Physician-Assisted Suicide Essay - Euthanasia Should Not...

Euthanasia Should Not be Legalized It is conceivable, that life can deteriorate to the point where persons lose their dignity and self-respect and are unable to communicate; life in such a form no longer meets meets the basic criteria of human- ness. (OKeefe, A1) Under these circumstances only should Euthanasia be practiced and then only passively (pulling the plug). Dutch Death, Euthanasia, doctor assisted suicide, whatever you want to call it, it should not be legalized. People should live their lives for as long as long as it is worth living. As long as someone can still have experiences and communicate with others, they should go on living. Someone may have six†¦show more content†¦(OKeefe, A1+) This issue is compared to how abortion was before it was legalized. The main reason for legalization of abortion was because it was being done anyway. People HAD access to abortion, it was just being done terribly. Were in exactly the same situation today: People do have access to assisted suicide--its just being done so badly. (Shavelson, 39) Just because something is done does not mean that it should be legal. Many things that are illegal are done anyway. Look at drugs, underage drinking, drunk driving, and speeding; these things are all illegal and are frequently practiced. Should these or other things be legallized just because they are done anyway? This is not a valid reason for leagalizing anything. Where would it end if the practice of euthanasia were to be legalized, how far would it go? Would it end with assisted death for the terminably ill? The world looks to the Netherlands as the only working model of assisted death, a nation known for its open aproach to abortion, prostitution and drug use. A `coffieshop next to an Amsterdam police station has on its menu hash and maijuana, one-forth of an ounce for 25 gulden, about $15.Show MoreRelatedPhysician Assisted Suicide Should Be Legalized1181 Words   |  5 Pagesenduring the pain because it would be illegal to kill you. A survey taken in the United States has shown that 54% agree to physician assisted suicide or euthanasia. Euthanasia preserves rights of an individual, brings an end to the pain, and provides death with dignity. Even though others may disagree and say that its religiously incorrect, physician assisted suicide should be legalized. In the United States, we have certain human rights and that includes the right to choose to end our lives. UnderRead MoreEuthanasia And Physician Assisted Suicide1799 Words   |  8 PagesEuthanasia, which is sometimes referred to as physician assisted suicide are to different practices, euthanasia is â€Å"A doctor intentionally helping a person to commit suicide by providing drugs for self-administration, at the person’s voluntary and competent request.† [Materstvedt, Lars Johan, et al.] Euthanasia however is simply the doctor administering the drug to the patient with the intent to end the pain and suffering of a terminal illness. Euthanasia has been a topic of debate lately withRead MoreThe Ethics of Euthanasia Essay1742 Words   |  7 PagesCarolina, physician-assisted suicide is illegal. Luckily, her father passed away this year and is finally free of pain and suffering. However, if physician-assisted suicide was legal, her father would not have had t o suffer as long as he did. Before we explore the sides of physician-assisted suicide, let’s go over exactly what physician-assisted suicide entails. When the topic of physician-assisted suicide comes up, many individuals believe it is the same as euthanasia. Euthanasia involves aRead More Rebutting Arguments to Legalize Euthanasia or Assisted Suicide1711 Words   |  7 PagesLegalize Euthanasia or Assisted Suicide      Ã‚   This essay focuses on several of the most common arguments in favor of the legalization of euthanasia or assisted suicide - and rebuts them. The language is simple, or, as they say, in laymans terms so as to be easily understandable. The sources are from professional journals, internet websites, and news outlets.    The first common argument favoring euthanasia or assisted suicide is this: Since euthanasia and assisted suicide take placeRead MorePersuasive Essay Pro Euthanasia954 Words   |  4 PagesGrace (JiEun) Lee AP Language and composition Persuasive essay 6 October 2017 Euthanasia legalization The ultimate value of life depends upon awareness and the power of contemplation rather than upon mere survival. Aristotle Being one of the most fervid and controversial topic of all, euthanasia, also known as physician-assisted suicide, has initiated a very sensitive discussion on life and death under one’s ability to choose either side. Euthanasia is defined as a â€Å"the act or practice of killing or permittingRead MorePros and Cons on Assisted Suicide - Essay1221 Words   |  5 PagesKeri Starkel Pros and cons on assisted suicide Pages 5 What happens to a person when they get so depressed that they are on the verge of suicide? Well the only answer would be to commit it but what if that person cant find the guts to go through it alone. Well then they ask for assistance. This is called assisted suicide. Assisted suicide or in other words euthanasia is the killing by an act of an independent human being for their own benefit. There are many kinds of definitions that one mustRead MoreEssay about Euthanasia Should be Allowed1214 Words   |  5 Pagesare on the verge of suicide? Well the only answer would be to commit it. But what if that person cant find the guts to go through it alone. Well then they ask for assistance. This is called assisted suicide. Assisted suicide or in other words euthanasia is the killing by an act of an independent human being for their own benefit. There are many kinds of definitions that one must argue the fact of, what is euthanasia. Well you would have to keep reading farther on. Euthanasia can either be voluntaryRead MoreArgumentative Essay : Physician Assisted Suicide Essay1095 Words   |  5 PagesArgumentative Essay: Physician Assisted Suicide, Should it be Legalized? Physician assisted suicide is requested by the terminally ill, typically when the pain from the illness is too much to handle and is not manageable through treatments or other medications. Assisted suicide is more of a broad term for helping someone die a good death, physician assisted suicide is where a medical doctor provides information and medication and the patient then administers the medications themselves. Euthanasia is alsoRead MoreArguments Against Legalized Euthanasia Essay example1143 Words   |  5 Pagesand caring compete (Larue 1). In such conditions, the possibility for euthanasia may increase. In this country euthanasia has become a complex and controversial subject. But, what is euthanasia? According to the American Heritage Dictionary, euthanasia is the act of painlessly ending the life of a person. In simple terms, it means killing. Therefore, euthanasia should not be legalized in this country. Euthanasia is challenging moral, ethic, and religious values. There are some groupsRead More Assisted Suicide Essay824 Words   |  4 Pagesthe fifth assignment for the English class was by far the hardest essay I have had to write. Constantly was I running into problems, and this ended up taking me much longer than I had originally planned. Writing about the opposing side of this topic was very hard, as I usually caught myself writing things that I couldn’t make work in my paper. The writing was very tough to keep on track because it isn’t actually how I feel. This essay helped me to better understand the argument that is presented from

Capital And Creation Of New Capital - 925 Words

Under the concept of capital, schools’ role can be best understood as intermediaries where exchange across different forms of capital and creation of new capital take place. In other words, through school, cultural capital and social capital could be exchangeable, and specific capital could be created or adopted. Jamal’s intellectual and athletic talents and aspiration (embodied cultural capital) lead to a higher social status (new social capital for Jamal) through Mailor-Callow (a school). He is able to receive wide recognition due to the platform that Mailor-Callow has provided – essay competition and high school basketball championship series. Furthermore, through challenging and intense class assignments and writing competition, Jamal is able to transform his aspiration (embodied cultural capital) and bond with Forrester (social capital) into excellent writing skills (new embodied cultural capital). Jamal is often found reading and writing under Forrester’s instruction, but all of these would not have been possible if Jamal has not attended Mailor-Callow, as Forrester states: â€Å"questions of your writing suggest what you are going to do in your life. And this is the question that your present school could not answer for you.† Mailor-Callow enables Jamal to achieve excellence by constantly challenging him. For example, Jamal would have not asked Forrester for help in writing if professor Crawford has not criticized his writing and doubted his academic legitimacy for thisShow MoreRelatedThe Creation Of A Canadian Infrastructure Development Bank745 Words   |  3 PagesThis paper will explain how the creati on of a Canadian Infrastructure Development Bank by the Canadian bank will lead to long run and short run economic growth. It is true that the call by the Morneau s economic growth council for the creation of a Canadian Infrastructure Development Bank will lead to increase in Canada’s long-run economic growth rate. The first reason why there will be increase in long run economic growth rate is increase in labor and capital productivity (Curry and Silcoff 2016)Read MoreIntegrated Reporting And Its Impact On International Recognition1213 Words   |  5 Pagesreporting is a new method to focus on various aspects of an organizing and can be rapidly gained international recognition. In this paper, I will focus on its definition, function, effect, valuation and framework. A. Definition and Explanation According to the International Integrated Reporting Council (IIRC), the Integrated reporting () is defined as â€Å"is a process founded on integrated thinking that results in a periodic integrated report by an organization about value creation over time and relatedRead MoreHow Does Security Work Within An Organizations Budgeting Process?1241 Words   |  5 Pagesinstallation of new security controls and systems. Often a security manager must create an outline or summary of the benefits, total system life costs, and the need for the system to justify the expenditures. They should also create a budget that allows the budgeting team to assess the proposal and compare it to other departments that are trying to allocate capital for their department’s use. This in turn requires the use of several different metrics to identify the best allocation of capital. (McCrie,Read MoreThe International Integrated Reporting Council Essay1613 Words   |  7 Pagesessay has been requested by the one of the Big 4 accounting firms in New Zealand, in which they include Deloitte, Price Waterhouse Coopers, KPMG and Ernst and Young to prepare a contextual essay in relation to Integrated Reporting (). In this document, it will pay specific attention to explaining what is , it’s emergence and deliver a reasonable judgment as to whether it should develop the new form of regulated accounting practice in New Zealand within the next 5 years for KPMG. The paper will additionallyRead MoreAnalysis : The Sociopolitical Theory Of Neoliberalism Essay1448 Words   |  6 Pagesneoliberals suggests that such economic, political, social, and cultural phenomena worldwide might be connected to large transformations in global capitalism. The transformation in global capitalism creates capital as autonomous and objective rather than socially produced.**Great!! The autonomy of capital is what creates the bubble which consumerist nature formulates. Though the ideology of neoliberalism se em to be very similar to capitalism, they cannot be considered synonyms for each other. The reasonRead MoreResource Based View of Social Entrepreneurship: Puting the Pieces Together813 Words   |  3 Pages INTRODUCTION The emerging field of social entrepreneurship calls for a need for new integrated theories to contribute to the discipline and help grow the field. Social Entrepreneurship has been a topic of academic interest for the past few decades; however there has been little scholarly output in mainstream journals (Short, Moss, Lumpkin 2009). Social entrepreneurship is commonly defined as â€Å"entrepreneurial activity with an embeddedRead MoreKey Supervisory Issues And Improvement Of Banking Regulation1374 Words   |  6 PagesSubsequently, new standards were created for banking system regulation, which represents upgraded capital requirements, liquidity norms, and additional monitoring tools for banking supervision and regulation. These standards were first established in 2009 by the BCBS though some of the Committee’s proposals remain currently open for discussion. The resultant â€Å"Basel III† represents a set of innovative approaches to risk assessment (market, credit and operational), the creation of appropriate capital, moreRead MoreSWOT Analysis: ABC Complete Kitchens Essay956 Words   |  4 Pagesour human capital. Our trained machinists and technicians are our most basic core company. According to an article by Schreyer, â€Å"creating value out of knowledge is an intangible asset known as human capital.† (Schweyer, 2004) Our designers only use the best materials and have managed to stay under budget for two years in a row. According to Bhutoria, 2000: â€Å"What gets measured gets managed.† This suggests then that the fundamental source of wealth creation—human capital—is seriouslyRead MoreModern Culture : A New Form Of Capital1600 Words   |  7 PagesContemporary culture is all about innovation and capital is constantly being redefined. Traditional capital in capitalist societies is economic capital Bourdieu expanded capital to include cultural and social. The three forms of capital can be obtained by having the others. Illouz introduces a new form of capital, which is emotional capital and is interrelated to the older three forms of capital. Unlike the old forms of capital emotional capital allows for more upward mobility and can assist in emotionalRead MoreCreating A Learning Organization?1279 Words   |  6 Pagesgather intellectual capital, the human relations activity, relationship capital, and organizational capital, in such a way as to highlight and answer the following questions: †¢ What are the characteristics of a learning organization? †¢ How can an organization employ intellectual capital in order to create a learning organization? †¢ How can an organization utilize human relations, in order to create a learning organization? †¢ How can an organization best harness relationship capital to create a learning

Theory of Holism Free Essays

The theory of General Systems and Holism Biophysically model suggests that the understanding of the illness from the perspective of the mind Is crucial to the complex nature of health. To have a more Len- depth view over the health experiences and the nature of Illness one must add psychological and social factors to the biomedical explanation (Morrison, Bennett, 2012). For example, if we intend to analyze depression only from the biological point IEEE, we would only identify its biomedical causes: the genetics of depression. We will write a custom essay sample on Theory of Holism or any similar topic only for you Order Now However, depression, as supported by the research, can be caused by multiple causes such as traumatic event experienced by the individual at the early age, difficult social context, as for instance, lack of social support, etc. Analysis becomes much more complex, but at the same time more profound and complete, when utilizing biophysically model. The development of the biophysically model by Engel in 1974 was contributed to through such theories, as the theory of General Systems and Holism. The theory of General Systems Insists that for a complete understanding of processes, which are occurring Inside a human being, there Is a need to not only look at the Interrelations of enzymes In a cell (biological approach but also think about conscious (cognitive) and unconscious (psychoanalytical) How to cite Theory of Holism, Papers

Civil Engineering And American Engineering Example For Students

Civil Engineering And American Engineering Not a lot of people know about civil engineering, civil engineering is the building of bridges, roadways, and buildings; but civil engineering is so much more than that. According to Columbia University which is located in New York, civil engineering is arguably the oldest engineering discipline, the old civil engineering discipline or sanitary engineering has evolved into the modern environmental engineering of such significance that most academic departments have changed their names to civil and environmental engineering. Civil engineering has been around since people started building major public works, known a mother engineering. The first private college to tech civil engineering was Norwich University. Civil engineers do a lot more than design and build buildings; bridges. They can also be found in the aerospace industry designing jetliners and space stations, the automotive industry, power stations or where ever constructed factories or industries are located. civil engineering focuses on the study of structural systems, the core courses in a civil engineering curriculum reflect this. Most civil engineers start their learning with basic physics and calculus courses. Later courses can include geology, soil mechanics, and design of steel structures. A civil engineering curriculum is usually rounded out with advanced classes that match the student s desired specialty, which may include development of concrete structures, and highway design, among other specialties. There are many colleges and universities across the country that provide degrees in engineering, from bachelor s degrees to PhD s. Civil engineering is more than buildings and bridges. They also design airplanes and pipeline systems under large cities. Civil engineering is a very large field you can do almost anything with.† Civil engineers are responsible for planning and creating building projects, such as water systems, tunnels, bridges and other public works projects. During the design phases of a project, engineers calculate the load requirements and weather conditions that the completed structure needs to withstand. They then usually consult with the builders to ensure that the project is constructed safely and successfully.† Civil engineers create improve and protect the environment we live in. they also plan, design, control construction and maintenance of building structure and faculties such as roads, railways, airports, bridges, harbors, dams, irrigation projects, water and sewage systems. Civil engineers are creative people who are solve problems. They come up with lots of ideas and then turn them into real thigs for people around the world to use. Civil engineers main job is to design transport systems to keep our nation moving not stop. Civil engineers after the Haiti earthquake, civil engineers moved quickly to Haiti and began building structures such as houses, schools, hospitals, roads, bridges etc. one of the greatest civil engineering achievements is the Panama Canal. Civil engineers generally work in a variety of locations and conditions. Many spend time outdoors at construction sites so that they can monitor operations or solve problems onsite. Most work full time. Some civil engineers stay inside and design jets or buildings for a living. These are some of the civil engineering fields To become a civil engineer, you have to go earn at least an associates degree, you can be part of a crew but not lead a group, with a bachelor’s degree you can lead a group but that is 5 years of college also: with a master degree you can become a professor, then in high school you have to study trigonometry, algebra, chemistry, physics, math, and science. Most civil engineers began at a young age building bridges and towers out of toy Legos. Civil engineers often think outside the box to turn what seems like impossible task into very possible task. All civil engineers have to pass a test stating that they will build and design safe structures.in all 50 states if a civil engineer is offering their work to the public they have to have a license. Monique Abdelsayed EssayCivil engineers in the United States must contend with the problem of crumbling infrastructure. Many of the dams, bridges, and roads in the country are aged and in disrepair. Updating them for the 21st century is one of the major challenges facing civil engineers today. Another issue are budgetary restraints faced by national, state, and local jurisdictions. Therefore, some civil engineers must do more with less in an effort to bring the nation s infrastructure up to par.

Roles of Education in the Development free essay sample

In the context of African studies, the researcher believes that the notion of taboos has been an essential element of African religion and culture. He reckons that taboos do not only constitute a part of African cultural heritage but also provide a good explanation of that heritage. Justification The researcher decided to focus on taboo in African culture from a general point of view. He believes that taboos are an essential concept in African culture and that to understand them will enable him to infer better its psychological, religious and social consequences. Purpose The purpose of this work is to explore a concept of taboos in Africa. It will be done by defining taboos, providing examples and the way they can be categorized. A special attention will be given to the the role of taboo in maintaining social structures of African society. Methodology. This research is an ethnographic investigation that is interested not so much about studying people but rather in learning from people. We will write a custom essay sample on Roles of Education in the Development or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Such an investigation takes place in order to understand the way people process their experiences (Spradley, 1979, p. 3) or â€Å"to get inside their heads†(Spradley, 1980, p. 10). The researcher chose a qualitative approach in designing the survey. Due to the very nature of this particular research with its topic, a non-probability approach to sampling was taken. Within that approach, a purposive/judgmental way of sampling was decided upon. Russell (1994, p. 95) says that: â€Å"In judgment sampling, you decide the purpose you want an informant (or a community) to serve and you go out to find one†¦ Purposive samples emerge from your experience in ethnographic research. You learn in the field, as you go along, to select the units of analysis†¦that will provide the information you need†. Methods of collecting data Once the researcher has decided upon his topic, he created a questionnaire containing open-ended questions. This questionnaire was used by him during interviews with the participants of his research. The questions were formulated in a way that their meaning was supposed to be easy to understand to the respondents in order to avoid ambiguity (Russell, 1994, p. 268-269). The questionnaire was a starting point of a semi-structured interview taking place with participants concerning various aspects related to taboos as well as other cultural practices as suggested by Prof Katola and personal interest of the researcher and his field assistant. During each interview, notes were taken by the researcher and his field assistant. In all cases, the permission was asked and given by the respondents to do it. Methods of interpreting data Taking into account the nature of ethnographic research, a qualitative way of collecting data and the intended method of presentation of finding, the researcher chose content analysis methods to interpret data. When applying that method, â€Å"the task of the researcher is to come up with a set of categories and then to proceed to count the number of instances that fall into each of those categories. What is important is the fact that those categories must be sufficiently precise to enable other researchers to arrive at the same results when examining the text† (Dominik, 2007, p. 53). The respondents The researcher focused on interviewing people from various African communities Kenya: Kikuyu, Samburu, Kisii, Luhya, Luo in Kenya, Akan from Ivory Coast, Bantadu from DRC. All respondents were adults, most of them of advanced age. The respondents were selected because of their tribal affiliation, gender, age and an assumption that they would be able to share with the researcher their cultural knowledge about taboos. Languages used were: English, Swahili and in some instances French. Ethical issues At the beginning of each interview, the respondents were informed about the aims of this research, the way in which data collected was going to be used for writing this assignment and were asked for permission for the researcher to take notes during the interview. They were assured that they would not be personally identified in the final paper. The limitations of the research This research does not aim at providing particular examples of taboos within a given community. Its objective is to explore the role of taboos within African culture. Such an exploration is based on a very limited number of respondents. In the final part of the work, some generalizations will be made that may not necessarily apply to some African communities. Assumptions It was assumed that the information provided by the respondents were true and that it reflected certain beliefs, not only of that particular person, but also of his or her community. Another assumption made at the very beginning of the research was that the respondents were familiar with the concept of taboos and were able and willing to provide relevant information. Field research findings

Understanding the 4 Writing Styles How to Identify and Use Them

Understanding the 4 Writing Styles How to Identify and Use Them SAT / ACT Prep Online Guides and Tips A piece’s writing style can help you figure out what kind of writing it is, what its purpose is, and how the author’s voice is unique.With so many different types of writing, you may think it’s difficult to figure out the specific writing style of a piece or you'll need to search through a long list of writing styles. However, there are actually just four main types of writing styles, and together they cover practically all the writing you see, from textbooks to novels, to billboards and more. Whether you’re studying writing styles for class or trying to develop your own writing style and looking for information, we’ve got you covered. In this guide, we explain the four styles of writing, provide examples for each one, go over the one thing you need to know to identify writing style, and give tips to help you develop your own unique style of writing. The 4 Types of Writing There are four main different styles of writing. We discuss each of them below, list where you’re likely to see them, and include an example so you can see for yourself what each of the writing styles looks like. Narrative Writers who use the narrative style are telling a story with a plot and characters. It’s the most common writing style for fiction, although nonfiction can also be narrative writing as long as its focus is on characters, what they do, and what happens to them. Common Places You’d See Narrative Writing Novels Biography or autobiography Poetry Short stories Journals or diaries Example â€Å"We had luncheon in the dining-room, darkened too against the heat, and drank down nervous gayety with the cold ale. ‘What’ll we do with ourselves this afternoon?’ cried Daisy, ‘and the day after that, and the next thirty years?’ ‘Don’t be morbid,’ Jordan said. ‘Life starts all over again when it gets crisp in the fall.’ ‘But it’s so hot,’ insisted Daisy, on the verge of tears, ‘and everything’s so confused. Let’s all go to town!’ -The Great Gatsby by F. Scott Fitzgerald You can quickly tell that this passage from the novel The Great Gatsby is an example of narrative writing because it has the two key traits: characters and a plot. The group is discussing eating and drinking while trying to decide what to do for the rest of the day. As in this example, narrative writing often has extended dialogue scenes since the dialogue is used to move the plot along and give readers greater insight into the characters. Expository Writers use the expository style when they are trying to explain a concept. Expository writing is fact-based and doesn’t include the author’s opinions or background. It’s basically giving facts from the writer to the reader. Common Places You’d See Expository Writing Newspaper articles Academic journals Business memos Manuals for electronics Textbooks Recipes How-to books and articles Example â€Å"The 1995/1996 reintroduction of gray wolves (Canis lupus) into Yellowstone National Park after a 70 year absence has allowed for studies of tri-trophic cascades involving wolves, elk (Cervus elaphus), and plant species such as aspen (Populus tremuloides), cottonwoods (Populus spp.), and willows (Salix spp.). To investigate the status of this cascade, in September of 2010 we repeated an earlier survey of aspen and measured browsing and heights of young aspen in 97 stands along four streams in the Lamar River catchment of the park’s northern winter range. We found that browsing on the five tallest young aspen in each stand decreased from 100% of all measured leaders in 1998 to means of 25% in the uplands and 20% in riparian areas by 2010. Correspondingly, aspen recruitment (i.e., growth of seedlings/sprouts above the browse level of ungulates) increased as browsing decreased over time in these same stands.† -†Trophic cascades in Yellowstone: The first 15 years after wolf reintroduction† by William J. Ripple and Robert L. Beschta This abstract from an academic journal article is clearly expository because it only focuses on facts. The authors aren’t giving their opinion of wolves of Yellowstone, they’re not telling a story about the wolves, and the only descriptions are number of trees, streams, etc. so readers can understand the study better. Because expository writing is focused on facts, without any unnecessary details or stories, the writing can sometimes feel dense and dry to read. Descriptive Descriptive writing is, as you may guess, when the author describes something. The writer could be describing a place, person, or an object, but descriptive writing will always include lots of details so the reader can get a clear and complete idea of what is being written about. Common Places You’d See Descriptive Writing Journals or diaries Poetry Fiction passages that describe something Example â€Å"In a hole in the ground there lived a hobbit. Not a nasty, dirty, wet hole, filled with the ends of worms and an oozy smell, nor yet a dry, bare sandy hole with nothing in it to sit down on or eat: it was a hobbit hole and that means comfort. It had a perfectly round door like a porthole, painted green, with a shiny yellow brass knob in the exact middle. The door opened on to a tube-shaped hall like a tunnel: a very comfortable tunnel without smoke, with panelled walls, and floors tiled and carpeted...† - The Hobbit by J.R.R. Tolkien This is the opening passage of the novel The Hobbit. While The Hobbit is primarily an example of narrative writing, since it explores the adventures of the hobbit and his companions, this scene is definitely descriptive. There is no plot or action going on in this passage; the point is to explain to readers exactly what the hobbit’s home looks like so they can get a clear picture of it while they read. There are lots of details, including the color of the door and exactly where the doorknob is placed. You won’t often find long pieces of writing that are purely descriptive writing, since they’d be pretty boring to read (nothing would happen in them), instead many pieces of writing, including The Hobbit, will primarily be one of the other writing styles with some descriptive writing passages scattered throughout. Persuasive When you’re trying to persuade the reader to think a certain way or do a certain thing, you’ll use persuasive writing to try to convince them.Your end goal could be to get the reader to purchase something you’re selling, give you a job, give an acquaintance of yours a job, or simply agree with your opinion on a topic. Common Places You’d See Persuasive Writing Advertisements Cover letters Opinion articles/letters to the editor Letters of recommendation Reviews of books/movies/restaurants etc. Letter to a politician Example â€Å"What General Weygand called the Battle of France is over. I expect that the battle of Britain is about to begin. Upon this battle depends the survival of Christian civilization. Upon it depends our own British life, and the long continuity of our institutions and our Empire. The whole fury and might of the enemy must very soon be turned on us. Hitler knows that he will have to break us in this island or lose the war. If we can stand up to him, all Europe may be free and the life of the world may move forward into broad, sunlit uplands. But if we fail, then the whole world, including the United States, including all that we have known and cared for, will sink by the lights of perverted science. Let us therefore brace ourselves to our duties, and so bear ourselves, that if the British Empire and its Commonwealth last for a thousand years, men will still say, ‘This was their finest hour.’ - â€Å"This was their finest hour† by Winston Churchill In this excerpt from his famous â€Å"Their finest hour† speech, Prime Minister Winston Churchill is clearing trying to convince his audience to see his viewpoint, and he lays out the actions he thinks they should take. In this case, Churchill is speaking to the House of Commons (knowing many other British people would also hear the speech), and he’s trying to prepare the British for the coming war and convince them how important it is to fight. He emphasizes how important the fight will be (â€Å"Upon this battle depends the survival of the Christian civilization.† and clearly spells out what he thinks his audience should do (â€Å"Let us therefore brace ourselves to our duties†¦Ã¢â‚¬ ). Common Writing Styles to Know Each of the four main types of writing styles has multiple subsets of styles within it. Here are nine of the most common and important types of writing you’ll see. Narrative Writing Character Voice Character voice is a common writing style in novels. Instead of having an unknown narrator, the audience knows who is telling the story. This first-person narrator can help the reader relate more both to the narrator and the storyline since knowing who is telling a story can help the reader feel more connected to it. Sometimes the narrator is completely truthful in telling what happens, while other times they are an unreliable narrator and will mislead or outright lie to readers to make themselves look better. To Kill a Mockingbird (Scout is the narrator) and The Hunger Games (Katniss is the narrator) are two examples of this writing style. Stream-of-Consciousness This writing style attempts to emulate the thought process of the character. Instead of only writing about what the character says or does, stream-of-consciousness will include all or most of the characters thoughts, even if they jump from one topic to another randomly or include incomplete thoughts. For example, rather than writing â€Å"I decided to take a walk to the ice cream shop,† an author using the stream-of-consciousness writing style could write, â€Å"It’s pretty hot out, and I feel like I should eat something, but I’m not really that hungry. I wonder if we have leftovers of the burgers Mom made last night? Is Mom staying late at work tonight? I can’t remember if she said. Ice cream would be a good choice, and not too filling. I can’t drive there though because my car is still in for repairs. Why is the repair shop taking so long? I should have listened when David said to check for reviews online before choosing a place. I should text David later to see how he is. He’ll think I’m mad at him if I don’t. I guess I’ll just have to walk to the shop.† James Joyce and William Faulkner are two of the most well-known writers to have regularly used the stream-of-consciousness writing style. Epistolary Epistolary writing uses a series of documents, such as letters, diary entries, newspaper articles, or even text messages to tell a story. They don’t have a narrator, there’s just whoever purportedly gathered the documents together. This writing style can provide different points of view because a different person can be the author of each document. Well-known examples of epistolary writing include the novels Dracula (written as a series of letters, newspaper articles, and diary entries) and Frankenstein (written as a series of letters). Expository Writing Academic You’ll find this style in textbooks or academic journal articles. It’ll focus on teaching a topic or discussing an experiment,be heavy on facts, and include any sources it cited to get the information. Academic writing often assumes some previous knowledge of the topic and is more focused on providing information than being entertaining, which can make it difficult to read and understand at times. Business Business writing refers to the writing done in a workplace. It can include reports, memos, and press releases. Business writing typically has a formal tone and standard formatting rules.Because employees are presumably very busy at work, business writing is very concise and to the point, without any additional flourishes intended to make the writing more interesting. Journalism You’ll see this writing style most commonly in newspaper articles. It focuses on giving the facts in a concise, clear, and easy-to-understand way. Journalists often try to balance covering all the key facts, keeping their articles brief, and making the audience interested in the story. Technical This writing style is used to give information to people in a specific field, such as an explanation of a new computer programming system to people who work in software, a description of how to install pipes within a house for plumbers, or a guide to new gene modifications for microbiologists. Technical writing is highly specialized for a certain occupational field. It assumes a high level of knowledge on the topic, and it focuses on sharing large amounts of information with the reader. If you’re not in that field, technical writing can be nearly impossible to understand because of the jargon and references to topics and facts you likely don’t know. Descriptive Writing Poetry Poetry is one of the most challenging styles of writing to define since it can come in many forms.In general, poems use rhythmic language and careful word choice to express an idea.A poem can be an example of descriptive writing or narrative writing, depending on whether it’s describing something or telling a story.Poetry doesn’t need to rhyme, and it often won’t follow standard grammatical or structural rules. Line breaks can, and often do, occur in the middle of sentences. Persuasive Writing Copywriting Copywriting is writing that is done for advertising or marketing purposes. It’s attempting to get the reader to buy whatever the writer is trying to sell. Examples of copywriting include catalogs, billboards, ads in newspapers or magazines, and social media ads. In an attempt to get the reader to spend their money, copywriters may use techniques such as descriptive language (â€Å"This vanilla was harvested from the lush and exotic island of Madagascar"), exciting language (Stop what you’re doing and learn about this new product that will transform your life!†) and exaggeration (â€Å"This is the best cup of coffee you will ever taste!†). Opinion People write opinion pieces for the purpose of stating their beliefs on a certain topic and to try to get readers to agree with them. You can see opinion pieces in newspaper opinion sections, certain blog posts, and some social media posts. The quality of opinion writing can vary widely. Some papers or sites will only publish opinion pieces if all the facts in them can be backed up by evidence, but other opinion pieces, especially those that are self-published online, don't go through any fact-checking process and can include inaccuracies and misinformation. What If You’re Unsure of a Work’s Writing Style? If you’re reading a piece of writing and are unsure of its main writing style, how can you figure which style it is?The best method is to think about what the purpose or main idea of the writing is. Each of the four main writing styles has a specific purpose: Descriptive: to describe things Expository: to give facts Narrative: to tell a story Persuasive: to convince the reader of something Here’s an example of a passage with a somewhat ambiguous writing style: â€Å"I walked down alone Sunday after church To the place where John has been cutting trees To see for myself about the birch He said I could have to brush my peas. The sun in the new-cut narrow gap Was hot enough for the first of May, And stifling hot with the odor of sap From stumps still bleeding their life away. The frogs that were peeping a thousand shrill Wherever the ground was low and wet, The minute they heard my step went still To watch me and see what I came to get. Birch boughs enough piled everywhere!- All fresh and sound from the recent axe. Time someone came with cart and pair And got them off the wild flower’s backs.† - Pea Brush by Robert Frost It can be tricky to determine the writing style of many poems since poetry is so varied and can fit many styles. For this poem, you might at first think it has a narrative writing style, since it begins with a narrator mentioning a walk he took after church. Character + plot = narrative writing style, right? Before you decide, you need to read the entire passage. Once you do, it’ll become clear that there really isn’t much narrative. There’s a narrator, and he’s taking a walk to get a birch from another man, but that’s about all we have for character development and plot. We don’t know anything about the narrator or his friend’s personality, what’s going to happen next, what his motivations are, etc. The poem doesn’t devote any space to that, instead, the majority of the lines are spent describing the scene. The narrator mentions the heat, scent of sap, the sound of frogs, what the ground is like, etc. It’s clear that, since the majority of the piece is dedicated to describing the scene, this is an example of descriptive writing. How Can You Develop Your Own Writing Style? A distinctive writing style is one of the hallmarks of a good writer, but how can you develop your own? Below are four tips to follow. Read Many Different Styles of Writing If you don’t read lots of different kinds of writing, you won’t be able to write in those styles, so before you try to get your own writing style, read different writing styles than what you’re used to.This doesn’t mean that, if you mostly read novels, you suddenly need to shift to reading computer manuals. Instead, you can try to read novels that use unreliable narrators, stream-of-consciousness writing, etc. The more you read, the more writing styles you’ll be exposed to, and the easier it’ll be able to combine some of those into your own writing style. Consider Combining Multiple Types of Writing Styles There’s no rule that you can only use one style for a piece of writing. In fact, many longer works will include multiple styles. A novel may be primarily narrative, but it can also contain highly descriptive passages as well as expository parts when the author wants the readers to understand a new concept. However, make sure you don’t jump around too much. A paper or book that goes from dense academic text to impassioned plea for a cause to a story about your childhood and back again will confuse readers and make it difficult for them to understand the point you’re trying to make. Find a Balance Between Comfort and Boundary-Pushing You should write in a style that feels natural to you, since that will be what comes most easily and what feels most authentic to the reader. An academic who never ventures outside the city trying to write a book from the perspective of a weathered, unschooled cowboy may end up with writing that seems fake and forced. A great way to change up your writing and see where it can be improved is to rewrite certain parts in a new writing style.If you’ve been writing a novel with narrative voice, change a few scenes to stream-of-consciousness, then think about how it felt to be using that style and if you think it improved your writing or gave you any new ideas. If you’re worried that some writing you did is dull and lacking depth, add in a few passages that are purely descriptive and see if they help bring the writing to life. You don’t always need to do this, and you don’t need to keep the new additions in what you wrote, but trying new things will help you get a better idea of what you want your own style to be like. The best way to develop your own writing style is to expose yourself to numerous types of writing, both through reading and writing. As you come into contact with more writing styles and try them out for yourself, you’ll naturally begin to develop a writing style that you feel comfortable with. Summary: The 4 Different Styles of Writing There are four main writing styles, and each has a different purpose: Descriptive: to describe things Expository: to give facts Narrative: to tell a story Persuasive: to convince the reader of something If you’re struggling to figure out the writing style of a piece, ask yourself what its purpose is and why the author wants you to read it. To develop your own writing style, you should: Read widely Consider mixing styles Balance writing what you know and trying new things What's Next? Literary devices are also an important part of understanding writing styles. Learn the 24 literary devices you must know by reading our guide on literary devices. Writing a research paper for school but not sure what to write about?Our guide to research paper topics has over 100 topics in ten categories so you can be sure to find the perfect topic for you. Are you readingThe Great Gatsby for class or even just for fun?Then you'll definitely want to check out our expert guides on the biggest themes in this classic book, from love and relationships to money and materialism.

Innovative Approaches to Managerial Development Research Paper - 1

Innovative Approaches to Managerial Development - Research Paper Example Such innovations are required more because of the growing competition in the world of business. When innovations are included as part of the managerial development in organizations, they become capable of producing new products, develop new processes and systems, that in turn enable the organizations to cope with the changing conditions of markets, introduction and use of new technologies, and competition. Innovations in organizational and managerial development are practical concerns of the managers of an organization, and thus several theories have also been developed to support the innovative approaches to managerial development (Lawson & Samson, 2001). While considering different approaches within an organization, leaders give confidence, look forward to and recompense innovation from every sphere within the organization that are beyond the only fields of research and development. In this way, organizational learning and knowledge may be associated with the products, processes, technologies and conventional competencies. Innovations in the recent times are not used by organizations as any means for inadequate resources for indecisive results. Rather, managements incorporate innovations in order to use them as means for generating new understanding and competitive advantage. â€Å"They recognize that business units producing profits today may not represent the best opportunities for business tomorrow. Mainstream factors and innovation are therefore managed integratively so that the two work in harmony† (Lawson & Samson, 2001). Organizations that are adaptive focus on innovations by maintaining open and dynamic network relationships, thereby making organizations capable of handling situations that not usual. In this way, networks and ideas are exchanged among different organizations through which cultural changes are promoted that assist in modification of such networks and organizational relationships that are

Any company of the ones in the Quesation paper Case Study

Any company of the ones in the Quesation paper - Case Study Example Key elements of IBM's web strength are listed below: 1) IBM has highly reliable web infrastructure used to host its website and is available 24X7. 2) It has adopted its own web services platform known as Websphere for hosting its web services. 3) Back-end is hosted on its robust server infrastructure consisting of IBM mainframes. 4) The website is intuitive and easy to use, without complicated English or too much of technical words - IBM's site is one of the simplest to read and understand. 5) The web services are country-specific covering all services for a given country. This is a huge competitive advantage because IBM operates out of more than 170 countries! 6) The 'support and services' part of its website is designed very well - it is simple and easy to use. 7) It's e-commerce facilities are built on its own CommercePOINT platform - The platform details are shown below: Picture 2 - Source: wolrath.com 8) It has solid partner services in the form of 'IBM Partnerworld' - All partner business facilities are available as part of this website. 9) It has a very robust data warehouse and business intelligence back-end to interpret web requests and serve the relevant information. Competitive Advantages of web services The key elements that make IBM stand out apart from its competitors such as HP, Accenture and others are as follows: a) The Websphere web services platform has become very popular and it is even used by competitors today for packaging and use web application services. b) Its back-end mainframes are very robust and are built with the longest duration of research and development within the market. c) Its country-specific services are completely localized to individual countries and this has proven very useful for marketing and sales targeted at...It is therefore chosen as the subject of this business analysis. The analysis is divided into three parts as follows: d) IBM is a big supporter of open source development. It has built a separate web facility called 'DeveloperWorks' to help software and IT professionals. This is hugely popular and is seen as an advantage over competitors. e) The PartnerWorld web portal for its developers is used very well by its several partners. IBM has been a strong partnering company right from the beginning and this strength has come over to its web services for the partners as well. IBM has been a company of radical change all through its decades of existence. The Organization is traditionally known to be very conservative and formal in its management style - but surprisingly, it has made very strong and firm moves repeatedly to meet changing market conditions and demands. Major changes are discussed below: i. The turning point in IBM's history was when the company decided to enter the field of digital computers (manufacturing) in the early 1950's.

College entrance response Essay Example | Topics and Well Written Essays - 250 words

College entrance response - Essay Example In addition, there are abundant discussion rooms for students and a library for research. The university has abundant recreation facilitates for students. In addition, the students are allowed to participate in inter-university competitions such as sports, drama, debate and many other activities. The education programs offered at NU-Q gives students a chance to participate in leadership at different capacities. In addition, the university management organizes seminars and motivational talks for students. In this regard, students gain essential skills for surviving in the corporate world. The construction of a permanent home for NU-Q is anticipated to be complete by 2015. The new location is designed to offer a more comfortable learning environment for students. The new facilitate is expected to accommodate more student population and offer more opportunities for research and development. In summary, NU-Q emerges as the best media and arts institution in the region. The studies at NU-Q are not exam oriented but student

Analysis Of The Wanderer

Analysis Of The Wanderer The heroic traditions of The Wanderer were based on Fate and God. He was believed that they controlled peoples lives and could put men into positions where it seems impossible for them to emerge with honor.They are judged by their choice which they carry out their chosen aim, never looking back. The courage to resist ones fate brought about the idea of Fame, which is something greater than Fate: the strength of will and the courage of human beings, and the memory which could preserve their deeds. If he resisted his fate, he had to have courage because it often meant facing great physical hardships, knowing that he would most likely die. But the Wanderer would rather die in an early, courageous death, trying to achieve Fame rather than sitting back and doing nothing, because Fame dies never for him. The lonely wanderer prays often for compassion And from mercy from Lord God; but for a long time. Destiny decrees that with a heavy heart he must dip. His oars into icy waters, working his pasaje over the sea. He must follow the paths of exile.Fate is inexorable! . The Wanderers religion included the belief of an afterlife in Heaven or Hell; where one went depended on the sins he had committed during his earthly life. Because where one went in his afterlife resulted from his actions, Christians did not believe in the pagan concept of Fate. Instead they trusted in the justice of God. Defeat and misfortune were easier to understand in this religion. If one suffered on earth, but led a good life devoted to God; thats why the wanderer believed that he would be rewarded for his suffering in the Heaven. Memorial is the praise of living men After his death, that he must depart He shall have done good deeds on earth against The malice of his foes, and noble works Against the devil, that the sons of men May praise after him, and his glory live For ever with the angels in the splendor. (lines 90-93) Where has the horse gone? Where the man? Where the giver of gold? Where is he feasting place? I mourn the gleaming cup, the warrior in his corselet. The glory of the prince. As regards to the setting, feelings of the wanderer after death of his lord distinguish two kinds of settings: a physical setting, which implies loneliness of place without his Lord, a lonely place rounded by dark waves, sea birds, etc. And a spiritual setting, which makes reference to the loneliness of wanderers heart, who remembers his friend: his Lord and God. For the wanderer, all the delights of the physical world are gone. He has no mead hall to call his own, no lord to serve, and no fellow kinsmen to protect him. His entire world has been transformed into an unknown and mysterious entity. He realizes that the only true companion to one who is exiled is cruel sorrow and he decides that he is no longer going to look to the past and feed sorrows flame, but rather look to the future and extinguish sorrow from his mind. Their only hope is to eventually come to a new kingdom where they are welcomed and able to reestablish their life as a fellow man of the mead hall. The wanderer fully understands that his fate is fixed. He will travel relentlessly in search of a new people using hope as his only means of salvation. He who has had long to forgot the counsel of a beloved lord knows indeed how, when sorrow and sleep together bind the poor dweller-alone, it will seem to him in his mind that he is embracing and kissing his liege lord and laying his hands and his head on his knee, as it some times was in the old days when he took part in the gift-giving. This passage show us that the wanderers sorrow makes him realizad that he is becoming his own victim by allowing sorrow to bind him alone while he sleeps. He must stop lamenting about his old lord and find a new one which will never desert him and always be there when he needs him. He will soon come to the realization that the only lord he will ever find which will welcome him with open arms is Christ. The wanderer is basically casting away his want of a physical world and concentrating on the establishment of a spiritual escape route from all the hurt and pain which has afflicted him. It took being exiled for him to gain the wisdom of knowing that true contentment comes from within. this middle-earth each day fails and falls. He knows that he must strive to gain the acceptance of a higher being than that of the known world; or human existence continues to defeat him. And he now must strive to become a part of the the Heavens: No man may indeed become wise before he has had his share of wisdom in this worlds kingdom The code of a comitatus would care for the Wanderer; he allowed to dine in Mead Halls, and if a he was loyal to his lord, the lord would reward his subject with treasures. The Wanderer is mimetic when the speakers reflect on the dining halls and rewards during the Anglo-Saxon times. Whether observation or personal experience, these are events that actually occurred in Anglo-Saxon time. They are not simply stanzas of fiction written by an imaginative author; this poem is reflections of the life of the Anglo-Saxon culture, experiences of the people, the situations that are written, namely, the exiles and separation from lords, are indeed trae of the Wanderer. As pagan, they believed in many gods, but they also believed strongly in pagan heroic traditions that ruled their society and literature. The wanderer seems to think that by doing good works and getting to heaven, one will gain fame for doing so. He also still believes in the pagan philosophy of Fate: Yet fate is mightier, the Lord is more powerful than any man can know..Even though he thinks the one and only true God creates ones destiny; thats why he can not escape from the traditions of the Anglo-Saxon time. As a conclusion The Wanderer, an elegiac poem give us, as readers in modern days world a glimpse about how life was for the Anglo-Saxons in the early centuries. This experience or observation of the time show how the Anglo-Saxon society was organized and the importance of the lord to his comitatus; traditions and the belief of God and Fate; the Wanderer asks about beliefs of his religion, and show the main struggle of the culture during that time: the transition from Paganism to Christianity.

English Only Laws Essay -- Essays Papers

English Only Laws To start with, we may not live in England, but the language we speak is supposed to be English. So, one would think that a person would have no problem speaking this language at the workplace unless the job calls for a different language, This is not so. Countless people have challenged this policy of several different companies and this is what I will be discussing, in English. First, most of the workers speak English, maybe not as a primary language, but speak it to the best of their ability. This policy, to speak only English at the workplace, was completely and totally law-abiding since all the employees spoke English. Now, the employer did not say they could not speak Spanish during their break times. Only that while they were working, they were to speak English. This problem happens a lot in the Army because Hispanics' make up a considerable part of our Army. This problem should not come up though, because it is the United States Army. The US speaks English as its prima ry language. In the Army however, we can make a correction because if it is not directly related to the job, it should not be happening. It still does however, because it has become commonplace. Second, many employees speak Spanish and English, so these employees are bilingual. They could be saying one thing in English and switch to Spanish in the middle of a sentence. This can get very aggravating, for example, two employees are giving a demonstration to an important client, who only speaks English. The two employees get confused about something in the demonstration and automatically revert to the language they are most comfortable with, Spanish. The client meanwhile is getting very frustrated. While the two employees speak Spa... ...d give the briefing for that day and then turn around and start talking about the work crew. I seriously doubt the work crew would like that. The work crew would probably try to sue the employer under Title VII somehow. In closing , the business ultimately belongs to the owner, and he can keep almost any policy he wants, within reason. He employee should be thankful for the job. The employer should put this policy in writing in the application process. All of this just goes to show what some people will do to make people for something that the other person thinks they did wrong to them. All in all, I think the justice system works to the best of its capability, but there are always going to be those individuals that try to take advantage of the system. In the end, all a person can do is try to raise their children so they learn the right way to treat people.

Child developmend from birth to 19 year old Essay

1. Describe the expected pattern of children and young people’s development from birth to 19 years , to include: a) Physical development. b) Communication and intellectual development. c) Social, emotional and behavioural development. Answer: Physical development: At 0-3 years New born babies have little control over their bodies. Their movement depends on series of reflexes, as they get older they start to develop series of movements and actions called the ‘gross motor skills’ such as crawling, sitting, grabbing, pointing, running rolling, hopping, jumping, and so on. In their second year, children should have better ability to control their movement. In their third year, children would start to develop some ‘fine motor skills’ such as painting, colouring, and scribbling. They would enjoy looking at, and turning the pages of books. At this age they should be able to use a cup and feed themselves. At 3-7 years. At this stage, children will be refining the skills developed so far, they will have more confidence and more control over the fine motor skills such as cutting, writing and drawing. At 7-12 year. Children would start to have hobbies and interest such as sports, dance, drama, and songs. Children will continue to develop and refine many of their skills. The girls will start to show signs of early puberty from age 10-11. Puberty in boys usually start later. At 12-16 years. The boys will be starting to go through puberty and many of the girls would  be completing their puberty and having regular periods, as a result of the different stages of puberty, the boys and girls would vary in height. At this stage most girls are taller than boys and the young people will be growing stronger. At 16-19 years. Young people are considered as adult, although many girls may be physically matured at this stage, the boys will continue to grow until their mid 20s. Communication and intellectual development: Children’s communication and intellectual development depends to a large extent on their own experiences and the opportunities they are given from the earliest age. At 0-3 years Babies will start to be listening to languages around them and enjoy songs and games. Some children will start to speak at 12 months, although not clearly. By 1 and 2 years, children will start to put words together and their vocabulary will increase. Between age 2 and 3, Chhildren will start to used negative and plurals in their speech, although they will make errors in their grammar when speaking. At 3-7 years Children become more social and have wider experiences. They ask large amount of questions and will be able to talk about things in past and future tenses with greater confidence. They will start looking for adult approval and will be starting to learn how to read. At 7-12 years By now most children will be fluent in speaking a language, they would be able to transfer information and think in a more abstract way. At this stage, children will be developing and refining their skills at reading and writing. They will be more able to think and discuss ideas. At 12-16 years Young people will be selecting and taking GSCEs and A levels, they will usually now have a clear idea about their favourite subject .this is the stage young people want to feel like they belong. At 16-19 years Most young people are leaving school and are thinking of the career path to take and university choices. They will be able to focus on their area of strength and be able to develop it more. Social, emotional and behavioural development: At 0-3 years Children will be starting to find out about their own identities. They will form strong attachment to parents and careers. At this stage children have tantrums through frustration and will want to do things by themselves. At 3-7 years Children will start to play with peers and socialise using imaginative play. They will start to learn to understand the importance of boundaries and why they are necessary. They will still seek approval from adult. At 7 -12 years Children will be increasingly aware of what others may think of them. At this age children’s friendship becomes more settled and they have more friends. At 12-16 years At this age young people find themselves under the pressure of growing up and with increasing expectations from adults. Their self esteem can be very vulnerable. They will want to be independent of adult, therefore spend more time with their friends. They may look all grown up but at time they still display childish behaviour. At 16-19 years At this stage the young people have now in adulthood, they will still need  advice and guidance from more experience adult. They will lack experience and emotional maturity in the ways they interact with others. Question: 1.2 Describe with examples how different aspect of development can affect one another. Answer: Example 1: sports; this is considered a physical activity. It develops the child physically and it also affects other aspects of a child’s development. Physical development: a child that is active in sports refines their motor skills, will be strong, healthy, have an improved hand-eye coordination, normal growth and a toned body. Social, emotional and behavioural development: sports can improve a child’s relationship with other especially when it is a team sport. It builds confidence in the child. Child learns to share and take turns. Communication and intellectual development: sports can help to improve the intellect of a child. It is well known that physical exercise allows the body to pump blob to the brain thereby nourishing the brain. This improves sharpness/alertness of the mind and body. It promotes communication as child communicates among team members. It improves the child’s measurement of speed, time, quantity, how to tackle and overcome obstacles, therefore improving reasoning abilities. Over-all the child will be more confident with himself, other people and situations. Example 2: Disability: this refers to a condition which restricts a person’s mental, sensory, or mobility functions to perform a task. Physical development: some disability can cause stunted growth or make a child not to be able to participate in some physical activities. Social, emotional and behavioural development: Because of this disability in the child, he may not make many friends; this can cause the child to be emotionally withdrawn because some children make fun of his disability. This could create lack of confidence in the child. Communication and intellectual development: due to this lack of confidence in the child because of his disability, the child becomes shy and an introvert. Example 3: Illness: this refers to a child being sick. Physical development: a child that is sick or sickly would not develop well physically. The child would be unable to participate in physical activities. Social, emotional and behavioural: the child would not have many friends. The child may be withdrawn and shy. Communication and intellectual development: The child may grow to lack self confidence. Since he/she is always in and out of hospitals, his/her learning in school will suffer. Question: 2.1 describe with examples the kind of influences that affect children and young people’s development including: (a) Background (b) Health (c) Environment Answer: a) Background: the background of a child affects the child in many ways. For example, most children from broken or unstable family background with lack of parental guidance, can lack self confidence, may be withdrawn from their studies and have the tendency to pick up fights in school. On the other hand, children from stable family with both parents and parental guidance, would have confidence, is more likely to be attentive in class and emotionally stable. (b) Health: the health of a child can affect the child all aspect of development of the child. Example: a child that is suffering from some medical condition, will not be able to participate in sporting activities, therefore would not be physically strong like the others. This ill health can create lack of confidence in the child. The child is likely not to have many friends. The child may become shy and reserve. (c) Environment: people are usually the product of the environment they grew up in. Example: when a child lives in a poor and deprived environment, this Affects the child. Statistics show that children who are from deprived background are less likely to thrive and achieve well. Question: 2.2 Describe with examples the importance of recognising and responding to concern about children and young people’s development. Answer: Example 1: if I feel some concern about a child’s ability to read in a certain class, in the case of primary pupils, I refer to the class teacher and also the SENCO so that they can be aware of the situation. The class teacher then can inform the school and after the parents of the pupil so that some extra help can be given to the child at home. It is important to recognise and respond to concern about child development early so that children don’t struggle through out school and later drop out. Example 2: in the case of a young person being destructive or showing inappropriate behaviour in secondary school, I refer to the SENCO (special education needs coordinator) and also give date and example for the reasons for my concerns. This is important for the young person’s proper development and also that the other young people in the school would not be influenced by this inappropriate behaviour. Question: 3.1 Identify the transition experienced by most children and young people. Answer: Transition is any significant stage or experience in life of a child or young person that can affect behaviour and/or development. 1) Child being promoted to a higher class in primary school. 2) Year 6 pupil in primary school moving on to year 7 in secondary school. 3) Young people getting into college or university after their secondary school. Question: 3.2 identify transition that only some children and young people may experience. Answer: 1) Parental separation: This is when parents become divorced or separated. One parent moves out of the family. This can destabilize children and affect their learning and development in school. 2) New sibling: when a new child is born into the family, all attention shifts to take care of the new baby and the other children may feel abandoned. 3) Bereavement: the death of a close family member can be very traumatic for a child; school should have some procedures in place to help a child deal with it. 4) Moving house: Moving can be unsettling for children, especially if they move from a distance away and had to change school and friends. Procedures should be in place to help the child settle well in school. 5) Parental change of partner: This can affect the child greatly, depending on the amount of contact they have with the absent parent and the way they relate to the new partner. 6) Change of carer: Pupil who is in care or who had a number of different homes may find it difficult to cope with change of carer. 7) Illness or injury: Pupils may be affected by ill health or injury and would have to come to terms with the change in circumstances, whether these are their own or of loved ones. Question: 3.3 Describe with examples how transition may affect children and young people’s behaviour and development. Answer: 1) Children going through the transition of illness /injury may become quiet and withdrawn due to their illness. 2) Children who just got a new sibling in the family may become attention seeking and start to demonstrate uncharacteristic behaviour so as to gain the attention of his/her parents. 3) Children who just moved to a new location may become anxious about the new school and environment, wondering if they would be able to cope with the change in circumstance. REFERENCES 1. Understanding child development by Lindon Jennie 2. Supporting teaching and learning in schools- By Louise Burnham and Brenda Baker. Describe the Expected Pattern of Children and Young People’s Development from Birth to 19 Years 7.8 of 10 on the basis of 2786 Review.

MegaEssays.com - 404 Page Not Found

MegaEssays.com - 404 Page Not Found MegaEssays.com - 404 Page Not Found MegaEssays.com - 404 Page Not Found MegaEssays.com - 404 Page Not Found MegaEssays.com - 404 Page Not Found MegaEssays.com - 404 Page Not Found MegaEssays.com - 404 Page Not Found MegaEssays.com - 404 Page Not Found MegaEssays.com - 404 Page Not Found MegaEssays.com - 404 Page Not Found MegaEssays.com - 404 Page Not Found MegaEssays.com - 404 Page Not Found MegaEssays.com - 404 Page Not Found MegaEssays.com - 404 Page Not Found MegaEssays.com - 404 Page Not Found MegaEssays.com - 404 Page Not Found MegaEssays.com - 404 Page Not Found MegaEssays.com - 404 Page Not Found MegaEssays.com - 404 Page Not Found

The Small Cottage essays

The Small Cottage essays Teen depression is a big issue in the United States today. Approximately 4 out of 100 teenagers get seriously depressed each year. Depression is a serious illness that can affect your entire life. It can affect your thoughts, feelings, behavior and overall health. Most people who have depression dont get help for it, which will affect their entire life. There are two types of depression. One is the sad kind, which is called major depression (unipolar disorder). And the second one is called manic-depressive disorder (bipolar disorder). Major depression (unipolar disorder) Symptoms for this type of depression are typically depressed, irritable, and/or anxious. They may appear miserable, with furrowed brows, down turned corners of the mouth, slumped posture, poor eye contact, and monosyllabic (or absent) speech. Sleep disorders are common. In some, the mood is so deep that their tears dry up and the patient complains of an inability to experience usual emotions, including grief, joy, and pleasure. Also feeling that the world has become colorless, lifeless, and dead. For such patients, being able to cry again is usually a sign of improvement. Manic-depressive disorder (bipolar disorder) Bipolar disorder is caused by physiological imbalances in the brain. These include delusions, mood swings and personality disorders. In the manic or "up" stage, the individual may be so unrealistically self-confident or energized that relationships and/or their career can be destroyed. A person may think that they have a special relationship with world leaders or celebrities, or commit to multiple meetings, social activities and critical deadlines on the same day, believing that he or she can accomplish anything. During this manic stage the person may make decisions that can destroy their own health and their family finances. ...

LEGAL ISSUES FOR MANAGERS - Ethics Assignment Example | Topics and Well Written Essays - 500 words

LEGAL ISSUES FOR MANAGERS - Ethics - Assignment Example The manager also would be exercising breach of code as stated in clause 4 relating to the company’s competition and fair dealing As relates to Beal’s concerns, the parties involved are; the manager of the accounting department who is aware of the discrepancies in the accounts created in the accounting department and those presented to the board of directors. A few of the accountants are spending the company’s property and working time in running of their own businesses. The manager is aware that someone is responsible for breaching clause 6 of the code. Furthermore, such records amounts up to $100million fraud through overvaluing of assets could most likely lead to harsh disciplinary action like loss of employment or even criminal prosecution. The accountants on the other hand, are not only using the company’s time to conduct their own private businesses; but they also using the company’s assets as well. The accounts are in breach of almost all sub-clauses of clause 5. For instance, they use their business time for their own private work. In addition, as relates to clause 3, the ac countants are engaged in using the company’s computers. The Japanese company, which a major supplier extending an invitation to Linda Plant, the RH purchaser and her husband for a two-day trip to Sydney and Rolling stone’s band concert in Australia. This would mean a breach of sub-clause 5.3 of the conflict of interest clause. That is, Linda Plant as a purchaser was not to be involved in any form of acceptance (recipient) of gifts from a supplier; which would act towards the interests of the Japanese company benefiting; if Linda would be involved direct or indirectly in the purchase. In addition, any money or services extended to an employee, family member or to any company RH is involved in a transaction with is not

Human resources management Research Paper Example | Topics and Well Written Essays - 500 words

Human resources management - Research Paper Example Mayo Clinic is one of the top 50 companies in the United States. This position represents the success of the company in terms of employment, revenue, and profitability. The current number of employees at the company is estimated to be around 61,100 (Mayo Clinic). This number comprises staff physicians, scientists, residents, fellows, students, and allied personnel in clinics and hospitals. In terms of revenues and profitability, Mayo Clinic has revenue of around $8.8 billion, an estimated profit of $395 million, and benefactor contributions of around $245 million. On its part, NuStar Energy is a leading company in the energy sector. This company ranks in the second half of top 100 companies in the United States. NuStar Energy is headquartered in San Antonio, Texas, and undertakes business operations in at least six countries (NuStar Energy). The company’s progressive growth came after it went public over a decade ago. Today, NuStar Energy has at least 1,900 employees, and its revenue standings are in excess of $6 billion. In light of the above discussion, human resources are critical to the success of any given organization (Noe et al. 91). Mayo Clinic’s human resource policies are aligned with the organization’s objective of enhancing patient care, education, and research. To do this, the company employs diverse and dynamic human resource strategies. Notably, Mayo Clinic works with physicians, scientists, fellows, students, and allied health practitioners. This allows the company to diversify its human resource approach towards long-term effectiveness, efficiency, and success. Most importantly, the company understands that remuneration and employee rewarding are significant in the health care sector. The company’s benefits include comprehensive health benefits to employees over and above part-time or full-time pay. Work hours are divided into up to three shifts of around eight hours per shift. In terms of pay,

Tourism Operations Management Essay Example | Topics and Well Written Essays - 3750 words

Tourism Operations Management - Essay Example Task 1(L01) Tour operations sector In travel and tourism, tour operators are the ones which combine two or more businesses in a package which is ultimately offered to the consumer as a holiday package. In UK there are two kinds of tour operators- mainstream tour operators and specialist tour operators (Meyers, n.d, pp.8-9). Mainstream tour operators are the ones who sell mainstream tour packages like air, sea, sand sun to the customers while the niche tour operators serve highly specified tour packages like beaches but of a lower standard. The major mainstream companies in UK are Thompson or Thompson Holidays, Thomas Cook, Airtours and First Choice. The products offered by them are the beaches in locations like the Caribbean, Thailand and Malaysia. A number of specialist tour companies have also come up in UK as there is little competition among the specialist tour operators. Major tour operators- introduction Thompson or Thompson Holidays is a part of TUI travel PLC (Cruiseship rati ngs and reviews all cruises with operator Thompson Holidays, n.d). The company known originally as Thompson Tour Operations was renamed as Thompson Holidays in 1997. It was floated in the London stock exchanges in 1998. Thomas Cook was started in 1841 by a person named Thomas Cook. He floated his company commercially in 1845 for the first time. A travel brochure was also provided by it for the first time (Thomas Cook history, n.d). Airtours is well known for providing innovative tour packages to its customers according to the changing lifestyles. It targets the cheap or lower budget market but because of the high level of innovation and ideas it has become one of the top market leaders in UK. (Airtours, n.d). First Choice is the fourth largest tour operator in UK. It was established in the beginning of the 1970s when two companies named Continental Air Brokers and Economy World Travel decided to merge and form Owners Abroad (Wholesale) Ltd. in 1973. Later, the company decided to cha nge its corporate name and in 1994 the company was renamed as First Choice Holidays (First Choice Holidays PLC History, n.d). Since mid-1997, these four players occupy 53% of the holiday market in UK in 2000 (Pender, Sharpleyfirst, n.d, pp.48). Market Segmentation UK travel and tourism market is more oligopolistic in nature because of the presence of only four major players. The process of dividing the consumer base on the basis of common needs is known as market segmentation. The British travel market is divided into the following five segments. These five segments are categorized on the level of experience they have in traveling and the attitude and comforts they seek from the travel experiences. †¢ Self-Challengers †¢ Comfort Adventurers †¢ Cocoon Travelers †¢ Pushing Boundaries †¢ Taste & Try Self-Challengers are the groups who are more affluent economically and are highly educated. They are most likely to be unmarried and between 18 to 75 years of age. Australia seems to be the favorite holiday destination amongst the self challengers. They are the travelers who go to holidays with a learning quest. Comfort Adventurers are the ones who have the curiosity to visit the places before they are visited by the local market. They do not compromise with safety and comforts. Cocoon Travelers are the ones who take inspiration from newspapers and experiences of others. They are basically married, having

Physical Security Essay Example for Free

Physical Security Essay Securing networks or systems within institutions and corporations is not enough. At present, security is not only concerned with the ethereal aspect of it but also with the tangible dynamics of physical security. Although physical security seems too basic, establishing even the most sophisticated network security is useless if its physical environment does not keep it sheltered and protected. Security threats that have something to do with the physical aspect of institutions include burglary and theft. In this case, even the most established digital security system that functions within the computer networks will not be able to prevent these crimes. A breach in physical security makes the network or digital system of the institution susceptible to power interruptions that disrupts the security system, addition of hardware devices that may used to hack or spy into the system, removal of hardware devices that paralyzes the system, copying confidential data from the system through USBs, CDs, and such, logging in the system directly without authorization, etc. Stewart, 2004) The importance of high standard physical security systems and policies ensure that aforementioned situations that seek to jeopardize the position of institutions that might affect all its aspects, especially its finances, are avoided. Having a secure digital system is impressive, but having a secure digital system and physical environment is highly recommended. To uphold high quality standards of security, both the digital and physical aspects of security should be merged. Sturgeon (2004) defines this as marrying digital and physical security. Physical security involves the use of high-tech gadgets such as cameras that will be used for close monitoring, 24-hour video coverage and storage, video recording triggered by movements, wireless and mobile installments within the physical environment, etc. (Physical Security, 2008) The physical security approach is based on four principles or strategies. First, physical security follows the necessity of protecting the network or institution, detecting security threats and possible risks, responding to these threats and risks, and allowing recovery for the network or institution from damages or indemnities brought about by security breaches. This process requires setting up of security systems that will accomplish these four phases of protecting (with the use of controlled access systems that restricts involvement of the public to authorized personnel only), detecting (using surveillance systems and frequent check-up of the physical areas of institutions), responding (well-trained security officials and network protocols that carry out these responses to security threats and risks), and recovering. (Operational Security Standard on Physical Security, 2004) Second, physical security builds up on hierarchical zones that protect or safeguard access to the security system. These hierarchical zones include the public zone (areas accessible to the public), reception zone (area wherein the boundary between the public and restricted zones is determined), operations zone (areas private to personnel), security zone (areas private to only authorized personnel or visitors), and the high security zone (areas private to authorized and escorted personnel or visitors). Within these zones, technological facilities and security officials are installed and designated respectively to carry out four phases in the previous approach discussed. (Operational Security Standard on Physical Security, 2004) The third approach in physical security is controlling access to determined hierarchical zones. This approach has something to do with controlling access most especially to restricted areas. It does not only control individual access, but is also concerned with the entry of materials considered to be potentially threatening or risky to security, such as mobile phones and other technological gadgets, harmful objects such as knives, guns, and such, etc. Although institutions should consider this approach in physical security, controlling access should not limit or restrict authorized individuals too much, allowing them ease in visiting each zone within the institution. Aside from security officials designated at every zone, there should also be systems that carry out state-of-the-art security protocols, such as technologies installed within the institution that asks for PIN or access numbers, access cards, biometrics, etc. Fourth, physical security systems should be designed to increase security levels in times of emergency or security threats. (Operational Security Standard on Physical Security, 2004) These four approaches, as recommended by the Treasury Board of Canada Secretariat follow the requirements of a strong and efficient physical security system. The concepts supported by these four approaches suggest how physical security systems and policies should be established in order to ensure that it will serve its purpose. However, accomplishing all the requirements in establishing a physical security system and a set of policies is not enough. Institutions should make sure that these elements of security are assessed and evaluated to ensure that it is properly sustained and it is up-to-date with trends in security technologies and processes. Part of the evaluation process includes frequent training and drills for security officials, checking-in with technological innovations that improve quality of security measures and systems, and observing existing systems to determine much-needed replacements or tweaks. With all these information in mind, physical security is a vital part in institutions that should not be neglected nor taken lightly. It complements digital network security systems, such that it prevents it from being jeopardized or subjected to external control, manipulation, and possible damages that affects the operations within the institution. Establishing a solid physical security system require that all aspects of the physical environment within an institution is identified. Mapping out requires that the institution determines where security is most needed and where access is most likely to be controlled. Aside from going over the basics and technical details of physical security systems, institutions should provide time and effort to evaluate the system in order to ensure that it functions efficiently according to its purpose, and that it meets the highest requirements of quality standard physical security.

Analysis of LAP and Modified LAP

Analysis of LAP and Modified LAP 1. Critically review a test item that you have designed for inclusion in an assessment instrument It is nearly two decades since the St Vincent Declaration (1989) called for a marked reduction in morbidity with diabetes related problems to be achieved through better patient management. The available evidence suggests that the process of care in Britain is still very variable in quality. (J. Mason, 1999) et al. conducted trial on diabetes foot care, and provided an important message that vigilant and trained health care professionals can identify the emerging risk factors for ulceration at relatively low cost. The National Institute for Clinical Excellence (NICE 2004) clinical guideline on type 2 diabetes foot care on the prevention and management of foot problems recommends that healthcare professionals and other personnel involved in the assessment of diabetic feet should receive adequate training. Hence, it is imperative that the Diabetes Specialist Registrars [SPR], the future diabetologists, who look after diabetic feet in the community and secondary care, should be trained and adequately assessed if they want to make an impact on patient outcomes. Thus, the need arises for a training CME [Continued Medical Education] day for the management of diabetes foot and assessment before they treat patients with these problems. The main aim of the assessment is to optimize the capabilities of all learners and practitioners by providing motivation and direction for future learning. The assessment has to be formative in this case guiding future learning by providing reassurance, promoting reflection and shaping values. At the end of the training day (Appendix 2) the plan is to conduct a modified, observed, long case type of assessment tool with 3-4 items and knowledge based assessment. One such item an observed modified long case is described in Appendix 1. The plan to use a real case is to illustrate the some of the day to day difficulties and uncertainties one faces during clinical judgement. The time breakdown is to prepare them for thinking about various aspects in given time. They are assessed in different generic skills as well as speciality knowledge and management of the case. Appendix 1 [page 24-26] Properties Even though it is used as an item here, the long case has traditionally been used as a summative tool by itself in the past and its properties in those situations have been studied extensively. Hence, the properties like reliability and validity have been discussed briefly with others of the items such as facility. The reliability of a long case can be improved by structuring the long case i.e. elements of discussion and questioning (Olson et al 2000, Wass and Jolly 2001). Thus observation and structuring is applied here to improve the reliability. This increases student perception of fairness. Validity This can be addressed by introduction of examiners who observe trainee performance throughout and so the trainee is observed by the team in all parts of the long case out here (Olson et al 2000). Facility It could be made low facility depending on the complexity of the case. Discrimination is not really applicable since it will be used as part of formative tool but can be made into a highly discriminatory one by following global assessment. The other properties of the assessment tool are not discussed as it is used mainly as an item. Item Response Theory This is not discussed here as it is mainly used in the context of Multiple Choice Questions. There is not much in the literature about the strengths and weaknesses of the long case when used as an item in a formative assessment tool. So here is an attempt to look at both the positive aspects and potential drawbacks of this item should this be used in the context of this formative assessment. The positive aspects of this item Observed Modified Long Case Holistic and Robust This item in the long case is real and looks at competency and some aspects of performance. Multidisciplinary Approach mimics how the clinics are conducted in most hospitals and assess candidates knowledge across specialities. Written and Verbal Constructive feedback Ende (1983) proposed that the process of feedback should be expected and well timed, based on first hand data (observable behaviour) and regulated in quantity. In a systematic review by Best Evidence in Medical Education (BEME) collaboration (Veloski, et al., 2006) the positive impact of the feedback process was confirmed, with the most marked effects if provided by an authoritative source. These principles are strictly followed in this item. The method of feedback can be either Pendleton or ALOBA- Agenda-Led Outcome Based Analysis. Some of the potential drawbacks of this item-How they can be overcome Risk of assessing the short term memory This argument stems from the fact that the assessment is done just after the CME program as suggested. Based on Bligh (2000), the above graph, demonstrates the retention power if tested early after the learning experience. Hence the argument: the item should be administered immediately after the CME to increase retention. Resources and Standardisation The number of people including specialists involved and the organisation will require resources, including money, but some of the funding could be organised by the educational fund for the SPR in the region. Some contribution can be arranged from other sources including pharmaceutical company help. Since it is a formative assessment tool, it need not be rigidly standardised in assessment and it is to promote the professional development of the SPRs. Why rigid time limits and not just global assessment? This rigid structure is to give an opportunity for each of specialists to have an opportunity to observe and feed back. In real life, the time spent on each task may be different but giving stringent time limits also gives the opportunity to observe how the candidates perform within these time constraints. The global assessment is avoided so that the feedback component needs to be broken down to each level to make sense and promote specific areas for improvement. Bias Since some of the examiners and experts would have taught these SPRs in the course there may be bias from these examiners after observing the candidates interaction over a day and might want them to do well or otherwise in the assessment. This can be avoided by formal training of the examiners. Organisational consideration The main difficulty will be getting the team of assessors together as given in the item and making sure they are trained in giving constructive feedback to the candidates. Getting a real life patient to participate in such a scenario might not be difficult as patients are often happy to share their experiences. CONCLUSIONS If used in conjunction with variety of other items, perhaps it can be used as a cog in the wheel of summative assessment for the high stake assessment e.g. as a part of portfolio in final year Rotation In Training Assessment [RITA]. It fulfils the learning objectives of the course and what the item intends to measure. This item also comes close to what is usually measured in items of work place based assessment [WPBA]. Element 2 Assessment option Using relevant theoretical and/or research literature, critically review one instrument of assessment used in clinical education. LAP and Modified LAP BACKGROUND In the traditional long case candidates spend 30-45mins with a patient from whom they take a history and examine. An examiner is not present and the candidate is not observed. The student summarises and is examined by a pair of examiners over a 20-30 minute period. The usual format of practice in long cases is to examine patients that are already known to the examiner or are in the examiners own specialty. The long case, patient based examinations have been used for decades both in undergraduate and postgraduate settings both as a formative and summative tool. They were specifically used for final certification exam for postgraduates both here and elsewhere. They had their strengths in that it evaluates performance with real patients and enables candidates to gather information and develop treatment plans under realistic circumstances (Norcini, 2002). However, this method has drawn lot of criticism. The problem lies with inter case reliability (Wass, et al., 2001) and whe n subjected to psychometric analysis, these examinations were found to be unreliable and so have fallen from favour (Turnbull, et al., 2005). Particular problems were with the reproducibility of scores generated by the long case. To improve this required large sampling which itself required a lot more resources which made the long case difficult to use as a summative assessment tool. Recent work suggests that the long case is still a highly relevant tool in that it appears to test a different clinical process to that of the structured short case examination (Wass and Jolly, 2001). A study, performed with undergraduates in London found that, by observing the process in the long case, the above problems could be overcome. This probably led to a return of long cases in the form of OSLER Objective Structured Long Examination Record introduced by Gleeson(Gleeson, 1997) and LAP the Leicester Assessment Package. The LAP was originally developed to assess the consultation competence of general practitioners in the UK. In the LAP, the patient is not known to the examiners and at least one of the examiners is not an expert in the specialty being examined. It has been designed for use in live and/or video recorded consultations with either real or simulated patients. It was subsequently adapted for use in undergraduate teaching. The LAP is designed to provide assessment by directly observed consultations with real patients/simulated patients, but to present this in a structured format closer to an OSCE, which also allows other aspects of performance to be assessed. Seven prioritized categories of consultation competence which need to be mastered are assessed with marking (Appendix 3). The modified LAP varies from the LAP in a couple of areas. Performance is assessed against predefined standards which are different compared to the LAP. The examiners attend training before they become assessors in the modified LAP. The guidelines to the examiners [how to mark and assess] and the assessment forms are appended (Appendix 4 5). Inevitably, some overlap occurs between components of differing categories. (Bhakta, et al., 2005) acknowledge that no single assessment format can adequately assess all the learning objectives within the course blueprint, a combination of assessments (including OSCE, EMQ, essays, short case, and long case) are currently used to assess the students competence. The authors main objective is to use theoretical and research literature to critically review the LAP and modified LAP used in the assessment of clinical practice. This review is based on the seven key concepts (Van der Vleuten, 1996; Schuwirth and van der Vleuten, 2006; PMETB, 2007) liste d below: Purposes Alignment Properties Standards Sampling Evidence Level 1. PURPOSES It can be used for both formative and summative assessment. (Fraser, et al., 1994) argued that the modified LAP is designed for both purposes. The focus of the examination in the intermediate clinical exam for undergraduate is to promote further improvement as they have done only one clinical year [e.g. WMS and Leicester Medical School]. Hence, the feedback is handed to the students which helps them to focus on their strengths and improve on their performance The 3rd and 4th year medical students of these Schools believed that it was likely to enhance their consultation performance (McKinley, et al., 2000). It has also been used as a formative tool in improving professional competence in different countries and different specialties (Lau, et al., 2003, Redsell, et al., 2003). When (Teoh and Bowden, 2008), arguing for the resurrection of the long case, state that the observed long case such as the Modified LAP doesnt encourage the reductionist approach as in Objective Structured Clinical Examination [OSCE ]. Thus, it can be an ideal summative assessment tool for the high stake exam but perhaps has to be used in conjunction with other tools as discussed below. Additionally, in most cases, the assessment is an end of year high-stakes assessment and, for failing students, there is generally only a short time available for remediation. The feedback provides a way to focus them on the areas of their consultation skills and prepare for their remedial exam. 2. ALIGNMENT The Education Committee of the General Medical Council (GMC) sets and monitors standards in all UK medical schools. Medical students must be able to demonstrate their competency and professionalism through a list of educational outcomes set out in the publication of Tomorrows Doctors (2003 and 2009) prior to graduation. The intended outcome envisaged by WMS is to produce a generation of doctors who have knowledge, proficient clinical skills and the appropriate attitudes and behaviours ready for work as Foundation Year one doctors. The modified LAP forms a part of the summative assessment in assessing mainly clinical skills e.g. examination techniques. As described, it has various components and proper, planned blueprinting against the learning objectives of the MBChB course and competencies of the various specialties (Wass, Van der Vleuten, Shatzer and Jones, 2001). Thus, assessment and curriculum design should be intricately interwoven and the assessment of course drives the learning (Wass, Van der Vleuten, Shatzer and Jones, 2001). Similarly, in postgraduate exams, it usually follows knowledge based assessment in the form of MCQs and careful alignment should be done considering the curriculum set by the institutions like the Royal Colleges. 3. PROPERTIES The property of an assessment or more commonly described as the utility or usefulness of an assessment, was originally described by Van der Vleuten (1996) as a product of its validity, reliability, educational impact, cost-effectiveness and acceptability. In later years, the term feasibility is explicitly acknowledged and has been described as an added component of an assessments utility in clinical education (Schuwirth and Van der Vleuten, 2006; PMETB, 2007). Validity Validity represents the extent to which a measurement actually measures what it intended to measure. In medical education, this signifies the degree of meaningfulness for any interpretation of a test score. (Downing, 2003) A recent study demonstrated that observation does measure a useful and distinctive component of history taking clinical competence over and above the contribution made by the presentation (Wass and Jolly, 2001). It would seem logical that, rather than relying on a presentation alone, observation of the candidate while eliciting the history and carrying out the examination would be a more valid assessment of the candidates competencies in LAP. There is data in the literature for the face validity and content of the seven categories and the various components of consultation competence as contained in the Leicester Assessment Package (Fraser, McKinley and Mulholland, 1994). Whether or not the test scores obtained, in any particular LAP, are an accurate representation of real world competency is subjected to a vast array of variables (Downing and Haladyna, 2004). For instance, the design of the test items, number of representative cases, experience training and leniency of examiners, co nsistency of simulated patients [ used mainly in psychiatry], completeness of marking schemes and the characteristics of the candidates, can all affect the validity of a LAP, making it a valid assessment in one education institute, but not another. However McKinley et al in their study of modified LAP in the general practise setting concluded that students will be exposed to a valid set of challenges to their consultation skills during consultations with minimum six largely unselected patients(McKinley, Fraser, Vleuten and Hastings, 2000). Concurrent validity whether the results are consistent with those tests of similar constructs? There are studies comparing OSCEs with observed long cases [which is similar to LAPs in some ways]; however, the author has not come across studies comparing different types of observed long case e.g. OSLER vs. Modified LAP. Does it predict the future performance need to be assessed by more studies by following up the generation of students where the LAP is used as an assessment tool. Also, more studies are needed to investigate the construct validity of LAP. Reliability Reliability refers to the degree of consistency within a measurement tool, the extent to which an instrument is capable of repeatedly producing the same test score even when administered at different times and locations, with different candidates (Schuwirth and van der Vleuten, 2006). An assessment approach may be considered reliable when it yields consistent results regardless of when it is used, who uses it and which item or case is assessed. The importance of a specific type of reliability depends upon what is being assessed and the method by which it is being assessed. Generally speaking, the reliability or generalisability coefficient [since there is multiple potential sources of variability in this assessment tool] of 0.8 or higher are desirable (Shea and Fortna, 2002). Since the LAP has its roots in the long case and considering that it has evolved as a modified observed long case the author will attempt to address how the deficiencies in reliability of long cases were addressed to make it a LAP. Attempts to improve the reliability of the long case and make it into an effective LAP fall into three categories. First, studies have considered how many additional long cases would be required, with Kroboth et al (1992) suggesting that 6-10 long cases (each of 1-1.5 h) would achieve a generalisability coefficient of 0.8. Thus it would take a minimum of 4 different cases with at least 2 assessors in each to be reliable and therefore, careful sampling of representative cases with the use of blueprints is of paramount importance (Cangelosi, 1990).Second, commentators have attempted to increase the number of long cases, but have done so by employing a format that draws on shorter assessments (20-45 min) and multiple cases (4-6) assessed directly after each other in a single session (McKinley et al, 2000; Wass Jolly, 2001; Hamdy et al, 2003; Norcini et al, 2003). Third, elements of the discussion and questioning aspects of the long case have been stan dardised in an attempt to improve reliability and student perceptions of fairness (Olson et al, 2000). Thus, having all relevant domains and enough numbers would increase the reliability and validity of the instrument. All these are incorporated in LAP and modified LAP to make a reliable instrument. This is further demonstrated by McKinley et al that the required levels of reliability can be achieved when the modified LAP is used by multiple markers in assessing the same consultation, that is, the package produces inter-assessor reliability. Their generalizability analysis indicates that two independent assessors assessing the performance of students across six consultations would achieve a reliability of 0ÂÂ ·94 in making pass or fail decisions. Also in this study ninety-eight percent of students perceived that their particular strengths and weaknesses were correctly identified, 99% that they were given specific advice on how to improve their performance and 98% believed that the feedback they had received would have long-term benefit(McKinley, Fraser, Vleuten and Hastings, 2000). The example of assessment criteria and guidelines of the modified LAP used in the study are incorporated as Appendix 4 and 5. Reliability of the LAP would not be severely threatened if the details of the test items have leaked out to the candidates unintentionally. However, it might if they have seen this patient before in the clinical setting. There were chances of this happening as the same banks of patients were used. This has been rectified by updating the bank and recruiting different patients. Broad sampling across cases is essential to assess clinical competence reliably (Wass and Vleuten, 2004). Feasibility The design and running of the modified LAP has significant resource implications. The crux of the issue for this kind of assessment is feasibility and cost effectiveness in terms of finance, space and manpower. Lots of time and effort are required to prepare and administer the instrument with high quality. Recruiting enough assessors, real patients, [simulated patients in case of psychiatry] and the equipment is always a huge challenge. Finding the trained assessors, who mostly tend to be busy clinicians, to take time from their heavy work schedule is also a challenge. However, lots of these issues can be overcome if this test is administered regularly i.e. sequential testing. This is further helped by having a database for the patients and assessors. Good advanced planning will also go a long way. Acceptability John B Cookson, et al. (2008), in a letter to the BMJ, say that feedback from students who have faced this examination in Leicester for the past 9 years strongly indicate that it is perceived as a fair and acceptable test of their abilities. From the organizational point of view it has been acceptable because of sequential testing. There is a healthy debate about replacing this with OSCEs or at least using OSCEs to supplement this for the assessment of clinical based practice. Educational Impact From the students point of view, the high-stakes LAP certainly exerts a great educational impact. The outcome of the examination will be used to decide the fate of the students. The LAP provides a platform for students to demonstrate their knowledge, skills, attitudes and behaviours in a single direct observational setting. Among other advantages it encourages students to develop the essential links between history, physical examination, diagnosis and management in each clinical challenge as the consultation progresses, not at some remote point thereafter. This is true as they practise for these exams in this way with peer group or supervision. It definitely has a huge educational impact as the students keep the final assessment in mind and practice the required domains in a structured way from various colleagues and peers. The impact is even greater in some medical schools like WMS as the feedback is given to the students in the formative intermediate exams. This enables the students to reflect on their performance and improve upon them. 4. STANDARDS The Standards can be criterion-referenced (absolute standard) or peer-referenced (relative standard). Borderline approach , fixed percentage , Angoffs and Hofstee methods are but a few of the many methods described in the literature for standard-setting (Norcini, 2003). Livingstone and Zieky (1989) proposed that the higher the stakes of the assessment, the greater the significance in using criterion-referenced standards. Thus criterion referenced can be used for LAP in the setting of high stakes exams like final professional exams in WMS or postgraduate exit exams SAMPLING It is impractical to combine all of the learning outcomes into a single, summative assessment. On a practical note one has to be careful while allotting the students and examiners for the different station/patients/item so that they get a wide variety of sampling that gives a different case mix. Thus, it also needs to be made sure that they are observed and examined by different examiners to increase the sampling. Thus a careful and effective blueprinting should be done to make LAP a high utility instrument. Moreover, qualitative triangulation of evidence [sampling] from different sources such as satisfactory performance in each block, including other types of exams likes OSCE for practical skills will further improve the reliability (Stern, et al., 2003). 6. EVIDENCE Evidence from a single point is not sufficiently generalisable to be extrapolated to all occasions (PMETB, 2007). Studies regarding validity and reliability are costly and difficult to design. Triangulation is an excellent solution to critique the evidence collated qualitatively, where evidence from at least 3 occasions/ resources indicating the same outcome is analyzed (PMETB, 2007). Each LAP item should be treated independently, as an entity of its own, and, although literature can prove LAP do possess the potential to be highly valid and reliable, such study would need to be conducted on separate occasions to demonstrate convincing evidence. This is continuous ongoing process at most of the institutions including WMS. 7. LEVEL It is suggested that using the LAP for direct observation of the consultation would be a useful tool to assess whether the student has successfully acquired the necessary competencies expected at the end of undergraduate or postgraduate training. One of the interesting components is to attempt to judge the overall relationship with the patient. Attitudes are most likely to be conveyed to the patient through the doctors behaviour and should, therefore, be assessed by the observation of behaviours in the clinical setting (REZLER, 1976). Nevertheless, this approach relies on judgements, made by experts, of non-standardised material and is, therefore, open to question. Because professionalism is a complex construct, it is unlikely that a single assessment will adequately measure it even though this assessment makes the attempt. Systematic assessment of professionalism should also include many different assessors, more than one assessment method and assessment in different settings (Lynch , et al., 2004). Hence, these assessments are a continuous process throughout the MBChB and, indeed, afterwards. In essence the LAP, as an assessment tool, is close to competency based assessment and demonstrates shows how in the Miller triangle. CONCLUSIONS Long cases on their own have been criticised for poor reliability of examiner assessments and the lack of direct observation by the examiner of the trainee patient encounter [reducing the validity of the assessments]. There is evidence that adding an observing examiner to the history and physical examination part of the long case assessment increases reliability and helps to reconcile the complex interactions between the context and the skills/knowledge (construct) that the long case attempts to measure (Wass and Jolly, 2001). The LAP is one such tool where there is observation during history and physical examination and structured assessment and proves to be of high utility. This is supported by some studies in the formative setting(McKinley, Fraser, Vleuten and Hastings, 2000) The LAP, when analysed via its properties, is a good tool to assess observed clinical practice. It might not be so effective for practical skills and, for these, it probably needs to be supplemented by work based assessments or even OSCEs. When supplemented with other assessment tools [Triangulation] LAPs can be used effectively for summative assessment in high stake assessments such as the final examinations for medical students. The main drawbacks are feasibility, difficulty in blue-printing and cost effectiveness. It encourages students to develop the essential skills together rather than combining them afterwards. REFERENCES Bhakta, B., Tennant, A., Horton, M., Lawton, G. and Andrich, D. (2005) Using item response theory to explore the psychometric properties of extended matching questions examination in undergraduate medical education. BMC Medical Education, 5 (1): 9. Fraser, R. C., McKinley, R. K. and Mulholland, H. (1994) Consultation competence in general practice: establishing the face validity of prioritized criteria in the Leicester assessment package.[see comment]. British Journal of General Practice, 44 (380): 109-113. Gleeson, F. (1997) AMEE Medical Education Guide No. 9. Assessment of clinical competence using the objective structured long examination record (OSLER). Medical Teacher, 19 (1): 7-14. J. Mason, C. O. K. A. M. A. H. A. B. R. J. Y. (1999) A systematic review of foot ulcer in patients with Type 2 diabetes mellitus. I: prevention. Diabetic Medicine, 16 (10): 801-812. Lau, J. K. C., Fraser, R. C. and Lam, C. L. K. (2003) Establishing the content validity in Hong Kong of the prioritised criteria of consultation competence in the Leicester Assessment Package (LAP). Hong Kong Practitioner, 25 (12): 596-602. Lynch, D. C., Surdyk, P. M. and Eiser, A. R. (2004) Assessing professionalism: a review of the literature. Medical teacher, 26 (4): 366-373. McKinley, R. K., Fraser, R. C., Vleuten, C. v. d. and Hastings, A. M. (2000) Formative assessment of the consultation performance of medical students in the setting of general practice using a modified version of the Leicester Assessment Package. Medical Education, 34 (7): 573-579. Norcini, J. J. (2002) The death of the long case? BMJ, 324 (7334): 408-409. Norcini, J. J. (2003) Setting standards on educational tests. Medical Education, 37 (5): 464-469. Redsell, S. A., Hastings, A. M., Cheater, F. M. and Fraser, R. C. (2003) Devising and establishing the face and content validity of explicit criteria of consultation competence in UK primary care nurses. Nurse Education Today, 23 (4): 299-306. REZLER, A. G. (1976) Methods of attitude assessment for medical teachers. Medical Education, 10 (1): 43-51. Shea, J. A. and Fortna, G. S. (2002) 3 Psychometric Methods. International handbook of research in medical education, 97. Stern, D. T., Wojtczak, A. and Schwarz, M. R. (2003) The assessment of global minimum essential requirements in medical education. Medical Teacher, 25 (6): 589-595. Teoh, N. C. and Bowden, F. J. (2008) The case for resurrecting the long case. BMJ, 336 (7655): 1250. Turnbull, J., Turnbull, J., Jacob, P., Brown, J., Duplessis, M. and Rivest, J. (2005) Contextual Considerations in Summative Competency Examinations: Relevance to the Long Case. Academic Medicine, 80 (12): Wass, V. and Jolly, B. (2001) Does observation add to the validity of the long case? Medical Education, 35 (8): 729-734. Wass, V., Van der Vleuten, C., Shatzer, J. and Jones, R. (2001) Assessment of clinical competence. The Lancet, 357 (9260): 945-949. Wass, V. and Vleuten, C. v. d. (2004) The long case. Medical Education, 38 (11): 1176-1180. APPENDIX 1- PROPOSED ITEM AN OBSERVED MODIFIED LONG CASE CONTEXT- Following Continued Medical Education day for Diabetes Specialist Registrars-SPRs[CME Appendix 2] Aimed at senior SPR that is year 4-5 just a year before completion of their training Formative Assessment Can be used in their portfolios for Continued Professional Development CPD Generic skills assessed- Communication, Professionalism, Clinical reasoning in uncertain environment, Teamwork and Multidisciplinary Approach Assessment involves 4 items of observed long modified long cases and MCQ-paper aiming mainly at knowledge base. One such item an observed modified long case has been described below. Expected learning outcomes for this formative assessment item- Able to assess vascular, neurological status of foot and in a patient with diabetes Diagnose pedal pathologies in the