Monday, December 30, 2019
Essay Health Economics - 2827 Words
Cost-benefit, cost-effectiveness and cost-utility analyses are forms of economic evaluation which are useful in health economics for comparing costs and allocating resources. Health economics is widely relevant to governments and the health sector in implementation of new policy, as it concerns the allocation of resources in the context of a limited budget, or scarcity. Economic evaluation is a potential tool for setting priorities in health, though it is only one of many potential criteria, including overall budget and public attitudes and wants. Economic evaluation is already in use in some settings, such as in pharmaceutical company proposals for government subsidisation, but there is room for expansion across the field ofâ⬠¦show more contentâ⬠¦Changing factors such as aging populations and new technologies becoming available are increasing expectations from people throughout the world, and decision makers must make rational choices to maximise benefits to population healt h whilst working with limited resources. Yothasamut et al (2009) summarise this by observing that health care resources in every setting are always constrained, while unlimited demand is observed. The best choices in the context of economics are the ones which maximise utility (individual satisfaction through consumption of goods) and welfare, the sum utility experienced by all individuals in society. Decision makers often have to seek satisfactory rather than optimal solutions, also known as working with bounded rationality (Simon 1957 in Williams et al 2008), as it is important to pursue both efficiency and equity in the funding of health care. Therefore, it may be unsuitable to fund the most cost effective option if it sacrifices the equal distribution of benefits. Research in health economics can take a normative or positive approach and this reflects the balance needed between cost control and equity when making economic decisions. Positive economic research and analysis is con cerned with how things are and seeks to explain economic phenomena, whilst normative economic research and analysis is concerned with how things ought to be and relies on valueShow MoreRelatedEconomics and Health Care1520 Words à |à 7 Pagesturn leads to market failure. * Third-party payers is another reason because inefficiencies arise as a result of consumers not spending their own money. The majority of the expenses are paid by third parties, primarily health insurance companies and the government since health costs are usually too expensive for the middle to lower class who are usually more likely to become ill. 1B. In the real world, a perfectly competitive market rarely exists. One or more assumptions are violated in mostRead MoreHealth Economics1683 Words à |à 7 PagesHSA 500 Health Services Organization Janeen Whiteside-Harris Professor: Dr. Maryjane Granoff October 24, 2012 United States (U.S.) Health Care System (HCS) Requirements are to write a three to four page paper covering the following: 1. Identify and evaluate at least three forces that have affected the development of the health care system in the U.S. 2. Speculate whether or not these forces will continue to affect the health care system in the U.S. over the next decadeRead MoreHealth Economics1189 Words à |à 5 PagesHISTORY OF HEALTH INSURNCE I stopped for a moment to imagine an average Americanaââ¬â¢s world without a health insurance, what will become of such individual when the need for healthcare beckons? How will such individual offset the outrageous bill of healthcare? Health insurance is used in America to describe any program that helps pay for medical bills through the following: privately purchased and social insurance or a social welfare program usually powered by the government. Simply put, health insuranceRead MoreStatement Of Scholarship In Health Economics823 Words à |à 4 Pagesto express my interest in the PhD scholarship in Health Economics at Monash University which was advertised in seek career website on 14th September 2017. I am a graduate from Curtin University who completed Master of Health Administration. While I was doing my postgraduate studies, I decided to do my dissertation in the field of Economics, focusing on Health Economics. The topic of my postgraduate dissertation was ââ¬Å"Trends in income-related health inequalities in Australiaâ⬠. The source of the dataRead MoreEssay about Health Economics741 Words à |à 3 PagesFebruary 10, 2015 This memorandum will use Grossmanââ¬â¢s model of production of health to evaluate how New York Cityââ¬â¢s new sick leave law will affect emergency room use. Grossmanââ¬â¢s model states that a person utility is based on health (H) and other non-health related goods (Z) that the person consumes. The production possibility frontier for Grossman model shows the tradeoff between home good production (Z) and health (H). Unlike usual production possibility frontiers, an individual needs an optimalRead MoreEconomics : The Financing Of Health Care1379 Words à |à 6 Pages Thomas Gordon Healthcare Economic History ECONOMICS: THE FINANCING OF HEALTH CARE March 2, 2016 Lena Watson Health Care History The United States HealthCare System is pushing and getting ready to have a huge reformation. It is evolving on a major substantial evolution from its organization, management structure, and payment structure. The economic component of healthcare is equally important to better understanding the order to structure stature and is very successful. InRead MoreImplications Of Health Economics Concepts For Healthcare1712 Words à |à 7 PagesImplications of Health Economics Concepts for Healthcare Chandra Chisholm Strayer University HAS 510 Dr. David Tataw May 3, 2015 Value of Healthcare Professionals Healthcare is getting gradually complex around the world. The need for technological development, economic support, demographics changes and the study of diseases are shifting at a fast speed. There had been numerous labors in describing collective capabilities and values within the healthcare organizations. It is necessaryRead MoreSocio Economic Class And Health Inequality1174 Words à |à 5 PagesSocio-economic class has been linked to health inequality ever since the mid-19 century, when reported the living condition of the poor. Chadwick, E.1842 reported that the average life expectancy in Bethnal Green was 45 for professional but only 16 for labourers. Concern about inequality within the population in the early 20th century was offered as one major justification for the setting up of National Health Service (NHS) based on the recommendation of the Beverage report (1942). The health inequalityRead MoreUnderstanding The Value Of Health Economics811 Words à |à 4 PagesUnderstan ding the value of health economics is very important during this rapidly changing environment. Health economics is the study of how transactions or connections between health and the resources needed are made and of the bottom line results (Getzen, 2013). Resources include money but also people, materials and time that could have been used in other ways. Our healthcare needs may be unlimited but the resources we have to satisfy them are not. We must make careful choices about which needsRead MoreHealth Economics And Policy Questions2412 Words à |à 10 Pages Health Economics and Policy Coursework Question 2 SN: 13026885 a) w= à £62,500 U= âËÅ¡w 50% chance of medical problem Costs of à £4,900 We can derive this individualââ¬â¢s expected wealth if we multiply the probability of each outcome with the associated costs. E(w) = 0.5 * à £62,500 + 0.5 * (à £62,500 - à £4,900) E(w) = 0.5 * à £62,500 + 0.5 * à £57,600 E(w) = à £60,050 To find out what level of utility will this individualââ¬â¢s expected wealth yield, we simply have to put the value of the E(w) in the utility
Sunday, December 22, 2019
Scientific Thinking And Research Methods Essay - 2031 Words
Scientific Thinking and Research Methods Alyssa Klingbyle, McKenna Krause, Taya Agius, Matthew Barnes University of Windsor 02-46-115 Article One: Jeff Galak, Tom Meyvis. (2011). The Pain Was Greater If It Will Happen Again: The Effect of Anticipated Continuation on Retrospective Discomfort. Journal of Experimental Psychology: General. 2011, Vol. 140, No. 1, 63ââ¬â75 DOI: 10.1037/a0021447 Purpose of Study: The purpose of this study was to test whether people rated a tedious task with a higher aversive, boredom, annoyance and irritation level if they knew they had to complete the task again rather than if they did not know they had to complete it again. Theoretical Basis of Study: Psychological mechanisms prevent people from reliving aversive experiences to their truest extremes, creating fewer aversive expectations. This will entice people to partake in the experience again, but this also assumes that peopleââ¬â¢s memory of the experience are not affected by their contemplation of repeating the experience. Research has shown that people are likely to brace themselves for the worst when going into negative situations, and react more negatively when these situations are unexpected. For example, students are typically optimistic about their mark just after finishing an exam; but as a few days or weeks go by, they are to brace themselves for the worst, and believe they may have done worse than they did. This experiment tests how people willShow MoreRelatedCritical Thinking And Scientific Method847 Words à |à 4 Pagesapproach to their experiments and research. The main two that they tend to use is critical thinking and scientific method. Critical thinking is defined as the process of thinking deeply and actively asking questions and evaluating evidence (Facione, 2011). Analytically thinking is something that many people use majority of the time without ever recognizing or realizing what it is that they are doing. Scientific method on the other hand, is when all the research and evidence is empirical, or basedRead MoreHow Psychology Is The Human Mind And Behavior1513 Words à |à 7 Pagesscience which helps to understand the human mind and behaviour. To understand properly, one needs to trust on scientific methods that would help in recognizing the aspects related to the behaviour and psychological processes going in the mind of an individual. Instead of just trusting on personal observations about the experiences that an individual faces, the process of scientific research is much more systematic as well as authentic while trying to assess the details about the field of psychologyRead MoreInquiry Based Lea rning1454 Words à |à 6 Pagestheorists such as Dewey, Bruner, Postman, and Weingarten (Justice, Rice, Roy, Hudspith, Jenkins, 2009). Dewey believed that students need to develop critical thinking skills rather than the memorization of facts to be successful individuals (Justice et. al. 2009). Critical thinking is an important component in many fields. Dewey also felt that thinking was a reflective process and that students made observations to clarify what may be happening to gain an understanding (Runnel, Pedaste, Leijen, 2013)Read MoreHistory Of Science And Conceptual Understanding919 Words à |à 4 Pagesexpressed about the history of science that the history of science is composed of hypocrisy and skepticism ââ¬Å" science scoundrelsâ⬠, therefore, it is condemned by the scientific community. It also indicates that although there were early scientists ââ¬Ënaive thinking and ideas, such early thinking contribute to direct our present thinking and make studentsâ⠬⢠conceptual changes. It takes long time for students to make change and build their personal knowledge to become accepted. Moreover, it mentions thatRead MorePseudoscience Is A Form Of Bad Reasoning1442 Words à |à 6 PagesPseudoscience is a form of bad reasoning because it lacks empirical evidence. It disregards the scientific method and is usually unreliable. Some examples of pseudoscience are astrology, hypnosis, and polygraph tests. Although science is a factor in each of these examples, they are not justifiable because the results cannot be replicated. By learning more about pseudoscience, we can recognize illogical thinking and prevent it. Pseudoscience not only causes irrational reasoning, its effects can lead toRead MoreSociology as a Science Essay1149 Words à |à 5 Pagesway of thinking marked by application of reason, experience and experiment to the natural and social world. Sociologists approached the study of society and change by using scientific means as they were inspired by the recognition of the value of scientific principles and procedures. Science is a systematic, rigorous, controlled discipline aimed at understanding, gathering knowledge about and predicting occurrences within the natural world. If a research method has these Read MoreIndividuals and Their Discoveries Are Not Enough to Bring Medical Progress. Explain How Far This Statement Applies to Jenner and His Work721 Words à |à 3 PagesJennerââ¬â¢s discovery of the link between cowpox and smallpox was significant to the development of a vaccine for smallpox. However, it can be argued that Jenner and his discovery were not enough on their own to bring medical progress. The factors Scientific thinking, Government Communication and Changing attitudes played a major and important role to bring medical progress. One reason as to why the statement applies to Jenner and his work is because the Government worked in Jenners favour to bring medicalRead MoreThe Definition Of Rational Thought1198 Words à |à 5 PagesThere are several different types of ways of thinking, which undergoes diverse processes. One of the approaches is rational thought, which is one of the key factors to science (Gauch, 2003). The science is a particular area proving theories by reasoning (Giere, Bickle, and Mauldin, 2006). Whilst there have been several examinations related to means people think rationally, it seems to be important to understand what rational thought is; furthermore, the approach can be an influential factor in academicRead MoreFundamentals of Research Methodology1135 Words à |à 5 PagesFundamentals of Research Methodology Monique Vann PSYCH 540 March 24, 2013 Jeanne Henry, Ph.D. Fundamentals of Research Methodology This paper will explore the fundamentals of research methodology in the Psychology field and discuss the importance of psychology. The answers to these questions are the basis for the theories that led to research. Research is the groundwork performed by Psychologists in order to answer questions about behavior and the mind. The outcome of the research will offerRead MoreA Brief Biography of Sir Francis Bacon Essay1409 Words à |à 6 Pagesscience, and was determined to change the face of philosophy. Bacon applied his knowledge and focus to methods of perceptible truth, and emphasized communication and experimentation. His ideals and values sparked the industrial age, and his theories had a major influence on 17th-century European science. Francis Baconââ¬â¢s opinion on the correlation between religion and science, his way of thinking towards reason and experience, and his views and impacts on the importance of education were his main contributions
Saturday, December 14, 2019
Atlantic Revolution Free Essays
Nationalism and revolution often go hand in hand. Yet, while nationalism might lead to revolution, and perhaps national independence, it is much broader than revolution, and one should not be confused with the other. ââ¬Å"All nationalists believe that nations can be identified by certain characteristics that all its citizens hold in common. We will write a custom essay sample on Atlantic Revolution or any similar topic only for you Order Now These characteristics include the linguistic, ethnic, religious, or historical traditions that make a nation distinctive. All nationalistsâ⬠¦are linked across time by [a common] language, literary tradition, and historyâ⬠(Gelvin 2011). Atlantic Revolution What the American Revolution had in common with the Atlantic Revolution is that it wasnââ¬â¢t one single event or conflict that lead to uprisings everywhere. They were interconnected sharing common political vocabulary and strong democratic characterâ⬠Where the American Revolution sought to create a new republic the Atlantic republics wished to recreate a new society from scratch. The American Revolution started a Trans-Atlantic Age revolution. Discovery of the New World It all began with the discovery of the New World by Columbus is 1492, which happened on behalf of Castile which was the Spanish crown. Prior to this discovery Europe had switched from the Feudalist system to the Capitalist system. Nationalism in Europe fueled the desire to control colonies in Asia and Africa. Finding a new route to the orient was the goal, when the Americas were discovered. The ââ¬Å"Atlantic revolution,â⬠was the redirection of trade routes brought about by the great geographic discoveries. The Atlantic revolution, however, did not so much replace the old lines of medieval commerce as build upon themâ⬠(Britannica). The European merchant capitalism formed a framework that became a joint venture for Europe, Americas and Africa. One that was founded upon coerced labor in which all contributed to the vast complicated network known as the Atlantic economy. ââ¬Å"While not equal in power, each was critical in the contribution to the construction of the Atlantic worldâ⬠(Benjamin 2011). Atlantic World By 1607 the first English settlement in America was set in Jamestown Virginia. Only Seven out of Ten settlers remained in the New World, due to starvation, harsh living conditions and wars with the Natives. The natives who had traded food for death were fighting two enemies disease and setters. Diseases such as malaria, small pox, scarlet fever and influenza wiped the Natives out. Creating a shortage of labor in the creation of the New World. When Columbus first arrived, he brought Horses. These horses were traded to Native Americans which helped change the face of hunting forever. This allowed the Natives to move from hunting parties requiring several men that lasted days to one hunter on horseback. The New World gave the Old World tobacco, cocoa, beans, tomatoes, corn and potatoes. Both Corn and potatoes became the food of the poor after Europe came out of the epidemic known as Black Death. Although no cure for the countless diseases on both sides of the New and Old Worlds. The retreat of the plague left Europeans with only war, hunger and a raft of other infections to deal with. â⬠Economy The Columbian Exchange brought the Europeans wealth and power. The combined animal and plant products from the Indies exceeded gold and silver in value. While it brought the native Americas an unequal exchange of food for diseases that caused entire Indian cultures to vanish. The Columbian Exchange brought the Africans to other countries; discovered by the Portuguese searching for gold, later kidnapped later to be bartered and sold into slavery to satisfy Europeans unquenchable taste for goods. While the Columbian exchange had life changing positive and disastrous ending negative effects on four continents and three branches of humanity. Ecology became destiny determining who would thrive and who would die. Tobacco John Rolfe was an entrepreneur, who dared to sail to the Americas. He landed in Chesapeake Bay, with a dream and some tobacco seeds. He planted them and a crop grew that was worth One Million United States currency of today. August 1619 the first permanent African involuntary labors arrived to care for the tobacco crops. Slavery did not exist at this point in time, Later another One Thousand settlers arrived with Twenty African indentured servants. ââ¬Å"The black indentured servant, with his hope of freedom, was increasingly being replaced by the black slave. ââ¬Å" In 1705, the Virginia General Assembly removed any lingering uncertainty about this terrible transformation; it made a declaration that would seal the fate of African Americans for generations to comeâ⬠¦ ââ¬Å"All servants imported and brought into the Countryâ⬠¦ who were not Christians in their native Countryâ⬠¦ hall be accounted and be slaves. All Negro, mulatto and Indian slaves within this dominionâ⬠¦ shall be held to be real estate. If any slave resist his masterâ⬠¦ correcting such slave, and shall happen to be killed in such correctionâ⬠¦ the master shall be free of all punishmentâ⬠¦ as if such accident never happened. â⬠(PBS) ââ¬Å"The Body of Liberties, recognized the enslavement of Africans as not only legal but also moral in 1641â⬠(Code Noir 2008). Slave Revolution When the first record of blacks arrived in US history it was in Virginia in 1619. The Colonists used words like, black skin and connoted words like ââ¬Å"soiled, dirtyâ⬠¦ horrible, wicked to describe the blacks, while white skin connoted ââ¬Å"purity, beauty, and goodness. ââ¬Å"About 1860 racism reared its ugly head when white settlers started referring to themselves as white. As time progressed, harsh, brutal treatment of the Negro, the African American, the Black, was based on the dehumanizing of this person, and asserting white supremacy. â⬠(Sanders) Unable to swallow the idea that a black man could be their equal, the American White Anglo-Saxon took steps to make sure that equality just didnââ¬â¢t happen. As early as 1740 laws were passed that punished, by death, any act of rebellion Negro slaves committed or any act against a white person that resulted in grievous wounds, bruises, or maiming, without benefit of trial. French Colony of Saint Domingue The French had the slave system down to a science knowing that the average rate per slave was three years. This inevitable death sentence, sparked a revolution within the slaves themselves. The French Revolution sparked, the most famous revolution which began in the French colony of Saint Domingue later known as the country of Haiti. The Haitian revolution lasted for twelve years, under the leadership of Toussaint Lââ¬â¢Ouverture. The revolution took a turn when the slaves acquired guns from the neighboring Spanish and used them to fight off the British, French, and Spanish defeating 60,000 soldiers. The revolt caused Britain and France to abandon slave trade, making One Million black slaves French citizens in 1794. The French-Haitian Revolution What Nationalism and Revolution tell us about the role of slavery in the Atlantic World was what was done to justify slavery. In 1831 a Slave revolt lead by Nat Turner was used as reason to continue slavery. The whites were far outnumbered which was why The Haitian Revolution was kept quiet. For this reason, white Frenchmen were not permitted in Cuba for fear that they tell the story of the revolt in Haiti. One Million black slaves became French citizens in 1794 and when Napoleon tried to reinstitute slavery in 1802 things did not go well. Ultimately, Catholicism was used to try to de- Africanize the slaves, the colony wished to assimilate them culturally in order to continue their subjugation. American Revolution The American Revolution affected slavery by creating new ways for the slaves to be free. People started questioning slavery on all sides. The Americans won their independence from the British but the most vital area that America needed to address was the one of racial segregation. The primary cause of the civil war was slavery, and Statesââ¬â¢ rights. The Americans celebrated when the French overthrew its Absolutist monarchy. Sanctioned violence in France overflowed to the borders of Great Britain where they remained at war until 1815. Once the British war with France began depleting the British treasury. The war known as the French and Indian War is also known as the Seven Years War. The depletion of the treasury caused Britain, who decided the colonies had grown fat under their not so watchful eye to tax the Colonists on goods that had not previously been taxed. The Stamp Act of 1765, caused Parliament to take action, deciding that the colonies needed to contribute to their own defense. That action was followed by the British action to tax the Colonists on goods that had not previously been taxed. The final blow came when British forced the colonists to house and feed British soldiers. These collective actions made the colonists angry. The Colonists were without a representative in Parliament to peak for them. From these collective actions the phrase, no taxation without representation was born. Attempting to further cripple the colonists attempts for independence the English outlawed production of an American currency ââ¬â and forced the colonies to borrow from British banks at high interest. John Adams stated that,â⬠The revolution was effected before the war commenced. The revolution was in the minds and hearts of the people. â⬠(Adams, 2010) Conclusion The American Revolution and Atlantic Revolution wasnââ¬â¢t one single event or conflict that lead to uprisings everywhere. They were interconnected sharing common political vocabulary and strong democratic characterâ⬠While Nationalism and revolution often go hand in hand nationalism might lead to revolution, and perhaps national independence. Granted, ââ¬Å"All nationalists believe that nations can be identified by certain characteristics that all its citizens hold in common. These characteristics include the linguistic, ethnic, religious, or historical traditions that make a nation distinctive. All nationalistsâ⬠¦are linked across time by [a common] language, literary tradition, and historyâ⬠(Gelvin 2011). How to cite Atlantic Revolution, Papers
Thursday, December 5, 2019
Construction Planning and Execution
Question: Discuss about the Construction Planning and Execution. Answer: Introduction: Construction planning and execution of construction planning is the most challenging activity for the management of construction projects. Numbers of things are involved in this such as choice of technology, how work tasks are defined, estimated time for resources which are required and also for individual tasks, and identify the risk involve in different tasks. It is necessary for good construction plan that it develops after considering the budget and work schedule. Construction planning is the most difficult task that is done by the management of construction. After considering the above technical aspects that are mention above it is necessary that management also focus on various organizational decisions related to relationship between participants of project and which organization should be included in the project. Therefore, it is clear that construction planning is the base for construction project and it must be done with complete understanding of things (Project Management f or Construction, n.d.). In this report, we discuss the actions required to be taken by the project manager and action required to be taken by the contractor in case of compensation events. This report also contains the procedure for events notified by the project manager and procedure for events notified by the contractor. A part of this report contains the explanation on conditions guiding payment in the NEC 3 ECC conditions of contract, contractual standing in terms of conditions governing contractual program in the NEC 3 ECC conditions of contract and Dispute resolution methods that can be used to resolve the problem in the NEC 3 ECC conditions of contract. There is also a separate section which describes the comparison of advice given by NEC3 ECC condition of contract with condition of contracts either JCT11 SBC/Q or the FIDIC Red Book form of contract. At last, we conclude the report with brief conclusion. Compensation events: Compensation events are those events which change the cost of the project and time required to complete the project, but usually these events are not happened because of the fault of the contractor. Events which result in change of the price of the project, key dates of the projects, and completion date of project. In large number of case contractor demands more time and money to complete the project. There are some good examples of compensation events: Employers actions such as employer fail to provide access of land to contractor on time. Actions conducted by project manager such as instruction given by project manager to stop or delay the work. Actions of supervisor such as when supervisor gives instructions to contractor for searching defects in project, and no defects are found. Actions which are conducted by other people such as actions of statutory bodies and other contractors. Other events which are not in the control of any party such as whether conditions. The above mention events are mention in the clause 60.1 of NEC3 (Kingston, 2015). Actions taken by project manager in compensation events: in case if compensation event is arise because of the instructions of project manager which is related to search of defect or there are some changes in the work. In such case the first duty of project manager is to notify the contractor related to compensation event, and then instruct him to provide quotation. In case of all compensation events, contractor notifies the project manager. When contractor receive notification from project manager and also receive an instruction to submit the quotation then he submit the quotation within 3 weeks. The period of 3weeks can be extended by the project manager in an agreement. When notification is received by the project manager from the contractor he responds in no or yes. Project manager says no if: That action is the fault of contractor. Event does not occurred and not going to occur. That event does not affect the completion time of project or cost of project. Event occurred is not listed in the agreement or clause. In all their cases, except above mention cases the project manager says yes to contractor to provide a quotation. When project manager gives instruction to the contractor for providing the quotation, the project manger after discussion instruct the contractor to provide other quotations also which mention the alternative method of dealing with the event. In some cases when event is not clear then project manager state some assumptions, and if those assumptions are not right then it will be considered as another compensation event (SCE, n.d.; Hide, n.d.). Actions taken by contractor in compensation events: The next step is filing of quotation by contractor to the project manager. In NEC3 quotation deals with both compensation events that is time and money. It has a special place in the NEC3. On receipt of notification from project manager or supervisor related to any defect or other matter, then it is the duty of the contractor that he submits quotation for such notification to the project manger or supervisor. It is necessary that quotation is prepared by following the procedure stated in the contract, and when contractor submit that quotation to the project manager or contractor then he must include all the details of assessment. If compensation event has any effect on the completion date or price then quotation must include all the revised details of that program (Devonshires, n.d.). When project manager receipt the quotation then it is necessary that he respond within 2 weeks from receipt of quotation or any extended period. Reply of the project manger to the quotation must include these responses: Acceptance of quotation by project manager. Confirmation that a proposed event will not be instructed by project manager. One more notification from project manager that quotation was not prepared properly by contractor, and quotation must be submitted again. Project manager also states reason for that. A notification that project manager will assess the compensation event (CECA, n.d.). In the present case, Ministry of Health decided to construct a new university teaching hospital, and this project consist new build accommodation and the refurbishment of existing properties. This new project also has underground car park and a dedicated cycle centre and ten electric car charging points. The project was given on the basis of NEC3 ECC conditions of contract, and contractor will design the part of work as stated in the information. In this compensation event is occurred because of the fault of employer, as employer does not handle the site to the contractor on time because of which work delayed. There are some other faults from employer side as the employer does not work within the time shown on the accepted program. There are some other issues also supervisor does not reply to the queries of contractor, and he also conduct test. Therefore there are number of compensation events which cause delay in this project. This project was also delayed because of the fault of contractor as contractor does not made agreed payments to workman and also pulled them off from site which results in dispute, but these events does not consider as compensatory events because this is the fault of contractor. Conditions Guiding Payment in the NEC 3 ECC: Now, construction projects for public have special requirements related to payment. These special requirements are set up by the OGC that is Office of Government Commerce. For the successful implementation of any contract it is necessary that contract must contain fair and transparent payment practices. It is necessary for parties to working with each other in good faith and with mutual trust. On 1st January 2008 following payment commitments are set up by OGC: It is the right of the company that they receive full and clear payment on the due date. From ethical point of view it is not right that payments are delay, and holding of payments without any valid reason. It is necessary that fair payment will be decided between the contractor and client, and also throughout the complete supply chain. The process of payment must be transparent, and properly communicated to the members of supply chain that when and how much they received. Companies must consider whether it is appropriate to operate some relevant contracts on open book basis. The correct payment made by the client also represent that the work is carried out in proper manner, and products are supplied according to the contract. If client hold any amount then it must be partial, and withholding must be on valid reason that was justified according to the terms of contract. For ensuring the effective cash flow system under contract, it is necessary that contract of construction states provision related to regular payments and period of payment must not exceed more than 30 days. It is necessary to avoid the payment delay that clients and contractor must agree on the procedure related to payment at the outset of their agreements. Payment must be made through BACS transfer and will be transferred through supply chain. Procedure related to monitoring, auditing and dispute resolution must be agreed between the parties to the contract and stated in the contract (NEC3, n.d.). Procedure of payment under NEC3 Engineering and Construction Contract: When contractor get paid by the client? On each assessment date contractor calculate the amount due to the contractor. Calculation of amount due: the price for the work done till that date + any other amount that is due for payment to the contractor, and less any amount which is already paid to the contractor or retained from the contractor. Within 7 days from assessment date, project manager will certify the amount due to the contractor, and within 14 days from the assessment date the deadline for withholding must be issued to the contractor. Within 21 days from assessment date payment must be made to the contractor. In case if client does not pay the amount or send any withhold notice then in such case contractor has right to suspend the work or contractor can go for adjudication (CCC, n.d.; CCC, n.d.). Terms and conditions governing contractual program in the NEC 3 ECC: NEC3 contracts are the standard contracts, and they ensure good management of construction contracts, and also flexibility and clarity in contracts. These contracts can be used for the entire project, and they will be helpful in complete life cycle of the project. It is necessary that construction contract must contain some general clauses, and those general clauses are (NEC, n.d.): General terms- contract must include some general terms such as in case of any failure by any party in enforcement of any term, and then in such case such failure shall be considered as waiver of that term. Any waiver shall not affect the validity or enforceability of the contract. Contractors responsibilities- the employer, contractor, and project manager have a responsibilities which must be stated in the provisions of the contract, and it also stated not only contractual terms but some trust and co-operation terms also. Such terms must be defined in alphabetical orders, and some important terms are Equipment and Plant and Materials, key dates related to construction project, information related to site, etc. Time, testing and defects- in contract the completion date must be specified. It must contain provision related to period in which contractor submit the project to the client. Both starting and completion date must be set out in the contract. Starting date is necessary because from that date risk is passed to the contractor. Testing clause is required to test and inspect the work at the site by the client and other experts, and in case any defect is found then set the accountability for that defect. Compensation events- contract of construction must described the events which are considered as compensatory event in the time of construction, and also stated terms which relate to the effect of those events on completion time and key dates. It also states the events which are at employer risk and does not occur because of the fault of contractor. Payment- it is necessary that contract must define payment procedure, so that later conflicts can be avoided by the party. Payment option are mainly defined in these three key terms that is contract price, price for work done till that date, and defined cost of the project. Risk and insurance- contract also mention the risk involved in the contract, and which risk is covered by employer (NEC, n.d.; NEC, 2016). Dispute Resolution Mechanism under NEC3: In NEC3 contracts there are two approaches for resolving the dispute that is adjudication and arbitration. First stage is adjudication; if dispute is not resolved at this stage then second step is arbitration and litigation. ECC contracts provide two methods for dispute resolution that is W1 and W2. W1 is used at those contracts where Housing Grants, Construction and Regeneration Act 1996 are not applicable. W1 is the recycled version of NEC2 provision, and it mentions the right of parties related to adjudication. Whereas, W2 is usually used in UK, and this is different from W1 where any party can make referral of arbitration. The arbitrator can be decided by the parties, and his name must be named in the contract data. In case arbitrator is not mentioning in the contract or he resigned and unable to act then in such case parties can choose another arbitrator (Sheriden Gold, 2010). Comparison between NEC3 ECC and FIDIC: NEC and FIDIC are the standard form of contract, that become part of families for procuring works or consultancy services (FIDIC) and goods, works or services (NEC). In 1991 NEC was launched, and this contract is identified for the purpose of clarity, flexibility and to set good management practices (NEC, n.d.). FIDIC contract is a traditional form of contract, and used at international level, and in 2006, Palestine cabinet ratified this contract. In Gaza more than 37% Palestine use these contracts. Some main difference in these contracts is related to time, quality and cost. In NEC the project manager shall act on behalf of the employer and in FIDIC engineer act on the behalf of employer. Both the contracts have number of differences but both contracts are designed for the purpose of international use, and both have their roots in common law of jurisdiction (Besaiso, 2012). Conclusion: At last, the report is concluded that NEC3 contracts are standard family contracts, and are designed to use at international level. These contracts almost define every important aspect related to construction contract such as time, payment, compensatory events, risk, liability, etc. compensatory events are those events which change the cost of the project and time required to complete the project, but usually these events are not happened because of the fault of the contractor, and in the present case there are number of compensatory events which cause from the fault of supervisor and employer. In this report we described every important aspect of contract, and it is necessary in terms of contract that we state all the important clauses of contract in construction contract. References: Project Management for Construction. Construction Planning. Retrieved on 29th November 2016 from: https://pmbook.ce.cmu.edu/09_Construction_Planning.html. Kinston, L. (2015). Compensation Events Under NEC3. Retrieved on 29th November 2016 from: https://www.mondaq.com/x/425098/Building+Construction/Compensation+Events+Under+NEC3. SCE. construction contract and commercial consultants. Retrieved on 29th November 2016 from: https://www.stevencevans.com/nec3-compensation-events-a-practical-guide/. CECA. Compensation Event procedure and assessments under the NEC3 engineering and construction contracts. Retrieved on 29th November 2016 from: https://www.ceca.co.uk/media/96888/seminar_notes_-_386e__-_compensation_event_procedure___assessment_under_the_nec3.pdf. Hide, G. Compensation events and movement of completion date. Retrieved on 29th November 2016 from: https://gmhplanning.co.uk/wp-content/uploads/2011/10/Newsletter-47-Compensation-events-and-Completion-Date.pdf. Devonshires. CONSTRUCTION LAW UPDATE: Compensation Events under NEC3. Retrieved on 29th November 2016 from: https://www.devonshires.com/wp-content/uploads/2016/02/Compensation-Events-under-NEC3.pdf. SCE. NEC3 compensation events. Retrieved on 29th November 2016 from: https://www.stevencevans.com/wp-content/uploads/2013/02/a-practical-guide-to-compensation-events.pdf. NEC3. OGC fair payment practices for use with NEC Contracts. Retrieved on 29th November 2016 from: https://www.neccontract.com/getmedia/0ef6a62f-c520-4d57-b09a-87537cbedd77/Government-fair-payment-practices-for-NEC3-Contracts.pdf.aspx. CCC. when are payments due under nec3. Retrieved on 29th November 2016 from: https://www.contract-consultants.com/publication/CCC-publication24.pdf. CCC. Payments nec3 engineering and construction contract. Retrieved on 29th November 2016 from: https://www.contract-consultants.com/publication/CCC-publication43.pdf. NEC. NEC3 Dictionary. Retrieved on 29th November 2016 from: https://www.neccontract.com/About-NEC/NEC3-Dictionary. NEC. These notes form a brief overview of elements of ECC to assist delegates in dealing with the case studies. Retrieved on 29th November 2016 from: https://www.necelearning.com/main/materials/additional/m2/03%20Intro%20to%20ECC%20Course%20Notes.pdf. NEC. (2016). Terms and Conditions. Retrieved on 29th November 2016 from: https://www.neccontract.com/Terms-and-Conditions. Sheriden gold, (2010). NEC3 dispute resolution provisions. Retrieved on 29th November 2016 from: https://www.sheridangold.co.uk/assets/depot/files/d001_nec3_dispute_provisions_article_sg.pdf. Elliot, F. (2007). Adjudication under the NEC3. Retrieved on 29th November 2016 from: https://www.fenwickelliott.com/files/Adjudication%2021%20-%20Adjudication%20Under%20the%20NEC3.pdf. Besaiso, H. (2012). Comparing the Suitability of FIDIC and NEC Conditions of Contract in Palestine. Retrieved on 29th November 2016 from: https://www.hq-sf.org/wp-content/uploads/2015/theses/eng/Haytham-Adel-Besaiso.pdf. NEC. A comparison of NEC and FIDIC. Retrieved on 29th November 2016 from: https://www.neccontract.com/getmedia/2bd4ffb9-8e1e-4684-af86-1d913152f10d/A-comparison-of-NEC-and-FIDIC-by-Rob-Gerrard.pdf.aspx.
Thursday, November 28, 2019
The Economy Of The Phillipines Essays - National Accounts
The Economy of the Phillipines Per Capita Income: Since I am the first person reporting, I would like to explain what per capita income means. The per capita income of a certain country is the GDP of that country divided by the total population. In the Phillipines the per capita income is approximately $700. When compared to the per capita income of the United States, which is about $22,000, it is easy to tell that the economy of the Phillipines is ver poor. GDP: Growth: 5.7% GDP= 82.8 % FROM AGRICULTURE: 17.1 IMPORTANT % FROM MANUFACTURING: 18.9 % FROM SERVICES: 39.2 MOST IMPORTANT % FROM GOVERNMENT: 7.9 Exports: Traditionally, the Phillipines has been primarily an exporter of raw materials and an importer of manufactured goods. This is the role that many third world countries play in the global economy. Electronic and automotive parts, along with garments are the leading merchandise exports of the country. However, the Phillipines also relies heavily on import inputs. The country also exports bananas, coconuts, copper, gold, lumber, pineapples and sugar. Imports: The Phillipines mostly imports manufactured goods. Certain items remain subject to import regulations such as narcotic drugs, firearems, ammunition, etc. Their chief imports include chemicals, machinery, and petroleum. Trading Partners: The Phillipines, like any other country, cannot produce everything that it needs. Instead, it relies heavily on foreign trade. Specialization in production allows for each nation to produce what it produces best, and to trade for products which it cannot produce as well (In case your teacher asks, this means that if you are better at one thing and I am better at another, rather than each of us trying to do both, we would each do what we are best at. Then, we would exchange what we had produced and both be better off than had we tried making both things on our own). It trades mainly with Japan and the United States. The Phillipines maintain high tariff rates and protective barriers on sensitive agricultural products. Major Economic Activities: The Phillipines has embarked on economic reforms and market liberalization measures in the past two years. As a result of this the Phillipines has started to show signs of recovery (FROM WHAT). Even though the unemployment rate is very high, it has dropped from 10.5% to 9.8%, a considerable move for a two year period. In the Phillipines, the minimum age for employment is 15. Their constitution prohibits forced labor. All workers have the right to join unions. The prices are generally determined by free market forces, with only a few exceptions. Conclusion: **IF THIS PROJECT IS ABOUT CAPITALISM AND FREE MARKETS** Although the Phillipines economy is weak, and the unemployment rate is high, the Phillipines is showing some signs of life. It has recently become a more open economy, allowing for more free trade and free market forces. As this process continues, trade with the Phillipines will increase, and eventually, a more capitalistic and successful economy will emerge.
Monday, November 25, 2019
How to Get a 5.0 GPA Expert Guide
How to Get a 5.0 GPA Expert Guide SAT / ACT Prep Online Guides and Tips In the increasingly competitive atmosphere of high school, you may be wondering how you can best all your classmates with a 5.0 GPA. It's a lofty goal, to be sure. In this article, we'll discuss why that goal is often impossible, or at least impractical, to meet, ways in which itmay be possible to earn a 5.0, and what's really more important than a 5.0 GPA. What Is a 5.0 GPA? In the United States and some other countries, the letter grades you receive in classes can be converted into grade points, usually up to 4.0 per class. For instance, earning an A or A+ gets you 4.0 grade points, while earning an A- nets you 3.7 grade points, and so on: Letter Grade Grade Point A+ 4.0 A 4.0 A- 3.7 B+ 3.3 B 3.0 B- 2.7 C+ 2.3 C 2.0 C- 1.7 D+ 1.3 D 1.0 D- 0.7 F 0 Your grade point average, or GPA, is the average of the grades you've earned in all the classes you've taken. If, for example, you earned A's in five ofyour classes and B's in another five classes, you would havea 3.5 GPA. Youget thatby averaging together the 4.0s and 3.0s that correspond to those letter grades. Now, sometimes classes are "weighted" on a 5.0-scale (or higher). We'll talk more about that later; basically, it means that each grade earns you one full point (or more) past what it would earn in regular classes. Weighted classes are tougher, on average. A 5.0 GPA, then, is a grade point average that results from a weighted scale. A 5.0 generally indicates that a student took only 5.0-scale classes and earned only A's (and/or A+'s). Normally, all perfect straight-A grades result in a 4.0; with weighted classes, though, perfect straight-A grades could result in a 5.0 (or even higher). Sounds impressive, doesn't it? There are, technically, other ways to earn a 5.0, as we'll see below; the basic point is thatyou always need weighted classes to earn a 5.0. Juggling weighted classes with ease will not get you in the Olympics, sadly. Weighted vs. Unweighted Grading Scales In an unweighted grading scale, an A is worth 4.0, a B is worth 3.0, and so on, right the way down, just like we say above. No consideration is made for how hard the class may be; an A in Quantum Physicsis treated the same way as an A in Navel Contemplation. In a weighted grading scale, tougher classes earn you more points. Typically, that maximum is a 5.0, so that an A is worth 5.0, a B is worth 4.0, and so on. There are exceptions; for example, some schools weight honors classes on a 5.0-scale and IB/AP classes on a 6.0-scale. This is, on the whole, rare. Why Is a Weighted Scale Useful? Essentially, weighted scales encourage students to attempt harder classes, knowing that falling short of an A will not affect their GPA as much as it otherwise would. Also, having weighted scaleshelps with class ranks. If two students are both straight-A students, but one took the easiest classes available at the school and the other took the hardest, it hardly seems fair to rank their 4.0s equally. If the harder classes were weighted, though, one student's GPA of, say, 4.57, would clearly outrank the other student's 4.0. Why You Usually Can't Earn a 5.0 There are two reasons this goal is often unfeasible. First of all, not all schools weight classes. If you go to a school where no class earns you more than 4.0, you're out of luck: you can't earn anything above a 4.0. Second, even at schools where classes are weighted up to 5.0, there are usually unweighted classes you must take. Health and P.E. come to mind. If weighted classes are worth 5.0, but you have a few 4.0s thrown into the ultimate average, you can't come up with a 5.0 as the result. It's not possible,even if you get perfect grades. This is a mathematical truth of averages. Want to build the best possible college application? We can help. PrepScholar Admissions is the world's best admissions consulting service. We combine world-class admissions counselors with our data-driven, proprietary admissions strategies. We've overseen thousands of students get into their top choice schools, from state colleges to the Ivy League. We know what kinds of students colleges want to admit. We want to get you admitted to your dream schools. Learn more about PrepScholar Admissions to maximize your chance of getting in. How You Might Be Able to Earn a 5.0: 2 Methods At most schools it's simply impossible to geta 5.0 GPA; however, there are two situations in which you might be able to do so. Method 1: Taking Classes That Are Worth More Than 5.0 Points If you happen to go to a school that weights some classes abovefive points, you have a much better chance of earning a GPA of 5.0. The idea is to take (and excel in) as many classes weighted above 5.0 as you can. That way, even the 4.0 classes you need to take won't pull your average down below a 5.0. (This method still assumes you're getting straight A's, or pretty close.) Method 2: Taking Classes Pass/Fail Another possibility involves making use of your school's pass/fail policy, if you have one. At some schools, you can elect to take a class pass/fail, meaning you don't receive a letter grade. Satisfactory performance earns a pass; unsatisfactory, a fail. Generally, a pass does not affect your GPA, although often a failwill count against you. The trouble is, relatively few high schools have pass/fail policies; it's more of a college thing. Your school may not give you this option. If, though, your school does offer the pass/fail option, you can take all of your regular, unweighted, 4.0-scale classes as pass/fail, earning your GPA solely off of your 5.0-scale classes. This may not be the wisest idea, however, as colleges tend to be suspicious of seeing a number of pass/fail courses. They figure this could indicate that a student didn't want to try in that course or lacked confidence in their ability to get an A. Pass/fail classes may be a golden ticket to a 5.0 GPAbut not necessarily to college. Why a 5.0 Doesn't Really Matter While, as enumerated above, there are some ways to get a 5.0 GPA, it's generally either extremely difficult or flat-out impossible. The good news is, colleges don't really care if you got a 5.0 GPA. Colleges generally look at your unweighted GPA (converting it back to the 4.0 scale: 4.0 for each A, 3.0 for each B, etc.). They also look at how hard the classes you took were. Your school will send colleges a profile sheet that details the grading policy of the school. All will be revealed regarding pass/fail classes, 5.0 classes, etc. Colleges want to see that you took hard classes and excelled in them; they care less about what absolutenumber your school assigned to your stellar performance. What Does Matter: Excelling With a Rigorous Course Load As I've hinted, what really matters is doing well in challengingclasses. Do well in your electives and other 4.0-scale classes, too, of course. The first step, then, is choosing the right classes. Choose classes that are difficultand that will challenge youbut not conquer you. Recognize your limits, but also seek to stretch and expandthem. If you know you have no real hope of passing a class, don't take it, but if you think some very hard work will get you where you need to be, go for it. High school is about learning and working hard, not just about the final grades. The next step is excelling in the classes you've chosen. You should be working hard. Attend every class and listen attentively; ask questions and engagewith the teacher. Do your homework consistently and well. Review regularly. In general, apply good study habits. Be confident that colleges will look at the big picture, not just your exact GPA. Colleges want to see that you took advantage of the hardest classes available to you and mastered them, not necessarily that you had an outrageous grade point average. Conclusion Earning a 5.0 GPA requires taking weighted classes and doing well in them. Depending on the grading policy of your school, a 5.0 might be perfect, less than perfect, or quite literally impossible to attain. To earn a 5.0, you need to take weighted classes, and, depending once again on your school's policy, you may need to use pass/fail opportunities for unweighted classes.If you can't (or don't) earn a 5.0, however, it's not the end of the world.Your GPA goes outto colleges with a lot of context that will help them understand the broader picture of your performance. What's Next? If you want to knowmore about GPAs and their application, by all means, read on! We have an article that covers what a GPA is in all its glory. We also cover weighted vs. unweighted GPAs. Then, there's always our article on how to calculate GPA. Also, take a moment to read some very helpful advice on what colleges actually look for. If you're wanting advice on getting good grades and a great GPA, look no further than this advice by a Harvard alum. Finally, if you're wondering how much your GPA will help in the college search, check out our very nifty tool for that very question; the article starts by discussing a 4.0 GPA, but you can adjust the GPA within the article to customize it to your needs. Want to improve your SAT score by 160 points or your ACT score by 4 points?We've written a guide for each test about the top 5 strategies you must be using to have a shot at improving your score. Download it for free now:
Thursday, November 21, 2019
Philosophy Assignment Example | Topics and Well Written Essays - 500 words - 1
Philosophy - Assignment Example mises are associated with conclusion to the extent that whenever the former are found to be true, it follows that the latter ought to be true as well, particularly when such premises and conclusion are a sole basis to the justification of an inference 5. Invalid - is, contrary to the state of validity, a term that identifies an argumentââ¬â¢s form that possesses a conclusion which is not aligned or is not expected to correspond to the given premises where as such, a false conclusion may emerge out of true premises 6. Sound - pertains to an argumentââ¬â¢s property in which all premises are true, thereby reflecting or guaranteeing truth in the resulting conclusion that altogether manifests the pure validity of an argument 7. Unsound - pertains to a trait by which an argument may be assessed as either invalid or valid with at least one false premise so that false premises determine the validity or invalidity of an argument 8. Deductive Argument - is that argument where it is ââ¬Ënecessaryââ¬â¢ for the conclusion to satisfy the premise in such a way as when a conclusion is rather false, there can be no way that this would be arrived at coming from a premise or inference that is true; deductive reasoning is applied herein to enable construction of a deductive argument that proceeds from a general premise toward a specific conclusion 9. Inductive Argument - is that argument where it is ââ¬Ëprobableââ¬â¢ to derive conclusion from an inferred premise such that it would be improbable to yield a false conclusion if the premises are true; inductive reasoning is used herein to establish an inductive argument that develops from a specific premise toward a general conclusion Identify the following fallacies. (For example: ââ¬Å"If you dont agree with the president, you will lose your job. Therefore, if you dont want to lose your job, you had better agree with the president,â⬠would be an Appeal to
Wednesday, November 20, 2019
Risk Management Case Study Example | Topics and Well Written Essays - 500 words
Risk Management - Case Study Example Experts cite Hurricane Katrina as being among the worst disasters that ever occurred in the history of the US, leading to the loss of over 1800 individuals (Moynihan, 2009). The disaster caused continued flooding, owing to the collapse of the artificial levees. This resulted in a series of industrial damages, pervasive pollution and a cut of critical facilities such as water, energy and communication networks. Moynihan argue that though the response was marred by several failures, it had it positive side. The 9-11 attack prompted the government to form bodies that would prevent and reduce the impacts of such calamities, including the Department of Homeland Security (DHS). FEMA was also in place and its response was significant in handling the calamity (Moynihan, 2009). FEMA had warned of the catastrophe earlier, and the evacuation process was underway. President Bush had affirmed a state of emergency and FEMA initiated its response operation. The evacuation significantly reduced the number of victims of the catastrophe. The magnitude of the catastrophe prompted the intervention of other stakeholders, in a bid to rescue victims and reduce their suffering (Levitt & Whitaker, 2009). As such, various organizations intervened and coordinated in the rescue, evacuation process and the delivering of essential products and services. Private charity organizations also played a significant role in the various forms of the response process. The military response was also critical in assuaging the sufferings of the victims. The large number of the deployed military officials aided the rescue operations, thereby lessening the hard task of the rescue team (FEMA, 2006). This served significantly in improving the relief efforts, hence reducing the number of affected victims. However, though various parties played significant roles in responding to the catastrophe, there several setbacks were evident. For instance, the slow response of the involved parties
Monday, November 18, 2019
Project management Essay Example | Topics and Well Written Essays - 3750 words - 1
Project management - Essay Example it is not always the case that these projects are successful and achieve the desired objectives, but usually most of them do fail, either in terms of cost, quality, deliverables or time (Meredith & Mantel, 2012). Any projectââ¬â¢s success is inherited in the timely ending of the project, attainment of the required objectives or deliverables are delivered, and within the project limitations or constraints. In order to execute the project successfully, it is imperative for the project team or managers to consider some crucial elements of the project, which may be the project cost, time, or resources (Oisen, 1971; Lock, 1994; Atkinson, 1999). Among these aspects, there are three central issues, such as the time, cost and quality, which are the key intentions of any project and hardly be achieved and make the project a successful one (Iqbal, Azam, & Qureshi, 2011). However, the secret of success can be understood by analyzing the executed projects, where the success factors or failure factors can be identified by a careful analysis. The purpose of this paper is to analyze the two real-life projects related to the adoption of Information Technology in the organization by identifying the success factors of these projects, and also to identify the risk factors with the help of risk map as well as provide suggestions for mitigating or managing the risks. ECourier is a well-known UK based organization, where it provides 24/7 and same day courier services to the customers throughout UK. It was started in 2003 and the main objective of the company was to deliver courier service with accurate delivery information or transparency in this information, along with the highest customer relationships through automation. It collects and delivers the packages from all the areas in London, as per customerââ¬â¢s instructions. In the beginning, it was involved in delivering the packages only in London, but now it has developed a huge customer base across the world, and have built many
Friday, November 15, 2019
Psychosocial Characteristics of Breast Malignancy
Psychosocial Characteristics of Breast Malignancy Substantial resources have been shared out to research into the psychosocial characteristics of breast malignancy in the last twenty years. Initial studies in this field mainly focused on describing the emotional experience of women with breast malignancy and also attempted to develop interventions which can reduce psychosocial distress and prepare them to cop-up with the situation. Ferlic M, Goldman A, Kennedy BJ (1979) conducted a study titled ââ¬Å"Group counseling in adult patients with advanced cancerâ⬠and reported a noteworthy enhancement in participants ââ¬Å"perception and self-conceptâ⬠and a similar benefit reported by Heinrich and Schag (1985). These two studies were referred as the early intervention studies among women with breast cancer. David Spiegel et al. (1989) found that women with metastatic breast malignancy can extend their survival by a psychological intervention (ââ¬Å"supportiveââ¬âexpressive group therapyâ⬠). David Spiegelââ¬â¢s this report had various impacts on psychosocial intervention studies in1999s. After Spiegelââ¬â¢s surprising findings in 1989, the researchers shifted their focus from describing emotional experience of women with breast malignancy to survival outcomes of psychosocial interventions. Cunningham et al., (1998); Edelman et al., (1999a); Goodwin et al., (2001); and Classen et al., (2001) conducted different studies to find out the favorable outcome of psychological interventions on survival of women with metastatic breast malignancy. None of the succeeding studies in metastatic breast malignancy have recognized a survival effect of a series of psychological interventions. Several similar findings were reported among different cancer studies with the intention of surviv al outcome from their metastatic malignancy (Linn et al., 1982; Fawzy et al., 1993; Ilnyckyj et al., 1994; Kuchler et al., 1999). All these observations, from studies held in 1990s, forced the members of psycho-oncology research group to change their focus of assessment to the mental status and personal satisfaction of women with breast cancer, and to the recognition of interventions that positively influence their mental and social functioning, instead of metastatic breast cancer survival and their in-between biomedical outcomes. From 2000, a good number of psychosocial oncology researchers concentrated on focusing their research in the area of metal statues, wellbeing and quality of life of women during and after their active treatment for breast cancer. Antoni et al. (2001) explained ââ¬Å"Cognitive-behavioral stress Management intervention decreases the prevalence of depression and enhances benefit finding among women under treatment for early-stage breast malignancyâ⬠. The writers observed the effects of ten-week group ââ¬Å"cognitive- behavioral stress management interventionâ⬠in the midst of 100 women recently undergone treatment for stage 0-II breast malignancy and reported positive benefits after the intervention. Cruess et al. (2001) studied the impacts of a ââ¬Å"cognitive-behavioral stress management (CBSM)â⬠group intervention on ââ¬Å"serum cortisolâ⬠stages in women being undergone treatment for breast cancer with stage I or II. Women who were in the Intervention group demonstrated improved benefit finding and decreased ââ¬Å"serum cortisolâ⬠levels, whereas women who were in the control group not experienced any change. The statement by Kissane and colleagues (2003) of a randomized, controlled trial of cognitiveââ¬âexistential group therapy for women with early breast cancer is an example. In that research they found that women in the intervention group reported considerably lowered ââ¬Ëanxietyâ⬠, and enhanced ââ¬Å"family functionâ⬠. The authors further reported self-growth and increased knowledge of cancer and its treatment. During this period numerous excellent reviews of psychosocial interventions in breast cancer have been published (Rimer et al., 1985; Fawzy et al., 1995; Meyer and Mark, 1995; Wallace, 1997; Burke and Kissane, 1998; Newell et al., 2002) and most of these reviews suggested that there are significant advantages associated with the use of psychological interventions during and after their active treatment. Further, these reviews suggested various intervention approaches such as: education, cognitive and behavioral training, individual psychotherapy, group interventions, and made more specific suggestions concerning incorporation of psychosocial interventions into the treatment setting. They emphasized that there was proof of benefit for all of these approaches, reporting that cancer patients may benefit from a variety of psychological intervention programmes, and recommending accurate interventions at different points along the cancer trajectory. Newell et al. (2002) conducted one review and achieved fairly different conclusions. The authors of this review attempted a broad survey of psychological treatments in various sorts of cancer. Further that they applied a sequence of thorough methodological standards and retained only those researches that achieved their standards of inclusions. This brought about the rejection of the greater part of published research. This review was comprehensive, but it did not focus on a specific type of cancer or a specific type of treatment, and the effects of interventions among different types of cancers did not differentiate by the reviewing team and that was considered as one of the major drawback of their review. Because of its strict inclusion criteria many important effects of psychosocial interventions being missed or undervalued. For the assessment of benefits they took an exceptionally progressive methodology in which at least half of the effective measures for the particular characte ristic need to account significant outcomes for the impact to be categorized as a significant one. The reviewing group observed the acute, intermediate, and durable effect of interventions on a huge number of results together with ââ¬Å"anxiety, depression, hostility, stress or distress, general or overall affect, general or overall functional ability or quality of life, vocational or domestic adjustment, coping or coping skills, interpersonal or social relationships, sexual or marital relationships, pain, nausea, vomiting, fatigue, overall physical symptoms, conditioned nausea and vomiting, survival, and immuneâ⬠effects. Newell et al., (2002) concluded that the support of the effectiveness of psychological management on distress and quality of life among people with cancer is uncertain. They also noticed a total lack of support for the effectiveness of the interventions for enhancing social functioning, even though this is a key feature of how patients outlook their revival and life after treatment (Schag et al., 1993; Carver et al., 2003). Antoni et al. (2004) reported that their outcomes are very much at odds with those conclusions. Then the question arises what is the cause of the disagreement? One major distinction between this study and those in Newell et al.ââ¬â¢s (2002) review is the samples. Studies in that review scrutinized patients dealing with different cancers at different stages of illness and treatment, whereas Antoni groups sample was all women with breast cancer who were at the beginning of treatment. Other research on breast cancer has also revealed encouraging influences from such interventions (Andersen et al., 2004). For example, one trial of women with Stage IIââ¬âIII breast cancer explained that a group-based intervention that was paying attention on stress management, reduced anxiety, improved social support, enhanced diet, and reduced smoking (Andersen et al., 2004). That study, although valuable, exemplifies a major limitation in this field: a lack of evidence for the durability of the e ffects (Newell et al., 2002). Only one follow-up evaluation was accounted, which was right at the conclusion of the intervention. Here the new question arises whether the intervention effects last beyond the time of involvement, as patients go back to their home, their daily life, and their responsibility as partners, parents, and employees? Studies using more follow-ups are exceptional, even though outcomes of these interventions sometimes come out well after adjuvant treatments end (Andersen, 1992). The work of Antoni et al. (2006a) helps advance the field by reporting that a ââ¬Å"CBSM interventionâ⬠can construct significant and long-lasting effects on measures representing an improvement of social functioning, decrease of negative effect, and enhances positive experiences. Certainly, it is remarkable that a number of the effects actually solidified from 6 months to 12 months. A comparable pattern also has been found in the trial utilized a different intervention that was put into practice at a different point in the active medical treatment (Scheier et al., 2006). It is significant to observe whether such consolidation is a consistent occurrence and how sturdy it is across time. Antoni et al., (2006a) strongly advocated that more studies track participants for longer times subsequent to the psychosocial intervention move towards to its conclusion.
Wednesday, November 13, 2019
Essay --
Background The Roman Colosseum, used to known as the Flavian Amphitheatre, start building in AD 72 by Emperor Vespasian, before Vespasian dies, the Colosseum only completed three stories. After that, his son, Titus, completes it in 80. Later, Domitian, Titusââ¬â¢ brother further remodelled it. The Colosseum is located in Rome, Italy. It is located at the heart of Rome. The height of this building is 157ft and it has a perimeter of 1788ft. it is also the largest amphitheatre ever built in the Roman Empire. There are 4 main floor, the first floor is 34ft, second floor is 38ft, third floor is 37ft, and the fourth floor is 45ft. each floor has 80 arches. Also, it can hold about 50,000 of spectators. The central arena is 180ft wide and 287ft long, and it is surrounded by 15foot wall with seating above. Underneath, there are rooms and tunnels, some housed gladiators and wild animals, others contained pulleys, ramps and hand operated elevator. There are over 1million of animals died in the course o f the Coliseum games. The last recorded games were helps in the 6th century. The Colosseum survived several earthquakes that cause the south side to collapse. (History.com staff, 2009) Analysis History aspect Why was the Colosseum built? In 64AD, the Great Fire of Rome, this burned for 9 days strikes and wrecked the city. After the tragedy, Emperor Nero built a palace which consist of a beautiful lake and gardens, it was names the Domus Aurea (Latin for ââ¬Å"Golden Houseâ⬠), also, there is a colossal statue of Nero about 100-120 Roman feet which is around 37m high. It became a landmark in the heart of the city of Rome. When the burning of Rome happens, the Amphitheater of Statilius Taurus and the Amphitheatrum Neronis has been destroyed. A... ...a big change to make it a National Football Stadium for their national football team. Being a football fan, we all know that the Italy National Football Team is very good in that sport. They were the World Cup Winners in four occasions and being the European Champion once. Why not take a step forward and change the arena into a football stadium? So that the team could have their home ground like some other football teams have, and play there listening the cheer of their supporters. In this 21st century, the technology is so good that it is easy to turn over the arena to turn it into a stadium. First of all for the interior, add seats for the fans and the seats should be in blue colour because of the national team colour. The exterior, since the statues have been destroyed before, I think it would be good if they build statue of their great football legends. Compare
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