Behavioural Aspect of Budgeting in Public Sector Essay

Budgets are part of management control designed to promote the efficient use of resources and providing support for other critical functions. The extent to which any budget is successful is very much dependant on its acceptance and the attitudes of workers towards it. This paper focuses on the crucial role of the behavioural aspects of budgeting and how an understanding of its importance can contribute to a successful budgeting process. It describes the nature of budgeting and analyses the budgeting process in organisations. The paper shows why budgeting is important to firms and describes the impact budgeting has on human behaviour such as motivation and dysfunctional behaviour. The behavioural aspects of the budgeting process are also examined. Finally, the public sector budgeting process is analysed, focussing on the need to tackle Beyond Budgeting issues in the 21st century whereby organisations budget without a budget. In the literature review, it was found that there was no perfect means of ensuring a successful budgeting process but there was general agreement in many areas of how the process might successfully assist. As with most concepts, there were mixed opinions on some issues such as benefits of participation as opposed to non-participation. What was common is the view that the budgeting process in particular and management control systems in general cannot afford to ignore the impact of behaviour on these processes. Key words: Beyond Budgeting; behavioural aspects; budget and human behaviour; budgeting process; and public sector/service budgets The Nature of Budgeting Almost every enterprise, regardless of size, complexity or sector, relies heavily on budgets and budgetary systems to achieve strategic goals. The success and importance of budgeting relates to the identification of organisational goals, allocation of responsibilities for achieving these goals, and consequently its execution (Shah 2007; Robinson 2007; Drake and Fabozzi 2010). It is one of the most successful and useful management accounting techniques that can reap handsome rewards if properly understood and implemented. The process of budgeting involves setting strategic goals and objectives and developing forecasts for revenues, costs, production, cash flows and other important factors (Jr. Bierman 2010; and Bonner 2008). By putting together a financing and investment strategy in place, this will allow those responsible for financing of the company to determine what investment can be made and how these investments will be financed. â€Å"In other words, budgeting pulls together decisions regarding capital budgeting, capital structure, and working capital.† (Drake and Fabozzi 2010: 115). The end result of the process is the production of the formal document referred to as a â€Å"budget†.

Givers versus Takers Essay

There is a reason why the biblical phrase â€Å"it is better to give than to receive† is so popular. For a long time, authors described successful people in business as having talent and luck, but nowadays according to Adam Grant, they share another quality; they give back (Brandom, 2013, para 1). In this context a dilemma surfaces. One component that distinguishes organized cultures is whether the cultures themselves are framed by giver or taker philosophies. The main reasons that make the giver culture better is the preferences for reciprocity, the mission of the company, and the success of the philosophy. In the frenetic world of business development, companies differ in their preferences for reciprocity. At this point in time, most businesses are anchored with two extremes: the takers and the givers. In giver environments, employees operate as high-performing intelligence to: help others, share knowledge, offer mentoring, and make connections without expecting anything in return. At the other end of the spectrum, the norm is to get as much as possible from others while contributing less in return. Taker employees help only when they expect the personal benefits to exceed the costs, as opposed to when the organizational benefits outweigh the personal costs (Grant, 2013, para. 3). Takers are selfish, and evaluate what other people can give them. Givers, however, are characterized for being selfless, giving more emphasis to what others require from them. Many people limit the giver label to prodigious heroes such as Mahatma Gandhi. Phenomenal acts are not required for being a giver, only strategic acts (Grant, 2013, para 15). Giver and takers are not defined by their affinity for money. Rather, they differ in their attitudes and actions toward other people. A Company environment starts with the organization’s leadership, and how they create, communicate, and behave to support the mission. In this context, there are two aspects that identify what kind of CEO a company has, and, as a result of their actions, how the mission is established. The first indication is their speech. The takers tend to use first-person singular pronouns, like â€Å"I† and â€Å"me,† while the givers use â€Å"us† and â€Å"we†. The second aspect is the CEO’s character’s reflection on the company. Takers believe that it is all about them. For example, they usually think, â€Å"I am the single most important figure in this company†. When you look at their photos in the company’s annual reports, they have larger photos, and they are more likely to be pictured alone. On the other hand, giver leaders consider the company as a whole, and how everyone is an essential part of it. Due to this perspective, they prefer to be pictured with the entire team. After the type of CEO is identified, the mission of their company becomes clear. It is recognizable that a mission based on giver beliefs benefits the helping nature within the company and assists the employees to freely contribute their knowledge and skills to others. Giver companies achieve a greater and more meaningful success than taker companies. Both givers and takers can achieve success. Nevertheless, there is a peculiar difference that happens when givers succeed. It disperses and cascades in a way that creates a ripple effect, enhancing the success of people around them.. In consequence, people around them are rooting for and supporting them. Unlike givers, when takers win, there is usually someone else who loses, and people tend to envy successful takers. The principal difference lies in how giver success creates value, instead of just claiming it (Popova, 2013, para 17). The approach to a giver’s success is determined over a long period of time. The results of the strategies are not immediate; however, it has a long-term repercussion in the company development. In contrast to givers, takers may achieve success, but it is likely to be short-lived and not rooted in meaningful or equitable relationships (Stanger, 2013, para. 4). In fact, the patterns of success based on reciprocity giver’s philosophy are remarkably efficient. In conclusion, givers and takers are philosophies of business interaction, but the lines between them are defined by differences in reciprocity, mission, and work outcomes. Namely, giving culture in a company is the best option which provides genuine support, better satisfaction of the clients, and an increase in the productivity of the employee system. References Brandon. (2013). Why Givers (Not Takers) Usually Win. Retrieved October 21, 2013 from http://www.inc.com/john-brandon/qanda-adam-grant-author-of-give-and-take.html Grant. (2013). Givers take all: The hidden dimension of corporate culture. Retrieved October 21, 2013 from http://www.mckinsey.com/insights/organization/givers_take_all_the_hidden_dimension_of_corporate_culture Grant. (2013). Good Return. Retrieved October 21, 2013 from http://www.upenn.edu/gazette/0713/feature2_1.html Popova. (2013). Givers, Takers, and Matchers: The Surprising Science of Success. Retrieved October 21, 2013 from http://www.brainpickings.org/index.php/2013/04/10/adam-grant-give-and-take/ Stenger. (2013).What’s The Real Secret to Success? A â€Å"Giver† Instinct. Retrieved October 21, 2013 from https://www.stengerandcompany.com/blog/86-what-s-the-real-secret-to-success-a-giver-instinct

How does Seamus Heaney reveal his culture in ‘Digging’ and ‘Follower’? Essay

Seamus Heaney was born in Northern Ireland in 1939 to a working class family. Being the eldest of nine siblings wasn’t easy yet Heaney’s intelligence was highlighted when he won a scholarship to a catholic school at the tender age of twelve. He had an agricultural background and was raised on the family farm where he stood proud of his hard working ancestors and their skills. After studying Heaney’s first pair of poems ‘Digging’ and ‘Follower’ I can especially relate to the strong family values Heaney displays, yet an important part of the Irish tradition is for a father to pass on his business or trade down to the eldest son. We see how Heaney would feel pressurised; indeed he would have a lot to live up to judging by that exposed in his poetry. It is well known that most Irishmen are working class and Ireland has a very strong pub culture; from this fact stems many stereotypes. Through his poetry Heaney attempts to challenge the discrimination that is regularly shown towards Irish farmers. We see even today many frequently told jokes involve the Irish man as the fool; it’s the Irish farmer that is especially misinterpreted, yet Heaney gives us a fair insight into the life of his family and their farming profession; he tells readers of the immense skill needed to farm well and the capability of an Irish farmer. He is therefore challenging the tradition yet damaging the stereotype. Firstly we see how ‘Digging’ has both a metaphorical and literal meaning to it. The literal meaning is that his father and grandfather are farmers, the poem talks about his family ‘Digging’ and working on the farm. Onwards from this the metaphorical meaning is that Seamus Heaney himself is ‘Digging’ into his past and background, which indeed is farming. Hence the title is rather effective. ‘Digging’ is about Heaney breaking away from the family tradition and becoming a poet thus it is written in an untraditional way. In ‘Digging’ Heaney begins his poem in the present tense he is describing what he is doing and his surroundings at the time of writing before he takes a step back in time, reminiscing and evaluating his thought process as his memories link causing him to remember the past and the skills of his father and grandfather. He is sat by his window to write the poem and therefore fulfilling his passion as a poet; he describes seeing his elderly father straining amongst the flowerbeds, then goes into the past and reminisces again about his father and how he would farm so well. He writes of the times when he and his father would work together picking potatoes on the farm. Further on Heaney delves deeper into his family history, he moves on from his father and begins to speak of his grandfather linking the two together via their epic skills. He writes â€Å"By God, the old man could handle a spade Just like his old man.† Heaney uses his chain of thoughts in a very orderly way and describes the potato picking days from his past, he goes into detail about how the potatoes smelt and the sound of the ‘soggy peat’. He then ends with a stanza much like his first, yet within this stanza we see how he realises that his tool is not that of a farmer but is a pen and his skill is to write. The final line, however, is set in the future tense to emphasise Heaney’s determination – â€Å"I’ll dig with it.† In contrast ‘Follower’ is a very different poem. Here, Seamus Heaney writes about his days on the farm from the perspective of being a young boy. He sees his father working on a horse and plough as he recollects upon how he looked up to his father and saw him as a great role-model, indeed, as a child Heaney himself wanted to become a farmer. Thus the poem is, unlike ‘Digging’ written in a traditional way. Following in his fathers footsteps and traipsing around the farm Heaney would make a nuisance of himself. The poem is ended with a twist as Heaney states that the tables have turned as considering the present Seamus Heaney feels his father is stumbling behind him. This is reflected when he states: â€Å"It is my father who keeps stumbling Behind me and will not go away.† Like the general theme in ‘Digging’ these two lines have both a literal and metaphorical meaning, the literal is that his father is now and old man and is physically stumbling behind him and becoming a nuisance. The hidden metaphorical meaning is one that highlights the shame he feels, the way in which his father is ‘stumbling’ behind him reflects how the memories of breaking the family tradition haunt him still and how his father is now a burden through the regret he feels. â€Å"Digging† starts by setting the scene with a two line stanza: â€Å"Between my finger and my thumb The squat pen rests: snug as a gun† The poet is sitting, watching and listening whilst absorbing his surroundings. We see how he is in deep thought as the second line simile reveals that although the pen is sitting comfortably it is potentially enormously powerful. He refers to his pen as ‘squat’ I believe this is ironic as the burden of breaking a tradition and risking further collapsing the Irish stereotype is not light at all in fact it is a heavy burden to handle. Heaney lets his pen rest as he observes his father out of the window this creates an opposing mood to the following phrase â€Å"snug as a gun† this truly convinces the reader of its power. I believe that through this he is showing us that he feels he must detach himself as a writer from his family in order to view his relationships from a realistic perspective; he must distance himself from the feelings he has towards his family in order to evaluate fairly and make things less personal to him and more of an all round view upon the farming tradition. In the next stanza we are shown how ‘Digging’ is an auditory poem: â€Å"†¦a clean rasping sound When the spade sinks into gravely ground:† This is what Heaney is hearing as he looks out of his window. The fact he uses sounds brings him poem to life more and makes everything more realistic. Heaney then writes â€Å"My father, digging. I look down† I believe that this metaphor could symbolise the fact that Heaney is higher is status than his father; Heaney is a middle-class poet whereas his father is a working class farmer. In stanza four of ‘Digging’ it says: â€Å"The coarse boot nestled on the lug, the shaft against the inside knee was levered firmly. He rooted out tall tops, buried the bright edge deep† I believe that the first two lines convey to us that the spade is just as comfortable for his father as then pen is for him. On the next line the words ‘rooted’, ‘out’ and ‘tops’ are examples of assonance whereas ‘buried’ and ‘bright’ are both alliteration these two literacy devises together have an astonishing appeal adding poetic structure to the piece. In the sixth stanza Heaney says: â€Å"Once I carried him milk in a bottle Corked sloppily with paper. He straightened up To drink it, then fell to right away† He is talking about his grandfather the way he says he â€Å"fell to† gives us the image of a robot like character programmed into doing his work only. It seems that he has no time for his grandson and although he is working hard and is focused this also is a reflection of their poor relationship and highlights the lack of intimacy between the two. The fact that Heaney carried his grandfather milk shows that the children were encouraged to partake in family work and start their farming at a young age. Heaney praises and celebrates his fathers farming skills throughout his work and the relaxed movements and smooth rhythm that is described within Heaney’s poetry becomes a great reflection upon the poetic technique of him as a writer showing that though his father has rhythmic physicality he himself can create a great poetic flow: â€Å"Nicking and slicing neatly, heaving sods Over his shoulder, going down and down For the good turf. Digging.† Through these lines we see Heaney recreating the movement and allowing us to absorb the precise handling and controlled rhythm farming requires. Also the way the poet uses the title of the poem in a short sentence is very effective because it reinforces and reminds us of the key ideas Heaney wishes to highlight within this particular poem. The final two stanzas’ I believe are crucial to the success of the poem as a whole. Heaney firstly says: â€Å"The cold smell of potato mould, the squelch and slap Of soggy peat†¦Ã¢â‚¬  This again is a reflection of the auditory aspect of the poem. We see here how the smells of Irish farming are also embedded in Heaney’s memory; the onomatopoeia and alliteration used here makes his senses visual for the reader to interpret. Heaney goes on to state: â€Å"Through living roots awaken in my head. But I’ve no spade to follow men like them† My interpretation of this phrase would suggest the harsh reality that he himself is attached from the roots of his family tree. We see that though he admires his family greatly he hasn’t got the drive, the skill or the ambition to continue and repeat their fine work. The fact Heaney doesn’t have the skill of a farmer is reflected when he states â€Å"But I have no spade† this translates to tell the reader that he isn’t at all like his family members and shows us that he is distancing himself from them. The poem finally ends with a stanza much like the first: â€Å"Between my finger and my thumb The squat pen rests. I’ll dig with it† It is clearly noticeable that the poet has not used any reference to a gun here and we see he has replaced the gun with a tool so he may dig. I believe that when he says he will ‘dig’ with his pen he is talking about digging into his family history and glorifying his ancestors by continuing their tradition in his own way. I believe that the fact the last line in set in the future tense emphasizes Heaney’s determination. I also think the ending of this poem concludes some sort of temporary resolution yet we know the poet is not finished; there is more that Heaney feels must be said in order to settle his troubled mind and erase the stereotype. This brings us onto follower†¦ ‘Follower’ being the title of this poem is in itself slightly ironic as he is writing of how he used to be a follower to his father as a child, traipsing around the farm; yet there is the reality that now he knows he cannot follow his father in the family tradition. Throughout this poem the skill and precision of Heaney’s father is stressed. He starts stanza two by calling his father â€Å"An expert.† This is an extremely short sentence with no verbs which conveys the feeling that there is no dispute about Heaney’s appraisal of his father; I believe it is an accurate opinion of the man’s ability and precision. The phrase â€Å"Single pluck† proves his father can turn a horse and plough around effortlessly this conveys the flawlessness he has achieved over time. In the next stanza â€Å"Narrowed and angled† is used to again describe the precise technique his father uses. The second half of the poem which consists of three stanzas’, talks about Heaney as a child and how he acted rather than about his father and the skills he had. The starts of these three stanzas’ I believe are very significant†¦Ã¢â‚¬ I stumbled† is the first, followed by â€Å"I wanted† and finally â€Å"I was a nuisance†. I think that these truly prove to the reader Heaney’s acceptance of his failure as a child and his failure as a farmer. Within the fourth stanza of â€Å"Follower† Heaney mention’s â€Å"the polished sod† this again describes how neat his father was by allowing us to create a picture of how exact and perfect the farmland was; the term ‘sod’ means a surface covered with grass or turf it also can be a section cut or torn from the surface of grassland, containing the matted roots of grass we imagine this to be tatty and not at all as Heaney describes it; this reflects upon how his father was such a credible craftsman, it seems like he could perfect any land. The father son relationship is also reflected within ‘Follower’: â€Å"Sometimes he rode me on his back, Dipping and rising to his plod.† We know that Heaney’s father is a man of strength and power but here we see that he is also a man with love for his dear son. Their loving relationship is prominent through the way he treats his son. These two lines show readers that they both enjoyed being together on the farm and also that Heaney’s father showed sheer enjoyment when introducing his eldest son to a life of farming and to the traditional trade itself. Although Heaney was a nuisance his father would encourage him and help him along. We see how Heaney is filled with idolisation towards his heroic father, he says: â€Å"I wanted to grow and plough, To close one eye, stiffen my arm.† This symbolizes his admiration and shows us that Heaney as a child saw farming as a way of emulating his father’s actions. I as a reader can understand what an immense opportunity farming could have been for Heaney it was a chance for him to live up to his fathers achievements and continue to accomplish greatness in the trade himself; therefore glorifying the family name. Through studying this poem I can see how the poetry itself is much more flexible than that within ‘Digging’. I can see how he has eased up and feels he can be more personal with the way he writes he is talking about himself and his father directly throughout showing to me as a reader that he is calmer and no longer has so many serious and forceful points he must portray to us; his mind seems more settled. He shows acceptance of his fathers work and growing composure which is just slightly shattered as he shows again his frustration and regret at the end of the poem. As shown, Heaney uses many poetic techniques within his work , often he uses imagery; this literacy devise is a great tool that brings his work to life creating a sense of immediacy that produces vivid pictures in our minds making me as a reader feel involved and captured within the moment. Within ‘Digging’ images of a ‘man-machine’ are used to glorify and intensify the pictures we see when imagining Heaney’s ancestors whereas ‘Follower’ uses nautical imagery, this is imagery that is linked to ships and boats. We are given the image of a man-machine in ‘Digging’ through the powerful, masculine verbs Heaney uses he says rhythmic words such as ‘straining’ and ‘stooping’ they are monotonous, repetitive and reveal the strenuous nature of pastoral work illustrating the power his father and fathers father wielded with their shovel and sweat. â€Å"Twenty years away† This is a phrase that reinforces the repetitive nature of the physical labour it lets us know that farming is a job for life. Heaney visualises his father in his prime to place emphasize upon the power he had. The technical terms used like ‘lug’, ‘shaft’ and ‘levered’ confirm the machine image. With machine-like accuracy â€Å"He rooted out the tall tops, buried the bright edged deep† The alliteration used here enhances the reader’s visual imagery producing a picture of experience and excellence. We see further on how the image of a man-machine is reinforced as Heaney speaks of his grandfather, he says: â€Å"Nicking and slicing neatly, heaving sods Over his shoulder, going down and down For the good turf.† This shows us that the generations of skill have been passed down through the family as has the ancient tradition; we see how Heaney’s grandfather truly knew his craft. Great strength and power is exposed when reading these lines. Follower immediately illuminates the agricultural aspect of Ireland; we see this is the first line where he says his father â€Å"worked with a horse-plough† to reinforce the Irish cultivation Heaney uses technical terms such as ‘wing’, ‘sock’ and ‘headrig’ this shows his involvement in the farming tradition and his up bringing is reflected as we see he has come to learn the language of a true farmer. We came to realise that instead of the man machine images that are used in ‘Digging’ Heaney uses nautical references to create imagery within ‘Follower’; the nautical aspect is used to interpret the flow of his fathers work which works immensely well. The first of the nautical implications is when Heaney speaks of his father saying: â€Å"His shoulders globed like a full sail strung† This simile is used to show the immense strength and great power within his father’s masculine physique; it epically suggests that there are definite requirements and necessities needed to be as good a farmer as Heaney’s father indeed is. I also believe that the word ‘Globed’ is especially used as it has a hidden meaning I believe it suggests that Heaney thinks the world of his father and that it is a reflection of his father’s Godly ambience. The third line of the second stanza states that: â€Å"The sod rolled over without breaking† This nautical reference translates to the fact that as the earth turned it looked like a wave breaking in the sea. â€Å"Mapping the furrow exactly† This is a navigational image, the use of the word exactly reveals that his father does the work precisely and perfectly emphasizing upon his experience and skill showing he has been working the land for a long time. Heaney also says: â€Å"I stumbled in his hob-nailed wake† Again this is said nautically when referring to his father this reference is meaning that he Was like a ships trail; his father indeed being the ship itself. This reference could also symbolise an image of the ploughman’s heavy boots, the carefully ploughed furrow and the child’s clumsy enthusiasm.

Cellular Respiration Essay Example | Topics and Well Written Essays - 2250 words

Cellular Respiration - Essay Example ATP is called as a "Universal energy currency" since all the energy transactions of the cell use this molecule. In terms of efficiency, aerobic respiration is more efficient than the anaerobic respiration which yields only two molecules of ATP. Both these modes of respiration share the initial Glycolysis step, which occurs in cytoplasm. After, the glycolysis, other reactions of the aerobic respiration, Krebs (Citric acid cycle) and oxidative phosphorylation takes place in mitochondria. Of the four different isozymes, type IV enzyme is not amenable to feedback inhibitory mechanism and is specific to liver and pancreas. During elevated levels of blood glucose, excess amount of Glucose-6-phosphate is made for conversion to glycogen for future use in liver (Table 1). 2. The second reaction of this cascade is catalyzed by phosphoglucose isomerase leading to interconversion of glucose-6-phosphate to fructose-6-phosphate during glycolysis and gluconeogenesis (Table 1). 3. Third step in the glycolysis in another priming reaction leading to the addition of another phosphate group by an enzyme called phosphofructokinase 1. This is a unidirectional reaction committing the cells to glycolysis. A phosphatase called fructose bisphosphatase is required for the reverse reaction. A balance of enzymatic activities of phosphofructokinase and fructose bisphosphatase determines whether the reaction proceeds towards glycolysis or gluconeogenesis. This reaction is activated by AMP and also fructose 2,6-bisphosphate which is a product of the reaction catalyzed by phosphofructokinase 2. These enzymes are downregulated by glucagon at the transcriptional level. Fructose bisphosphatase is inhibited by fructose 2,6 bisphosphate (Table 1). 4. The fourth step in the process of glycolysis is the reversible cleavage of fructose 1,6 bisphosphate to form two different triose phosphates, both of which continue through glycolysis, by an enzyme termed aldolase. The different isozymes of aldolase have different catalytic functions: aldolases A and C are mainly involved in glycolysis, while aldolase B

Behavioural Finance Viev On Market Bubbles Essay

Behavioural Finance Viev On Market Bubbles - Essay Example This paper investigates these market events through relevant research material and identifies the anatomy and behavioral finance phenomena of the events using information. The tulip bulbs speculation, which was at its peak in February 1637, and the consequent market crash that followed mark the most notorious economic hard times in the History of Dutch (Goldgar, 2007:5). Together with Britain’s Sothern Sea Buble in the 18th century, these are the earliest example of irrational market behavior that affected investors in Europe. The Semper Augustus, a tulip bulb type, was both sublime and prosaic than any comparable bonds or stocks, it was extraordinarily beautiful with its pure white top and midnight petals combined with accents of crimsons flares. In history, it remains the most valuable flower to date. Back in the early 1624, an individual in Amsterdam in possession of the last dozen specimens of tulips was o be given a high of 3,000 guilders, an equivalent of a wealthy merch ant’s annual income, but turned down the offer. This is the height of how speculations had raised the prices of the tulip. Nonetheless, the tulip craze was not only in Dutch. The flower was an enchantment for the rulers of the Ottoman Empire and the Persians in late 1550s, but it was in Holland where the flower found its fertile ground, economically (Goldgar, 2007:15). Holland was in the Golden Age in the early 1700s and all the resources that the country had directed towards the fight with Spain for their independence were now concentrated on commerce. Amsterdam was strategically at center of the East Indies trade, which enabled a single voyage to gain four times its value in the lucrative market place. Flower gardens surrounding their grand estates usually evidenced their success in the trade. This was the trigger for the tulip craze. Tulip prices began rising significantly as the rich lot in Holland not considering the value of the tulips. The tulip business became the new order of business setting by professional tulip traders with the customers coming from tulip fanciers (bloemisten) in middling groups rather than the nobles or artisans. The enthusiasm of owning prized specimens of tulips was a cultural credential display. The cultural credential associated with the tulips, combined with the fact that the seed takes seven years to grow, and that a mother bulb can only last a few years, was the foundation of the supply crisis. There were many buyers for the bulbs with a limited supply, which in economics results to a rise in the price of the commodity (Goldgar, 2007:86). The prices of the bulbs rose consistently over the early 1930s because of more speculation. The farmers and traders mortgaged all their assets in order to raise more capital for the trade. By 1936, any tulip bulbs, even the ones the current society considers garbage, could simply trade for hundreds of guilders. The peak of the tulip mania was in the early 1937 when a single tulip bu lb could change hands up to a maximum of ten individuals in a single day. The exact all time high of the tulip trade was at an auction whose proceeds would benefit seven orphans who had inherited 70 tulips from their father.

Models of Decision Making Essay Example | Topics and Well Written Essays - 500 words

Models of Decision Making - Essay Example This will also lead you to take action on refined management interaction course. Communication and the way you handle it and its deliverance is very important in all forms of entities be it actual or online for the retention of customers. An employee of the bank, the teller, complained directly to the representative of the client that their interbranch deposits and their deposits at the branch itself shall be made under one deposit slip and not in several deposit slips. Client's representative explains that it is made according to the location /outlets depositing. Their policy is one deposit slip per outlet. Since there are lots of outlets near the bank then there are lots of deposit slips that was made and their cut off for making deposit slips is twice a day. Therefore we can expect two deposit slips made for each outlet. It has been happening for a week and the teller was really annoyed that the client did not follow his suggestion. What he did is to confront the representative every time deposits were made, grumble and let the customer wait for long intentionally. Feedback was given to the depositor who called the Branch Head.

An Evaluation of the Teaching Staff Shortage in London Schools Essay

An Evaluation of the Teaching Staff Shortage in London Schools - Essay Example eased concern in England as well as in other countries with regards to teacher supply shortages along with the issues on the recruitment and retention of teachers (House of Commons- Education and Skills Committee 2004). For instance, despite a considerable number of 60 million teachers worldwide, there is still a need to employ another 15 to 35 million teachers. Schools have faced considerable shortages in English and Math teachers while there have been a decrease in the number of applicants for teacher training. Teacher applicants for physics, geography, and information and communications technology have also experienced a considerable drop (Eurydice 2002). A large number of studies have primarily delved into the reasons why potential teachers have been attracted to the profession as well as the factors that contribute to their intentions of leaving the profession, including pay and work demands, and turnover patterns (Johnson-Wilder et al 2003). Recent evidence has also associated staffing problems with specific issues that serve as challenges for schools affected, such as the inability of schools to cope with labor market difficulties in order to for them to offer higher wages and attract qualified candidates, the lack of proficient teachers in certain subjects, and the increased number of teachers who are teaching outside of their subjects (Harris and Adams 2007). It has been suggested that institutions for teacher training have not been able to produce adequate numbers of qualified teachers who can met such demands. Other demographic trends, including the increase of student enrollments along with the increased rate of teacher turnover owing to an aging teaching workforce, have also contributed to the school staffing crisis. Owing to the continued shortfall of... This paper approves that private and public schools in London have experienced considerable shortages in their teaching workforce which have been attributed to various concerns. Teachers can either be motivated or discouraged to provide education and learning to students based on a number of factors, including their perceived support from the administration, the overall environment that they are working in, the salary they receive in exchange for their performance, the behavior of students, as well as personal issues. These can all influence the ways with which teachers view their profession as meaningful and valuable and, thus, affect their intentions and decisions for voluntary turnover. This report makes a conclusion that increasing the school’s support and attention towards their staff members should also be demonstrated along with the implementation of strategies that can enhance facilities and teaching performance. Values should also be taught to students by both the school and their families to ensure that these young individuals exemplify favorable behavior towards their peers and teachers. School safety and discipline along with a more professional environment that employs strategies for empowering teachers and boosting their morale may have a positive impact on their recruitment and retention among public and private schools. Future studies should also look into more specific factors that can be experienced by teachers in the primary, secondary, and college level as well, such as racial discrimination or academic field preferences; differences in terms of geographic locations (suburban versus metropolitan schools) or the impact of teachers’ age and gender can also be explored.

Exercise #1 Coursework Example | Topics and Well Written Essays - 250 words

Exercise #1 - Coursework Example To humans, in accordance with CDC, the farms practicing intensive rearing expose the workers to adverse health risks (Greger & Koneswaran, 2010). Such workers may develop certain conditions as skeletal or muscular injuries, chronic and acute lung complications, and infections like tuberculosis that are transmitted form animals to people. In addition to that, consumers endure the most of farmer activity when consuming the final product. When the farmers use pesticides to avert losses from pets, the chemicals in these pesticides cause health problems to the consumers of such products. Large numbers of animals contribute to environmental degradation. Pesticides and fertilizers applied in the growth of animal feeds cause environmental pollution. These effluents pollute water and soil resources (Mitloehner & Schenker, 2007). Manure waste and agrochemicals degrade the air, while large numbers of animals put a strain on the limited energy and water resources. Ethically, factory farming is not a defensible practice. Greger, M., & Koneswaran, G. (2010). The Public Health Impacts of Concentrated Animal Feeding Operations on Local Communities.  Family & Community Health,  33(1), 11-20.

Government Inefficiency and Policy Implications of Economic Research Essay

Government Inefficiency and Policy Implications of Economic Research - Essay Example Sections 861(b) and 862(b) state generally how to determine taxable income for a taxpayer with income sources within or without the United States after such source has been determined. Regulation 1.861-8 provides more information on allocating state and local taxes to U.S. - and foreign-source income (Kozub 2010, p.1). In return, we could see the effects of taxes in our country thru, for example, roads for better accessory of goods coming from farm to local markets and for better transportation; public schools to ensure the education of our children and our children’s children; and public funds to support and aid the citizens in terms of calamities and unforeseen disasters. Well, these are good aspects of tax in our society in which it ensures a good future for us and for the next generation. What seem to be erroneous so to speak now are the urge of the government and the abuse in the use of tax. We all know that the government highly depends upon its citizen’s support to make its substructure work. In the article made by Crane (2010, p.1), she criticized and questions the imposition of tax to the extent that everything that people do, the government will levy tax. It is also shown in her article the question on blurred distinction between income tax and property tax wherein the so-called right to jus fruendi or the right to use the fruit of the property is assumed to be just a constitutional right that is vested upon the citizens because of the unclear dissimilarity of the property and income tax. She made use of the farm, being a property as an example wherein â€Å"If the value of an asset that one assessor claimed had arisen in any one year, perhaps when the crops were first harvested, could be taxed again in another year (simply because that first year's base was used again as the measure of the tax), and then again when the value was transformed into a security, and then again when that security was transformed into cash, what was the diffe rence between a property tax and an income tax?† (1). Issues and Problems on taxes What I want to raise here as an issue would be the redundancy of the taxes that are being imposed on the citizens. The government is now being misunderstood because instead of him intervening in the affairs of the people, it is now the people intervening in the affairs of the government and making profit out of it. Thus, people discover the government not as a privileged position to serve the people, but rather, as a situation and a place of income, using the money of its citizens. As a result, heavy taxes are levied and other forms of it are implemented to gain more income, having in mind that the people could not resist it because it is mandated by the law. Moreover, the espousal of income taxes did not inevitably flow from economic forces, but rather was conditioned by social and political power and complex historical processes (Mehrotra 2010, p.1). History will show us that these kind of tax is a by-product of the excessive expenditure of the government in wars that they are engaged to or the destruction incurred are in large scale. They put the burden to the people to restore the economic power of the state, therefore, making the government to be financially strong again in the international arena because state and the government can hardly be distinguished nor separated. The government dictates what the people should do in

Subway Franchise Essay Example | Topics and Well Written Essays - 1000 words

Subway Franchise - Essay Example Furthermore, it provides incremental income for the franchisor through royalty payments. Another advantage of the franchise concept is that it makes possible a faster expansion program for the franchisor supported by motivated distributors in the person of the franchisees (Om Sai Ram Center for Financial Management Research, 2006). The franchisees stand to benefit too from a franchise agreement. The franchisee gets to experience entrepreneurial autonomy using a proven concept, often with extensive recognition of the brand name (Om Sai Ram Center for Financial Management Research, 2006). The franchisee also benefits from the training programs provided by the franchisor, coupled with continuing supervision of the store. Although there are advantages to owning a franchise, franchisees are faced with disadvantages too. Decision-making is quite limited since the franchisee should follow the guidelines set by the franchisor (Om Sai Ram Center for Financial Management Research, 2006). In te rms of purchasing, the franchisee is forced to purchase supplies and equipment from the franchisor even if they are more expensive compared to other sources. They cannot carry other products and they must adhere to the quality standards of the franchisor. Moreover, most franchise agreements are skewed towards the franchisor. ... The three (3) resources that helped one decide which franchise to operate are: A. â€Å"View From the Top† by Nichole L. Torres (2005). This article delves into the reasons why Subway has been consistently in the top franchise list. It talks about how Subway values their franchisees, always making sure that they grow their market share. The article also points out that the entrepreneurial spirit of Subway’s franchises is a major strength of the company. B. â€Å"Subway Hits the Spot† by Dennis Romero (2009). The article discusses the attractiveness of owning a Subway franchise. It tells about how Subway has survived the economic downturn and how this downturn has helped boost its sales. The article points out that one strength of Subway is the upward flow of ideas from its franchisees. C. â€Å"Top 100 Global Franchises Ranking† by Franchise Direct (2012). This site was helpful in helping one decide which franchise to choose. It presented a list of the top 100 global franchises. It gave information about the initial investment needed to obtain the Subway franchise. It also showed that Subway occupies the number one spot in the Top 100 Global Franchises. It presented the support services that one can expect from a Subway franchise. These three resources have influenced one from choosing the Subway franchise. They have given an overview of how the Subway company operates. The articles discuss the strengths of the company and the reasons why it has survived despite the economic slowdown. The reports have extensive information about Subway’s success formula. Choosing a Subway franchise has several advantages. Foremost among this is that Subway is one of the world’s largest restaurant chains. Subway is a very popular brand all over the world; thus, it would not be

The Country Wife- Contextual Section Essay Example for Free

The Country Wife- Contextual Section Essay William Wycherley wrote The Country Wife in 1675 during the Restoration Period in England. He was born in 1641 at Clive Hall near Shrewsbury to a wealthy family, and he was educated in France where he spent most of his youth. Once Charles II was restored, he returned to England to study at Oxford, and then became a fine, fashionable gentleman in London, of strong intellectual power. There he was able to observe the attitudes and actions of similarly constituted social groups, whom would later be the basis of his plays. The Country Wife is a Restoration Comedy as it was written during the forty years after the restoration of King Charles II to the English throne. He had a particular passion for the theatre, and its development during this period was largely down to him. The civil war in 1642- the Puritan Revolution- had seen his father Charles I beheaded and Oliver Cromwell become the leader of England. This eighteen-year period- the interregnum- saw the puritans discourage and eventually completely ban drama, due to its connections with the monarchy and its immoral non-puritan values. After King Charles II was restored and therefore theatre, there was a general feeling of happiness and freedom in the country. People were interested in enjoying themselves after the long period of drudgery, thus increasing the popularity of theatre. The plays themselves were much more cheerful compared to the Elizabethan and Jacobean plays that they had proceeded, prompting the introduction of the Comedy of Manners. People wanted to laugh. There were other huge differences to how English Theatre was pre 1642. There were machinery allowing objects to fly and move, and there was moveable scenery permitting plays to be divided into scenes. This aided comedy of manners productions like The Country Wife to create a sense of deceit by allowing characters to hide and make numerous entrances and exits for example. However, the greatest change was that women were allowed on the stage. This was a novelty and plays were then able to use their sex appeal and flirtatiousness to include raunchier storylines, such as Horner and his many conquests in The Country Wife. Actresses spoke the prologue and epilogue, to charm the audience into applause and they established a sexual commerce with them. Many of the actresses entered the profession as orange sellers, and their talent as actresses was questioned due to their frequent liaisons with the aristocracy, including the King and Samuel Pepys. This is where the sexual connotations of oranges in The Country Wife originate.

Press Release Order Essay Example for Free

Press Release Order Essay The demand for International translation services has been constantly increasing for the past few years. Moreover, the growing number of Internet users every year has resulted into a similar and broader demand which is online translation. Basically, it is clear that these days, clients all over the world need quick and reliable technical translation services that they can easily access using the Internet. As a response to these demands, a leading translation company has recently expanded its business operation and has recruited professional translators who can fully meet the translation needs of clients from all around the globe. In a general meeting held last April 1st 2008, company Manager James Tate emphasized to the employees that the adequate staff replenishment in the company have made translation services more approachable. As Tate said in the meeting, â€Å"We are all human beings as well as our clients. Some of us question this fact because of enormous amount of orders, but it is unquestionable that our clients need permanent help and support, thus, we decide to help our support and translators’ teams in order to deliver effective services to our clients†. In the meeting, Tate further stated that the company’s current manpower that provides website translation service has constantly met the growing demands of clients in live support. According to Tate, the company is in the eventual expansive mode responding the world translation services, in which the company has grown and leading in both document translation service and foreign language translation. The manpower expansion of the company aims to deliver more professional translation services by adding twenty more high quality professional staff to double the translation capacities. Likewise, one of the important tasks in providing assistance to clients is the adequate maintenance of a live support. Tate believes that the live support is more significant in bringing about a personalized approach to clienteles and reaching out the services towards world translation. This kind of venture in international translation service has been a breakthrough of a reinvented industry using Internet technology. This venture operates like call center which is also a booming clientele-out-sourcing business. Likewise, the business in technical translation services is in the same league with other cyber technology innovations. In addition, some industrial technocrats perceive a looming demand in international translation services which may indicate vulnerability of competition, specifically by similar online business entities. One of the indications is the possible realignment of call centers into a one-stop-shop venture in business-process-outsourcing which may include technical translation services. This indication may not be a remote possibility reflective on the situation of the available technical manpower and academic professionals. Generally, the company’s online translation services would radiate a more definitive employment opportunity to absorb the people’s skills and potentials that are untapped by other industries and competing job markets. These skilled translators would then eventually become the cornerstone of a bigger and

Decision Support Methods in Healthcare

Decision Support Methods in Healthcare Introduction Currently, healthcare practitioners are working hard to ensure that the safety of patients is guaranteed. They are also working toward averting expensive lawsuits that result from medical malpractices. Additionally, medical practitioners have devised mechanisms for the bar-coding of medicines, patients, and nurses to ensure that patients receive safe medicines and quality healthcare services (Tan, Sheps, 1998). Some healthcare systems are using decision support methods and relational database design to make effective decisions concerning patients care. In this paper, I will discuss the decision support systems and relational database design of Partners HealthCare System, Inc. Partners HealthCare System, Inc. uses complex medical intelligence systems to enable doctors and nurses make efficient decisions as pertains to patient care. Electronic Medical Administration Record (EMAR) is one of the database management systems that the healthcare system uses to make decisions and carry out its activities. Partners HealthCare System is a network that consists of various healthcare facilities. The network has medical centers, community hospitals, specialty healthcare services, and several basic healthcare specialists (Lighter, Fair, 2000). Partners HealthCare System, Inc. employs Oracle and SQL for the warehousing of its data. It also uses it for data mining and OLAP applications. Additionally, the organization makes wide use of CACHE, an Intersystem Corp based in MA, for various clinical purposes. The HealthCare System separates their mission to offer important healthcare for patients from other applications. Moreover, the System selected CACHE because of its highly availability, and high demands of effective patient care. CACHE forms a significant part of Partners relational database design and web application setting. It is particularly relevant to Partners mission in clinical applications because of the technologys use of algorithms and schemas that store data effectively. The performance of the database is enhanced by the sparse matrix storage method. The organization manages the application of CACHE over the web and this helps the Partners to have an advanced and substantial processing of transactions. CACHE has a distributed protocol, which effectively lessens network traffic (Shortliffe, Cimino, 2006). Consequently, there is increased processing of transactions. Additionally, it is easy to scale up the technology to serve several users without compromising its performance. CACHE technological innovation is a significant tool for the development of applications for patient care because it handles data in a more flexible way than other conventional relational database structures. The clinical department of Partners HealthCare System has complicated forms of data. Consequently, a lot of data cannot be classified effectively into two-dimensional systems. The advantage of CACHE is that it can consider data in two or more than two dimensional structure when necessary (Harrington, 2002). Partners HealthCare System Inc. has developed a modern wireless EMAR as an artificial intelligence for patient care. This development has particularly replaced all paper works carried out by nurses in recording medicine dispensation to patients. Moreover, EMAR technology uses advanced decision support systems and features that promote client safety. Through the technology, the medications in storage facilities, such as the pharmacy dispensing equipment, is bar-coded to enable nurses to scan the ID to verify that correct medications are supplied to the right clients. Additionally, the practitioner can scan his or her ID badge to create a completed inventory track of the medication course. Highest verification of medication procedures, as indicated by one of Partners nurses, takes place in the pharmacy. When the medical practitioner feeds information into the system concerning the prescription, the medication order is examined before it is made available for the nurse to deal with. Some artificial intelligences employed in the prescription are based on probability of medication reactions, likely patient reactions to the medications, and likelihood of overprescribing drugs to patients in relation to previous prescriptions. EMAR technology constitutes of several electronic reminders that help nurses in their daily medication prescriptions thereby enabling them to solve problems arising during patient care processes. For instance, the technology provides cues that remind nurses concerning such issues like prescription overdue, or recording of patients pain level to decide whether the administration of a particular medication is effective or not. However, nurses take into consideration that EMAR checking does not replace their role in evaluating situations to make decisions (Shortliffe, Cimino, 2006). The checks enable nurses to have confidence that the safety of patients is guaranteed. EMAR is compressed in wireless computers and laptops with readers of bar-codes, and this allows nurses to move closely to the patients with their computer system. By bringing the scanner to the patients bedside, risks and errors are eliminated. For instance, if a medical practitioner enters a wrong medication order after a drug prescription at the pharmacy, the nurse will receive an alerting message on his or her laptop screen, as he or she scans the patient prior to drug administration. Artificial intelligence innovation for decision support is employed by various medical practitioners to make the decision support systems more useful. CACHE technology serves an important role in enhancing workflow among healthcare systems and benefits contributors. Through CACHE applications, insurance organizations are connected with healthcare systems to deliver services to patients. CACHE applications promote the workflow between third-party companies and Partners HealthCare System. For instance, relational database design of a real-time query between the healthcare organization and insurance firms aids in determining eligibility for benefits. This affects the organizations capacity to collect finances for a medical situation while improving the workflow (Wager, Lee, Glaser, 2005). Applications have been developed to connect Partners system of order entry of medications to database of pharmaceutical organizations to ascertain whether particular medications are covered by particular payers. The incorporation of this element into the drug prescription process has resulted in improved workflow in drug prescription, and it ensures that Partners HealthCare System, Inc. is compensated for the medications prescribed. Partners HealthCare indicates that CACHE applications have benefits associated with their usage. This technological innovation employs open standards. Consequently, it enables interoperation among several platforms. Therefore, CACHE is crucial in the implementation of web services to link several systems. CACHE is also cheap because Partners achieve their mission for patient care from the product hardware without necessarily investing large amounts of funds in other technologies. Moreover, CACHE applications do not require complex management as compared to SQL and Oracle developments. CACHE is more accessible and easy to maintain whereby medical practitioners use computers directly in healthcare settings (Shortliffe, Cimino, 2006). The figure below represents an entity-relationship model used in Decision Support Methods in Healthcare and Relational Database Adopted from: http://www.andrew.cmu.edu/user/rpadman/Data%20management%20technologies-%20day%202%20slides.ppt Health and Human Services (HHS) department indicates that there is need for the advancement in the database systems of healthcare services to create a nationwide database that uses electronic medical recording to trail an individuals dealings with the healthcare system from birth till death. As a means of staying relevant to the HHS requirement, Partners HealthCare System has implemented an electronic health information management (e-HIM). This requires the healthcare organization to guarantee the accessibility of information to promote advanced healthcare provision and essential health matters required to make decisions for use in various environments and organizations. Nevertheless, these objectives will only be realized when there is efficient, accurate, reliable, and secure storage of information in efficiently designed automated databases (Wager, Lee, Glaser, 2005). Relational database is the most common kind of database employed in healthcare systems. It tracks patient care including various forms of treatment, results from the treatments, and significant indicators of states of patients such as pulse rate, level of blood pressure, and blood glucose. Moreover, relational database interlinks with several information structures in healthcare service systems such as Partners. For example, a relational database in the section of cardiac care is linked directly with the registration system of the healthcare facility. Once a patient is registered, information concerning him or her is relayed to the database through health level seven procedures (Shortliffe, Cimino, 2006). This allows cardiac care practitioners to focus on offering the best care to the patient because they do not need to register the patient again. Relational database reduces the need for paperwork in recording and transfer of information. It also improves efficiency in healthcare systems while acting as an accounting tool. For instance, patients suffering from diabetes, who exhibit fairly similar signs and symptoms such as overweight and high levels of blood glucose, can be closely examined to ascertain the manner in which various medications, like Glucovance, help in managing their symptoms. Moreover, relational database is essential as it determines patients at risk, for instance, individuals with aneurysms in family history. When these patients are recognized they undergo screening to avoid suffering from certain ailments (Wager, Lee, Glaser, 2005). Decision trees are used in Partners HealthCare System and other healthcare facilities to help in solving of clinical and healthcare problems. With the increase in the difficulty of clinical problems, there is an exponential increase in the probabilities and uncertainties, and this means that sophisticated solutions, rather than the simple ones, are required. Consequently, in these scenarios, decision trees become more suitable because they take into consideration weighted probabilities and anticipated outcomes (Harrington, 2002). Decision trees help in clinical situations because they present precisely and instructively the procedures with which the medical practitioner provides care to a patient as indicated by clinical and laboratory diagnostic results. The extensive procedures are routinely attained at basing on previous use of algorithms and decision trees in solving clinical problems. Medical practitioners use such procedures cautiously when practicing clinical medicine. When using decision trees, the physicians recognize that clinical decision models are different from mathematical representations. When protocols are employed to give directions, they prevent undesired or costly clinical processes (Tan, Sheps, 1998). Protocols are normally used to evaluate benefits of using a particular prescription or a new type of drugs. Accurate protocols allow for the collection of information from various healthcare facilities because patients are put under a stringently defined management process. Moreover, if the protocols are accurately defined and monitored, wise conclusions are reached at when drugs are used effectively. Protocols and other decision making techniques have various advantages. They enable clinical practitioners to efficiently learn on how to solve clinical problems. They enable medical practitioners to formulate some questions that enable them to define clinical problems at hand. They present precise scientific and systematic procedures for solving clinical problems. Moreover, they are efficient as regards to time, effort required, and cost. Decision trees and protocols form the foundation upon which significant knowledge of particular clinical problems is evaluated. Additionally, these decision making tools help medical practitioners to consult each other concerning particular clinical problems, and they form suitable means to evaluate clinical activities. Decision trees and protocols are also beneficial to patients because they increase the probability that the patient will receive high quality care, maximum effective results from medications, and more effective medical aid. Moreover, decision trees enable the avoidance of unnecessary prescriptions and medicines thereby assuring the client that only the necessary treatment is achieved. Furthermore, these tools ensure cost-effective and standardized treatment. Below is an example of a decision tree for appendicitis (Wager, Lee, Glaser, 2005) Perforated Operate inflamed Decide now Perforated Not operate inflamed Perforated Patient worse Inflamed Perforated Wait seven hours Patient same Inflamed Expert systems and decision making techniques entails the clinical decision support systems CDSSs, which are computer programs devised to offer expert support to healthcare practitioners in the making of clinical decisions. These expert systems employ integrated clinical information to enable doctors to evaluate data concerning patients thereby making relevant decisions as concerns to the diagnosis of diseases, their prevention and medication. Expert systems are available in various healthcare departments including pharmacy, dentistry, and medicine (Lighter, Fair, 2000). Many CDSSs constitute of four fundamental components. These are inference engine (IE), knowledge base (KB), working memory, and the explanation module. The inference engine is the major part of the system, and it uses the information stored in the system together with the information about the patient to make decisions concerning particular situations. Moreover, the IE manages the kind of activity that the system can initiate. For instance, it establishes the alert and reminder procedures in an alerting mechanism. Moreover, it determines the conclusions or decisions that can be displayed on the screen of the diagnostic system. The KB represents the information used by the IE. For instance, in a case of caries, the KB will present information concerning the risks for fresh lesions and their levels. Knowledge bases are created either by a domain expert or by a computerized procedure. The creation of knowledge by an engineer involves the assistance of a clinical domain specialist who ed its and manages the KB. On the other hand, in a computerized process, information is obtained from external sources that include journal articles, books, and database using a particular computer application (Harrington, 2002). Information collected concerning a patient is stored in the database or modified into a message. This forms the working memory. Patients information ranges from demographic features such as gender and date of birth, drugs in use, allergies, and previous medical problems, among other data. All CDSSs do not contain the explanation module. The explanation module serves the purpose of creating validations for the decisions made by the IE when using the information in KB against patient information within the working memory. CDSSs work in a synchronized manner in that they communicate directly with the medical practitioner who waits for the information from the system. An example of this application is one which examines interactions between drugs or likely allergies experienced by patients in response to particular prescribed medicine. When working in a synchronous approach, CDSSs carry out their rationalizations in an independent manner without the aid of any user (Gillies, 2002). For instance, the production of a reminder for a checkup or hygiene takes place independently. Clinical Decision Support Systems are categorized as either open or closed loop structures. In open-loop system, the CDSS makes decisions but it does not initiate an action on its own. Examples of open-loop systems are applications that produce alerts or reminders. The eventual decision concerning the activity to be performed is determined by the medical practitioner. On the other hand, in closed-loop systems, the system initiates the action without involving a medical practitioner. Other significant types of CDSSs include consultation systems, clinical guidelines, and event monitors. A consultation system entails situations where a medical practitioner enters information concerning a patient into the system. Information entered may include patient demographic characteristics, medical history, and physical diagnosis, among others. The system then lists the problems related with the situation and provides possible solutions. An event monitor, on the other hand, constitutes of software that collects all data copies accessible in electronic design within the healthcare facility and employs its knowledge base to relay alerts and reminders to medical practitioners when necessary (Lighter, Fair, 2000). Clinical instructions are integrated in the CDSSs, and they are invented by clinical experts and distributed by professional or state organizations. In this case, the clinical guidelines serve as official statements to recommend the most appropriate practices as pertains to particular clinical problems. Researchers in clinical field have invented standardized representations of information to promote the sharing of the guidelines. An example of standardized representation of information is the Guideline Interchange Format (GLIF) or Arden Syntax. Arden Syntax refers to an American National Standards Institutes (ANSI) standard used to represent quantifiable clinical information (Wager, Lee, Glaser, 2005). Arden Syntax presents decision rules known as medical logic model (MLM). Moreover, every MLM has adequate reasoning to enable it make a clinical decision. On the other hand, the Guideline Interchange Format (GLIF) constitutes of a format interpretable by the computer to enable representation of clinical practice directions invented by InterMed collaboration, which is a project carried out jointly at Stanford, McGraw, Harvard, and Columbia University laboratories (Gillies, 2002). This application serves as a language that can be used for general purposes to develop and implement clinical decision support systems, which are applied in various clinical spheres. Besides supplying recommendations for patient care, the application can be used to ensure quality and medical knowledge. Therefore, decision support systems help healthcare professionals to make relevant decisions when dealing with patient care to ensure maximum quality and safety for the patients.

Government and Politics - The Wisdom of Solomon Can Provide Mid-East peace :: Politics Political Essays

The story of King Solomon's wisdom is well known and presents a solution for the conflict over East Jerusalem, which contains the historic section of the city so highly prized for containing many famous religious sites: time-honored mosques, various Jewish, Christian and Islamic shrines, the Wailing Wall, the foundation to King Solomon's Temple, in short, the "Old City." East Jerusalem is currently the loggerhead in the Mid-East peace process. The Palestinians, with the support of the Arab states, say that come what may they must have control over East Jerusalem. A strong force in Israeli politics is of a similar opinion, saying that they will not compromise on this issue, that East Jerusalem must be under Israeli control. Unless a compromise is somehow reached, it appears that more people will die in the violence in this region, soldiers will die on both sides, more protesters will be killed, more people imprisoned, civilians including children, old men and women, even babies, will die as a direct result of the violence. In order to avoid any more violence perhaps we should turn to the story of wise old Solomon himself for the solution. It is said that once upon a time two women appeared before him, both claiming the right to a particular baby, each saying that she was the rightful mother of the child. Solomon proposed that the baby be divided in two, and half given to each woman. Hearing this, one of the women said, "No, don't do that, let the other woman have it." Solomon, in his wisdom, then gave the baby to this woman who obviously valued the life of the baby above her own interest in the matter. Seldom can an example like this be applied in its precise form, but it can be adapted to fit the dispute over East Jerusalem today. Obviously a present-day Solomon cannot threaten to destroy East Jerusalem and expect one of the sides to declare, "No! Let them have it." But something similar can be proposed, a solution that seems just as wise as Solomon's. Both sides can agree to a UN force moving in to raze all those ancient constructions, dynamite the traditional sites, leaving not one stone upon another. What would this solve? Well, most importantly, it would solve the conflict over East Jerusalem - no more violence, not one more death.

Criticisms of Jane Eyre Essay -- Jane Eyre

Criticisms of Jane Eyre The major criticisms of the novel in question to be the melodrama used by the author and the wickedness of character shown in Jane and Mr. Rochester. While most critics admired the style of writing and truth of character portrayal, they did not admire the improbability of circumstances or the characters portrayed. Elizabeth Rigby (later Lady Eastlake) was probably the harshest critic, calling Jane Eyre â€Å"the personification of an unregenerate and undisciplined spirit.† Rigby strongly believed that, while Jane was portrayed with a great degree of accuracy, she was herself a flawed person. By making a flawed person interesting, Rigby alleged, the author was committing the greatest of wrongs. As to Jane’s character, Rigby’s main criticism was that Jane was unchristian. â€Å"Altogether the auto-biography of Jane Eyre is pre-eminently an anti-Christian composition. There is throughout it a murmuring against the comforts of the rich and against the privations of the poor, which, as far as each individual is concerned, is a murmuring against God's appointment—there is a proud and perpetual assertion of the rights of man, for which we find no authority either in God's word or in God's providence—there is that pervading tone of ungodly discontent which is at once the most prominent and most subtle evil which the law and the pulpit, which all civilized society in fact has at the present day to contend with. We do not hesitate to say that the tone of mind and thought which has overthrown authority and violated every code human and divine abroad, and fostered Chartism and rebellion at home, is the same which has also written Jane Eyre.† She expressed the popular sentiment of the time that Jane’s di... ... of Jane Eyre supporters. Bibliography of Works Used 1. Bronte, Charlotte. Jane Eyre: A Norton Critical Edition 3rd ed. Richard J. Dunn Ed. WW Norton & Co. : New York, 2001 2. "Review of Jane Eyre, by Charlotte Bronte." Critic (Oct. 1847): 277-8. 3. "Review of Jane Eyre, by Charlotte Bronte." Graham’s Magazine (May 1848): 299. 4. "Rev. of Jane Eyre, by Charlotte Bronte." Living Age (from the Christian Remembrancer) (1848): 481-7. 5. "Review of Jane Eyre." Spectator. (Nov. 1847): 1074-5. 6. "U. Review of Jane Eyre, by Charlotte Bronte." Harbinger (April 1848): 189. 7. "Unsigned Review of Jane Eyre." Douglas Jerrold’s Shilling Magazine (Nov. 1847): 470-474. 8. Lewes, George Henry, "Recent Novels: French and English." Fraser’s Magazine (Dec. 1947): 689-95. 9. Rigby, Elizabeth, "Vanity Fair—and Jane Eyre." Quarterly Review (Dec. 1848): 153-185.

A Study Of Inheritable Traits In Fruit Flies Essay -- fruit fly geneti

A Study Of Inheritable Traits in Fruit Flies INTRODUCTION The Drosophila melanogaster, more commonly known as the fruit fly, is a popular species used in genetic experiments. In fact, Thomas Hunt Morgan began using Drosophila in the early 1900’s to study genes and their relation to certain chromosomes(Biology 263). Scientists have located over 500 genes on the four chromosomes in the fly. There are many advantages in using Drosophila for these types of studies. Drosophila melanogaster can lay hundreds of eggs after just one mating, and have a generation time of two weeks at 21Â °C(Genetics: Drosophila Crosses 9). Another reason for using fruit flies is that they mature rather quickly and don’t require very much space. Drosophila melanogaster has a life cycle of four specific stages. The first stage is the egg, which is about . 5mm long. In the 24 hours when the fly is in the egg stage, numerous cleavage nuclei form. Next, the egg hatches to reveal the larva. During this stage, growth and molting occur. Once growth is complete, the Drosophila enter the pupal stage, where it develops into an adult through metamorphosis. Upon reaching adulthood, the flies are ready to mate and produce the next generation of Drosophila melanogaster. During this experiment, monohybrid and dihybrid crosses were conducted with Drosophila melanogaster. Our objective was to examine the inheritance from one generation to the next. We collected the data from the crosses and analyzed them in relation to the expected results. MATERIALS AND METHODS For the monohybrid cross in this experiment, we used an F1 generation, which resulted from the mating of a male homozygous wild-type eyed fly with a female homozygous sepia eyed fly. Males and females are distinguished by differences in body shape and size. Males have a darker and rounder abdomen in comparison to females, which are more pointed. Another difference occurs on the forelegs of the flies—males have a small bump called sex combs. At week 0, after being anaesthitized by fly-nap, three males and three females were identified under a dissecting microscope and placed in a plastic vial with a foam stopper at the end. The vial remained on it’s side until the flies regained consciousness so that they didn’t get trapped by the culture medium at the bottom. We allowed the Drosophila to incub... ...eighed the number of males. This may imply that the X chromosome is dominant over the Y chromosome. This would cause the X chromosome to mix with another X chromosome, producing a female, more often than it would mix with the Y chromosome, which would produce a male. As a follow-up to the experiment, I would perform many more trials than each person did for this experiment. Also, more flies could be placed in each vial to ensure even more offspring to be included in the data. I would also be sure to remove the flies after just one week to reduce breeding between generations. This experiment caused Mendel’s findings to be more concrete and realistic in my mind. It made the information more than meaningless numbers. The experiment also made me realize how easily biological ideas can be proved. Our results agree with Mendel’s discoveries. The only drawback to our learning was the massacre of over 26,000 fruit flies. REFERENCES Campbell, Neil A., Biology: Fourth Edition. Menlo Park: Benjamin/Cummings, 1996. "Genetics: Drosophila Crosses." Lab Handouts, General Biology Lab, 2008. "So What’s a Monohybrid Cross Anyway?" Lab Handouts, General Biology Lab, 2008.

How does Steinbeck use characters in the novel Essay

â€Å"Of Mice and Men† is a novel about two migrant workers, George and Lennie and their travels to a ranch and their time spent there. The novel is set in Soledad during the 1930s Depression. Steinbeck presents the theme loneliness through the use of the characters. The men at the ranch are lonely because they spend the majority of their time travelling from one ranch to another therefore they don’t have time to settle and build friendships. At the time the novel was set the US was suffering from the Great Depression, this was caused by the Stock Market crash in 1929 and this crippled that nation’s economy. These economic problems aggravated a host of social problems, including, unemployment, poverty; Breakdown of families and homelessness, resulting in an increase in loneliness. George one of the novels main protagonist travels around with Lennie as his companion, George is still lonely because Lennie is mentally handicapped therefore George cannot have conversation and devotes the majority of his energy in looking after Lennie and keeping him out of trouble, â€Å"But he gets into trouble alla time because he’s so God damn dumb.†. This clearly shows George’s frustration towards Lennie for continually getting into trouble. â€Å"George fell silent. He wanted to talk. Slim neither encouraged or discouraged him.† This displays George’s desperation to talk to someone as he as gone so long without a normal conversation. Candy is an old swamper with one hand; he has an old blind dog which is his last possession and only companion. This shows that Candy was dependent on the dog for company and the dog was dependent on Candy to survive as the dog was unable to do anything for itself. Candy was already lonely and on his own and he knew that as soon as he became unable to clean the ranch he would be sacked because he would have become useless. â€Å"Jus’ as soon as I can’t swamp out no bunk houses they’ll put me on the county.† This explains what he feels will happen to him when he can no longer clean and he believes that he will be sacked and kicked out. He feels this way before his dog is killed, once his dog has been shot his whole world crashed down in front of him, and he wants to be shot just like his dog. â€Å"When they can me here I wisht somebody’d shoot me.† He believes that he no longer has a purpose in life. I think Steinbeck included the shooting of candy’s dog in the novel because it shows how candy’s life deteriorates after the painful loss of his only companion. The shooting symbolises how people during that time became dependent on possessions such as dogs for companionship, and how when these things are taken away peoples lives are destroyed, because they have become reliant on their dogs for such a long time, due to the depression they have been unable to build friendships because of the endless travelling from job to job. And this is reflected in the novel because George and Lennie have been moving from job to job. Crooks is a black stable-buck, he is extremely lonely because he is segregated from the other workers and has no choice but to live alone in the stable. â€Å"Cause I’m black. They play cards in there, but I can’t play because I’m black.† This shows his loneliness, because he is not allowed to interact with the white workers because he is black. Steinbeck has presented Crooks as a character with a crooked back. â€Å"His body was bent down to the left.† This makes him appear as if he is bowing to every one else in the play, this shows his lower status which could suggest a lower class, which increases his loneliness. At the time the novel was written black people were segregated from white members of society and could be arrested for insignificant things, also the KKK (Klu Klux Klan) were known to kill black people frequently, for no reasons at all. I believe that Steinbeck has used characters effectively to explore how migrant workers in this time were lonely and desperate for companionship. He incorporates cultural factors in the novel through the different characters to explore loneliness from different perspectives.

Christmas Carol Text Repsonse Essay

â€Å"In A Christmas Carol, Dickens delivers strong criticisms of the society in which he lives. Discuss† A Christmas Carol written by one of the most influential social reform novelists of the nineteenth century, Charles Dickens, delivers very harsh criticisms of Victorian London. Dickens presents these criticisms through the behaviour of the novella’s protagonist, Ebenezer Scrooge. His character displays everything that Dickens perceives as being wrong in Victorian society. His treatment of the poor and destitute, the treatment of his employee Bob Crachit and the weak relationships he keeps with family are all indirect criticisms by the renowned author, Dickens. The poor in Victorian London were left in very poor living conditions, and were essentially ignored by the upper class. There was a huge segregation between the lower class and upper class. Dickens implies that those with excessive wealth and power had a responsibility to take care of those less fortunate than themselves. This idea is explored between the relationship of Scrooge and his clerk, Bob Crachit. Scrooge is completely ignorant of his responsibilities and duties to Crachit. When asked what donations Scrooge would like to give to the poor, he simply states â€Å"Nothing!†. This shows that Scrooge (and the upper class society) simply have no compassion or consideration for the poor living below them. The children ignorance and want are an addition by dickens to send a simple message, to help out those in want, and beware of ignorance in oneself and others. The main protagonist of the story, Ebenezer Scrooge embodies the worst qualities of Victorian society. Obsessed with accumulating wealth and with no concern for his beleaguered employee, Scrooge is an allegorical representation of the forces of capitalism driving the industrial economy at the time. The treatment of loved ones and relationships are key in A Christmas Carol. The main relationship emphasized by Dickens is the relationship between Scrooge and his nephew, Fred. Scrooge does not even slightly value his  relationship with Fred. He refuses any affection or invitations given by Fred, shows no interest in Fred’s life and does not show any remorse towards these actions. This is also a criticism by Dickens. He is implying that the excessive and overbearing need for wealth and power ruin the relationships shared between people. In Scrooge, this is not only shown through his lack of a relationship with Fred, but also with his relationship with Belle, and ultimately its downfall. The festive and face value of A Christmas Carol provides an entertaining and light-hearted story for readers. However, beneath this heart-warming transformation of a character there are strong criticisms of Victorian society delivered by Dickens. He criticizes the way that the poor are left to fend for themselves in terrible conditions, the way the poor are treated by the upper class tear of society, and through the use of weak value placed relationships with family and friends during the time. Dickens novella was intended to point out the flaws in the society in which he lived and make it’s readers aware and cautious of these near fatal traits.

Gagne’s Eight Distinctive Types of Learning

To complete this assignment, you will need to fill in the following boxes:1. In the first box you will identify one of Gagne’s Eight Distinctive Types of Learning. 2. In the next box you will provide a description of the Learning Type you identified. 3. In the last box you will discuss how this Learning Type does or does not apply to you and your learning. 4. Repeat steps until all Eight of Gagne’s Distinctive Types of Learning are identified, described, and discussed. Each description and discussion should be substantive and requires a minimum of 3 sentences per response.Save this document and type directly onto the document and into the boxes. The boxes will expand to accommodate what you write. Submit as an attachment to the appropriate drop box.Gagne’s Eight Distinctive Types of Learning Description of the Learning TypeDiscuss how this does or does not apply to you and your learning Signal learning(p.79)An individual learns to make a general, diffuse response to a signal. This is the classic conditioned response of Pavlov. Thus meaning an emotional response. (p.79) Signal learning does apply to me because I do more times than none respond in an emotional state. I respond in a way of how I am feeling at any given time. If I am upset, I would answer in a aggressive way.Stimulus-response learning (p.79)The learner acquires a precise response to a discriminated stimulus. What is learned is a connection Thorndike) or a discriminated operant (skinner), sometimes called an instrumental response (Kimble). This meaning, learning is voluntary controlled, it’s a desire. (p.79) Stimulus-response learning applies to me because I am always willing to learn. Life is all about learning new things and that’s why I am back in school because I need better in my life and the only way to get better is make choices to learn more. I  make the choices to learn.Chaining (p.79)What is acquired is a chain of two or more stimulus-response connectio ns. The conditions for such learning have been described by Skinner and others. It’s a linked sequence. (p.79) Chaining applies to my learning because you must get all the necessary information to help with the things you have learned in my life. Learning is like steps and some are linked together and others may not be. I learn the way that is best for me.Verbal association (p.79)Is the learning of chains that are verbal; Basically, the conditions resemble those for other (motor) chains. However, the presence of language in the human being makes this a special type because internal links may be selected from the individual’s previously learned repertoire of language. (p.79) Verbal association does not really pertain to me because I am more a hands on person. I like to see what I am learning instead of hearing it. I feel I learn better if I have an illustration to reference back to. Multiple discrimination (p.79)The individual learns to make different identifying respon ses to as many different stimuli, which may resemble each other in physical appearance to a greater or lesser degree. Responses to a series of similar stimuli that differ in a systematic way. (p.79) Multiple discrimination does not really apply to me because, if I’m understanding it right it would distract me with learning multiple things at the same time. I like to learn one thing then move on to the next so I don’t forget what I learned. Concept learning (p.79)The learner acquires a capability to make a common response to a class of stimuli that may differ from each other widely in physical appearance. He or she is able to make a response that identifies an entire class of objects or events. It forms the basic of the ability to generalize, classify. (p.79) Concept learning does apply to me, I am always wanting more out of learning. I feel developing and having the knowledge of many things is a great benefit  to have throughout life. Learning new skills is important . Principle learning (p.79)In simplest terms, a principle is a chain of two or more concepts. It functions to control behavior in the manner suggested by a verbalized rule of the form. â€Å"If A, then B,† which, of course, may also be learned as type 4. (p.79) Principle learning does apply to me because In my current job I just became supervisor of my shift. Principle learning allows me to know the rules are different, yet it still allows me to adapt to the all the rules and perform my job. Problem solving (p.79)Problem solving is a kind of learning that requires the internal events usually called thinking. Two or more previously acquired principles are somehow combined to produce a new capability that can be shown to depend on a â€Å"higher-order† principle. (p.79) Problem solving defiantly applies to me. I am a brain stormer and I like to have a set idea of what each situation will bring. I like to make sure each situation is resolved and taken care of in a timely manner. As a supervisor, problem solving is on my job description.

Cosmic Race Essay

The term â€Å"Cosmic Race† is also known as â€Å"La raza cosmica† which was based on the opinions of some Mexican Scholars in the 1920’s who held that since the Latin Americans held the blood of all the races, the transcended the races of the â€Å"Old World†. This term basically embodies the idea that traditional, exclusive concepts of race and nationality can be transcended in the name of humanity’s common destiny (MacLachlan, 1980). While the idea of the origins or creation of the â€Å"Cosmic Race† has been attributed to other races, there is no denying that it was the Spaniards who played a major role in this. The open-mindedness, in this case the open philosophy and attitude of Spain regarding culture and society, was influential in creating this cosmic race. Spain realized that the key to being able to build a vital and flourishing economy in the colony was to build a common denominator for acculturation by both Indian and European races (MacLachlan, 1980). Spain was able to accomplish this by establishing and expanding the colonial political and ecclesiastical institutions, the economy, society, and the role of women in the Mexica Society. Further proof of this was the policies of Spain regarding women as they encouraged the women to participate in economics and politics by providing the women during that time with extensive legal rights (MacLachlan, 1980). These factors and the methods by which Spain cultivated the Mexica Empire are brought on by the characteristic of Spain as being â€Å"open-minded†, which in turn led to the creation of the â€Å"Cosmic Race. † References: MacLachlan, C. and Rodriguez, J. (1980) The Forging of the Cosmic Race: A Reinterpretation of Colonial Mexico. University of California Press,

English Literature - High school 1 Essay Example | Topics and Well Written Essays - 8000 words

English Literature - High school 1 - Essay Example However, the latter’s love for hunting has surpassed one’s expectations. General Zaroff’s unique hunting style has made him very selfish, egotistic, and inhumane: †¦Ã¢â‚¬ Every day I hunt, and I never grow bored now, for I have a quarry with which I can match my wits.† The aforementioned internal conflicts are somehow in contrast with how General Zaroff poised himself from the beginning up to the end of the story. He showed no remorse feelings or sign of conscience with what he has been doing. Always the hunter but never the prey, the General’s character is unique of its kind. As a young boy, his selfishness and inhumanness grew day by day as he was able to hone his marksmanship, mercilessly killing all animals that come in harm’s way. By being egotistic (or narcissistic), he never valued life, much less human life. And knowing that he is a gifted hunter, he never showed importance to anyone; thus everyone and everything within his eye s ight is disposable – like his pack of dogs and his loyal servant Ivan. These internal conflicts are put to an end when, with great pride from General Zaroff, he is defeated by Rainsford: â€Å"The general made one of his deepest bows. â€Å"I see,† he said. â€Å"Splendid! One of us is to furnish a repast for the hounds. The other will sleep in this very excellent bed. On guard, Rainsford. . . .† Unlike General Zaroff, Sanger Rainsford shows compassion for hunting. He condones cold-blooded murder and value human life. But because he is a prisoner of General Zaroff, Rainsford became fearful, angry, and indignant. He is fearful for his life, knowing that his existence on the island is ticking day in and out. He is also angry with the hunting style of General Zaroff, as mentioned in the story: â€Å"Rainsford did not want to believe what his reason told him was true, but the truth was as evident as the sun that had by now pushed through the morning mists. The gen eral was playing with him! The general was saving him for another day's sport! The Cossack was the cat; he was the mouse. Then it was that Rainsford knew the full meaning of terror.† And because he never knew how it was to become the prey, Rainsford is indignant with the General’s treatment of him – being a mouse trapped in an island of terror. Through his quick wit and vast experience in hunting, Rainsford is able to resolve these internal conflicts by defeating General Zaroff: â€Å"He had never slept in a better bed, Rainsford decided.† 2. Setting provides much more than just the backdrop for the action of a story. In addition to giving the time and place, setting establishes the atmosphere/mood and influences the characters. Setting also affects readers emotions, for example, a story set in a dank and foul dungeon instantly lowers our sprits. Choose one of the short stories from the list below and analyze how the story's setting contributes to the stor y and affects the reader (be sure to indicate which story you chose). The short story â€Å"Thank You, M'am† by Langston Hughes is set late in the evening, along the dark, dimly-lit streets of an unnamed city. The streets are already quiet, with very few people and automobiles pass by. It seems that the neighborhood has been quite tired from the day’s work. It wants to rest from all the shouting and blowing of horns during its waking hours. And like its setting, the story’s main character, Mrs. Luella Bates Washington Jones, is also tired, almost dragging herself to walk by the streets. She is carrying her purse like she was

Right to Die Essay Example | Topics and Well Written Essays - 3250 words

Right to Die - Essay Example They are against organizations and people who believe that everyone has an intrinsic right and autonomy to choose life or death under any circumstances especially in the face of emotional and physical suffering. People who choose to end their lives under any circumstances have a choice of being euthanized in hospital settings or seek the help of physicians to commit suicide. Euthanasia is the compassionate killing of an individual painlessly. This service is obtainable for people who have terminal, painful and debilitating diseases or handicaps with death being the only hope for them. People who choose death can choose active euthanasia, refuse life prolonging treatments or choose to be assisted to commit suicide. The governing of these services is through various legal requirements including the patient’s state of mind and reasons why they choose to die. Active euthanasia is the deliberate act by a doctor to end a person’s life by use of lethal medicines; passive eutha nasia is the withdrawal of life saving treatments and nourishment that sustains life. Euthanasia is voluntary and must be requested by the patient orally or through written requests. Immediate family members or people bestowed with power of attorneys by patients may also request for the service if the patient is mentally incapacitated, clinically brain dead, or in a persistent vegetative state (PVS). There is persecution of doctors and physicians who administer euthanasia or assist patients who have chosen death over treatment by some sections of the society even in countries that have legalized euthanasia. Some have had their licenses revoked and further punished by jail terms without the consideration that euthanasia takes place on compassionate grounds. Background People are increasingly choosing to die, when medical conditions become unmanageable and they suffer too much emotional and physical pain. Communication for this choice is through both oral and written requests when one is fully competent. Alternatively, through pre- written wills by competent people who direct that they be put to death in the event that they lose their mental faculty due to disease or accidents. People who write advance directives may give instructions on what should be done in case a disease or accident makes them incompetent. Thus, they can refuse life prolonging treatments using life support machines or request for active euthanasia when their diseases make them incompetent, incapacitated or virtually dependent on people for survival. A person may choose death driven by the hate of helplessness and dependence that makes the quality of life poor. When in this state, many people refuse treatment, food and some attempt suicide where euthanasia is not legal. Where euthanasia is legal, it is often the moral responsibility of the family and patient’s physicians to heed the patients requests, upon meeting all legal requirements in which a person has the right to choose to die. Normally, it is only the patient’s doctors and close family members who may decide if the person’s wish to die has any merit, based on medical prognosis, emotional status, mental competence and degree of physical pain. People against the right to choose death believe that causing death on compassionate