Tuesday, August 25, 2020

Keeping the Family Tradition Alive Essay

I began keeping my family custom of canning alive the previous summer. My family has canned for a considerable length of time and there is nothing better than opening up something I have canned all alone and thinking about the individuals who imparted this convention to me. Conventions are essential to prop up in families around the globe. Customs are exceptionally wide anything from what individuals do on vacations to cooking. My family convention is imperative to me. I knew a year ago that in the event that I didn’t become familiar with a portion of my family’s mystery plans while my grandma and mother are still with us than there would be an opportunity that my family could always be unable to taste the great flavors my family has assembled throughout the years and my family has looked so forward to the taste that we have developed to cherish. Before I start canning, I should accumulate all the materials that I have to begin. The initial step is the choice of the tomatoes. I pick the entirety of my tomatoes from my own nursery they are such a great amount of better than anything from the supermarket. A year ago I utilized better kid tomatoes and roma tomatoes. The roma tomatoes are incredible to utilize on the grounds that they have less seeds, thicker, meatier dividers and less water. Furthermore, that implies thicker sauce in less cooking time! Additionally, I don’t need soft, wounded or spoiled tomatoes. Next I expel the tomato skins this is significant. Nothing more regrettable than eating spaghetti and biting on a bit of skin abandoned. Here’s a stunt my grandmother showed me: put the tomatoes, a couple at once in an enormous pot of bubbling water for close to 1 moment. At that point I dive them into a holding up bowl of ice water. This makes the skins slide directly off of the tomatoes. On the off chance that the skins are left on, at that point they become intense and chewy in the sauce, not exceptionally lovely. Presently I should expel the seeds and water. Subsequent to stripping the skins off the tomatoes, I cut the tomatoes down the middle. I evacuate the seeds and abundance water. I consider it the press of the seeds. It is much the same as it sounds: wash hands at that point press every tomato and I utilize my thumb or a spoon to scoop and shake out the greater part of the seeds. I do leave a portion of the seeds since that is my inclination. I hurl the pressed tomatoes into a colander or drainer while I chip away at the others. By depleting the water off now, I end up with a thicker spaghetti sauce in less cooking time. The following stage I should do is to get the tops and containers cleaned. The dishwasher is fine for the containers, particularly on the off chance that it has a â€Å"sanitize† cycle. I get that moving while I’m getting ready everything else, so it’s done when I’m prepared to fill the containers. While the containers and covers are being disinfected I start understanding that spaghetti sauce going. I take my onions, garlic, basil, oregano, sound leaves, green peppers, lemon juice, salt, pepper, and my burgundy and spot them all in the pot first. After I get the onions and pepper a little delicate I include all the tomatoes and bring to a stew. Cook down the tomatoes until the sauce is my ideal thickness. I for the most part let my sauce cook for around two hours. The last advance I call canning time. While my sauce is stewing I prepare my water shower canner. I feel free to fondle the water and make it bubble. I start a little pot of water bubbling to place the tops in so the tops can sterilize and enables the covers to seal. At the point when the sauce is prepared I place the container pipe on the container and I fill them to inside ? inch of the top and set the cover and hand ’tighten the ring on. I place the containers in the water shower and cook for about 20mins. I at that point utilize the container grabber and haul the containers out each in turn and let them cool without draft place. When the containers are cool, I watch that they are fixed confirming that the cover has been sucked down. I push down in the inside tenderly with my finger. In the event that it springs all over, at that point it isn't fixed. In the event that it don’t seal than I simply supplant the top and do the canning time once more. Since all the means are finished, I tune in to all the little pings continuing revealing to me that my difficult work has paid off. I am happy to such an extent that I have taken in the family convention of canning. My grandma has gotten more seasoned and doesn’t can any longer. Out of the entirety of my family it is only my mother, Aunt Susan, and myself left doing the canning. It was a pleasant award to my sole half a month prior when I had my grandma over for supper. I had canned a few beets and concluded that was the day to open them. At the point when my grandma attempted them she stated, â€Å"These taste simply like mine. † To hear her state that implied such a great amount to me. I couldn’t picture not having the flavor of what I grew up with in light of the fact that they don’t sell it in the market. This is the reason I am propping my family convention up and showing my young ladies. We never know when our affection ones won't be here any longer. On the off chance that I can’t have my family with me I in any event need to have the option to recollect them by making what they have thought me. In the event that individuals have something in their family that is finished by others and would not have any desire to miss it after that individual is gone than figure out how that unique individual does it. I did that’s why I will consistently have that uncommon association with canning and my family.

Saturday, August 22, 2020

Cover Letter Sample Applying for Editorial Assistant Job

Introductory Letter Sample Applying for Editorial Assistant Job SAT/ACT Prep Online Guides and Tips Not every person going after a position has long periods of expert experience behind them. This next example introductory letter's designed for a section level situation in the distributing business. The candidate has had an applicable temporary position, in addition to a mid year jobat her neighborhood book shop. In lieu of more extensiveexperience, she ensures her energy for the position and friends radiates through. Peruse on to perceive how the essayist gives her energy for distributing, and afterward look at theanalysis underneath of what this introductory letter progresses admirably. Introductory Letter Sample: Editorial Assistant MaryEntel E. fifteenth St.New York, NY 230 May 1, 2016 Rita BookmanEditor-in-ChiefCooper Books Publishing House74 Reading StreetNew York, New York 10020 Dear Ms. Bookman, I was satisfied to discover your posting for an Editorial Assistant with Coffeehouse Books on MediaBistro.com. As an English writing major with an enthusiasm for the composed word, I am focused on working in the distributing business following graduation. I’m particularly amped up for your distributing organization since you speak to two of my preferred creators, Tim Smith and Anne Lee. I'm certain that I have the right stuff and encounters to add considerable commitments to Coffeehouse Books. The previous fall, I increased reasonable involvement with the distributing business as an understudy at Dharma Publishing House. I teamed up with individuals from the article staff on ventures that remembered perusing and announcing for composition entries, altering special materials, and finishing reality checks. Specifically, I altered three sociology attempts to distribution prepared state utilizing Chicago Manual of Style rules. My insight into sentence structure and style would permit me to step directly into article fill in as an Editorial Assistant with your organization. Past my publication experience, I would likewise bring a rich information on writing. I examined English at NYU, keeping up a 3.8 GPA, and worked at my neighborhood book shop during the summers. At the book shop, I helped clients find contemporary works - The Orphan Master’s Son and Swamplandia are two top picks - and composed occasions for speakers and book signings. Between my investigations and work, I drenched myself in the realm of fiction and verifiable. My enthusiasm for perusing underlies my responsibility to this work, and I have the authoritative and relational abilities, alongside the meticulousness, to exceed expectations in each part of the Editorial Assistant job. My life has been formed by the composed word, and I would be excited to add to Coffeehouse Books in the job of Editorial Assistant. I would invite the chance to meet and can be reachedanytime at (555) 555-5555 or mary.entel@gmail.com. Much thanks for your thought. Genuinely, Mary Entel MaryEntel While Mary hasn't worked in distributing previously, she's invested a great deal of energy around books working in her nearby book shop. Article Assistant Cover Letter: The Breakdown In hercover letter for the situation of Editorial Assistant, Maryexpresses herenthusiasm for the position. She shows that she has the right stuff - publication, association, correspondence - to do well in the job, and imbues herentire letter with a feeling of fervor about working in the distributing business. In herintroduction, Maryshows that she has some familiary with Coffeehouse Books, expressing that the companyrepresents two of herfavorite writers. She depicts herexperiences as an article assistant, just as herknowledge of writing as an English major and summer worker of herlocal book shop. Maryends by repeating her energy about the position withCoffeehouse Books. Subsequent to perusing herletter, ideally Editor-in-Chief Rita Bookman will be glad to connect with Mary in discussion about the Editorial Assistant position. Notwithstanding the substance of Mary's letter, how about we investigate its general introduction. A Note on Format As should be obvious in the letter above, Maryformats her introductory letter in a customary way. She incorporates her name and address at the top, trailed by the date and name and data of the employing administrator. This is an incredible methodology in case you're sending your introductory letter by printed copy or as a Word connection. For a great deal of employments, however, it's fine or even liked to send your introductory letter directly in the body of an email. Still different employments utilize their own application gateway and need you to glue your data into a book box. In the last two cases (body of the email and content box), it's typically fine to forget about every one of these headers. You can simply begin directly in by tending to the employing supervisor. Ensure you see how to send your application materials and organization your introductory letter likewise! What's Next? On to the following introductory letter! Look at this introductory letter test for the situation of Assistant Restaurant Manager. Care to peruse more examples? Head over to our full introductory letter manage with six example letters and tips for how to compose an incredible one. Is it accurate to say that you are composing your own introductory letter for a request for employment? Look at our extraordinary spread layout to help you through the creative cycle, bit by bit.

Monday, July 27, 2020

Welcome, Language Advocates, to Khan Academy!

Welcome, Language Advocates, to Khan Academy! This week we are thrilled to welcome 30 members of our Language Advocate team to Khan Academy headquarters in California! Language Advocates lead our effort to translate Khan Academy into dozens of different languages. They’re the key to making sure we can achieve the anywhere part of our mission to provide a free, world class education to anyone, anywhere.Representatives of 20 languages* are here with us this week from all around the world. Together we’ll be exchanging best practices for translating and adapting Khan Academy content, strategizing about how to promote Khan Academy in other countries, and making plans for the upcoming year. Stay tuned for a recap after the week is done!* Armenian ???????, Bangla ?????, Bulgarian ?????????, Burmese ??????, Chinese (simplified) ????, Czech ceÅ¡tina, French Français, Georgian ???????, Greek ????????,  Hindi ?????, Japanese ???, Kannada ?????, Pashto ????, Portuguese (Brazilian) Português brasileiro, Portuguese (European) Português europeu, Spanish español, Swedish Svenska, Tamil ?????, Thai ???, Turkish Türkçe  (Note: Languages without a link are still in the early stages of preparing their sites, so keep an eye on the international blog to see when they become available!)

Friday, May 22, 2020

How Perception Affects Managers Job Positively Or...

Outline: †¢ Introduction: perception definition, and why it’s important in Ob. †¢ Body I. How perception affects managers job: positively or negatively. II. Examples from: Managerial activities, performance evaluation, employee interviews, managerial decision making. III. What are the implications that the manager could learn from? †¢ Conclusion: a brief summary, and additional information but not new. â€Å"Perception is a process by which individuals organize and interpret their sensory impressions in order to give meaning to their environment. However, what we perceive can be substantially different from objective reality† (Robbins, Judge, Millet, Boyle, 2013, p.142). Robbins et al (2013) stated that Workers in an association may see it as an incredible spot to work- ideal working conditions, fascinating occupation assignments, great pay, fabulous profits, understanding and capable administration at the same time, as the majority of us know, its extremely surprising to discover such agreement. According to Aque. (2007,  ¶14) â€Å"The current form of perception relates back clearly to its original Latin meaning as the action of taking possession, apprehension with the mind or senses. Perception is what allows us to make sense of the world through the experience of our senses and the collection of data but the question remains of how we perceive and what it means to perceive. 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By doing this they see themselves as innovators and leaders in the industry by becoming contributors to society as a whole and by creating a sustainable and healthy environment so that the company and the people they affect can grow and learn from these changes. Starbucks vision is to uphold these responsibilities through community, ethical sourcing, and the environment (starbucks.com). Starbucks’ vision through community is to create an environment that brings people

Saturday, May 9, 2020

Company Culture Influences Behavior Within A Company

Businesses do not exist in a vacuum. It is hard to even imagine one that is completely isolated from external input. In fact, they are constantly subjected to influence from both the outside and the inside. In open systems, a relationship exists between a business and its surroundings in which awareness of that constant input and output is vital. In order for a startup company like Everyday Indulgence to move forward strategically and become successfully established, its leadership must identify and consider both internal and external environments. Stakeholders like employees, owners, and executives within a company as well as the forces that impact the way they behave make up the internal environment. Such forces include the culture†¦show more content†¦Using the example of dessert delivery service, Everyday Indulgence, setting the tone within the startup business is especially important early on, when there are only a few employees. A wide variety of tasks will be shouldered by a small team of people and there is bound to be a significant learning curve. Hiring individuals with values that are aligned with the company’s is a good start and continuous training with an ever present owner/manager will further develop employee confidence and expertise. Mentoring and training employees leads to a desirable output in the form of both product and service, while poorly trained staff produce the opposite. Communication, written, verbal, and in the form of daily staff meetings will foster an atmosphere of teamwork, support, and comradery, whereas lack of communication on such a small team will lead to disorganization and a disconnected feeling among team members. The success or failure of startup companies like Everyday Indulgence is greatly impacted by its internal environment. Also a powerful influence on a company, the external environment, including both the general and task/competitive environments, refers to all outside forces that affect said organization. Some general environmental factors are the following: laws, economy,

Wednesday, May 6, 2020

Analysis Of Health And Social Care In The Uk Free Essays

ABSTRACT This analysis provides a review on the health and social care services in the UK. This will include an exploration of inequalities with the care sectors from the focus of the policy and individual and a discussion on promotion of equality and individual rights within the care sector. A brief history of social care in the UK will also be given. We will write a custom essay sample on Analysis Of Health And Social Care In The Uk or any similar topic only for you Order Now A clear understanding of inequalities in health is of critical importance so as to develop policies and interventions that support all sections of the society and direct care, treatment and services in proportion to need. Social workers can play an important role in these inequalities by working with service users in increasing their social and material resources and providing them access to information and support systems as well as maximizing their capacity to managing their health. INTRODUCTION At a time when there is a growing population in need of care, yet inequalities in health and social care challenge effective provision of services, the UK government face the central question: how should inequalities in health care be tackled and how can government ensure the promotion of individual rights within the care sector (Alcock, et.al., 2006)In order to explore on this subject, we must first define what we mean by social care. Social care encompasses a range of services that help people maintain independence, help them manage complex relationships, protect them in vulnerable situations and enable them to play a fuller part in the society (DOH 2006). It includes the provision of personal care, social work, protection and social support services to children and vulnerable adults. The provision of social care is often deemed necessary at old age or when an individual is suffering from long-term illness, learning and physical/sensory disability or mental illness. RATIONALE The current system in the UK is perceived unfair in the provision services in health care. There are huge disparities in the provision of health care services in parts of the UK with the spearheaded areas experiencing worst health care and deprivation (Ellison Pierson 2003). The central focus of health inequalities policies have primarily been on health care and NHS funding. While significant progress has been made over the past decade by the National Health Service, inequalities still remain prevalent in the health care (Adams 2007). BACKGROUND OF SOCIAL CARE IN THE UK Social care has long been in existence as an informal concept through family support, community support and charitable works (Manson, et.al., 2004). The earliest Parliamentary Act that offered formal support to social care was the Poor Law of 1601 (Manson, et.al., 2004). This Act of parliament referred those in need of domestic care, health care, employment and housing to the care of their Parish. The advent of social work in the 19th century offered more formal support to social care. From medieval times, care was provided mostly by faith organizations or voluntary associations (Manson, et.al., 2004). The coming into power by the liberal government in 1906 was accompanied with the provision of formal health and social care that led to the establishment of the National Health Services (NHS) and the Welfare state in England during the 1940s (Manson, et.al., 2004). This herald a new dawn for social work by making access to formal health and social care services free at the point of need. The care standards Act of 2000 further increased the recognition of social work with the introduction of a degree in social work and the social workers’ register (Porter Teisberg 2006). It is a requirement for social workers to hold an Honours degree or postgraduate MA in social work and to register with the General Social Care Council prior to commencing work. With this background knowledge in mind, it is worth examining the types of services provided by agencies in social care. SERVICES PROVIDED BY STATUTORY AND VOLUNTARY CARE AGENCIES Care services include services provided at care homes, domiciliary care, foster care, respite care and care provided at community venues (Jordan 2008). DOMICILIARY CARE/HOME CARE This is the care that is provided at home and is suited for persons that have less acute need (Francis 2012). Limited nursing care may be provided by a District Nurse when needed. Nursing care is usually provided in care homes especially for the more infirm elderly as such individuals are often in need of medical attention and a greater level of care (Lovell Cordeaux 1999). Domiciliary care aims at providing help with a specific task such as bathing or waking up in the morning. Traditionally, family members, friends and partners have provided domiciliary care. There is however a growing number of voluntary and statutory agencies providing domiciliary care services in the UK. Care UK is one such provider which has been approved to provide domiciliary care services to 55 local authorities in the UK (Francis 2012). Care UK provides domiciliary care to many service users including older people with dementia, children, individuals who are physically disabled and those with sensory impairments as well as serving adults with specialist needs such as mental illness, learning difficulties, HIV and acquired brain injury (Francis 2012). RESPITE CARE This can be defined as a temporary relief provided for an elderly or the carer and may take the following forms (Lovell Cordeaux 1999): Taking a break away from the daily routine by the elderly such as a going on a holiday. A short stay in a care home so that the carer can go on a holiday Increased support at home to enable the carer to pursue his/her interests Respite care may be as little as a day, a week or even an hour per week depending on the circumstances of the individual. Under the Carers Recognition and Services Act 1995, a carer who provides substantial care to his/her relative, friend, neighbour or partner is entitled to his/her own separate assessment by social services (Lovell Cordeaux 1999). If assessed as in need of respite care, then this can be arranged by them. FOSTER CARE This refers to the care provided to a minor who has been made a â€Å"ward† (Curry Ham 2010). The minor is placed in the hands of a licensed or state certified caregiver who is often referred to as the foster parent. Foster care placement may be voluntary or involuntary. Where the biological parent is not able to provide the needed care to the minor, then voluntary placement may occur. However, where the minor is at risk of physical or psychological harm, then involuntary placement occurs (Curry Ham 2010). There are many agencies providing fostering services in the UK. FosterCare UK is one independent non-profit organization established in 2007 to provide foster care services to minors in London and South East (Porter Teisberg 2006). FosterCare UK recruits, trains, approves and supports foster carers to work with young people with complex and challenging needs (Porter Teisberg 2006). COMMUNITY CARE Care may as well be provided at community venues such as drop-in and day care centres. A good example is the Community Integrated Care (CIC) group, one of the leading nonprofit social and health care providers in the UK (Porter Teisberg 2006). CIC is a national and registered charity that works in the community by providing support to people with a diverse range of needs across England and Scotland (Porter Teisberg 2006). The group provides support to people with learning difficulties, physical disabilities and mental health conditions. It also provides a range of support services to older people with dementia. Further, CIC provides homelessness services such as housing, personal development and training and education to homeless people (Porter Teisberg 2006). While there are a number of agencies, both statutory and voluntary, offering social care services to vulnerable individuals, challenges still remain in the provision of such services. Health inequality is one major challenge which has continued to undermine the effective provision of services in the health care. INEQUALITIES IN HEALTH In the UK, the black and minority ethnic (BME) groups have in general reported ill-health and their dissatisfaction with the care services. A large proportion of the UK population constitutes the white. According to the 2001 census, the white accounted for 92% of the total population while the Black British and Asians accounted for 2% and 4% respectively (DOH 2006). Ethnic differences in the delivery and uptake of health care services have been reported. For example, access to care for coronary heart disease has been found to be lower among the South Asians (DOH 2006). With reference to prevention, the rates of smoking cessation have been found to be lower in these minority groups compared to the whites (DOH 2006). Additionally, most of these minority groups have indicated higher rates of dissatisfaction with the services provided by the NHS. For example, according to the Healthcare Commission patient surveys, most of the South Asians reported poorer experiences in hospitals as inpatients (DOH 2006). Many of these minority groups experience higher rates of poverty than the whites, in terms of area deprivation, worklessness, income, and the lack of basic necessities. This perhaps explains the variation in self-reported health. However, other than their socio-economic status, there is a complex interplay of factors that may be responsible for causing such inequalities including discrimination, racism, poor delivery of health care services, biological susceptibility and the differences in culture and lifestyles (DOH 2006). PROGRESS AND INITIATIVES TOWARDS REDUCING INEQUALITY IN HEALTH CARE Policy developments have tried to tackle inequalities in health. Acheson’s Independent Inquiry of 1998 was a key initiative that put health inequalities on the policy agenda (Stuart 2003). It emphasized on how poverty, the wider inequalities and exclusion were impacting on the provision of health care services. Subsequent policies have also recognized inequalities in health as multi-faceted and focused on reducing these inequalities. The central focus of health inequalities policies have primarily been on health care and NHS funding (Baldock, et.al., 2007). Besides the socioeconomic inequalities, policies have also focused explicitly on equity between the various ethnic groups. Identifying good practice in racial equality and mainstreaming strategies in health services has been the main approach to tackling inequalities (Baldock, et.al., 2007). A number initiatives have been commissioned by the Department of Health to collate good practice in equality in health such as Race for Health, Pacesetters and handling problems like language barriers and barrier to access of health care resources (Stuart 2003). More recently, major reforms have been made to the NHS. The role that Primary Care Trust plays in health care has expanded and changes have been made to practice based commissioning, competition, and involvement of patient as well as plurality of providers (Lewis, et.al 2010). These reforms are seen as making it easier tailor health care services to local populations thus meeting the needs of everyone, including the minority groups. The Department of Health has also initiated the Mosaic programme, which aims at developing and maintaining good practice in procurement, based on the Commission for Racial Equality guidelines (DOH 2006). Concerns have however been raised by critics that the initiative may not be of benefit to the minority and deprived groups and they have called for an examination of the impact that these reforms may have on equalities. While there has been a remarkable progress towards reducing inequalities in the health care sector in UK, there is still the need to develop more policies and interventions that support all sections of the society and direct care, treatment and services in proportion to need. This includes advocating for the promotion of individual rights within the care sector. PROMOTION OF EQUALITY AND INDIVIDUAL RIGHTS In this regard, individual rights include, but are not limited to (Adams 2007): The right to respect Not to be discriminated against Right to practice their cultural and religious beliefs Making their own choices Right to equality or to be treated in a similar manner as the rest of the population Treated as an individual Right to be treated in a dignified way Right to privacy or confidentiality Protection from harm and danger Right to have access to information, especially where that information concerns them Communication using their preferred methods. There is thus the need for recognition of the immense diversity amongst individuals in the British society and how care agencies, both voluntary and statutory, can accommodate this diversity. This promotion of equality and individual rights is crucial for effective provision of care services. That is, social workers need to treat everyone as an individual, have respect for individual’s diversity and cultural values, promote equal treatment and opportunities for individuals, empower individuals, support them express their needs and experiences, ensure their well-being, work in ways consistent with the individual’s preferences and beliefs, avoid their discrimination and put the individual’s preference at the heart of service provisions through person centred planning approach (Adams 2007). CONCLUSION Social care services are provided to vulnerable individuals to protect them from harm, promote their independence and social inclusion, preserve or advance their physical and mental health, improve their opportunities and life chances, strengthen their families and protect and promote their individual human rights. In spite of the importance of provision of social care services, it is apparent that the current system in the UK is perceived unfair in the provision of health care services. There seems to be huge disparities in health care service provisions in parts of the UK with the spearheaded areas experiencing worst health care and deprivation. A remarkable progress has however been made towards reducing inequalities in the health A number initiatives have been commissioned by the Department of Health to collate good practice in equality in health such as Race for Health, Pacesetters and major reforms made to the NHS. These are seen as making it easier to tailor health care services to local populations thus meeting the needs of everyone, including the minority groups. While there has been a remarkable progress made, there is still the need to develop more policies and interventions that support all sections of the society and direct care, treatment and services in proportion to need. Social workers can play an important role in reducing health inequalities by working with service users in increasing their social and material resources and providing them access to information and support systems as well as maximizing their capacity to managing their health. REFERENCE Adams, R., 2007. Foundations of health and social care. Palgrave publishers Alcock, P., et.al., 2006. Students companion to social policy. Blackwell publishers Baldock et al (eds), 2007. Social Policy, Oxford University Press. Bradshaw, et.al., 1978. Issues in social policy. Routledge. Curry N. and C. Ham, 2010. Clinical and Service Integration: The route to improved outcomes. London: The King’s Fund. Available at: www.kingsfund.org.uk/publications/clinical_and_service.html (accessed on 16 February 2012). Department of Health (DOH), 2006. Our Health, Our Care, Our Say: A New Direction for Community Services. London: DOH Department of Health, 1998. Modernising social services. Crown publishers. Hill, M., 2006. Social policy in the modern world. Blackwell publishers Ellison, N. and C. Pierson, 2003. Developments in British Social Policy. Palgrave publishers Francis, J., 2012. An overview of the UK domiciliary care sector. Sutton. United Kingdom Home Care Association Ltd. Jordan, B., 2008. Social policy for the 21st century (New Perspective). Polity Press. Lewis R, et.al., 2010. Where Next for Integrated Care Organisations in the NHSLondon: Nuffield Trust. Lovell, T and C. Cordeaux, 1999. Social Policy for Health and Social Care. Hodder and Stoughton. Mason, et.al, 2004. BTEC Introduction Health and Social Care. Heinemann. Platt, L, 2002. Parallel livesPoverty among ethnic minority groups in Britain, London. Porter, M. and E. Teisberg, 2006. Redefining Health Care: Creating Value- Based Competition On Results. Harvard Business School Press. Stuart, et.al, 2003. Tackling Health Inequalities since the Acheson Inquiry, Bristol How to cite Analysis Of Health And Social Care In The Uk, Essay examples

Analysis Of Health And Social Care In The Uk Free Essays

ABSTRACT This analysis provides a review on the health and social care services in the UK. This will include an exploration of inequalities with the care sectors from the focus of the policy and individual and a discussion on promotion of equality and individual rights within the care sector. A brief history of social care in the UK will also be given. We will write a custom essay sample on Analysis Of Health And Social Care In The Uk or any similar topic only for you Order Now A clear understanding of inequalities in health is of critical importance so as to develop policies and interventions that support all sections of the society and direct care, treatment and services in proportion to need. Social workers can play an important role in these inequalities by working with service users in increasing their social and material resources and providing them access to information and support systems as well as maximizing their capacity to managing their health. INTRODUCTION At a time when there is a growing population in need of care, yet inequalities in health and social care challenge effective provision of services, the UK government face the central question: how should inequalities in health care be tackled and how can government ensure the promotion of individual rights within the care sector (Alcock, et.al., 2006)In order to explore on this subject, we must first define what we mean by social care. Social care encompasses a range of services that help people maintain independence, help them manage complex relationships, protect them in vulnerable situations and enable them to play a fuller part in the society (DOH 2006). It includes the provision of personal care, social work, protection and social support services to children and vulnerable adults. The provision of social care is often deemed necessary at old age or when an individual is suffering from long-term illness, learning and physical/sensory disability or mental illness. RATIONALE The current system in the UK is perceived unfair in the provision services in health care. There are huge disparities in the provision of health care services in parts of the UK with the spearheaded areas experiencing worst health care and deprivation (Ellison Pierson 2003). The central focus of health inequalities policies have primarily been on health care and NHS funding. While significant progress has been made over the past decade by the National Health Service, inequalities still remain prevalent in the health care (Adams 2007). BACKGROUND OF SOCIAL CARE IN THE UK Social care has long been in existence as an informal concept through family support, community support and charitable works (Manson, et.al., 2004). The earliest Parliamentary Act that offered formal support to social care was the Poor Law of 1601 (Manson, et.al., 2004). This Act of parliament referred those in need of domestic care, health care, employment and housing to the care of their Parish. The advent of social work in the 19th century offered more formal support to social care. From medieval times, care was provided mostly by faith organizations or voluntary associations (Manson, et.al., 2004). The coming into power by the liberal government in 1906 was accompanied with the provision of formal health and social care that led to the establishment of the National Health Services (NHS) and the Welfare state in England during the 1940s (Manson, et.al., 2004). This herald a new dawn for social work by making access to formal health and social care services free at the point of need. The care standards Act of 2000 further increased the recognition of social work with the introduction of a degree in social work and the social workers’ register (Porter Teisberg 2006). It is a requirement for social workers to hold an Honours degree or postgraduate MA in social work and to register with the General Social Care Council prior to commencing work. With this background knowledge in mind, it is worth examining the types of services provided by agencies in social care. SERVICES PROVIDED BY STATUTORY AND VOLUNTARY CARE AGENCIES Care services include services provided at care homes, domiciliary care, foster care, respite care and care provided at community venues (Jordan 2008). DOMICILIARY CARE/HOME CARE This is the care that is provided at home and is suited for persons that have less acute need (Francis 2012). Limited nursing care may be provided by a District Nurse when needed. Nursing care is usually provided in care homes especially for the more infirm elderly as such individuals are often in need of medical attention and a greater level of care (Lovell Cordeaux 1999). Domiciliary care aims at providing help with a specific task such as bathing or waking up in the morning. Traditionally, family members, friends and partners have provided domiciliary care. There is however a growing number of voluntary and statutory agencies providing domiciliary care services in the UK. Care UK is one such provider which has been approved to provide domiciliary care services to 55 local authorities in the UK (Francis 2012). Care UK provides domiciliary care to many service users including older people with dementia, children, individuals who are physically disabled and those with sensory impairments as well as serving adults with specialist needs such as mental illness, learning difficulties, HIV and acquired brain injury (Francis 2012). RESPITE CARE This can be defined as a temporary relief provided for an elderly or the carer and may take the following forms (Lovell Cordeaux 1999): Taking a break away from the daily routine by the elderly such as a going on a holiday. A short stay in a care home so that the carer can go on a holiday Increased support at home to enable the carer to pursue his/her interests Respite care may be as little as a day, a week or even an hour per week depending on the circumstances of the individual. Under the Carers Recognition and Services Act 1995, a carer who provides substantial care to his/her relative, friend, neighbour or partner is entitled to his/her own separate assessment by social services (Lovell Cordeaux 1999). If assessed as in need of respite care, then this can be arranged by them. FOSTER CARE This refers to the care provided to a minor who has been made a â€Å"ward† (Curry Ham 2010). The minor is placed in the hands of a licensed or state certified caregiver who is often referred to as the foster parent. Foster care placement may be voluntary or involuntary. Where the biological parent is not able to provide the needed care to the minor, then voluntary placement may occur. However, where the minor is at risk of physical or psychological harm, then involuntary placement occurs (Curry Ham 2010). There are many agencies providing fostering services in the UK. FosterCare UK is one independent non-profit organization established in 2007 to provide foster care services to minors in London and South East (Porter Teisberg 2006). FosterCare UK recruits, trains, approves and supports foster carers to work with young people with complex and challenging needs (Porter Teisberg 2006). COMMUNITY CARE Care may as well be provided at community venues such as drop-in and day care centres. A good example is the Community Integrated Care (CIC) group, one of the leading nonprofit social and health care providers in the UK (Porter Teisberg 2006). CIC is a national and registered charity that works in the community by providing support to people with a diverse range of needs across England and Scotland (Porter Teisberg 2006). The group provides support to people with learning difficulties, physical disabilities and mental health conditions. It also provides a range of support services to older people with dementia. Further, CIC provides homelessness services such as housing, personal development and training and education to homeless people (Porter Teisberg 2006). While there are a number of agencies, both statutory and voluntary, offering social care services to vulnerable individuals, challenges still remain in the provision of such services. Health inequality is one major challenge which has continued to undermine the effective provision of services in the health care. INEQUALITIES IN HEALTH In the UK, the black and minority ethnic (BME) groups have in general reported ill-health and their dissatisfaction with the care services. A large proportion of the UK population constitutes the white. According to the 2001 census, the white accounted for 92% of the total population while the Black British and Asians accounted for 2% and 4% respectively (DOH 2006). Ethnic differences in the delivery and uptake of health care services have been reported. For example, access to care for coronary heart disease has been found to be lower among the South Asians (DOH 2006). With reference to prevention, the rates of smoking cessation have been found to be lower in these minority groups compared to the whites (DOH 2006). Additionally, most of these minority groups have indicated higher rates of dissatisfaction with the services provided by the NHS. For example, according to the Healthcare Commission patient surveys, most of the South Asians reported poorer experiences in hospitals as inpatients (DOH 2006). Many of these minority groups experience higher rates of poverty than the whites, in terms of area deprivation, worklessness, income, and the lack of basic necessities. This perhaps explains the variation in self-reported health. However, other than their socio-economic status, there is a complex interplay of factors that may be responsible for causing such inequalities including discrimination, racism, poor delivery of health care services, biological susceptibility and the differences in culture and lifestyles (DOH 2006). PROGRESS AND INITIATIVES TOWARDS REDUCING INEQUALITY IN HEALTH CARE Policy developments have tried to tackle inequalities in health. Acheson’s Independent Inquiry of 1998 was a key initiative that put health inequalities on the policy agenda (Stuart 2003). It emphasized on how poverty, the wider inequalities and exclusion were impacting on the provision of health care services. Subsequent policies have also recognized inequalities in health as multi-faceted and focused on reducing these inequalities. The central focus of health inequalities policies have primarily been on health care and NHS funding (Baldock, et.al., 2007). Besides the socioeconomic inequalities, policies have also focused explicitly on equity between the various ethnic groups. Identifying good practice in racial equality and mainstreaming strategies in health services has been the main approach to tackling inequalities (Baldock, et.al., 2007). A number initiatives have been commissioned by the Department of Health to collate good practice in equality in health such as Race for Health, Pacesetters and handling problems like language barriers and barrier to access of health care resources (Stuart 2003). More recently, major reforms have been made to the NHS. The role that Primary Care Trust plays in health care has expanded and changes have been made to practice based commissioning, competition, and involvement of patient as well as plurality of providers (Lewis, et.al 2010). These reforms are seen as making it easier tailor health care services to local populations thus meeting the needs of everyone, including the minority groups. The Department of Health has also initiated the Mosaic programme, which aims at developing and maintaining good practice in procurement, based on the Commission for Racial Equality guidelines (DOH 2006). Concerns have however been raised by critics that the initiative may not be of benefit to the minority and deprived groups and they have called for an examination of the impact that these reforms may have on equalities. While there has been a remarkable progress towards reducing inequalities in the health care sector in UK, there is still the need to develop more policies and interventions that support all sections of the society and direct care, treatment and services in proportion to need. This includes advocating for the promotion of individual rights within the care sector. PROMOTION OF EQUALITY AND INDIVIDUAL RIGHTS In this regard, individual rights include, but are not limited to (Adams 2007): The right to respect Not to be discriminated against Right to practice their cultural and religious beliefs Making their own choices Right to equality or to be treated in a similar manner as the rest of the population Treated as an individual Right to be treated in a dignified way Right to privacy or confidentiality Protection from harm and danger Right to have access to information, especially where that information concerns them Communication using their preferred methods. There is thus the need for recognition of the immense diversity amongst individuals in the British society and how care agencies, both voluntary and statutory, can accommodate this diversity. This promotion of equality and individual rights is crucial for effective provision of care services. That is, social workers need to treat everyone as an individual, have respect for individual’s diversity and cultural values, promote equal treatment and opportunities for individuals, empower individuals, support them express their needs and experiences, ensure their well-being, work in ways consistent with the individual’s preferences and beliefs, avoid their discrimination and put the individual’s preference at the heart of service provisions through person centred planning approach (Adams 2007). CONCLUSION Social care services are provided to vulnerable individuals to protect them from harm, promote their independence and social inclusion, preserve or advance their physical and mental health, improve their opportunities and life chances, strengthen their families and protect and promote their individual human rights. In spite of the importance of provision of social care services, it is apparent that the current system in the UK is perceived unfair in the provision of health care services. There seems to be huge disparities in health care service provisions in parts of the UK with the spearheaded areas experiencing worst health care and deprivation. A remarkable progress has however been made towards reducing inequalities in the health A number initiatives have been commissioned by the Department of Health to collate good practice in equality in health such as Race for Health, Pacesetters and major reforms made to the NHS. These are seen as making it easier to tailor health care services to local populations thus meeting the needs of everyone, including the minority groups. While there has been a remarkable progress made, there is still the need to develop more policies and interventions that support all sections of the society and direct care, treatment and services in proportion to need. Social workers can play an important role in reducing health inequalities by working with service users in increasing their social and material resources and providing them access to information and support systems as well as maximizing their capacity to managing their health. REFERENCE Adams, R., 2007. Foundations of health and social care. Palgrave publishers Alcock, P., et.al., 2006. Students companion to social policy. Blackwell publishers Baldock et al (eds), 2007. Social Policy, Oxford University Press. Bradshaw, et.al., 1978. Issues in social policy. Routledge. Curry N. and C. Ham, 2010. Clinical and Service Integration: The route to improved outcomes. London: The King’s Fund. Available at: www.kingsfund.org.uk/publications/clinical_and_service.html (accessed on 16 February 2012). Department of Health (DOH), 2006. Our Health, Our Care, Our Say: A New Direction for Community Services. London: DOH Department of Health, 1998. Modernising social services. Crown publishers. Hill, M., 2006. Social policy in the modern world. Blackwell publishers Ellison, N. and C. Pierson, 2003. Developments in British Social Policy. Palgrave publishers Francis, J., 2012. An overview of the UK domiciliary care sector. Sutton. United Kingdom Home Care Association Ltd. Jordan, B., 2008. Social policy for the 21st century (New Perspective). Polity Press. Lewis R, et.al., 2010. Where Next for Integrated Care Organisations in the NHSLondon: Nuffield Trust. Lovell, T and C. Cordeaux, 1999. Social Policy for Health and Social Care. Hodder and Stoughton. Mason, et.al, 2004. BTEC Introduction Health and Social Care. Heinemann. Platt, L, 2002. Parallel livesPoverty among ethnic minority groups in Britain, London. Porter, M. and E. Teisberg, 2006. Redefining Health Care: Creating Value- Based Competition On Results. Harvard Business School Press. Stuart, et.al, 2003. Tackling Health Inequalities since the Acheson Inquiry, Bristol How to cite Analysis Of Health And Social Care In The Uk, Essay examples

Tuesday, April 28, 2020

The sense of culture associated with A Stench of kerosene Persuasive Essay Example For Students

The sense of culture associated with A Stench of kerosene Persuasive Essay On purpose the author mentions bride price and not dowry to emphasise the fact that Guleri is being sold. As Guleri father was prosperous and had lived in cities, he had sworn that he would not take money for his daughter but would give her to a worthy young man from a good family. He felt that Manak fulfilled these requirements, so soon after they married. Now happily married, Manak deep in memories having Guleris hand on his shoulder. As Guleri got up to leave, she said do you know the bluebell wood a couple of miles away from here? Its said that anyone who goes through it becomes deaf. We will write a custom essay on The sense of culture associated with A Stench of kerosene Persuasive specifically for you for only $16.38 $13.9/page Order now So the customs of this part of the world just shows the element of superstition that they embrace within themselves as illustrated above. When Manak returned home the sound of his voice was heavy. Why do you croak like an old woman? Said his mother severely. Manak wanted to retort but he remained silent. This goes to show the strong values and utmost respect that the children hold for their parents even though Manak was slightly insulted he managed to stay silent and keep his cool and this civilised behaviour shows the extensive powerful morals which are held in this part of the world. As Guleri and Manak have been married for seven years without any children, Manaks mother had made a secret resolve that she would not let it go beyond the eighth year. This goes to show that if a woman doesnt produce any offspring then she doesnt hold any values and it shows how keen Manaks mother is willing to have a grandson in the family. This year she had paid five hundred rupees to get him a second wife. As Manak was obedient to his mother he brought a new bride just to please his mother however Manaks body responded to the new woman but his heart was dead within him. So it just goes to show that love is there forever and can never be destroyed no matter what occurs. Manaks friend Bhavani says him in the fields one morning, Manak tried to ignore him however this didnt work out the way he hoped. He then heard the words, which will haunt him for the rest of his life Guleri is dead because when she heard of your second marriage, she soaked her clothes in kerosene and set fire to them. Hearing those words pierced through Manaks heart like a needle, Manak mute with pain could only feel his own life burning out. This goes to show that his love for her and her love for him were still very much alive and the traditions of forced marriages which sadly occur in many sub continental countries have devastating affects especially if love is evident between the couple. Guleri burning herself to death symbolises the cultural practise of Sati by which a widow burns herself although this is outlawed in India still exists in rural communities. Although Guleri was technically not a widow her husband was as good as dead to her and being a rejected bride unable to produce children her life in Hindu culture was now meaningless. As the days passed his work was done on the fields and ate his meals when they were given to him. But he was like a dead man, his face blank, his eyes empty. As this marriage was purely to fulfil his mothers desires the love was not there and his wife said, I am not his wife, complained his second wife. Im just someone he happened to marry. .u2e4e76bbfb1e32d80baa977644217744 , .u2e4e76bbfb1e32d80baa977644217744 .postImageUrl , .u2e4e76bbfb1e32d80baa977644217744 .centered-text-area { min-height: 80px; position: relative; } .u2e4e76bbfb1e32d80baa977644217744 , .u2e4e76bbfb1e32d80baa977644217744:hover , .u2e4e76bbfb1e32d80baa977644217744:visited , .u2e4e76bbfb1e32d80baa977644217744:active { border:0!important; } .u2e4e76bbfb1e32d80baa977644217744 .clearfix:after { content: ""; display: table; clear: both; } .u2e4e76bbfb1e32d80baa977644217744 { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .u2e4e76bbfb1e32d80baa977644217744:active , .u2e4e76bbfb1e32d80baa977644217744:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .u2e4e76bbfb1e32d80baa977644217744 .centered-text-area { width: 100%; position: relative ; } .u2e4e76bbfb1e32d80baa977644217744 .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .u2e4e76bbfb1e32d80baa977644217744 .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .u2e4e76bbfb1e32d80baa977644217744 .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .u2e4e76bbfb1e32d80baa977644217744:hover .ctaButton { background-color: #34495E!important; } .u2e4e76bbfb1e32d80baa977644217744 .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .u2e4e76bbfb1e32d80baa977644217744 .u2e4e76bbfb1e32d80baa977644217744-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .u2e4e76bbfb1e32d80baa977644217744:after { content: ""; display: block; clear: both; } READ: The Role of Music in Puerto Rican Popular Culture EssayThis also goes to show that Manak loved Guleri but he couldnt go against the wishes of his mother this is because of the culture. Soon after Manaks wife was pregnant and his mothers dreams had been fulfilled, but Manaks life had been shattered. The baby was placed into his lap, Manak stared at the new-born babe in his lap he stared a long time, uncomprehending ,his face usual expressionless. Then suddenly his blank eyes filled with horror and Manak began to scream. take him away! he shrieked hysterically , take him away! He stinks of kerosene. It goes to show that forced marriages, which occur in many countries in the subcontinent have devastating affects as is implied by the story. It is very sad that a love marriage is broken up due to the fulfilment of others, which leads to death and shattered lives. This story clearly conveys the message to the readers the differences in culture between West and the East and also shows the different roles of each person and how the role of parents influences the lives of people in this part of the world.

Friday, March 20, 2020

Arranged Marriages essays

Arranged Marriages essays Many people believe that arranged marriages offer protection and security to women. They say there is a great amount of pressure for women to love their spouse. However, women have been known to stay in abusive relationships for the sake of family pride and respect in society. In fact, traditions and family are two major reasons why arranged marriages are still used today. First of all, love marriages offer more independence and freedom compared to arranged marriages where the girl or boy is chosen by the parents so that there is pressure to conform to parental expectations like producing a male heir, taking part in family rituals and traditions, putting up with sister-in-laws, contributing to family expenses, and so on. One of the usual questions against an arranged marriage is: how can you marry somebody you dont know? Knowing somebody before marriage allows partners to have better respect and understanding for each others needs and desires. This way, they are better adjusted in the marriage when they finally take their wedding vows. Secondly, arranged marriages deprive individuals of their liberation and goes against freedom of speech. In India, where many arranged marriages happen, women have been known to stay in abusive relationships. You cant play music or watch TV, just imagine your freedom being taken away from you, because of your traditions that occur in your culture. This is upsetting to me. The fact that women lose such personal freedom sickens me. Every person, no matter what race, should be treated equally to others. Finally, why do people follow tradition? There are three major reasons why people would follow through with customs: family, society/peer pressure, and nurture. Fitting in with society is a major reason why families are so strict about arranged marriages. Families in certain communities are concerned about their social status ...

Tuesday, March 3, 2020

Guy de Chauliac - Influential 14th-Century Physician

Guy de Chauliac - Influential 14th-Century Physician This profile of Guy de Chauliac is part ofWhos Who in Medieval History   Guy de Chauliac was also known as: Guido de Cauliaco or Guigo de Cauliaco  (in Italian); also spelled  Guy de Chaulhac Guy de Chauliac was known for: Being one of the most influential physicians of the Middle Ages. Guy de Chauliac wrote an important work on surgery that would serve as the standard text for more than 300 years.   Occupations: PhysicianClericWriter Places of Residence and Influence: FranceItaly Important Dates: Born:  c. 1300Died:  July 25, 1368 About Guy de Chauliac: Born to a family of limited means in Auvergne, France, Guy was bright enough to be recognized for his intellect and was sponsored in his academic pursuits by the lords of Mercoeur. He began his studies at Toulouse, then moved on to the much-respected University of Montpellier, where he received his magister in medicina (masters degree in medicine) under the tutelage of Raymond de Moleriis in a program that required six years of study. Some time later Guy moved on to the oldest university in Europe, the University of Bologna, which had already built a reputation for its medical school. At Bologna he appears to have perfected his understanding of anatomy, and he may have learned from some of the best surgeons of the day, though he never identified them in his writing as he did his medical professors. Upon leaving Bologna, Guy spent some time in Paris before moving on to Lyons. In addition to his medical studies, Guy took holy orders, and in Lyons he became a canon at St. Just. He spent about a decade at Lyons practicing medicine before moving to Avignon, where the popes were residing at that time. Some time after May, 1342, Guy was appointed by Pope Clement VI as his private physician. He would attend the pontiff during the horrific Black Death that came to France in 1348, and though a third of the cardinals at Avignon would perish from the disease, Clement survived. Guy would later use his experience of surviving the plague and attending its victims in his writings. Guy spent the rest of his days in Avignon. He stayed on as physician for Clements successors, Innocent VI and Urban V, earning an appointment as a papal clerk. He also became acquainted with Petrarch. Guys position in Avignon afforded him unparalleled access to an extensive library of medical texts that were available nowhere else. He also had access to the most current scholarship being conducted in Europe, which he would incorporate into his own work. Guy de Chauliac died in Avignon on July 25, 1368. The Chirurgia magna of Guy de Chauliac The works of Guy de Chauliac are considered among the most influential medical texts of the Middle Ages. His most significant book is Inventarium seu collectorium in parte cyrurgicali medicine, called by later editors Chirurgia magna and sometimes referred to simply as Chirurgia. Completed in 1363, this inventory of surgical medicine pulled together medical knowledge from about a hundred earlier scholars, including ancient and Arabic sources, and cites their works more than 3,500 times.   In Chirurgia, Guy included a brief history of surgery and medicine and provided a discourse on what he thought every surgeon should know about diet, surgical implements, and how an operation should be conducted. He also discussed and evaluated his contemporaries, and related much of his theory to his own personal observations and history, which is how we know most of what we do about his life.   The work itself is divided into seven treatises: anatomy, apostemes (swellings and abscesses), wounds, ulcers, fractures, other diseases and the complements to surgery (the use of drugs, bloodletting, therapeutic cauterization, etc.). All in all, it covers nearly every condition a surgeon might be called upon to deal with. Guy emphasized the importance of medical treatment, including diet, drugs, and the application of substances, reserving surgery as a last resort.   Chirurgia magna contains a description of a narcotic inhalation to use as a soporific for patients undergoing surgery. Guys observations of the plague included an elucidation of two different manifestations of the disease, making him the first to distinguish between pneumonic and bubonic forms. Although he has sometimes been criticized for advocating too much interference with the natural progression of the healing of wounds, Guy de Chauliacs work was otherwise groundbreaking and extraordinarily progressive for its time. The Influence of Guy de Chauliac on Surgery Throughout the Middle Ages, the disciplines of medicine and surgery had evolved almost independently of one another. Physicians were regarded as serving the general health of the patient, tending to his diet and the illnesses of his internal systems. Surgeons were considered to deal with external matters, from amputating a limb to cutting hair. In the early 13th century, surgical literature began to emerge, as surgeons sought to emulate their medical colleagues and raise their profession to one of comparable esteem. Guy de Chauliacs Chirurgia was the first book on surgery to bring to bear a substantial medical background. He vehemently advocated that surgery should be founded on an understanding of anatomy for, unfortunately, many surgeons of the past had known next to nothing of the particulars of the human body and had merely applied their skills to the ailment in question as they saw fit, a practice that had earned them a reputation as butchers. For Guy, an extensive understanding of how the human body worked was far more important for the surgeon than manual skill or experience. As surgeons were beginning to come to this conclusion, as well, Chirurgia magna began to serve as a standard text on the subject. More and more, surgeons studied medicine before applying their arts, and the disciplines of medicine and surgery began to merge. By 1500, Chirurgia magna had been translated from its original Latin into English, Dutch, French, Hebrew, Italian and Provenà §al. It was still regarded as an authoritative source on surgery as late as the seventeenth century.   More Guy de Chauliac Resources: Guy de Chauliac in Print The links below will take you to a site where you can compare prices at booksellers across the web. More in-depth info about the book may be found by clicking on to the books page at one of the online merchants. The visit merchant link  will take you to an online bookstore, where you can find more information about the book to help you get it from your local library. This is provided as a convenience to you; neither Melissa Snell nor About is responsible for any purchases you make through these links. The Major Surgery of Guy de Chauliactranslated by Leonard D. RosenmanInventarium Sive Chirurgia Magna: Text(Studies in Ancient Medicine , No 14, Vol 1) (Latin Edition)edited and with an introduction by Michael R. McVaughVisit merchant Guy de Chauliac on the Web Chauliac, Guy DeExtensive entry from the  Complete Dictionary of Scientific Biography includes a useful bibliography. Made available at Encyclopedia.com. Medieval Health Medicine   Chronological Index Geographical Index Index by Profession, Achievement, or Role in Society The text of this document is copyright  ©2014-2016 Melissa Snell. You may download or print this document for personal or school use, as long as the URL below is included. Permission is   not  granted to reproduce this document on another website. For publication permission,  please   contact  Melissa Snell.The URL for this document is:http://historymedren.about.com/od/gwho/fl/Guy-de-Chauliac.htm

Sunday, February 16, 2020

Attitudes of nursing towards euthanasia Essay Example | Topics and Well Written Essays - 5000 words

Attitudes of nursing towards euthanasia - Essay Example This topic is relevant to many as it addresses the truth that euthanasia is a reality for everyone. The widely publicised case of Terri Shiavo in the U.S. caused many to consider their own end-of-life care, should the time ever come, as well as that of their loved ones. The Shiavo case made discussion even more complex by introducing such concepts as passive versus active euthanasia, omission versus commission, and ordinary versus extraordinary means to prolong a patient's life. Many issues surrounding euthanasia are currently being debated, such as its place in traditional monotheistic religious perspectives, as well as futuristic abuses and discriminatory practises. Ultimately, the position that many nurses will find themselves in may be one of conflict, as many current laws regarding euthanasia and assisted suicide are unclear about the participation of nurses. Furthermore, religious nurses will find themselves in a position of having to choose between supporting the patient and adhering to their religious beliefs. Eventually, all nurses will be forced to determine definitively what their position on euthanasia is and whether they will be able to support it ideologically as well as physically. This could possibly mean administering the lethal drugs themselves, which will force many to consider their philosophical position on euthanasia carefully and thoughtfully. Traditional Perspectives In 1997, the state of Oregon in the U.S. passed the Oregon Death with Dignity Act, which legalised physician-assisted suicide (Miller, et al. 2004). In a study published by Palliative Medicine in 2004, questionnaires were mailed out to all of the hospice nurses and social workers in Oregon in 2001 regarding their responses to patients who request assisted suicide or discuss assisted suicide as a possible option in end-of-life care. The researchers received 573 responses and found 306 to be relevant to their study. The researchers asked the nurses and social workers to rate the importance of religion and spirituality in their lives and professions on a scale of 0 to 10, with 0 being "not at all important," and 10 being "very important." Both groups rated spirituality as being very important (Miller, et al. 2004). But while social workers rated the importance of religion at 5, nurses rated its importance at 6.6 (Miller, et al. 2004). The role of religion thusly acts as an influential factor in the approach that many nurses take towards their profession and, subsequently, towards assisted suicide and potential requests. Of the respondents questioned, two-thirds reported having discussed assisted suicide with a patient within the previous year (Miller, et al. 2004). 22% reported being uncomfortable with discussing assisted suicide (Miller, et al. 2004). The researchers found that the nurses who rated the importance of religion highly had a less supportive view of assisted suicide, while nurses who rated religion's importance lower demonstrated a more positive attitude towards assisted suicide (Miller, et al. 2004). Of the nurses who responded to the questionnaire, 13% were Catholic, 1% were Jewish, 28% were Protestant, 28% were Christian Other, and 9% were Other non-Christian (Miller, et al. 2004). To understand religious perspectives of euthanasia, we must first define euthanasia. There are two basic

Sunday, February 2, 2020

Duchenne Muscular Dystrophy Research Paper Example | Topics and Well Written Essays - 750 words

Duchenne Muscular Dystrophy - Research Paper Example The author of this research paper provides the reader with the description of a condition called Duchenne muscular dystrophy that is named after French neurologist Guillaume Benjamin Amand Duchenne who is known for his description of the disease in fine detail. This research paper focuses on discussing of the various aspects of the Duchenne muscular dystrophy, such as it's basic definition, description, epidemiology, pathogenicty, symptoms and diagnosis, treatment and on-going research. This desiase is common in boys between ages 3 and 5 and progresses very fast with most patients completely unable to walk by age 12. However, the disease can be detected with about 95% accuracy by conducting genetic studies during pregnancy. Currently, several possible treatments are being investigated in trials globally in hospitals, laboratories, independent researchers, research institutions and higher learning institutions such as universities with the major focus placed on pursuance cure from ste m cells and gene therapy. The researcher explains current treatment methods that basically aim at merely controlling symptoms and improving quality of life. It is concluded that duchenne muscular dystrophy remains one of the greatest health concerns amongst young children and especially boys today. It is prudent that expectant mothers who are carriers of the disease get help from doctors during their pregnancy so that steps can be taken to minimize effects of the ailment on their children as treatment is still researched.

Saturday, January 25, 2020

Tourism Industry In Indonesia Politics Essay

Tourism Industry In Indonesia Politics Essay Unity in Diversity, is the national motto of Indonesia, is a term that strikes deep into the heart of this dynamic and attractive Southeast Asian nation. Few places offer such cultural variety and geographical complexity as Indonesia, and no two journeys here are ever alike. Location, Geography and Climate Indonesia is composed of seventeen thousand islands that stretch over five thousand miles along the equator. The Malay Peninsula and Indochina are situated to the north-west, and the continent of Australia lies due south. Northward lie the Philippines and Micronesia. The worlds largest archipelago, Indonesias constellation of islands straddles the divide between the Asian and Australian continental plates. As a result, the islands offer a stunning variety of topographies and ecologies Mist-shrouded volcanoes and mountains, unexplored rain forests, thousands of miles of beaches, and endless offshore reefs support a dazzling abundance of wildlife, making Indonesia an ideal destination for adventure and eco-travel. The great majority of the countrys constituent islands are of negligible size, but it does holdwholly or in partseveral islands that are enormous. These include Sumatra, Kalimantan (formerly Borneo, and shared with Malaysia), Sulawesi, and Java. The Indonesian state of Irian Jaya occupies the western half of New Guinea, which is the worlds second largest island (behind Greenland). The most populous of the Indonesian islands by far is Java, home to the sprawling capital city of Jakarta. Other notable islands include the exotic, popular resort island of Bali, Lombok, Catholic Flores, and Komodo, home of dragons. http://www.geographia.com/indonesia/indo2.jpg There are two discernible seasons in Indonesia: the dry season, which extends from June to October, and the rainy season, which lasts from November to March. Both are hot. The coastal regions, however, are often cool, and in the mountains the air is often chilly. Overview of the country Indonesia is one of the largest countries in south-east Asia, between the Indian ocean and the pacific ocean which contain mainly mountainous and covered with rain forests, swamps and consists over 13000 islands. Jakarta is the capital of Indonesia. Jakarta, capital of Indonesia and the countrys largest commercial center. Indonesia declared its independence on 17th august 1945 from Japan but Netherlands agreed to transfer sovereignty in 1949. Susilo Bambang is the president and Muhammad Yusuf kalla is the vice-president of Indonesia. Bahasa is the official language in Indonesia which is modified form of Malay but the most widely spoken language is Javanese. 88% of Indonesians populations are Muslim. It has a very large trading environment, with several countries ranging in products from gas to textiles. 22% of its populations lived below poverty line. Flag of Indonesia:- http://8bahasa-indonesia-ccc.wikispaces.com/file/view/indonesia_flag.jpg/307489752/351227/indonesia_flag.jpg Demographic profile of Indonesia mhtml:file://H:FOLDER1GCRIndonesia%20-%20Wikipedia,%20the%20free%20encyclopedia.mht!http://upload.wikimedia.org/wikipedia/commons/thumb/0/05/Indonesia_%28orthographic_projection%29.svg/250px-Indonesia_%28orthographic_projection%29.svg.png According to the 2010 national census, the population of Indonesia 237.6 million, with high population growth at 1.9%. 58% of the population lives on java, the worlds most populous island. Despite a fairly effective family planning program that has been in place since the 1960s, population is expected to grow to around 265 million by 2020 and 306 million by 2050. There are around 300 native ethnic group in Indonesia, and 742 different languages and dialects. Most of Indonesians are descended from Austronesia- speaking people whose languages can be traced to proto-Austronesia (PAN), which possibly originated in Taiwan. Another major grouping is Melanesians, who inhabit eastern Indonesia. The largest ethnic group is the Javanese, who comprise 42% of the population, and are politically and culturally dominant. The Sudanese, ethnic Malays, and Madurese are the largest non-Javanese groups. A sense of Indonesian nationhood exists alongside strong regional identities. Society is largely harmonious, although social, religious and ethnic tensions have triggered horrendous violence. Chinese Indonesians are an influential ethnic minority comprising 3-4% of the population. Much of the countrys privately owned commerce and wealth is Chinese-Indonesian-controlled, which has contributed to considerable resentment, and even anti-Chinese violence. The official national language is Indonesian, a form of Malay. It is based on the prestige dialect of Malay, that of the Johor-Riau Sultanate, which for centuries had been the lingua franca of the archipelago, standards of which are the official languages in Singapore, Malaysia and Brunei. Indonesian is universally taught in schools; consequently it is spoken by nearly every Indonesian. It is the language of business, politics, national media, education, and academia. It was promoted by Indonesian nationalists in the 1920s, and declared the official language under the name Bahasa Indonesia on the proclamation of independence in 1945. Most Indonesians speak at least one of the several hundred local languages and dialects, often as their first language. Of these, Javanese is the most widely spoken as the language of the largest ethnic group. On the other hand, Papua has over 270 indigenous Papuan and Austronesia languages, in a region of about 2.7 million people. While religious freedom is stipulated in the Indonesian constitution, the government officially recognizes only six religions: Islam, Protestantism, Roman Catholicism, Hinduism, Buddhism, and Confucianism. Although it is not an Islamic state, Indonesia is the worlds most populous Muslim-majority nation, with 86.1% of Indonesians being Muslim according to the 2000 census. On 21 May 2011 the Indonesian Sunni-Shia Council (MUHSIN) was established. The council aims to hold gatherings, dialogues and social activities. It was an answer to violence committed in the name of religion. The majority of Muslims in Indonesia are Sunni. 9% of the population was Christian, 3% Hindu, and 2% Buddhist or other. Most Indonesian Hindus are Balinese, and most Buddhists in modern-day Indonesia are ethnic Chinese. Though now minority religions, Hinduism and Buddhism remain defining influences in Indonesian culture. Islam was first adopted by Indonesians in northern Sumatra in the 13th century, through the influence of traders, and became the countrys dominant religion by the 16th century. Roman Catholicism was brought to Indonesia by early Portuguese colonialists and missionaries, and the Protestant denominations are largely a result of Dutch Calvinist and Lutheran missionary efforts during the countrys colonial period. A large proportion of Indonesians-such as the Javanese abangan, Balinese Hindus, and Dayak Christians-practice a less orthodox, syncretic form of their religion, which draws on local customs and beliefs. ECONOMIC OVERVIEW OF INDONESIA Indonesia has a mixed economy in which both the private sector and government play significant roles. The country is the largest economy in Southeast Asia and a member of the G-20 major economies. Indonesias estimated gross domestic product (nominal), as of 2010 was US$706.73 billion with estimated nominal per capita GDP was US$3,015, and per capita GDP PPP was US$4,394 (international dollars). June 2011: At World Economic Forum on East Asia, Indonesian president said Indonesia will be in the top ten countries with the strongest economy within the next decade. The Gross domestic product (GDP) is about $1 trillion and the debt ratio to the GDP is 26%.[ The industry sector is the economys largest and accounts for 46.4% of GDP (2010), this is followed by services (37.1%) and agriculture (16.5%). However, since 2010, the service sector has employed more people than other sectors, accounting for 48.9% of the total labor force; this has been followed by agriculture (38.3%) and industry (12 .8%).[ Agriculture, however, had been the countrys largest employer for centuries Indonesia, a vast polyglot nation, grew an estimated 6.1% and 6.4% in 2010 and 2011, respectively. The government made economic advances under the first administration of President YUDHOYONO (2004-09), introducing significant reforms in the financial sector, including tax and customs reforms, the use of Treasury bills, and capital market development and supervision. During the global financial crisis, Indonesia outperformed its regional neighbors and joined China and India as the only G20 members posting growth in 2009. The government has promoted fiscally conservative policies, resulting in a debt-to-GDP ratio of less than 25%, a small current account surplus, a fiscal deficit below 2%, and historically low rates of inflation. Fitch and Moodys upgraded Indonesias credit rating to investment grade in December 2011. Indonesia still struggles with poverty and unemployment, inadequate infrastructure, corruption, a complex regulatory environment, and unequal resource distribution among r egions. The government in 2012 faces the ongoing challenge of improving Indonesias insufficient infrastructure to remove impediments to economic growth, labor unrest over wages, and reducing its fuel subsidy program in the face of rising oil prices. GDP (official exchange rate): $832.9 billion (2011 est.) GDP real growth rate: 6.5% (2011 est.) country comparison to the world: 39 6.2% (2010 est.) 4.6% (2009 est.) GDP per capita (PPP): $4,700 (2011 est.) country comparison to the world: 157 $4,400 (2010 est.) $4,200 (2009 est.) note: data are in 2011 US dollars GDP composition by sector: Agriculture: 14.7% Industry: 47.2% Services: 38.1% (2011 est.) Industrial production growth rate: 4.1% (2011 est.) country comparison to the world: 78 CURRENCY c OVERVIEW OF INDUSTRIES, TRADE AND COMMERCE The industries in Indonesia are classified as follows: Agriculture: With 42.1% of the total labor force engaged in agriculture, Indonesia can be rightly considered an agrarian economy. The sector contributed 14.4% to the countrys GDP in 2009. In 2006, the country yielded food crops worth 213,529,700 million rupiahs, which was 35% more than the 2003 level. Rice and coffee remains the major producer of the country, making it the worlds fourth biggest producer of these products. Textile and Apparel: The textile and apparel manufacturing industry of Indonesia ranks 14th in the world. In 2008, the value added by textiles and clothing manufacturing dropped to 1.2%. Industry was hard hit by the global recession of the late 2000s. Around 155 textile production companies went bankrupt in 2009 due to an increase in the cost of production and enormous inflow of cheap stuff from China Mining: The fall in commodity prices in 2009, due to the global economic downturn, resulted in several major mining companies putting their investment plans on hold. However, the mining industry is expected to reach US$123 billion by 2014, with yearly growth of 10%-11% from 2010 onwards. Increase in international interest can be seen in the Indonesian coal sector, after the significant number of deals that took place in the last quarter of 2009. Tourism: Tourism is among the biggest economy boosters in Indonesia. This is apparent in the fact that 6.45 million visitors came to the country in 2009, despite of hotel bombings in Jakarta. Tourism contributes 3% to the GDP of the country. The tourism growth plan for 2010 aims at 7 million foreign tourists. However, this is much lower than that of its tiny neighbor Singapore, which was visited by 9.5 million people in 2009. Other Industries: Petroleum and natural gas, footwear, cement, chemical fertilizers, plywood, food, etc. ECONOMIC SECTORS On 25 January 2011, after talks by Indian Prime Minister Manmohan Singh and visiting President of Indonesia Susilo Bambang Yudhoyuno, India and Indonesia had signed business deals worth billions of dollars and set an ambitious target of doubling trade over the next five years. Tourism wise, Indonesia is one of only 14 countries in which tourist visas prior to entry are not required in India. Indian Nationals also are issued tourist visas on arrival in Indonesia. India also has further economic ties with Indonesia through its free trade agreement with ASEAN, of which Indonesia is a member. President of Indonesia Sukarno was the first chief guest at the annual Republic day parade of India. In the year 2011 too, President Susilo Bambang Yudhoyuno was the chief guest for the same. In 1998, agriculture accounted for 19.5 percent of Indonesias total GDP, industry for 45.3 percent, and services for 35.2 percent, a quite different scenario than in decades past. For the first 20 years after independence in 1945, the agricultural sector contributed more than 50 percent of the nations GDP from independence. There was little development of industry, and production per capita was no more than it had been when Indonesia was a Dutch colony. From 1965-74 there were few major industrial projects due to the still weak economy and a strategy of import substitution, which created more jobs. In the early 1970s the Organization of the Petroleum Exporting Countries (OPEC) raised oil prices, greatly increasing Indonesias export income. Indonesia used this windfall, as well as profits from high prices for tropical agricultural products in the 1970s, to build heavy industries, such as steel, and advanced technologies, such as aeronautics. By the 1980s this industrialization process allowed growing industries such as steel, aluminum, and cement production to reduce the dependence of the economy on agriculture. These industries, especially the high-tech ones, met with only mixed success, and none of them generated the significant employment required by such a populous country. Agriculture and natural resources were still important to the economy, and Indonesias economy was vulnerable to frequent changes in the prices of these commodities, as well as of oil and gas. Oil earnings dropped in 1982-83 from US$18.825 billion to US$14.744 billion and kept falling over the next 2 years. Non-oil exports grew but not enough to make up for the fall in earnings. As Indonesias balance of payments became negative, the World Bank pushed Indonesia to open its markets, and beginning in the mid-1980s the government initiated reforms to boost manufactured exports in order to strengthen the economy. These measures included a currency de-valuation to help make exports competitive, export incentives, the relaxation of rules on foreign investment and trade, and an end to some monopolies, such as plastics OVERVIEW OF BUSINESS AND TRADE AT INTERNATIONAL LEVEL Indonesia carries exports and imports at an international level as well. Indonesia Exports: Commodities-Oil gas, Plywood, Textiles, Rubber, Electrical appliances, etc. Indonesia Imports: Commodities-Machinery and equipment, Chemicals, Fuels, Foodstuffs, etc. FDI rules in Indonesia allow 100% FDI investment in selected areas of business only. It limits foreign direct investment to 95%, with a minimum of 5% ownership by an Indonesian. It allows FDI investment with certain conditions that stipulates the sectors which are closed to FDI investment. Trade TRADE INVESTMENT COMPLEMENTARITIES India Indonesia bilateral trade is at least two millennia old. In the ancient past, the two nations used to trade in spices, timbers, minerals, precious stones, cotton silk. In present, trade ties have not realized their true potential which can be attributed to the lack of imaginative. Planning as well as ignorance on the part of the business communities of the two countries. Now India and Indonesia are increasingly seen as emerging Asian economies. trade and investment complementary need to be comprehensively explored. As a result of the continued growth of Indias economic transaction with the ASEAN from 1970 onwards, the amount of trade grew in volume. By 1982 the ASEAN countries shared Indias export which had been 2.6 percent in 1970 had risen to 4.2 % .During the same period Indias total imports from the region had risen. PRESENT TRADE RELATIONS OF INDIA AND INDONESIA http://www.ecaii.org/images/stories/header.jpg Today, both the countries maintain cooperative and friendly relations. India and Indonesia are two of the few democracies in Asian region which can be projected as a real democracy. As fellow Asian democracies that share common values, it is natural for both countries to nurture and foster strategic alliance. Indonesia and India are member states of the G-20, the E7 (countries), the Non-aligned Movement, and the United Nations. With an expanding economy and increasingly favorable investment climate, Indonesia stands as a key economic entity in the ASEAN region. Its abundance of natural resources and a flourishing manufacturing sector have ensured a successful relationship with the booming Indian economy in areas of trade and investment. Though trade relations were formalized with the signing of a Trade Agreement in 1978, there was an absence of a forum for periodic talks between the two countries. The bilateral effort was revitalized with the first ever India-Indonesia Joint Commission Meeting (JCM) held in Yogyakarta in September 2003. The meeting resulted in the formation of an India-Indonesia Expert Working group with the primary objective of enhancing and diversifying bilateral trade and investment relations. So far, the JCM has met thrice with the most recent meeting in 2007, producing a comprehensive Plan of Action in areas comprising trade, infrastructure, and investment. This underlines the increasing political support for the bilateral process which would provide the much-needed political impetus to deepen economic relations between the two countries. Indonesia is presently Indias second-largest export market in ASEAN (second only to Singapore). India mainly exports refined petroleum products, oil seeds, chemicals and iron and steel products to Indonesia. On the other hand, it is one of Indonesias largest buyers of crude oil and further, imports its mining, petroleum and paper products. In 2006, Indias exports increased by 33.77 per cent to US$1.407 billion from US$1.052 billion in 2005. Imports on the other hand grew by 17.18 per cent in 2006 to US$3.39 billion from US$2.878 billion the previous year. The two countries intend to work towards a Free Trade Agreement (FTA) with an aim to boost bilateral trade to US$10 billion by 2010. In the area of investment, there are more than twenty major Indian manufacturing joint ventures in Indonesia. Majority of these investments were undertaken in the 1970s and 80s mainly in textiles, synthetic fiber and steel industries with India being among the top 5 investors in Indonesia up to 1985. Major Indian companies that established themselves in this phase included, the Lohia Group (Indorama Synthetics), Ispat Group (Indo Ispat), Aditya Birla Group (having four units in textiles and yarns) and Tolaram Group among others. The recent upturn in the Indonesian economy and the accompanying political change has encouraged a greater emphasis on investments in new industries. There has been a distinct shift from basic raw material industries to automobiles, infrastructure, energy, and services. TVS Motors of Chennai has invested US$45 million in a motorcycle plant near Jakarta while Bajaj Auto is converting traditional three wheelers into CNG-powered ones and launched its new two wheeler model Bajaj Pulsar in the Indonesian market in November 2006. Various private entities have also made investments in areas like coal mining, plantations for bio-fuels and extraction of minerals. Along with investments in new industries, new Indian players have started making an entry into the Indonesian market. Companies like the Tata Power Company Limited and Essar Steel Limited are looking to invest in energy and steel along with public sector giants such as the National Aluminum Company Limited (NALCO), National Thermal P ower Corporation (NTPC), and Rail India Technical and Economic Services Limited (RITES). On the other hand, Indonesian investment in India is rather low and ranks 36th in the FDI inflow to India. Though there has been increasing participation by Indonesian groups especially in West Bengal, the stringent regulatory climate in India is perceived as a primary deterrent for Indonesian companies looking to invest in a big way. Limited direct flights between the two countries and restrictive visa requirements by India have further proved to be a hindrance to greater Indonesian participation in India. Recently, the two countries have been at logger heads over differences pertaining to the India-ASEAN FTA. Indonesia has been pushing for greater access of its palm oil exports to India while India wants a reworking of the negative list put forward by Indonesia. Further, at a bilateral level, there are also issues pertaining to the Indian demand for the removal of non-tariff barriers on its exports of meat and processed foods. Though India is one of the largest exporters of halal bovine meat in the world, Indonesia continues to ban Indias bovine meat and milk products on the grounds that India is not free from Foot and Mouth Disease (FMD). Despite the mentioned issues between the two countries, there is optimism about the potential that exists for greater economic ties. With both countries facing daunting infrastructural and energy challenges, there is tremendous opportunity for investments on both sides. With opportunities and forum for cooperation in place, it is important that economic actors in both countries step up and work towards enhancing economic partnerships. Companies in both countries need to actualize potential synergies for their mutual benefit and ensure that attempts at cooperation are not restricted to inter-governmental meetings and commissions. PESTEL ANALYSIS of Indonesia considering the TOURISM INDUSTRY: Political analysis Indonesia is considered as Republic country. It declared its independence on 17th August 1945 from Japan so 17thAugust is the national holiday. Indonesia is legal rules and regulations are  based on Roman-Dutch law. Their  constitution has abrogated by Federal Constitution in 1949and Provisional Constitution abrogated in 1950 which restored on 5 July 1959. Political stability: In Indonesia after every five year election is being contested for president and vice president post by direct vote of the citizenry. Last time it was held on 8 July 2009 (next to  be held in July 2014) Susilo Bambang has elected as president and Muhammad Yusuf Kalla is the Vice-President. Similarly, Cabinet also appointed by the president. So for next 5 years there are more chances of stability of the government.   Indonesia is a republic with a presidential system. As a unitary state, power is concentrated in the central government. Following the resignation of President Suharto in 1998, Indonesian political and governmental structures have undergone major reforms. Four amendments to the 1945 Constitution of Indonesia have revamped the executive, judicial, and legislative branches. The president of Indonesia is the head of state, commander-in-chief of the Indonesian National Armed Forces, and the director of domestic governance, policy-making, and foreign affairs. The president appoints a council of ministers, who is not required to be elected members of the legislature. The 2004 presidential election was the first in which the people directly elected the president and vice president. The president may serve a maximum of two consecutive five-year terms. The highest representative body at national level is the Peoples Consultative Assembly (MPR). Its main functions are supporting and amending the constitution, inaugurating the president, and formalizing broad outlines of state policy. It has the power to impeach the president. The MPR comprises two houses; the Peoples Representative Council (DPR), with 560 members, and the Regional Representative Council (DPD), with 132 members. The DPR passes legislation and monitors the executive branch; party-aligned members are elected for five-year terms by proportional representation. Reforms since 1998 have markedly increased the DPRs role in national governance. The DPD is a new chamber for matters of regional management. Most civil disputes appear before a State Court (Pengadilan Negeri); appeals are heard before the High Court (Pengadilan Tinggi). The Supreme Court (Mahkamah Agung) is the countrys highest court, and hears final cessation appeals and conducts case reviews. Other courts include the Commercial Court, which handles bankruptcy and insolvency; a State Administrative Court (Pengadilan Tata Negara) to hear administrative law cases against the government; a Constitutional Court (Mahkamah Konstitusi) to hear disputes concerning legality of law, general elections, dissolution of political parties, and the scope of authority of state institutions; and a Religious Court (Pengadilan Agama) to deal with codified Sharia Law cases Political scenario will play a pivotal role in defining the flourishing of tourism in Indonesia. If there are less political conflicts then tourists all over the world will feel safe in travelling. Even after the starting of the business in Indonesia it becomes a duty to maintain the safety and health of the travelers especially those travelling through road and rail. . ECONOMIC ANALYSIS Indonesia has a mixed economy in which both the private sector and government play significant roles. The country is the largest economy in Southeast Asia and a member of the economies. Indonesias estimated gross domestic product (nominal), as of 2010 was US$706.73 billion with estimated nominal per capita GDP was US$3,015, and per capita GDP PPP was US$4,394 (international dollars).June 2011: At World Economic Forum on East Asia, Indonesian president said Indonesia will be in the top ten countries with the strongest economy within the next decade. The Gross domestic product (GDP) is about $1 trillion and the debt ratio to the GDP is 26%.[ The industry sector is the economys largest and accounts for 46.4% of GDP (2010), this is followed by services (37.1%) and agriculture (16.5%). However, since 2010, the service sector has employed more people than other sectors, accounting for 48.9% of the total labor force, this has been followed by agriculture (38.3%) and industry (12.8%).Agricul ture, however, had been the countrys largest employer for centuries. According to World Trade Organization data, Indonesia was the 27th biggest exporting country in the world in 2010, moving up three places from a year before. Indonesias main export markets (2009) are Japan (17.28%), Singapore (11.29%), the United States (10.81%), and China (7.62%). The major suppliers of imports to Indonesia are Singapore (24.96%), China (12.52%), and Japan (8.92%). In 2005, Indonesia ran a trade surplus with export revenues of US$83.64 billion and import expenditure of US$62.02 billion. The country has extensive natural resources, including crude oil, natural gas, tin, copper, and gold. Indonesias major imports include machinery and equipment, chemicals, fuels, and foodstuffs. And the countrys major export commodities include oil and gas, electrical appliances, plywood, rubber, and textiles. Prime lending rate: If we talk about their commercial Bank prime lending interest rate it is quiet decent which is 6.41% and their Central bank discount rate is 10.83%. (CIA, 2009)   Business or individual tax system: Tax system has various rules and categories for example on first 25,000,000 income rate of tax is 10% then on next 25,000,000 it is 15% and on next 50,000,000 it is 30%. In the same way Income Tax on interest from Indonesian banks is fixed at a final 15% for both companies and individuals SOCIO-CULTURAL ANALYSIS Indonesia has about 300 ethnic groups, each with cultural identities developed over centuries, and influenced by Indian, Arabic, Chinese, and European sources. Traditional Javanese and Balinese dances, for example, contain aspects of Hindu culture and mythology, as do wayang kulit (shadow puppet) performances. Textiles such as batik, ikat, ulos and songket are created across Indonesia in styles that vary by region. The most dominant influences on Indonesian architecture have traditionally been Indian; however, Chinese, Arab, and European architectural influences have been significant. Sports in Indonesia are generally male-orientated and spectator sports are often associated with illegal gambling. The most popular sports are badminton and football. Indonesian players have won the Thomas Cup (the world team championship of mens badminton) thirteen of the twenty-six times that it has been held since 1949, as well as numerous Olympic medals since the sport gained full Olympic status in 1992. Its women have won the Uber Cup, the female equivalent of the Thomas Cup, twice, in 1994 and 1996. Liga Indonesia is the countrys premier football club league. Traditional sports include sepak takraw, and bull racing in Madura. In areas with a history of tribal warfare, mock fighting contests are held, such as, caci in Flores, and pasola in Sumba. Pencak Silat is an Indonesian martial art. Indonesian cuisine varies by region and is based on Chinese, European, Middle Eastern, and Indian precedents. Rice is the main staple food and is served with side dishes of meat and vegetables. Spices (notably chili), coconut milk, fish and chicken are fundamental ingredients. Indonesian traditional music includes gamelan and keroncong. The Indonesian film industrys popularity peaked in the 1980s and dominated cinemas in Indonesia, although it declined significantly in the early 1990s. Between 2000 and 2005, the number of Indonesian films released each year has steadily increased. The oldest evidence of writing in Indonesia is a series of Sanskrit inscriptions dated to the 5th century. Important figures in modern Indonesian literature include: Dutch author Multatuli, who criticized treatment of the Indonesians under Dutch colonial rule; Sumatrans Muhammad Yamin and Hamka, who were influential pre-independence nationalist writers and politicians; and proletarian writer Pramoedya Ananta Toer, Indonesias most famous novelist. Many of Indonesias peoples have strongly rooted oral traditions, which help to define and preserve their cultural identities. Media freedom in Indonesia increased considerably after the end of President Suhartos rule, during which the now-defunct Ministry of Information monitored and controlled domestic media, and restricted foreign media. The TV market includes ten national commercial networks, and provincial networks that compete with public TVRI. Private radio stations carry their own news bulletins and foreign broadcasters supply programs. At a reported 25 million users in 2008, Internet usage was estimated at 12.5% in September 2009.More than 30 million cell phones are sold in Indonesia each year, and 27 percent of them are local brands. This has formed the lifestyle of the people in Indonesia. While starting a tourism business in Indonesia the attractions of the place need to be identified first. Tourists all over the world