Friday, January 17, 2020
Quality Improvement Plan Essay
Executive Summary Chattanooga Cares is a privately owned, not-for-profit HIV/AIDS clinic located in downtown Chattanooga. Owned and operated by Dr. Jay Sizemore, it was founded in December 2003 to provide medical needs for the underserved HIV positive patients in Chattanooga, Tennessee and 22 surrounding counties. Although its staff is small, consisting of a full-time work force of less than 30, they serve their community by offering AIDS testing, counseling, HIV treatment plans, and assistance with employment, housing, transportation, and childcare. Chattanooga Cares has one very important goal ââ¬â reducing the levels of sickness in HIV/ AIDS patients. Therefore, the management team has designed a Quality Improvement Plan to tackle this goal. This aspiration has two components; the first concerns itself with the education of the community, and the second revolves around reducing the levels of sickness in already affected patients. Implementation begins with education of the staff in areas of HIV/AIDS protection, treatment, and counseling. Outreach programs, taught by the staff, will be offered to guide the community in AIDS awareness. Data collection tools such as patient tracking system and disease specific flow charts will be utilized to scrutinize the effectiveness of the program. The plan-do-study-act approach to collecting data, monitoring, evaluating, and adjusting will be used to ensure that constant changes can be made to reach our goals. Chattanooga Cares will use competitive benchmarking to determine if their levels of sickness are in line with other clinics in the area. Finally, each person will compile his set of data and report to the management team for evaluation of the plan. The team will use the information collected to make adjustments going forward. This collaboration will be completed on a monthly, quarterly, and annually basis. Chattanooga Cares Quality Improvement Plan Quality improvement cannot be implemented without setting the performance standards needed to determine how improvement can succeed. Chattanooga Cares, a non-profit HIV/AIDS clinic, bases its quality improvement plan around the consumers of their services. Chattanooga Cares is a privately-owned AIDS and sexually transmitted disease clinic in downtown Chattanooga, Tennessee. It consists of a small staff of medical personnel, counselors, administrative staff, and volunteers. The staff offers HIV/AIDS testing, medical treatment plans, counseling, life coaching, and economic assistance through various housing, childcare, and financial institutions. The clinic derives its funding from government grants and community fund-raising events. Chattanooga Cares (2013) mission statement is, ââ¬Å"Our focus is AIDS: education, prevention and support for all people affected by HIVâ⬠(About Us). Since the patient, and the patientââ¬â¢s network of friends and family, are the central elements in Chattanooga Caresââ¬â¢ mission statement, the role of the patient is integral in quality improvement plans. There are few goals that do not involve the client. Although the clinic is privately-owned, it proudly displays its goals to the public. Because of its grant status, the treatment center must supply statistical information to the governmental agencies that provide the grants. All this information is readily available to the clients that consume their services. Goals and Objectives Some of the quality improvement goals of Chattanooga Cares are reducing the number of new patients infected by AIDS each year; lowering the economic hardships on their clients; maximizing efficiency and cost effectiveness within the office; and increasing training and education of staff. The clients play a major role in what performance standards are chosen. A few of the quality indicators that consumers use in regard to Chattanooga Cares are health outcomes and length of survival rates, screening and treatment frequencies, and satisfaction evaluations. Using feedback from stakeholders effects the way in which future services are conducted and funding is attained. In order to begin a quality improvement plan, certain quality performance standards need to be determined to measure the levels of improvement. Performance standards concern themselves within a health care organization. Palmer (1997) suggests that clinicians must set performanceà standards on their individual practices and offer feedback to health care authorities. Two examples of these standards are defining the rate of re-admittance after completing a procedure and setting a limit for number of patients seen daily. Once the standards are determined and goals are set, compilation of everything is developed into the quality improvement plan. The quality improvement plan is the all-encompassing strategy while the performance standards are the steps needed to achieve it. Scope, Description, and Quality Improvement Activities The first part of the improvement goal of Chattanooga Cares is one of reducing the current levels of HIV/AIDS in the 23 counties the organization serves (ââ¬Å"Chattanooga Caresâ⬠, 2013). By reducing the number of people affected by the disease, the overall health status of the community will improve and the economic effect on the health care system will be positive. Since 65% of current patients (ââ¬Å"Chattanooga Caresâ⬠, 2013) cannot currently obtain health insurance due to their health status, a decline in the infected population will mean less public monies are needed to support the health care of the indigent population infected by the AIDS disease. The best outcome of reaching this goal is a suppression of the AIDS infected population. Education in the community improves the knowledge base of the community as they learn the risk factors of AIDS contraction and hopefully use that wisdom to make wiser choices in sexual partners and intravenous drug usage. Through careful management of current patientsââ¬â¢ progress, the team at Chattanooga Cares can evaluate and adjust the health regimen and assure that proper techniques and medication are being used. Data Collection Tools The main goal of Chattanooga Cares revolves around reducing the level of sickness in patients. The data needed are tracking patient progress through the treatment process, and current information of HIV/AIDS manifestation and control. Following patient progress is achieved through the usage of a reminder tracking system. As soon as a new patient is entered into the electronic medical records of the clinic, a tracking system immediately forms to trace the medical journey of the client (Hashim, Prinsloo, & Mirza, 2013). The system sends out emails, automated phone messages, orà texts to patients reminding them of doctor and counseling appointments. It prompts the case manager to contact the patient personally and ask them questions about their general health, response to medication, mental state, and other factors such as housing, employment, and childcare status. By entering information into the tracking system, adjustments can be made to assure that the patient does not degrade in physical and mental health status. This tool can help prolong the lifespan of the patient and help them get better. Over long periods of time, as a patient has developed an effective health regimen, the system stills tracks their progress and reminds the case manager to touch base from time to time. The strengths of this system are that a patient does not drop out of the program and their health status is continually monitored and improved upon. The weakness is that the ongoing information must be entered into the system to be effective; if the staff is too busy or forgets to follow up, then the health of the patient may be compromised. The measurement and display of this tool could be shown through weekly reports which show the number of patients whose contact reminders have not been completed. The last data tool used to track current information on HIV/AIDS is a disease specific flow sheet (Hashim, Prinsloo, & Mirza, 2013). This chart contains information on the steps needed to test and treat people affected by HIV/AIDS. It allows clinicians to follow a prescribed course of medication and counseling for patients and permits changes in the course of health management. The benefits of using this flow chart is that treatment is spelled out for virtually every type of AIDS related illnesses and gives doctors a reference to follow. The only detriment is that the clinic must make sure to have current flow sheets which show new drugs and regimens for patients. If the clinicians are using outdated materials, then best practices are not being put to use. Quality Improvement Processes and Methodology The plan-do-study-act (PDSA) approach to quality improvements is one of small cyclical changes between processes and outcomes. It focuses on making little changes instead of large, broad strokes that can sometimes be too large to tackle at one time. Hughes stated (2008) that the purpose of PDSA is one that tries to ââ¬Å"establish a functional or causal relationship between changes in processes (specifically behaviors and capabilities) andà outcomesâ⬠(p. 33 Chapter 44). The PDSA cycle begins by defining the disposition and extent of the issue, what modifications can and should be made, a strategy for a specific change, who should be participating, what should be gauged to comprehend the effect of change, and where the stratagem will be directed. Change is executed and data and materials are collected. The results are studied and clarified by using key measurements that show the levels of success or failure. New steps are developed based on the results and the process begins again (Hughes, 2008). This approach to quality improvement is positive in that allows extensive problems to be disentangled at a rate not overwhelming to those involved. Because PDSA is readily achievable and results are easy to decipher, almost instant gratification can occur. This makes a monumental task easier to tackle ââ¬â much like eating the proverbial elephant one bite at a time. The drawbacks to this approach are that it is reactive and relies on people to accept constant change in their facility that can result in change fatigue (Hughes, 2008). To achieve the QI goal, the clinic must review continually the data retrieved from the tracking system of patientsââ¬â¢ progress through the treatment process. Therefore, the methodology chosen for Chattanooga Caresââ¬â¢ QI plan is PDSA. Because this system focuses on small, continual changes, it will be helpful in staying on track. Another reason for this choice is that the clinic is small and is used to a frantic pace, therefore change is commonly accepted and a part of the norm. Comparative Databases, Benchmarks, and Professional Practice Standardsà Hughes (2008) describes benchmarks in health care as ââ¬Å"the continual and collaborative discipline of measuring and comparing the results of key work processes with those of the best performers in evaluating organizational performanceâ⬠(p. 38, Chapter 44). Competitive benchmarking can be used to compare Chattanooga Caresââ¬â¢ levels of sickness to other organizations offering the same services (Kay, 2007). By using reports from other HIV/AIDS clinics, Chattanooga Cares can compare their levels of sickness to the patients serviced by other treatment centers. Authority, Structure, and Organization The authority structure of Chattanooga Cares is straightforward and simple. Because it is privately owned, there is no board of directors. Instead, Dr. Jay Sizemore, the physician who owns and runs the clinic is the head of the organization (ââ¬Å"www.chattanoogacares.org/â⬠, 2013). Five other positions comprised of a registered nurse, a medical assistant, an LPN, a patient health coordinator, and an office manager, finish out the authoritative staff at the clinic. Although the doctor leads the team, the other five mentioned have equal standing in decision-making and quality improvement implementation. QI issues are discussed within the confines of these six people and all decisions are handed down from them. Each holds their own position within the organization, however, out of necessity, all of them work interchangeably within other peopleââ¬â¢s job duties. Communication Because of the intimate nature of Chattanooga Cares, quality plans are shared among all the staff. If a particular strategy involves essentially one personââ¬â¢s performance, that person will hold most of the responsibility for implementing, measuring, and ultimately, evaluating the effective of the plan. For instance, one goal is to improve the levels of sickness in the HIV/AIDS patients the clinic serves (ââ¬Å"www.chattanoogacares.org/â⬠, 2013). A tool for implementing and measuring this is a patient tracking system that follows a patientââ¬â¢s progress through the system. The person responsible for this quality improvement device would be the case manager for that patient. This person would monitor the tracking system, collect data through reports, assemble data for team review, evaluate the effectiveness of the QI plan, and ultimately, apply needed improvements. Each person is responsible for his part(s) in any given QI plan as well as gathering data and reporting such data to the team. Education All medical staff must be board certified and all case managers must have a background in social work and be at a minimum a licensed LPN. All education and prevention staff must be state certified in HIV/AIDS testing and prevention counseling (ââ¬Å"www.chattanoogacares.org/â⬠, 2013). Annual training and certification is required by all employed and volunteerà staff to meet conditions of state and federal grant programs. To implement the patient tracking system quality improvement plan, each person working with patients will be included in the introductory training of the software program and be introduced to the goals of the QI plan. This will be communicated by the person overseeing the process, most likely the case manager. Because staffing at the clinic is minimal, this training can take place efficiently, with little loss of productive medical time with patients. The process will be covered from the initial contact with a patient and will continue as long as the patient wished to be under the clinicââ¬â¢s health care plan. Therefore, it is ultimately the responsibility of the entire staff and not just the case manager, to ensure that current information is uploaded to the tracking system, and that prompts by the system are met in a timely manner. Annual Evaluation The evaluation of the QI plan for improving sickness levels in patientsââ¬â¢ is done on monthly, quarterly, and annually bases. Because continual evaluation is needed for the plan to succeed, data must be collected before it becomes overwhelming in numbers. If this plan was left entirely to an annual evaluation, it would take weeks, if not months, to assemble, evaluate, and implement changes. The factors gauged are made of up several items ââ¬â reports showing the follow-up times of patients, data indicating how many patients did not receive required contact during the time period, and the time frames of between the system prompts and response intervals. When complied, this data shows the breakdown in interaction and allows the team to make changes to ensure that patients do not lack in communication between themselves and the clinic. Monitoring the data on a weekly, if not daily basis, allows the QI plan to be more effective by making changes using the PDSA approach. References Hashim, M. J., Prinsloo, A., & Mirza, D. M. (2013, Spring). Quality Improvement Tools for Chronic Disease Care ââ¬â More Effective Processes are Less Likely to be Implemented in Developing Countries. International Journal of Health Care Quality Assurance, 26(1), 14-19. DOI:10.1108/09526861311288604 Hughes, R. G. (2008). Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Rockville, MD: Agency for Healthcare Research and Quality. Retrieved from: http://www.ncbi.nlm.nih.gov/books/NBK2682/ Kay, J. F. (2007, February). Health Care Benchmarking. The Hong Kong Medical Diary, 12(2), 22-7. Retrieved from: http://www.fmshk.org/database/articles/06mbdrflkay.pdf Palmer, H. R. (1997, October). Using Clinical Performance Measures to Drive Quality Improvement. Total Quality Management, 8(5), 305-11. Retrieved from http://search.proquest.com.ezproxy.apollolibrary.com/docview/219816031 www.chattanoogacares.com (2013). Retrieved on September 3, 2013 from: http://www.chattanoogacares.org/about-us.html
Thursday, January 9, 2020
Leadership Styles From The Point Of View - 1294 Words
Comparative Analysis The articles under analysis explore leadership styles from the point of view of their relation to gender (Merchant, 2012) and personality (Yahaya et al., 2011). Merchant (2012) provides a valuable research, which is focused on gender as the major determinant of leadership styles in individuals. Providing an analysis of literature, Merchant (2012) indicates that ââ¬Å"many studies analyzing the intersection of gender and influence tactics have resulted in mixed findingâ⬠(p. 24). It proves the argument that gender stereotypes play a major role in attributing particular roles for females and males on the basis of their biological sex and what is expected of them. Whereas Merchant (2012) does not present a particular argumentâ⬠¦show more contentâ⬠¦I happened to work under both female and male leadership, and I should admit that the difference between them is not evident ââ¬â everything depends on personality, and dissimilarities in influence tactics are attributed â⠬Å"to situational circumstances such as individual settingâ⬠(Merchant, 2012, p. 26). Personal Leadership Style My leadership style is both Participative and Democratic, and it is influenced by the three variables ââ¬â gender, personality, and age. ââ¬Å"Democratic Leader makes the final decision, only after receiving the input and recommendations of all team members,â⬠(Goetsch, 2002). I focus on getting to the bottom of the problem with working through it. Effect of Gender Though gender is a contradictory variable in affecting leadership styles, I should note that gender does play an important role in the way I influence other people. In this aspect, I should agree with Merchant (2012), who indicate, ââ¬Å"women value cooperation [â⬠¦] and have a less clear focus on where the boundaries of their friendships end and their individual identities beginâ⬠(p. 18). As a female, I feel I have to work harder than a male doing the same job. Even though, I feel that I have to work harder than a man, I also think that itââ¬â¢s not always about your gender, but how a person is a leader. ââ¬Å"Kanter, argues that males and females who occupy the same organizational role theoretically differ very
Wednesday, January 1, 2020
The Evolution Of Mitochondrial DNA - 1117 Words
DNA can be a challenge to work with, especially ancient DNA after decomposition and fossilization have taken place (Kelman Kelman, 1999). The perfect preservation condition for DNA is a cold and dry space with little temperature fluctuation (Shabihkhani et al., 2014). Also, it can be hard to decipher between ancient genetic material and a modern humans genetic material, when the antiquated DNA arises from close relatives (Perry Orlando, 2015). Extracting DNA from the nucleus is challenging so many evolutionary biologists use mitochondrial DNA. Mitochondrial DNA is said to be matrilineal, as the DNA comes from the mitochondria of a mother and is passed to their offspring (Spuhler, 1988). The emergence of modern mitochondrial human DNAâ⬠¦show more contentâ⬠¦Meanwhile, an increase in DNA derived from Denisovanââ¬â¢s is seen in Oceanian and Southeast Asian modern human populations. However, in Melanesian and Australian Aborigine genome is made up of an estimated 4ââ¬â6% of Denisovans DNA and ~7% in Papuans (Reich et al., 2010). Recently there has been non-comparative DNA analyses done as no specimens have been discovered, suggesting that some modern human populations in Africa have genetic material from extinct archaic African hominins, as well as some distinct basal western African population lineages (). Neanderthals, known as Homo neanderthalensis and modern humans not only are known to share similar DNA, but they also share a similar language. The FOXP2 gene is the first gene to be involved in the formation of speech and language (Lai et al., 2001). The FOXP2 gene was initially recognized as the genetic factor of a speech disorder in the KE family, who had developmental verbal dyspraxia (Feuk et al., 2006). This sequence variant is a G to T substitution, not commonly associated with ancient DNA damage, therefore likely represents a genuine allele present in the Neanderthals. The mutations in the gene sequence lead to problems with speech, oral and facial muscle control in modern humans, the FOXP2 gene is on a haplotype that is subject to intense selective pressures. Neanderthals and modernShow MoreRelatedStudy Of Evolution Of Mitochondria Essay1743 Words à |à 7 Pages Title: Study of Evolution of Mitochondria in different species of plants and Animals. Aayushi Shah shah.947 ID#:200404635 Ã¢â¬Æ' Title: Study of Evolution of Mitochondria in different species of plants and Animals. ID#:04635 Ã¢â¬Æ' Introduction: - The mitochondria is a double membrane organelle that is found in all eukaryotic organisms. 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Tuesday, December 24, 2019
Implementation Of An Android App For The Campus Security
Implementation of an Android App for the Campus Security David Silva, Felipe Paiva, Marcello Souza, and Mariane Borges Dr. Longinow, ARMOUR College of Engineering TABLE OF CONTENTS Introduction 2 1.1: Credibility 2 1.2: Overview 3 2. Technical Approach 3 2.1: Project Activities 3 2.2: Purpose of Plan 4 2.3: Criteria for Success 6 3. Operations Plans 6 3.1: Management and Implementation 6 3.2: Quality Control 7 3.3: Survey Application 7 3.4: Schedule 8 4. Results and Conclusion 9 5. Acknowledgements 15 6. 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Monday, December 16, 2019
Education in Great Britain Free Essays
ââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬âââ¬â- EDUCATION IN GREAT BRITAIN 6/7. Greatà Britainà doesà notà haveà aà writtenà constitution,à soà thereà areà noà constitutionalà provisionsà forà education. Theà systemà ofà educationà isà determinedà byà theà Nationalà Educationà Acts. We will write a custom essay sample on Education in Great Britain or any similar topic only for you Order Now Schoolsà inà Englandà areà supportedà fromà publicà fundsà paidà toà theà localà educationà authorities. Theseà localà educationà authoritiesà areà responsibleà forà organizingà theà schoolsà inà theirà areasà andà theyà themselvesà chooseà howà toà doà it. Letââ¬â¢sà outlineà theà basicà featuresà ofà publicà educationà inà Britain. Firstly,à thereà areà wideà variationsà betweenà oneà partà ofà theà countryà andà another. Forà mostà educationalà purposesà Englandà andà Walesà areà treatedà asà oneà unit,à thoughà theà systemà inà Walesà isà aà littleà differentà fromà thatà ofà England. Scotlandà andà Northernà Irelandà haveà theirà own à educationà systems. Secondly,à educationà inà Britainà mirrorsà theà countryââ¬â¢sà socialà system:à ità isà class-dividedà andà selective. Theà firstà divisionà isà betweenà thoseà whoà payà andà thoseà whoà doà notà pay. Theà majorityà ofà schoolsà inà Britainà areà supportedà byà publicà fundsà andà theà educationà providedà isà free. Theyà areà maintainedà schools,à butà thereà isà alsoà aà considerableà numberà ofà publicà schools. Parentsà haveà toà payà feesà toà sendà theirà childrenà toà theseà schools. Theà feesà areà high. Asà aà matterà ofà fact,à onlyà veryà richà familiesà canà sendà theirà childrenà toà publicà schoolsà asà wellà asà toà theà bestà universities,à suchà asà Oxfordà andà Cambridge. Anotherà importantà featureà ofà schoolingà inà Britainà isà aà varietyà ofà opportunitiesà offeredà toà schoolchildren. Theà Englishà schoolà syllabusà isà dividedà intoà Artsà (orà Humanities)à andà Sciences,à whichà determineà theà divisionà ofà theà secondaryà schoolà pupilsà intoà studyà groups:à aà Scienceà pupilà willà studyà Chemistry,à Physics,à Mathematicsà (Maths),à Economics,à Technicalà Drawing,à Biology,à Geography;à anà Artà pupilà willà doà theà Englishà Languageà andà Literature,à History,à foreignà languages,à Music,à Art,à Drama. Besidesà theseà subjectsà theyà mustà doà someà generalà educationà subjectsà likeà Physicalà Educationà (PE),à Homeà Economicsà forà girls,à andà Technicalà subjectsà forà boys,à Generalà Science. Computersà play anà importantà partà inà education. Thereà isà aà systemà ofà careersà educationà forà schoolchildrenà inà Britain. Ità isà aà three-yearà course. Theà systemà ofà optionà existsà inà allà kindsà ofà secondaryà schools. Besides,à theà structureà ofà theà curriculumà andà theà organizationà ofà teachingà varyà fromà schoolà toà school. Headmastersà andà headmistressesà ofà schoolsà areà givenà aà greatà dealà ofà freedomà inà decidingà whatà isà taughtà andà howà inà theirà schoolsà soà thatà thereà isà reallyà noà centralà controlà at à allà overà individualà schools. Theà Nationalà Educationà Actà ofà 1944à providedà threeà stagesà ofà education;à primary,à secondaryà andà furtherà education. Compulsoryà schoolingà inà Englandà andà Walesà lastsà 11à years,à fromà theà ageà ofà 5à toà 16. Afterà theà ageà ofà 16à aà growingà numberà ofà schoolà studentsà areà stayingà onà atà school,à someà untilà 18à orà 19,à theà ageà ofà entryà intoà higherà educationà inà universitiesà andà Polytechnics. Britishà universityà coursesà areà ratherà short,à generallyà lastingà forà 3à years. Theà costà ofà educationà dependsà onà theà collegeà andà specialityà whichà oneà chooses. Pre-primaryà andà Primaryà Education Nurseries. Primaryà School. Streaming. Theà Eleven à Plusà Examination. Noà Moreà ofà It? Inà someà areasà ofà Englandà thereà areà nurseryà schoolsà à 3à forà childrenà underà 5à yearsà ofà age. Someà childrenà betweenà twoà andà fiveà receiveà educationà inà nurseryà classesà orà inà infantsà classesà inà primaryà schools. Manyà childrenà attendà informalà pre-schoolà play-groupsà organizedà byà parentsà inà privateà homes. Nurseryà schoolsà areà staffedà withà teachersà andà studentsà inà training. Thereà areà allà kindsà ofà toysà toà keepà theà childrenà busyà fromà 9à oââ¬â¢clockà inà theà morningà tillà 4à oââ¬â¢clockà inà theà afternoonà ââ¬âà whileà theirà parentsà areà atà work. Hereà theà babiesà play,à lunchà andà sleep. Theyà canà runà aboutà andà playà inà safetyà withà someoneà keepingà anà eyeà onà them. Forà dayà nurseriesà whichà remainà openà allà theà yearà roundà (heà parentsà payà accordingà toà theirà income. Theà localà educationà authorityââ¬â¢sà nurseriesà areà free. Butà onlyà aboutà threeà childrenà inà 100à canà goà toà them:à thereà arenââ¬â¢tà enoughà places,à andà theà waitingà listsà areà ratherà long. Mostà childrenà startà schoolà atà 5à inà aà primaryà school. Aà primaryà schoolà mayà be dividedà intoà twoà partsà -infantsà andà juniors. Atà infantsà schoolà reading,à writingà and à arithmeticà areà taughtà forà aboutà 20à minutesà aà dayà duringà theà firstà year,à graduallyà increasingà toà aboutà 2à hoursà inà theirà lastà year. Thereà isà usuallyà noà writtenà timetable. Muchà timeà isà spentà inà modellingà fromà clayà orà drawing,à readingà orà singing. Byà theà timeà childrenà areà readyà forà theà juniorà schoolà theyà willà beà ableà toà readà andà write,à doà simpleà additionà andà subtractionà ofà numbers. Atà 7à childrenà goà onà fromà theà infantsà schoolà toà theà juniorà school. Thisà marksà theà transitionà fromà playà toà ââ¬Å"realà workâ⬠. Theà childrenà haveà setà periodsà ofà arithmetic,à readingà andà compositionà whichà areà allà Elevenà Plusà subjects. History,à Geography,à Natureà Study,à Artà andà Music,à Physicalà Education,à Swimmingà areà alsoà onà theà timetable. Pupilsà areà streamedà accordingà toà theirà abilitiesà toà learnà intoà A,à B,à ?à andà Dà streams. Theà leastà giftedà areà inà theà Dà stream. Formallyà towardsà theà endà ofà theirà fourthà yearà theà pupilsà wroteà theirà Elevenà Plusà Examination. Theà hatedà 11à +à examinationà wasà aà selectiveà procedureà onà whichà notà onlyà theà pupilsââ¬â¢Ã futureà schoolingà butà theirà futureà careersà depended. Theà abolitionà ofà selectionà atà Elevenà Plusà Examinationà broughtà toà lifeà comprehensiveà schoolsà whereà pupilsà canà getà secondaryà education. Secondaryà Education Comprehensiveà Schools. Grammarà Schools. Secondaryà Modernà Schools. Theà Sixthà Form. Noà Moreà Inequality?. Cutsà onà Schoolà Spending Afterà theà ageà ofà 11,à mostà childrenà goà toà comprehensiveà schoolsà ofà whichà theà majorityà areà forà bothà ââ¬âboysà andà girls. Aboutà 90à perà centà ofà allà state-financedà secondaryà schoolsà areà ofà thisà type. Mostà otherà childrenà receiveà secondaryà educationà inà grammarà andà secondaryà modernà schools. Comprehensiveà schoolsà wereà introducedà inà 1965. Theà ideaà ofà comprehensiveà education,à supportedà byà theà Labourà Party,à wasà toà giveà allà childrenà ofà whateverà backgroundà theà sameà opportunityà inà education. Onlyà aboutà 20à perà centà ofà childrenà studyà forà theà Generalà Certificateà ofà Education,à Ordinaryà Levelà (GCEà ?-level). Mostà childrenà doà notà passà GCEà examinations. Theyà leaveà schoolà atà 16à withoutà anyà realà qualificationà andà moreà often thanà notà increaseà theà ranksà ofà unemployedà people. Pupilsà ofà modernà schoolsà takeà theirà Certificateà ofà Secondaryà Educationà (CSE)à examinationsà whileà inà grammarà schoolsà almostà allà childrenà stayà toà sixteenà toà takeà ?-levels. Moreà thanà halfà ofà themà stayà onà toà takeà ?-levels. Someà comprehensiveà andà manyà secondaryà schools,à however,à doà notà haveà enoughà academicà coursesà forà sixth-formers. Pupilsà canà transferà eitherà toà aà grammarà schoolà orà toà aà sixth-formà collegeà toà getà theà coursesà theyà want. Theà majorityà ofà schoolsà inà Scotlandà areà six-yearà comprehensives. Secondaryà educationà inà Northernà Irelandà isà organizedà alongà selectiveà linesà accordingà toà childrenââ¬â¢sà abilities. Oneà canà hardlyà sayà thatà highà qualityà secondaryà educationà isà providedà forà allà inà Britain. Thereà isà aà highà lossà ofà pupilsà fromà working-classà familiesà atà entryà intoà theà sixthà form. Ifà youà areà aà working-classà childà at à schoolà today,à theà chanceà ofà yourà reachingà theà secondà yearà ofà aà sixth-à formà courseà isà probablyà lessà thanà one-twelfthà ofà thatà forà theà childà ofà aà professionalà parent. Besides,à governmentà cutsà onà schoolà spendingà causedà many à difficulties. Secondaryà Schoolà Examinations Timeà forà Examinations. GCE. CSE. Theà Sixthà Forms. CEE. GCSE Pupilsà atà secondaryà schoolsà inà Englandà (thatà is,à pupilsà betweenà theà agesà ofà twelveà andà eighteen)à haveà twoà mainà examsà toà worryà about,à bothà calledà GCEà ââ¬âà Generalà Certificateà ofà Education. Theyà takeà theà firstà oneà whenà theyà areà aboutà fifteen. Itââ¬â¢sà calledà O-à level. Thereà isà anà examà whichà youà canà takeà insteadà ofà ?-level:à ità isà calledà theà CSEà (Certificateà ofà Secondaryà Education),à andà ità isà notà asà difficultà asà O-level. Mostà pupilsà takeà ?-levelà inà aboutà sevenà orà eightà differentà subjects. Thereà areà lotsà ofà subjectsà toà chooseà fromà ââ¬âeverythingà fromà carpentryà toà ancientà languages. Forà aà lotà ofà jobs,à suchà asà nursing,à orà assistantà librarian,à youà mustà haveà fourà orà fiveà ?-levels,à andà usuallyà theseà mustà includeà Englishà andà Maths. Youà mayà leaveà schoolà whenà youà areà 16. Butà ifà youà stayà atà schoolà afterà takingà ?-level,à youà goà intoà theà sixthà form. Theà sixthà formsà andà sixth-formà collegesà offerà aà wideà rangeà ofà courses. Ordinaryà levelà alternative,à CEEà (Certificateà ofà Extended Education)à andà CSEà coursesà areà offeredà toà pupilsà whoà needà qualificationsà atà aà lowerà level. Butà ifà youà haveà madeà upà yourà mindà toà gainà entryà toà aà university,à Polytechnicà orà collegeà ofà furtherà educationà youà haveà toà startà workingà forà theà secondà mainà examinationà ââ¬âà A-level. Mostà peopleà takeà ?-levelà whenà theyà areà aboutà eighteen. Ità isà quiteà aà difficultà exam,à soà peopleà donââ¬â¢tà usuallyà takeà ità inà moreà thanà 3à subjectsââ¬âà andà someà onlyà inà oneà orà twoà subjects. Threeà ?-levelsà areà enoughà toà getà youà inà toà mostà universities. Forà others,à suchà asà Oxfordà andà Cambridge,à youà haveà toà takeà specialà examsà asà well. Aà newà school-leavingà certificateà isà planned,à however,à andà O-levelà andà CSEà willà beà replacedà byà oneà publicà exam,à theà Generalà Certificateà ofà Secondaryà Educationà (GCSE). Ità isà toà showà howà childrenà workedà throughoutà 5à yearsà ofà secondaryà school. 5. Parliamentary elections in the United Kingdom should be seen as a referendum on the performance of sitting MPs, not merely as a snapshot nationwide opinion poll determining party voting weights for the next Parliament. The electoral system affects the degree to which voters may hold their representatives to account for their actions in the previous Parliament; changes which would diminish this accountability mechanism should be resisted. The UK presently has a legislature whose unelected chamber better reflects the relative strength of the Labour, Conservative, Liberal Democrat and None of the Above parties. Conversely, if Labour and the Conservatives each won 50% of the vote, the other chamber would have a sizable Labour majority. 51% of the seats in the Lower House delivers 100% of the power, and this can be captured by Labour on about 40% of the vote. Nevertheless, whenever Labour runs into opposition from the chamber which, in any other context, would be described as more ââ¬Å"representativeâ⬠by people who go in for that kind of thing, it threatens to force its legislation through under the Parliament Acts, on the grounds that the Lower House is more ââ¬Å"democraticâ⬠. The Lower Houseà isà more democratic. Contrary to the self-serving views of the Liberal Democrats and other jejune supporters of electoral ââ¬Å"reformâ⬠, what matters for democracy is not representativeness or proportionality, so much as accountability and responsiveness. When MPs behave in accordance with their constituentsââ¬â¢ wishes, this is to be preferred to their merely existing in party groupings of such sizes as best reflect their constituentsââ¬â¢ choices at the previous election. When discussing electoral reform in the UK, retaining a ââ¬Å"constituency linkâ⬠is often posited as a requirement. That is to say, it is felt to be necessary that everyone should have an MP who is in some sense ââ¬Å"theirsâ⬠, normally meaning that people are grouped into geographical areas and each area gets its own MP. A weaker version of this permits multiple MPs for each area. This is supposed to be good because it means that thereââ¬â¢s automatically someone in Parliament to go to with oneââ¬â¢s grievances. There is a much better reason why it happens to be good. If we merely say that everyone must have one or a small number of MPs, that does not imply that every MP must have his own constituency. The German federal electoral system and its antipodean imitator in New Zealand affords MPs who have no constituencies: they are elected from party lists and assigned in such numbers as ensure that the proportion of MPs in each party in the chamber match the proportion of the vote each party won. This category of MPs shares the same vice as MPs in a chamber fully elected by a proportional system: they canââ¬â¢t be voted out of office directly. If your MP decides to go against the wishes of his constituents, they can contact him and say, ââ¬Å"Hi, your majority at the last election was 2000; we, the undersigned 1001 who voted for you last time will vote against your party next time unless you buck the whip on this issue we care about. â⬠The easier it is to do this, the more likely the behaviour of an MP will reflect the wishes of constituents. Donââ¬â¢t believe the canard about votes not counting: every vote against the person who won counts against his majority and makes him more susceptible to pressure from his constituents before the next election. The electoral system can restrain this tactic. It works well under First Past The Post, and similar systems. Generally, increasing the number of MPs who represent a single constituency has the effect of making this tactic harder, as the punishment from electors may be spread across several MPs, especially if the electors cannot choose which MPs from a paricular party get the benefit of their vote. This is a notorious problem with the European Parliamentary elections in Great Britain: if some MEP is the ringleader for a particularly odious policy, she cannot easily be voted out without voting out the colleagues from her party. Even when a free choice on the preferential ordering of MPs is permitted, it is difficult to stop the disliked MP from riding back to election on the coattails of his more popular colleagues. So, in order of preferability, the electoral systems rank as follows: * First Past The Post, and Alternative Vote Single Transferable Vote in multimember constituencies * Proper Proportional Representation systems with open lists * Proper Proportional Representation systems with closed lists Having said all this, it must be stressed that electoral reform for the House of Commons should not be considered in isolation from the composition of the other chamber, and the relation between the Commons and three other institutions: the executive, the House of lords, and the courts. Some notes: Alternative Vote is the Australian name for a system which when used in single-member constituencies is identical to STV: electors rank the candidates in order of preference, and the least popular candidate is repeatedly eliminated until someone has over 50%; essentially, once a candidate is eliminated, a vote is regarded as counting for whichever remaining candidate was most preferred by its caster. The effect of this system tends to be obliteration of extremists without penalising or ââ¬Å"wastingâ⬠protest votes. It should be noted that in the British debate, ââ¬Å"Proportional Representationâ⬠is used to mean proper PR systemsà andà STV/AV. The Australian Electoral Commissionà usedà to have an excellent webpage with a classification of all the electoral systems used in Australiaââ¬â¢s twenty-odd legislative chambers, but theyââ¬â¢ve apparently improved it off their site now. Other fallacious views on electoral systems which it is useful to rebut at this juncture include the contention that FPTP entrenches a two-party system (in fact, the number of parties is contingent on the geographical concentration of voters), that AV in the UK in 1997 would have led to a larger Labour majority (only if you didnââ¬â¢t tell people and the parties what the electoral system was in advance, otherwise the parties would have behaved differently), and that geographical constituencies are a relic of a bygone age and are being replaced by PR across Europe, or at least the world. FPTP is described by Hilaire Barnett in her militantly Anglosceptic tome on the British constitution as ââ¬Å"stillâ⬠existing in some dusty English-speaking corners of the planet; in fact some countries using PR have been moving towards constituencies: Italy did in the 1990s, and the Dutch are considering a similar move. 2. POLITICAL PARTIES The idea of political parties first took form in Britain and the Conservative Party claims to be the oldest political party in the world. Political parties began to form during the English civil wars of the 1640s and 1650s. First, there were Royalists and Parliamentarians; then Tories and Whigs. Whereas the Whigs wanted to curtail the power of the monarch, the Tories ââ¬â today the Conservatives ââ¬â were seen as the patriotic party. Today there are three major political parties in the British system of politics: * The Labour Party ââ¬â the centre-Left party currently led by Ed Miliband * The Conservative Party (frequently called the Tories) ââ¬â the centre-Right party currently led by David Cameron * The Liberal Democrat Party (known as the Lib Dems) ââ¬â the centrist, libertarian party currently led by Nick Clegg In addition to these three main parties, there are some much smaller UK parties (notably the UK Independence Party and the Green Party) and some parties which operate specifically in Scotland (the Scottish National Party), Wales (Plaid Cymru) or Northern Ireland (such as Sinn Fein for the nationalists and the Democratic Unionist Party for the loyalists). Each political party chooses its leader in a different way, but all involve all the Members of Parliament of the party and all the individual members of that party. By convention, the leader of the political party with the largest number of members in the House of Commons becomes the Prime Minster (formally at the invitation of the Queen). Political parties are an all-important feature of the British political system because: * The three main political parties in the UK have existed for a century or more and have a strong and stable ââ¬Ëbrand imageââ¬â¢. * It is virtually impossible for someone to be elected to the House of Commons without being a member of an established political party. * All political parties strongly ââ¬Ëwhipââ¬â¢ their elected members which means that, on the vast majority of issues, Members of Parliament of the same party vote as a ââ¬Ëblockââ¬â¢. Having said this, the influence of the hree main political parties is not as dominant as it was in the 1940s and 1950s because: * The three parties have smaller memberships than they did since voters are much less inclined to join a political party. * The three parties secure a lower overall percentage of the total vote since smaller parties between them now take a growing share of the vote. * Voters are much less ââ¬Ëtribalââ¬â¢, supporting the same party at every election, and much more likely to ââ¬Ëfloat, voting for different parties at successive elections. * The ideological differences between the parties are less than they were with the parties adopting more ââ¬Ëpragmaticââ¬â¢ positions on many issues. In the past, class was a major determinant of voting intention in British politics, with most working class electors voting Labour and most middle class electors voting Conservative. These days, class is much less important because: * Working class numbers have shrunk and now represent only 43% of the electorate. * Except at the extremes of wealth, lifestyles are more similar. * Class does not determine voting intention so much as values, trust and competence. In the British political system, there is a broad consensus between the major parties on: * the rule of law * the free market economy * the national health service * UK membership of European Union and NATO The main differences between the political parties concern: * how to tackle poverty and inequality * the levels and forms of taxation * the extent of state intervention in the economy * the balance between collective rights and individual rights How to cite Education in Great Britain, Essay examples
Sunday, December 8, 2019
Essay Example The Mall Example For Students
Essay Example: The Mall Lets go to the mall. This comment is one of the few statements that can be heard coming from the mouths of both sexes. While typically associated with shopping, and thus automatically, and unfairly, females, going to the mall has mutual attractions to both males and females. Since the massive increase of shopping malls in this country, the popularity of going to the mall has increased a thousand fold for everyone. For females the reason that going to the mall is so popular is very clear. Females were always taught that their rightful place is at home taking care of their families this statement is aid without trying to sound chauvinistic. When the car made a sudden impact on the world during the middle part of the century, even more responsibilitys were added to the wifes list of to dos. The wife no longer just took care of the family. She now was able to go out and shop for food, clothes, or anything else that her family may need. In a sense the wife now had more freedom to take care of the family by being away from the home more. Today women are no different then their 1950s counterparts. While contemporary women are much more free-minded about their own place in society, there still lies the motherly instinct to go out and purchase for the family. This instinct may change in time, but until that change occurs this cause shall remain as the chief reason why women got to the mall or go shopping. On the other hand, males go for a completely different reason. The malls are where all the new toys are. This may sound childish, and theoretically unscientific for a cause of male insurgence at malls, but the statement lies in fact. Whenever a new computer product, sports equipment, or masculine item show up, one of the first places that these new toys are showed off are at center concourses in malls. Nowhere else in the world can a person see flocks of guys leaving their wives at jewelry stores to watch a woman who looks like she was sculptured by a Greek master work-out on some new, crazy-looking contraption which I hear can be very dangerous if a person likes his credit account, or if he doesnt have a very trusting wife. Another chief reason for men going to malls is because that location is where all the women are, or at least malls and singles bars another statement said without trying to sound chauvinistic. When the question is really looked at, there is only one cause for the sudden insurgence of both male and females going to shopping malls. Humans as a whole are a communal species. People always need to be around other people, the race is very much so gregarious. So, after hours of being at work, sitting behind a small desk inside an even smaller cubicle, shut-off from the rest of the world, men and women just long to be around others of their own species having a good time. In other words, it is off to the mall for many people after a hard day of work, so that they can be around other people. This communal structure of human society has been around since man was in his basic primate form. This structure also seems to be continuing, despite the attempts of computer manufacturers and Internet entrepreneurs to keep the human race logged-on 24 hours a day. Unfortunately, shopping will always be considered feminine. The only reason that can be found to explain this fact is the motherly instinct of most women that was mentioned earlier. .u42e0f81673d0e701976532bd8d39ed81 , .u42e0f81673d0e701976532bd8d39ed81 .postImageUrl , .u42e0f81673d0e701976532bd8d39ed81 .centered-text-area { min-height: 80px; position: relative; } .u42e0f81673d0e701976532bd8d39ed81 , .u42e0f81673d0e701976532bd8d39ed81:hover , .u42e0f81673d0e701976532bd8d39ed81:visited , .u42e0f81673d0e701976532bd8d39ed81:active { border:0!important; } .u42e0f81673d0e701976532bd8d39ed81 .clearfix:after { content: ""; display: table; clear: both; } .u42e0f81673d0e701976532bd8d39ed81 { 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; } .u42e0f81673d0e701976532bd8d39ed81:active , .u42e0f81673d0e701976532bd8d39ed81:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .u42e0f81673d0e701976532bd8d39ed81 .centered-text-area { width: 100%; position: relative ; } .u42e0f81673d0e701976532bd8d39ed81 .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .u42e0f81673d0e701976532bd8d39ed81 .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .u42e0f81673d0e701976532bd8d39ed81 .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; } .u42e0f81673d0e701976532bd8d39ed81:hover .ctaButton { background-color: #34495E!important; } .u42e0f81673d0e701976532bd8d39ed81 .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .u42e0f81673d0e701976532bd8d39ed81 .u42e0f81673d0e701976532bd8d39ed81-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .u42e0f81673d0e701976532bd8d39ed81:after { content: ""; display: block; clear: both; } READ: Title: Militant Monks EssayAccording to recent history, men are not supposed to enjoy shopping or going to the mall. However, like so many other things that history has attempted to control, the gender gap at shopping malls has been almost obliterated. Today going to the mall is a statement that is not uncommon to hear from males and females. Even though most men and women will say that they go to the mall for totally different reason, the truth, as proven through millions of years of evolution, is far different.
Saturday, November 30, 2019
Motivation Essays (1169 words) - Ethology, Evolutionary Biology
Motivation Motivation explains why people behave as they do. Some scientists view motivation as the factor that determines behaviour, as expressed in the phrase All behaviour is motivated.(World Book, 1986, p.721). Other scientists focus on two certain aspects of motivated behaviour, excitement or exhilaration of behaviour, that is motivation arouses an organism and causes it to act, and the direction of behaviour, which is lead by habits, skills, abilities and structural features. (World Book, 1986). This essay aims to describe the four theories of motivation, Instinct theory, Sociobiology, Drive-Reduction theory and Incentive theory. I will be relating each theory to George`s behaviour and whether they do or do not apply to George`s behaviour. Instinct is behaviour that is inherited rather than learned. Instinct is an inborn tendency/biological force that dominates behaviour. (Weiten, 1995). William McDougall (1908) viewed instincts as unlearned, universal in expression and universal in a species. (Weiten, 1995). John Bowlby (1969) views instinct with regards to baby`s attachment to their parents or caregivers, as in-built. His reason for this development is that babies stay close to their parents because they are provided with protection. Human instincts are more flexible and more open to learning experiences than those of other species. Just like the imprinting of baby geese, so too do human babies attach to his/her parents after many hours of interaction. [Wortman, C. , Loftus, E. and Weaver, C. (1999)]. An example of instinctual behaviour is that all ants build anthills in the same way, even when they are not raised together, then the anthill building behaviour is instinctual and not a learned response.(Weiten, 1995). Sex in humans is also instinctual. We are not born with the desire to engage in sexual activities but as we reach puberty, there is a need for sexual stimulation. Even though we might not know what to do, it is instinctual. But, instincts only describe behaviour, they do not explain why a person engages in behaviour. Therefore with regards to the case study, George`s behaviour, (running the marathon), is not instinctual. Not everyone is born to run a marathon, it is a learned response. (Weiten, 1995). Sociobiology is the study of the biological basis for the social behaviour of humans and other animals. (Worldbook, 1986). Sociobiologists try to ascertain the function of various types of behaviour in the life of an animal. Sociobiology is based on the theory that the central process of life is the struggle of genes to reproduce themselves. Theorists believe that natural preference favours behaviour that maximises reproductive attainment - transmitting genes to the next generation. According to this theory, an organism inherits inclinations to develop certain types of behaviour, and these behaviour patterns increase an organism`s chances of transferring its genes to the next generation. It is believed that an organism can transmit its genes on, not only by reproducing but also by helping related organisms survive and reproduce.(Weiten, 1995).An example of this would be a bee stinging an intruder bee, in order to protect the life and genes of the queen bee (an organism sacrificing their life, for others, therefore passing on its genes). A human`s will, for sacrificing their life for a relative or someone they know, is much stronger than that of sacrificing their life for someone they do not know. A lady will not usually sacrifice her life by running across the road to save a child, (that she does not know), in traffic, whereas if it were her own child, she would sacrifice her life in order to save her child`s life and to carry on the genes. (Weiten, 1995). There are ongoing debates about sociobiology and its relevance to human motivation. Some theorists believe that sociobiologists overestimate the influence of biology and underestimate the influence of culture. (Deverell, A., 1999). In the African culture, African men consider African women with large buttocks appealing, but may be viewed as unattractive in other cultures. [Wortman, C. , Loftus, E. and Weaver, C. (1999)]. George is exhibiting perseverance in the face of everything bad. George`s perseverance is a trait that is beneficial to his survival. George did not run to protect his genes, it was his own motivation that made him run the marathon. Most people would not persevere as George did. Drive Theory: Clark Hull (1884-1952) defines a drive as an observation that organism`s seek to maintain homeostasis, a state of physiological equilibrium/stability. (Hull in Weiten, 1995, p.378). A drive assists an organism in alleviating inner tension. For example drinking to alleviate thirst. Drive theory explains why people eat, sleep, seek pleasure, avoid pain and engage in
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