama aˆÂ ¦uhhh bosannyer..nasib baik ade television aˆÂ ¦kalau tunggu khat kedai kopi lagi best boleh sembang-sembang The decision from the two instances we findded that most of the issue higligted aˆÂ ¦related to demands of household membersaˆÂ ¦..and concern their activitive. Hence to deviate their feeling of menunggu terlalu lamaaˆÂ ¦.dan keaadaan sitting country juga memainkan peranan aˆÂ ¦budaya aˆÂ ¦.suka bersembangaˆÂ ¦..lelakiaˆÂ ¦..dan terdapt spiritual and privateness aˆÂ ¦.concern ceperate aˆÂ ¦araea between adult male and adult females Even though from that serviceability issues, in this pilot survey besides we can reason there are several standards impacting that serviceability and influence the respondent satisfaction, which are an outlook of effectual and efficient standards from the service or design. ( Table 3 explains the influences of serviceability standards ) . Table 3: The procedure of patient and visitants experiencePatient Procedure: terminal users experience – outpatient service and what service provided?Patient phase outpatient / to specialist clinic service work flowFirst service Presentment the measure Appointment Expectation Physical journey to clinic Waiting – experience Appointment & A ; follow up CoatingWhat Patients need to cognizeAccessibility and reach ability facet before enter? Where to travel & amp ; referred? How its work – How easy to happen & amp ; familiar, how long it takes to make? When, where, how, what outlook When, where, how, what expected How to acquire at that place? What expected? What to do/ How long? What can I/kids/elderly/ immature people do? direction & A ; action What should I make next? after / following assignment Where to travel?What Patients need to cognizeFirst service Presentment the measure Expectation enrollment outlook Waiting – experience Physical journey to guard Target country experiencepatient/visitors stage to inpatient country service work flowAccessibility & A ; reach ability facet before enter? Where to travel. How its work – Familiar of the infinite, how long it takes to make the country. When, where, how, what outlook When, where, how, what expected How to acquire at that place? What expected? When will be called? What can I/kids/elderly/ immature people do? Their feeling/action Instruction & A ; action. Spatial design/ environment and ambient What should I make next? After / following assignment – Where to travel? { 10pt infinite }Discussion{ 10pt infinite } In drumhead, we explore that serviceability principles is human factors. It is a reaction between the applications or proviso of service provided to the user, whether it is good or non.As good as the serviceability parametric quantity is defined the effectivity is, whether the design or installations provided effectual and good to consumers in full and run into the outlook. While Efficiency is related to something that is easy accessible, do non take excessively long to be resolved and it is related to clip and distance. This issue is non often been raise compared to effectiveness standards. Satisfaction is a grade or value of satisfaction related to the both parametric quantities. But all the serviceability standards depend on the background, their physical status and their state of affairs. { 10pt infinite }