Thursday, October 31, 2019
Assignment # 7 - Essay Example Policy makers only consider less number of options when tackling problems. The selected policy options only differ marginally with the existing policies. For each option, just the most significant consequences are considered. There is no best policy assessment; an excellent policy is one that all participants consent on rather than what is most excellent to solve a crisis. Incremental policy advocates for making corrections; it centers on small modification to already existing policies rather than remarkable fundamental modifications. In this model, policy-making is also sequential; you have to keep solving problems as mistakes become obvious and are rectified. Fresh approaches to the problems are developed. In this model urgency and importance are the barriers. Since the model advocates for small parts solving of problems, some problems may have serious consequences and need fast solutions. Additionally, some problems may be new and of high risk which need new policies. The mending of already existing polices may not solve the problems. With the analysis of problems before implementing or creation of policies should be advocated so as significant policy change to occur. The Steams theory applies the consideration of three example applications of streams, i.e. politics, policies and problems. However, the streams have drawbacks which hinder effective policy making. First, the independence of the streams is questioned. The streams are said not to be independent which makes them manipulated easily. People tend to embrace solutions that they have a belief that it will solve their problem. They do not identify solutions because that solves a particular issue. Politically, in governments, regardless problems have been solved or not, problems still arise. The streams only come together when solutions and problems are attached and presented to political audiences. The other barrier is that the streams need a proper entrepreneurial culture
Tuesday, October 29, 2019
Howard Markel and Frederick Crews Argument about Freud's Cocaine Dream - Essay Example Therefore, the essay is about Howard Markel and Frederick CrewÃ¢â¬â¢s argument about Freud's cocaine dream. Argument According to Markel, Freud thought that the application of cocaine in medical research and solution to human problems would enhance his reputation as a pioneer in medical anthropology (17). However, with increase in addiction, he questioned the safety of cocaine in medical application. Precisely, the addiction and subsequent overdose of the drug filtered and tarnished FreudÃ¢â¬â¢s reputation as a medical researcher (Markel 22). Furthermore, Markel indicated that Freud had no explanation for the increase in addiction and should have reconsidered his recommendation for the use of cocaine in healing the medical problems (25). Despite the general agreement among the scholars that taking cocaine actually relieves the patients of depression and other psychological problems, it prolonged use would lead to addiction that affects the health of an individual. As a result, Fr eudÃ¢â¬â¢s recommendations on its medical use could not offer solution to the patientsÃ¢â¬â¢ problems, but created drug addiction that is not easy to solve (Markel 49). Fredrick Crew wondered how Freud could justify the use of one drug to cure the addiction of another. In fact, he claimed that this was not practical as the consequences of drug use would lead to a similar addiction and subsequent abuse (Markel 77). According to Karch, Ã¢â¬Å"It is important to understand that death from acute cocaine toxicity is a relatively rare event, essentially only seen in Ã¢â¬Ëbody packersÃ¢â¬â¢ or Ã¢â¬Ëbody stuffersÃ¢â¬â¢ who find themselves exposed to massive, multigram quantities of cocaine. Otherwise, the only cocaine users likely to become seriously ill or die are the chronic usersÃ¢â¬ (2007). ... ocaineÃ¢â¬â¢s recommendation shows that he had not done research on the future of this drug on the users; therefore they were not acceptable (Markel 182). He dissented from the claim that FreudÃ¢â¬â¢s ideas had resulted to the cure of the psychosomatic ailments such as depression, emotional conflict. Instead, he pointed out that such ailments results from the day-to-day occurrences and solving them would mean satisfying the human needs, including food, shelter, and other social well-being (247). Indeed, this would alleviate the problem of dug addiction, during the search for a medical solution to the human psychological disorders. In addition, the scholars showed that the people with behavioral problems are under the influence of drug addiction might not have sufficient proof, but merely a dream (Markel 266). In other way, they argued that FreudÃ¢â¬â¢s psycho-analysis might be the best solution to solve drug addiction cases as opposed to the application of another stimulant dru g such as cocaine, which has far-reaching negative impacts on the userÃ¢â¬â¢s health (Markel 281). In the pretence of growth and civilization, Freud did not believe that the drug users are suffering from the impacts of superstition or past behavior (Markel 293). Mostly, the causes of such actions and continuous problems associated with drug usage are by chance. However, Crew assets that the discoveries that Freud made, should form the basis of further research on the application, without discrediting them at first sight (Markel 299). He indicates that the theories and other useful findings could be developed to provide better solution to the human problems, which characterize the modern society. As well, the scholars denoted that the anesthetic use of such drugs had more disadvantages than the anticipated
Sunday, October 27, 2019
Sita Tours And Travels Tourism Essay The Tourism Industry is a flourishing all over the world. The scenario of the tourism industry is ever changing; it is always in a state of flux. Tourism Industry in India is experiencing a high period of growth and has improved over the years however there is still a lot of scope for improvement and expansion. It is fast becoming an important player in the global market. It is also proven that tourism is the industry that contributes most to the Indian GDP, employment and foreign exchange reserves. The tourism industry proves to be the back-bone of other allied sectors for example, hospitality, transport, handicrafts, etc. According to WTTC, in 2011, India has been ranked 1st in direct contribution to employment through travel and tourism and 2nd in total contribution with monetary value of 24974900 jobs and 39351900 respectively. Also in terms of GDP, India ranks 11th in direct contribution and 12th in total contributionÃ Ã . The Indian Government has invested a substantial amount in infrastructure development to promote tourism for the country after sensing the importance in the GDP contribution. This effort has been successful to an extent in increasing the arrival of foreigners in the last decade. The Incredible India campaign was also a contributing factor to the increase in tourism. The campaign helped create a colorful and diverse image of India in the minds of travel enthusiasts all over the world. It has directly led to an increase in the interest among tourists and created interest generally around the world. WTTC (World Travel and tourism Council) ranked India 4thÃ in terms of travel and tourism investment with a total of $ 26.7 billionÃ Ã . Also (in Asia), after China, India stands second. In 2006, 4 million international tourists visited India and spent US $ 8.9 bnÃ Ã . In 2011 (Jan-June), the total Foreign Tourist Arrivals (FTAs) in India was 2.92 million and foreign exchange revenues stood at US$ 78.11 billion which is up 14.2%Ã Ã . As a matter of fact, in spite of a negative growth rate of -2.2% in 2008-09Ã Ã , Foreign Tourist Arrivals increased considerably which registered a growth rate of 8.1% in 2009-10Ã Ã , despite the world recession, Indian tourism showed a positive growth. According to World Travel and Tourism Council, India will be a tourism hot spot between the years 2009 -2018 which will show maximum growth rate during this period. Nowhere in the world is found, such a beauty, different and diversified climate, flora, fauna, religions, languages, dialects, dressing patterns, life style and rituals, like India.Ã Ã Domestic tourism is also very huge in the GDP contribution in the country. There is still a lot of scope in promoting the tourism in many parts of the country. Since tourism is seasonal, it is slightly difficult for the Tourism Department, Government of India. It is Indias middle class that has promoted the tourism in the country. The increase in disposal income among this class of people has contributed to rise in tourism within the country. Consequently, they spend most of their disposable income on travelling. In 2009, there were 669.02 million domestic tourists which comprised about 18.8% of the total tourists in the country. The Indians going abroad is also increasing at a growth rate of 12.28 % per annum. Scope of Tourism According to the past trends, India has seen to contribute 0.5% to the global tourism industry. There is still a lot of scope for businesses to tap the market. India has a very diverse geography, culture, food, monuments and a rich past. The Incredible India campaign was promoted in order to attract various interests from tourists all over the globe in the varied types of tourism that has a scope for development and promotion. In recent times, Pilgrimage and Medical Tourism are one of the most popular among the foreign tourists. Medical tourism is currently growing at around 30% per annum. The other types of tourism are Adventure Tourism Leisure Tourism Eco Tourism Cultural Tourism Wildlife Tourism Highway Tourism Heritage Tourism Rail Tourism Rural Tourism An Indian Background chairman of the company, in 1956 established the first office in New Delhi, India. Company wanted to take the benefits of the religious beliefs attached with their companys name SITA in India. It is still associated with high quality and brand.Ã In 2000, Kuoni Travel Holding, a Switzerland based tourism firm acquired the 100 % stake of SITA World Travel India (Ltd.) and it became Indias largest travel company as Kuoni Travel India Ltd. Now, SITA World Travel is an Inbound Division of the Kuoni Travel India Ltd. And It is handling incoming international tourist to India from all over the world through a network of 30 offices in the region including associate offices in Sri Lanka and Nepal. SITA earned its reputation by giving world class services to its clients travelers, tour operators and the corporate houses. Also it has specialized itself by providing personalized service and close working relationship with its customers around the world. Factors which affect travel destination selectionÃ Ã Things to do and see Safety and security Overall image of the holiday destination Tourist facilities and infrastructure Ease of obtaining Visas SWOT Analysis Strength: Mass market product with small profit margin and economic of scale to create profit even though demographics and changing consumer trends Training academy Providing customized packaged tours Personalized customer support Online booking of packages Offices in major cities of India Weakness: People expectation has changed but their packaged tour has not changed Price of hotel is rising: no solution between cutting slim margin and rising price to customers Limited only to main destination spots, needs to cover more ground Proper feedback system not in place Opportunity: People go on holiday more than before Travelers want exotic destinations or short city breaks Increase in number of tourists because of upcoming sports event Government lending support as part of Incredible India campaign Increase in disposable income Threats: Heavy Price competition People wait till last minute for bargaining Rising hotel rates all over the world General economic slowdown and terrorist attacks Locally established travelling companies PEST Analysis Political The strongest reason of tourists visiting India is its rich and vast cultural heritage which is under the control of Archaeological Survey of India. So any changes in policy have a very major impact on the tourism industry. Political instability in many states also hinders the tourism opportunities. E.g. north east is still out of coverage of SITA travels because of this very reason. Although the government is now taking up various measures like stepping up vigilance in major tourist destinations in order to promote India as a safe tourist destination. Economic This industry thrives on the spending power of the people. The spending power is increasing in the country as well as all over the world. This increase in the spending power has left a good amount of idle cash in hand. This has led to a tourism boom and more and more people are now coming into the country with more cash and better affordability. Social Tourism is seen as something that will ultimately lead to the destruction of the social fabric. It is perceived that more the number of people travelling into a place, the more is the probability of the place to lose its identity. But apart from that people have now started perceiving tourism as a form of recreation. They are now more willing to go for packages like adventure tourism to Leh and Lakshadweep. Technology Although it is does not seem to be great factor but it plays a major role. Better technology has resulted in connecting many remote and unexplored areas. On the same terms online booking and transportation facilities provided by SITA travels have increased their number of clients. PORTERs Five Forces Model Threat of New Entrants As the search cost has been reduced due to the advent of internet it opens up the market for potential entrants, thereby increasing the possibility of a new company joining the market as the entry barrier has been reduced. Rivalry among Existing Firm within the Industry The major competitors of SITA Travels in India are Kesari Tours, Cox Kings India Ltd As the number of companies is increasing due to the advent of internet and the competition is increasing because of geographical expansion of markets and the reduction of entry barrier, thereby raising the rivalry and hence increasing the discount. Power of Supplier Entry barrier reduction and increased competition results in the increase of the power of supplier. Power of Buyer Reduction in switching costs has increased the bargaining power of the buyer. Price has become an important criterion as people now can compare products and gain knowledge about them. Threat of Substitutes Competitors offer similar type of products and services. Segmentation Tourism (Inbound and Outbound tourism) Segmentation types: Psychographic segmentation (Class), Behavioral segmentation (User status: First time, Regular, Potential). SITA is a large segment market addressing the customer needs of the international tourists. Targeting International Tourism: Initially tourists from USA are targeted, as SITA has stronger links with USA (Origin). Later they focused on other international markets like UK, Japan and Hong Kong. They have started a magazine called INDRAMA. This magazine portrays the rich tourist literature there by attracting foreign tourists to India). The idea of Heritage village further helped them to become a better tourism facilities provider. Inbound and outbound tourists are the tourist types of International tourism. Market growth of inbound and out bound tourists: Outbound market: The primary target market segment is out bound tourism. Overall Market: The total market size of the out bound tourism in 2010 is 12 million. It is expected to cross 20 million by 2015 and 50mn by 2020 (Source: UNWTO); more than 6.29 million tourists visited India in 2011. The total revenues of the out bound travel market is $14bn in 2010Ã Ã . The Indian outbound travel market has grown from 3.7 million in 1997 to 9.8 million international departures in 2007; the pace of growth has accelerated since 2004 at an average annual growth rate of over 16%Ã Ã Inbound market: Overall Market share: The total market size of inbound tourism is 6.18 million with a growth rate of 8.9%.The total revenues generated rounds off to US$ 16.691 billion. Competitive Intensity: The major competitors of SITA Travels in India are Kesari Tours, Cox Kings India Ltd which has more share than SITA while the others are Thomas Cook India Ltd, Karnataka State Tourism Development, Mercury Travels Ltd, Raj Travels Tours Ltd, D Pauls Travel Tours, Sachin Travels and Goa Tourism Development. High budget Customers: The program Affordable India targets the High budget segment tourists who come to Indian subcontinent. This program provides value added services to high budget travelers in order to customize destinations which were luxurious and affordableÃ Ã Positioning strategies Indias first Leisure travel brand(Luxury segment) (Jan 2006) Tourist Safety with SITA (Mumbai) ( 2006) Indias Destination management service provider ( June 2006) Indias tourist destination for Business travel (Kuoni Business travel) (Feb 2007) Tourism education (Kuoni Academy) (May 2007) Young achievers Out learn , Outdoor school trips ( 2009-2010) Perfect moments with Kuoni (2011-2012). This program covers 3 packages The world is mine; Romantic escapes; undiscovered destination Uniform service :Accommodation, updating tourism infrastructure, travel related equipments same in all the offices to maintain uniform service Enpact ( 2011- 2012; Kuoni Academy: Pioneers to introduce a new teaching methodology Out of the ordinary tours for everyone (2012) ( Targeting individuals and small groups) Responsible tourism ( 2012) ( Thru CSR activities) Indian travel brand which is focused on the luxury segment, Incentive, Trade Fair tours and Sports Tourism Departments In order to meet the tourists demand of visiting various places, SITA has tie ups with local agencies. The services offered by the local agencies are meeting passengers on arrival/ departure, arranging local sightseeing and transport. SITA is maintaining a wide agency network to handle inbound and out bound tourism. The tourism department in SITA is divided in to two sectors as below: Inbound tours: This is the main foreign exchange earnings department of SITA. The marketing for this segment is done through various ways as below: Brochure Tours: Marketing in the form of brochures ( Tour plans in brochure) Tailor made tours: Customers design their tour Special interest tours: Organized by companies and other agencies Conferences and conventions: Arranging travel, registration facilities, accommodation arrangements, conference facilities, entertainment and leisure activities. Out bound tours: This is one of the fast growing tourism segment markets in India. Indians are the target customers in this segment. With an increase in the income level of the people, they are showing interest in visiting other countries. The tourist destination for the Indians is primarily USA and EuropeÃ Ã Indian out bound travel market is 3.7 mn in 1997. Currently it is 13mn (2011-2012) Estimated $28billion revenue in the year 2020. Fastest growing out bound market in the world in terms of numbers (After china) SITA Out bound tourism marketing Major sources of marketing are through brochures and advertisements in the newspapers Out bound division of SITA received TAAI travel award for 2011Ã Ã . MARKETING MIX PRODUCT (Services Brand) While planning the market offering, SITAs marketers focused on five elements that constitute its customers value hierarchy: Core Products Destinations are the core products offered by any tour operator. Those offered by SITA are classified into: Inbound Leisure: SITAs major portion of foreign exchange is earned by this group. These destinations are designed to focus on leisure while travelling. Apart from must-do destinations these include tailored tours such as Cultural and Heritage Tours, Trekking and mountaineering Tours, Wildlife holidays, wellness and spa holidays, etc. Individual Travel: SITA has maintained an unparalleled expertise in customizing travel packages for foreign tourists or working professional expecting a well-tailored itinerary which optimizes their time and ensures that all arrangements are in order. Incentive Travel: Handled by: Distant Frontiers Designed for large companies to motivate or stimulate their employees Briefs are taken from each group, tailored to suit their needs and surpass their expectations by offering them special events planned exclusively for each travel group Post-trip follow-up approach to stay in touch with the customer and ensure a re-visit Main destinations include: India Nepal Sri Lanka Bhutan M.I.C.E.: Meetings Incentives Conferences Exhibitions SITA is a member of: The International Congress and Convention Association (ICCA) a worldwide body that handles all types of International Meetings and Exhibitions The India Convention Promotion Bureau (ICPB) The Society of Incentive Travel Executives (SITE) Charters: Leading player in India with the largest number of charters to Goa and Trivandrum Handles leading charter operations from the UK, Germany, Russia, Poland, and various CIS countries. Cruises: Major players in Cochin, Chennai, Goa, and Mumbai Shore Excursions- Regular sight-seeing trips Overland Tours- Designed to explore the deep interiors of India Adventures: Camel Safaris, cycling, trekking, scuba-diving, rafting, biking, mountaineering holidays designed especially for intrepid travelers Basic Products Transport Ground transportation Flight reservations Train reservations Accommodation Culture cuisines Special arrangements- Like Womens Group, Senior Citizens Tours, etc Conferences and Events- In collaboration with MICE Ground assistance Meet Greet services Tour Guides Tour Escorts Expected Products These are impeccable services for corporate clients like: Seat availabilityÃ on needed time Accurate information Quick check-in for the senior management Information about various package and routes to a particular destination Efficient customer support system Augmented Products These are the products that distinguish SITA from others. These may include special facilities like Wi-Fi availability throughout the journey, tele-checking, laptops on request, customized meals, etc. Potential Products SITA plans to come-up with underwater tourism very soon. PLACE SITA has its own branches situated throughout India hence are easily accessible. The customer can either go to the Tour office or plan a tour online. Hence strategic locations are very important for SITA. North India: Agra, Delhi, Jaipur, Gurgaon, Varanasi, Udaipur South India: Bangalore, Chennai, Cochin, Trivandrum, Hyderabad West India: Mumbai, Goa PROMOTION The promotional strategies employed by SITA travels are: Advertising Publicity Sales promotions Personalized products such as Flight bags, wallets, Foreign Exchange and covers of passport, etc Word-of-mouth Promotion Credibility: The high magnitude of this is due to high credibility of SITAs channel, especially in the eyes of the potential tourists. Sensitivity: The qualities of services they promise are world-class and client-oriented Approach: The marketers keep their eyes open ÃâÃ identify the opinion leaders ÃâÃ Special facilities for them to keep stimulating and creating demand Personal Selling Exhibitions- State and national tour packages, cruises, holiday financing, hotels, educational excursions, etc E-Marketing Twitter LinkedIn- http://www.linkedin.com/company/155449 Facebook- http://www.facebook.com/SITAWorldTours CSR Activities- Responsible Tourism Spiti Initiative- To build a Solar Bath for a Buddhist nunnery in Spiti Child Protection- Carries out workshops to protect children in rural and semi-urban parts of the country. Also offers training to children in various educational fields. Literacy India Program- Has an independent paper recycling unit where women work to earn their living. Bihar Flood Relief- Using its transportation system, it worked closely with Goonj to dispatch necessities to the flood affected areas in Bihar Lets Go Green- Implemented across all offices through posters and Green Utility trays. Creative Alliance Network- promotes responsible tourism practices amongst the businesses that benefit from Rajasthans rich cultural environment. PEOPLE Employees Well versed with the latest technologies in travel management Well trained to handle difficult customers Extensive training programs- SITA Travel Tourism Academy Training on courses conducted by WATA, PATA High credence quality via Good work place design Job Design Other Customers Caters to customers from diverse backgrounds by offering First class, Deluxe, or Luxury preferences SITA Travels Online support Unique Tours and value-added services Personalized customer support Bibliography World Tourism Organization and the European Travel Commission. (2009). Retrieved from http://publications.unwto.org/sites/all/files/pdf/090616_indian_outbound_travel_excerpt.pdf Indian Tourism Department. (2010). Retrieved from http://tourism.gov.in/writereaddata/CMSPagePicture/file/marketresearch/New/2010.pdf Kuoni. (2011, December). Retrieved from http://www.kuoniindia.com/press-2011.asp SITA World Tours. (2012, January 20). Retrieved from http://www.sitatours.com/press/sitaaffordablerelease%20012611.pdf EconomyWatch. (2010, June 30). Economy Watch. Retrieved from http://www.economywatch.com/business-and-economy/tourism-industry.html Mol, A. (n.d.). Preserve Articles. Retrieved from http://www.preservearticles.com/201103084425/essay-on-tourism-industry-in-india.html Olivia Ruggles-Brise, E. A. (2012). World Travel Tourism Council. Retrieved from http://www.wttc.org/site_media/uploads/downloads/nepal2012.pdf Prof. Manjula Chaudhary, D. S. (2011, August). Indian Institute of Tourism Travel Management. Retrieved from IITTM website: http://www.iittm.org/doc/IITTM_ITC_Report-2011-rev..pdf Reshma S Kulkarni, S. S. (2011, November 26). The Hindu. Retrieved from http://www.thehindu.com/life-and-style/travel/article2659391.ece?homepage=true
Friday, October 25, 2019
Pompeii Pompeii is possibly the best-documented catastrophe in Antiquity. Because of it, we know now how the Pompeians lived because they left behind an extensive legacy of art, including monuments, sculptures and paintings. Pompeii lay on a plateau of ancient lava near the Bay of Naples in western Italy in a region called Campania, less than 1.6 kilometers from the foot of Mount Vesuvius. With the coast to the west and the Apennine Mountains to the East, Campania is a fertile plain, traversed by two major rivers and rich soil. However, in the early days, it was not a remarkable city. Scholars have not been able to identify PompeiiÃ¢â¬â¢s original inhabitants. The first people to settle in this region were probably prehistoric hunters and fishers. By at least the eight century B.C., a group of Italic people known as the Oscans occupied the region; they most likely established Pompeii, although the exact date of its origin is unknown. Ã¢â¬Å"The root of the word Pompeii would appear to be t he Oscan word for the number five, pompe, which suggests that either the community consisted of five hamlets or, perhaps, was settled by a family group (gens Pompeia)Ã¢â¬ (Kraus 7). In the course of the eight century B.C., Greek and Etruscan colonization stimulated the development of Pompeii as a city around the area of the Forum. A point for important trade routes, it became a place for trading towards the inland. Up until the middle of the 5th century B.C., the city was dominated politically by the Etruscans. In the course of the 6th century B.C., the influence of Greek culture is also documented by terracottas, ceramics and architecture. A group of warriors from Samnium, called Samnite, invaded the region in the 400Ã¢â¬â¢s B.C. Pompeii remained a relatively unimportant village until the 200Ã¢â¬â¢s B.C., when the town entered a prosperous period of building and expansion. The Romans defeated the Samnites, and Pompeii became part of the emerging Roman state. Pompeii joined th e Italic revolt against Rome, the Social War of 91-87 B.C., and was crushed by Sulla. Although the city was not destroyed, it lost its autonomy, becoming a colony called Colonia Veernia Cornelia P, in honor of its conqueror L. Cornelius Sulla. By 79 AD, Latin had replaced Oscan as the principal language, and the laws and culture of Imperial Rome were implanted. The Ã¢â¬Å"romanizationÃ¢â¬ had began. Pompeii grew from a modest farming town to an important and sophisticated industrial and trading center.
Thursday, October 24, 2019
Everyone at any stage of their life can be faced with life changing issues. Should this happen it would be nice for your family to know what your wishes are . Do you want life support? Would you want drugs only used? Does your family know of your wishes? These are not questions that can wait to be addressed. When a family is dealing with their own grief they can not always make your wishes known. There are many ways in which an individual can make their wishes know about end of life care. An advance directive tells your doctor what kind of care you would like to have if you become unable to make medical decisions. With these documents in place decisions are a lot easier on the family members. Ã¢â¬Å"A good advance directive describes the kind of treatment you would want depending on how sick you are,Ã¢â¬ Sally Austin explained in her article Families making decisions, dying death and DNR status. Ã¢â¬Å"For example, the directives would describe what kind of care you want if you have an illness that you are unlikely to recover from, or if you are permanently unconscious. Ã¢â¬ Advance directives usually tell your doctor that you don't want certain kinds of treatment. However, they can also say that you want a certain treatment no matter how ill you are. There are many types of advance directives. Laws about advance directives are different in each state. There are also policies and procedures for each hospital or office, clinic so make sure you know your policy. You should be aware of the laws in your state. If you are in a situation where you have a patient that has a DNR however you do not have it in hand and a code is called most places with perform the code as if no DNR is in place. Therefore a copy must always accompany the patient to whatever department they go to (Edwards, 66). A Do Not Resuscitate (DNR) order is one kind of advance directive. A DNR is a request not to have cardiopulmonary resuscitation (CPR) if your heart stops or if you stop breathing. (Unless given other instructions, hospital staff will try to help all patients whose heart has stopped or who have stopped breathing. ) You can use an advance directive form or tell your doctor that you don't want to be resuscitated. In this case, a DNR order is put in your medical chart by your doctor. DNR orders are accepted by doctors and hospitals in all states. Most patients who die in a hospital have had a DNR order written for them (Edwards, 66). Patients who are not likely to benefit from CPR include people who have cancer that has spread, people whose kidneys don't work well, people who need a lot of help with daily activities, or people who have severe infections such as pneumonia that require hospitalization. If you already have one or more of these conditions, you should discuss your wishes about CPR with your doctor, either in the doctor's office or when you go to the hospital. It's best to do this early, before you are very sick and are considered unable to make your own decisions. A living will is another type of advance directive( LegacyWriter's). It only comes into effect when you are terminally ill. Being terminally ill generally means that you have less than six months to live. In a living will, you can describe the kind of treatment you want in certain situations. A living will doesn't let you select someone to make decisions for you. A Medical Power of Attorney (MPA) is also another kind of advance directive. A MPA states whom you have chosen to make health care decisions for you. It becomes active any time you are unconscious or unable to make medical decisions. A MPA is generally more useful than a living will. But a MPA may not be a good choice if you don't have another person you trust to make these decisions for you. Families can be faced with life alternating decisions at any time. There are several forms of advanced directives, and since no one knows when they will face theses situations it is a good idea to talk to with family and loved ones so you know their wishes as well they know yours.
Wednesday, October 23, 2019
Causes of unemployment According to a number of economists the rate of unemployment in the united States has not declined now for some time. It is believed that this is due to a lack of education and skills that those who are seeking work have, as the numerous jobs and careers that have been created since our economic shift are specialty Jobs, which require technical training and certifications to be considered as a candidate. So our current situation may seem to be the same problem as before, but It Is not due to lack of Jobs presented In the Job market, Just rather suitable positions for those homo are seeking work.As much as the rapid development of the modem technology and requirement of the new skills, which disqualify more people than ever before, the gap between the Job vacancies and people who are actively seeking Jobs Is becoming larger and continues to expand. It Is not entirely due to the mismatching of the Job requirement and candidate's lack of educations or skills: It I s primarily due to the companies and firms reducing their demand for resources, especially labor. According to Anthony Calaboose's article, if every one of the public ND private sector job openings were filled by tomorrow, there would still be nearly 1 1. Million people out of work. However, before the recession the gap was much lower, coming in under a million. If it were Just structural unemployment, the gap would not be this large and the companies would eventually fill the positions; however, it takes longer time to match the perfect candidate. Whereas, the unemployment rate keeps increasing and has yet to go down since the recession, it only makes sense that the cyclical unemployment has taken place in the job market.