Friday, August 28, 2020

Classification of Psychic Experiences Essay -- Classification Essays

Grouping of Psychic Experiences As a rule, mystic encounters which manage accepting data from an outside source, either living or passed on can be arranged into the accompanying classifications: psychometry, clairvoyance, special insight, clairaudience, programmed composing and directing. Two progressively mystic methods, presumption and projection, manage moving the character to a remote area. Psychometry is the specialty of getting data about somebody by contacting an article regularly conveyed by that individual, for example, a key chain or adornments. The extent of this paper does exclude clarifying how psychometry, or some other clairvoyant workmanship is performed, yet they accomplish work. I once held somebody's keys, shut my eyes and trusted that pictures will show up. Nothing occurred. I was annoyed and quit attempting to get a picture. At that point my hands began to tingle and unexpectedly in my inner consciousness, I saw takes care of being stacked to shape a divider. The man whose keys I was holding was an artisan. Some other time, I held a lady's ring, shut my eyes and quickly my throat quit for the day, chest burst into flames and I was unable to relax. I woke myself up and found that the lady had genuine respiratory issues. Her ring was incredibly hot when I gave it back to her. These two individuals were finished outsiders I collaborated with at a clairvoya nt workshop. Psychometry accomplishes work, however it may not work constantly, or work for everybody. Clairvoyance is all the more approximately characterized. All in all, clairvoyance is a strategy for accepting data about somebody. Clairvoyance is not quite the same as psychometry in that an item isn't utilized. The data relates to past, present or future occasions. The manner in which it is transmitted can be visual, as with clairvoyance,... ...g. The CIA became intrigued on the grounds that they needed to recognize what the Soviets were up to thus they supported the alumni's labor for a long time. In the long run, the CIA quit financing them and the graduate understudies fiddled with the items advertise. Indeed they met with achievement in eleven out of eleven attempts. When inquired as to why they didn't proceed and get tycoons, they addressed that their remote review abilities gave them genuine feelings of serenity, and some way or another creation cash on their ability didn't appear to be very right thus they halted. They are as yet dynamic in their exploration at Stanford. This exposition is in no way, shape or form a decisive talk on the assortment of clairvoyant wonders present on the planet. Other interesting capacities exist including everything from supernatural power, raising items, to raising the dead. That, at any rate, is one mystic blessing nobody is rehearsing right now.

Saturday, August 22, 2020

Factors Affecting Customer Loyalty free essay sample

The development for portable assistance has been step by step creating from a complete number of endorsers of 1. 513 million toward the finish of 1996 to 7. 477 million of every 2001. (Malaysian Communication and Multimedia Commission, MCMC) The market for the media transmission industry in Malaysia is profoundly serious. This industry is as of now overwhelmed by 3 administrators Telekom, Maxis and DiGi. For instance, as Maxis Communications Berhad (â€Å"Maxis†) being one of the most positive decision for clients, Maxis accepts that the fundamental serious factors in the versatile administrations showcase are organize inclusion, administration quality, valuing and brand. In this way, these could be the fundamental factors that decide the degree of client steadfastness towards Maxis. A basic issue for the proceeded with accomplishment of a firm is its ability to hold its present clients and make them faithful to its brands (Dekimpe et al. , 1997). Client faithfulness is fundamental to an organization as backstabbing clients can add up to a large number of lost income and benefit. We will compose a custom paper test on Components Affecting Customer Loyalty or on the other hand any comparative theme explicitly for you Don't WasteYour Time Recruit WRITER Just 13.90/page Studies were additionally directed in the monetary administrations industry show that expanding client reliability by 5 percent could prompt 25-75 percent benefit development (Chan et al. , 2001). By and large, devotion is something that shoppers may show to brands, administrations, stores, item classes. Here, we utilize the term client devotion instead of brand faithfulness; this is to stress that unwaveringness is an element of individuals, as opposed to something intrinsic in brands. Oliver (1997) characterizes client devotion as a profoundly held duty to rebuy or repatronize a favored item/administration reliably later on, along these lines causing tedious same-brand or same brand-set buying, in spite of situational impacts and promoting endeavors having the capacity to cause exchanging conduct. Because of the forceful rivalry in the media transmission industry, numerous organizations are losing clients at a considerable rate. Therefore, organizations perceived the need to put more prominent accentuation on client unwaveringness as there is seen to be a connect to gainfulness. Actually, steadfast clients will in general buy more, they will even acknowledge more significant expenses and have a positive verbal impact, telling loved ones, in this way adding them to the quantity of faithful clients. Plus, we plainly realize that the expense of offering to new clients is a lot higher than the expense of offering to existing clients. The point of this examination is to analyze the connection between the current components and client unwaveringness, simultaneously to discover which factor is ideal to decide the degree of client dependability. In this exploration, we proposed Maxis Communication Berhad as the examination subject as it is known to be the principle rival in the cell phone administration showcase situated in Malaysia. Potential variables influencing client reliability are talked about. Also, a study is done in Universiti Tunku Abdul Rahman, Sungai Long utilizing an overview survey. Information was gotten from 60 understudies who are at present Maxis clients. The information gathered was investigated by utilizing a factual programming bundle which is known as SPSS program. With the goal for organizations to continue in a serious edge, building client steadfastness is somewhat significant. Since dependability is a key in client advancement and benefit, it is significant for associations to comprehend the reliability condition in more detail, and to utilize this comprehension to build up the relationship further with clients which falls in the devoted classification. The aftereffects of this investigation will give proof to associations on what are the key reasons that perhaps will impact client to make rehashing buys. Thus, permitting associations to concentrate on territories by survey from customer’s point of view in which will bring about higher benefit and building a closer security between the brand and current clients in its planned to keep up current client base. Writing Review The audit of past investigation from various assets has been modified to acquire a further comprehension of the factors in this examination. It is isolated into three sections, which are the survey of the writing, proposed theoretical system and speculations improvement. Survey of the writing shows significant builds, systems, and discoveries identified with the examination. In the interim, the proposed applied system and speculations improvement shows the relationship of the factors developed in this investigation. Client Loyalty Three calculated points of view have been recommended to characterize client reliability: the social viewpoint, the attitudinal point of view, and composite viewpoint (Bowen and Chen, 2001; Zins, 2001). Initially, the social viewpoint sees rehash buy conduct dependent on the customer’s buy history. This methodology accept that inclination structure of the client is reflected in the customer’s conduct (Ehrenberg, 1988). Conversely, the attitudinal point of view permits gain in supplemental comprehension of faithful conduct (Zins, 2001). Demeanor implies how much a customer’s affidavit towards an assistance is well disposed. (Grembler and Brown, 1996). A few instances of operational measures in attitudinal point of view are inclination, purchasing goal, provider prioritization and suggestion ability (Fournier and Yao, 1997). The third point of view consolidates both attitudinal and social meanings of dependability. The composite point of view is viewed as an option in contrast to emotional reliability that builds the prescient intensity of faithfulness (Pritchard and Howard, 1997). Basically, faithful clients assemble organizations by purchasing progressively, addressing premium costs, and giving new referrals through positive informal exchange after some time (Ganesh et al. , 2000). Moreover, faithful clients add to the company’s gainfulness by spending more on organization items and administrations, through continue buying, and by prescribing the association to different customers (Bowen and Chen, 2001; Fesicova, 2004). Subsequently, the primary goal of this examination is to decide the potential determinants of client devotion towards Maxis and to test the connections among these components. Corporate Image Corporate picture is portrayed as the general impression made in the psyches of people in general about a firm (Barich and Kotler, 1991). In the interim, Nyuyen and Leblanc (2001) guarantee that corporate picture is identified with the physical and social traits of the firm, for example, business name, engineering, assortment of items or administrations, and to the impression of value imparted by every individual interfacing with the firm’s customers. Along these lines, corporate picture was early distinguished as a significant factor in the general assessment of the administration and the organization (Bitner, 1991; Gronroos, 1984; Gummesson and Gronroos, 1988). Albeit a client might not have enough data about a firm, data got from various sources, for example, promotions and verbal exchange will impact the way toward framing the corporate picture. (Andreassen, 1995). Likewise, Fishbein and Ajzen (1975) included that perspectives are practically identified with conduct expectations. Subsequently, corporate picture influences social goals, for example, client dedication (Johnson et al. 2001). As indicated by Nguyen and Leblanc (2001), corporate picture relates decidedly with client faithfulness in three parts (media transmission, retailing and instruction). Corporate picture can in this way hub from the entirety of a consumer’s encounters, brings about various degree of demeanor towards the brand that prompts customer’s fulfillment and client dedication. Trust The degree by which an individual sees a trust picture to a brand depends on their involvement in the brand. Subsequently, the experience credited will be impacted by any immediate (e. g. rial, use, fulfillment, and utilization) and any circuitous contact (promoting, verbal, brand notoriety) with the brand (Keller, 1998; Krishnan, 1996). Basically, trust has been perceived as a significant job in influencing relationship responsibility (Morgan and Hunt, 1994) thus client steadfastness (Gundlach and Murphy, 1993). This is on the grounds that when one gathering confides in another, it is probably going to build up some type of positive social expectation towards the other party. Moreover, when a client confides in a brand, this implies he is likewise liable to frame a positive purchasing aim towards the brand (Lau and Lee, 1999). Then again, it is asserted that there is a positive connection between trust in a firm and client dedication, reliable with the past research (e. g. Chaudhuri and Holbrook, 2001; Lau and Lee, 1999). Besides, to confide in a brand, clients ought see positive results as well as accept that these positive results will proceed later on. Administration Quality Gronroos (1984) characterized administration quality as an apparent judgment, coming about because of an assessment procedure where clients contrast their desires and the administration they see to have gotten. He further included that the nature of an assistance is reliant with two factors: anticipated help and saw administration, which is that any past involvement in an assistance could impact the desires for a client, though the apparent assistance is a consequence of a consumer’s impression of the administration itself. Following the above definitions, administration quality has additionally been portrayed as a type of mentality, related yet not equal to fulfillment, that outcomes from the correlation of desires with execution (Balton and Drew, 1991; Parasuraman et al, 1988). As per a few examinations it is estimated that administration quality will apply an immediate positive effect on apparent worth (e. g. Balton and Drew, 1991; Zeithaml 1988), on by and large fulfillment (e. g. Cronin and Taylor, 1992) and

Friday, August 21, 2020

Everything You Need to Know The Great Gatsby Era

All that You Need to Know The Great Gatsby Era SAT/ACT Prep Online Guides and Tips The Great Gatsby happens during a period that is currently known as the Jazz Age or the Roaring 20s. Thinking about what the world resembled when Jay Gatsby became quite wealthy in bootlegging? Inquisitive to perceive the amount Daisy and Myrtle's battle for more echoes the lives of genuine ladies? Keen on different ways that The Great Gatsbyera matters to the plot of the novel? This article will control you through the authentic, monetary, and social developments of the 1920's as they identify with occasions, subjects, and characters in The Great Gatsby. Why DoesThe Great Gatsby EraMatter? Understanding what the world resembled during the time the novel is sethelps you in a wide range of ways: Making sense of a creator's presumptions. Authors are results of their time, so comprehending what they would have thought to be genuine makes perusing their work more extravagant. For example, inThe Great Gatsby, it's underestimated that the Jewish hoodlum Meyer Wolfshiem would require the WASP-y face of Jay Gatsby to make a portion of his arrangements, since Wolfshiem wouldn't have been permitted to join or partake significant political and business systems. Getting a more profound handle of character. To get a great feeling of why characters in the novel do what they do, it's helpful to know the particular authentic conditions they are managing. For instance, it's fine and dandy to expect that Daisy should leave the animalistic Tom, however separation would have been much increasingly muddled for a lady during the 1920s than it is today. Building up a more extravagant understanding of images, themes, and subjects. Realizing the hot-button issues of the novel's day gives you a decent second approach to help contentions about the significance of a specific topic, or your perusing of the importance of an image. (Obviously, the essential help for these contentions should originate from the content itself!) Suppose you needed to examine the significance of vehicles in The Great Gatsby. It would assist your contention with talking about the unexpected soaring commonness of vehicles out and about during the 1920s, associating them to expanded threat, superficial point of interest commercialization, and current life. Authentic setting: the goliath arm propping up the infant that is your contention. When DoesThe Great GatsbyTake Place? The Great Gatsby was distributed in 1925 and is set in 1922, close to the start of the decade. (See our article on this current novel's production and gathering history for additional.) All things considered, theGreat Gatsby time is theperiod in twentieth century U.S. history nicknamed both the â€Å"Roaring 20s† and the Jazz Age. The principal epithet focuses toAmerica's post-WWIeconomic thriving and the nation's more noteworthy impact abroad. The subsequent epithet alludes to this period'schanging social standards and brave imaginative developments. Gatsbyis now observed as both a result of and a record of the 1920s. I don't get this' meaning? We should investigate. Before The Great Gatsby: WWI and Modernism Albeit numerous past occasions inevitably affected the 1920s, there are two crucialpieces of foundation history that you need to know. World War I World War I drastically influenced the United States during the 1920s (and, obviously, molded a significant part of the twentieth century everywhere throughout the world also). From one perspective, it elevatedthe U.S. into a world super force and introduced 10 years in length financial boom.On the other hand, its terrible loss of life and appearing inaneness everlastingly dispersed war as honorable and wonderful. Abrief recap of what occurred. After the death of Archduke Franz Ferdinand, the beneficiary of Austro-Hungarian Empire in 1914, Austro-Hungary and its partner Germany pronounced waragainst Russia. Russian partners France and England were pulled in to safeguard Russia. The littler European forces were constrained into the war also, in light of whatever collusions they had made in the past.For the initial three years, the U.S. stayed nonpartisan, rather profiteering from the war by selling supplies toboth sides of the contention. In any case, in 1917, the U.S. was maneuvered into the battling, dreading a union among Germany and Mexico. WWI was a war of channel fighting, substance weapons, shrapnel gunnery, and other frightful innovations that had never been seen. At the point when you join this degree of mass decimation with the way that the vast majority of the war was a regional impasse (no military propelled, no military pulled back - they were simply secured a horrendous tie), it's anything but difficult to perceive how untouchable the 40 million passings the war caused were. The overcomers of the war - both the veterans and the individuals who grew up during the battling - were known as the Lost Generation. F. Scott Fitzgerald, however he didn't really observe any battling during his time in the military, was an individual from this age. (See our short memoir of Fitzgerald to find out additional.) You should think about WWI (and its repercussions) in light of the fact that: Both Nick Carraway and Jay Gatsby have military foundations. Gatsby's initial sentiment with Daisy is elevated by the underlying optimism that he was going to go battle in an honorable and great undertaking. A portion of the bits of gossip twirling around Gatsby point to how new the war was in everybody's psyche (that he was a German covert operative during the war, or that he is identified with Kaiser Wilhelm, who governed Germany during the war). Innovation and the Lost Generation The war and its overwhelming eventual outcomes, especially in Europe, took care of into the making of another imaginative development: innovation. Innovation was tied in with breaking with the past. Rather than nineteenth century composing that would in general fortify the norm, innovation dismissed good old thoughts like gallantry and good certitude. Correspondingly, innovation journalists explored different avenues regarding structure and style instead of staying with customary types of writing and verse. Roused by the pulverization of WWI, authors in The Lost Generationembraced a skeptical perspective on human instinct. Fitzgerald himself waspart of a hover of innovators who consistently met inParis (others included Hemingway, Ezra Pound, Sinclair Lewis, and the painters Picasso and Matisse). Fitzgerald wroteThe Great Gatsby while in Paris, surroundedby this gathering. You can interface innovation withthe novel's portrayals of East Egg and West Egg indulgence. Like his kindred innovators, Fitzgerald was profoundly incredulous of the riches and entrepreneur achievement introduced by the post-war blast, considering the new fixation on cash and status shallow. What channel fighting resembled. Envision going through weeks in this gap in the ground. The Great Gatsby Era:The Roaring 20s When the novel happens, the U.S. was in a gigantic monetary blast and a taking off securities exchange that appeared to be on a perpetual upward swing. Simultaneously, huge numbers of the social limitations of the mid twentieth century were being dismissed, and dynamic developments of assorted types were thriving. Denial, Bootlegging,and the Speakeasy Socially dynamic activists in both the Democratic and Republican gatherings joined to constrain the administration to boycott liquor, which was accused for a wide range of other social ills like betting and medication misuse. In 1920, the U.S. passed the eighteenth Amendment, banning the creation and offer of liquor. Obviously, this did little to really stem the craving for mixed refreshments, so a huge underground criminal domain was destined to flexibly this interest. The creation and distributionof liquor turned into the area ofbootleggers - the first sorted out wrongdoing coops. Selling liquor was cultivated from numerous points of view, including throughâ€Å"speakeasies† - essentially, underground social clubs. Since speakeasies were at that point evading the law, they likewise became places where individuals of various races and sexual orientations could blend and blend in a manner they hadn’t already while getting a charge out of new music like jazz.This denoted a move both in how dark culture was comprehended and increased in value by the remainder of the nation and in how women’s rights were advancing, as we’ll talk about in the following segments. On the off chance that you comprehend the historical backdrop of Prohibition, you'll understand some plot and character subtleties inThe Great Gatsby: Gatsby makes his fortune through bootlegging and other crimes. Gatsby's colleague Meyer Wolfshiem is a criminal who is partnered with sorted out wrongdoing and depends on the genuine wrongdoing supervisor Arnold Rothstein, who was for sure answerable for fixing the World Series in 1919. Whenever somebody isdrinking liquor in the novel, they are accomplishing something illicit, and are plainly up to date about how to get this restricted substance. Gatsby’s parties have a speakeasy feel in that individuals from various foundations and sexual orientations unreservedly blend and blend. One of the gossipy tidbits about Gatsby is that he is associated with a bootlegging pipeline of liquor from Canada - this is a reference to a genuine outrage around one of the spots where illicit liquor was coming from! Police purging out reallocated barrels of brew into the sewer. Women’s Rights The nineteenth Amendment, went in 1919, authoritatively gave ladies the option to cast a ballot in the United States. Testimonial had been an immense objective of the women’s development in the late nineteenth and mid twentieth hundreds of years, so this triumph made ladies keep on pushing limits and battle for additional rights during the 1920s. The repercussions of this were political, monetary, and social. Strategically, the ladies' privileges development next took up the reason for the Equal Rights Amendment, which would ensure equivalent legitimate rights for ladies. The alteration approached in the end being ratifiedin the 1970s, yet was vanquished by moderates. Monetarily, there was an expansion in working ladies. This started during WWI as more ladies attempted to compensate for the men battling abroad, and as more callings opened up to them in the men's nonattendance. Culturally, separate from turned out to be progressively normal. In any case, it was still especially disliked, and

Tuesday, May 26, 2020

Tips For Choosing the Best Law of Life Essay Sample

Tips For Choosing the Best Law of Life Essay SampleHow many Laws of Life Essay Sample you want to read will be based on the topic or content of your essay. However, remember that everyone is different, and there are a number of sample essays that will be appropriate for people with a wide range of experiences. You may find that a number of samples are unique to the various facets of your particular topic.The most important thing you need to keep in mind before reading any essay is to do a little research first. Research may include looking at the particular essays you like, doing some background research or even paying attention to the format. If you have not done any research, it would be wise to get the assistance of a professional who can help you understand the structure of the essay. You should pay special attention to the paragraph structure and whether it flows well, so that the essay is easy to read.There are so many Laws of Life Essay Sample available online that make it ver y easy to search. However, it is also important to remember that what you read will be an approximate depiction of the content of the essay. It will not represent the essay in its entirety. This can make a difference in how you perceive the essay, which is why you should always spend some time choosing the essay that best suits your needs.Because of the subject matter, there are many cases in which you might be asked to provide a few sources. In this case, you will need to make sure that the sources are legitimate and authentic. If you happen to discover that there are no valid sources that support your topic, you may have an advantage in providing all you need to in your essay, since it is not likely that you would need to supply all your information in your essay.It is important to note that there are Law of Life Essay Sample that do not actually specialize in the specific topic. Therefore, if you are asked to provide sources, you should make sure that they are able to serve as en ough evidence to prove that the information provided in the essay is factually accurate. Do not assume that a Law of Life Essay Sample will agree with you because they are written by professionals who are familiar with the subject.When you are writing a Law of Life Essay Sample, you will likely want to make sure that your essay is about your subject matter. Therefore, you will want to ensure that the sources for your essay are relevant and you have taken care to write the essay so that it is interesting to read. The essay should be engaging and interesting to read, so that it will be enjoyable reading as well.Take a look at the Law of Life Essay Sample that interests you the most. You can then choose one that will be right for you. The choice is yours, but you should keep in mind that your essay will be your crowning achievement, so you should choose carefully.

Wednesday, May 6, 2020

Privacy Invasions, By Samuel Warren And Louis Brandeis

Privacy Invasions (Issues about Privacy) Every individual expresses their self selectively. When something is private, it is hard for them to share it to others, because it sanctioned them to not be invaded by other people especially when it comes to their personal life. This aspect of living is optional, because it depends on how people split or share it to others knowing that this could not affect their individuality especially their PRIVACY. Privacy is an ability of expressing selective information about self unto others. It is also a domain that gives boundary of what is considered private and personal. Most cultures, accepted the fact that individual possesses this†¦show more content†¦The concept of information privacy has become more noteworthy as more systems controlling more information appear. It may be sold to others for profit and be used for purposes sanctioned by the individual concerned. Privacy Law in many countries has had to become accustomed to changes in technology in order to undertake these issues and, to some point, maintain privacy rights. But the existing global privacy rights framework has also been censured as jumbled and unproductive. There are various theories about privacy and privacy control. The incursion pattern described privacy violation as antagonistic actions of a wrongdoer who causes unswerving harm to an individual. According to Daniel Solove, a law professor at George Washington University, a conceptualized view of privacy will not work because there is no one core element. There are many different, unified elements involved in privacy and privacy protection. People may often disregard the fact that certain fundamentals of privacy problems are due to the structure of privacy itself. He also states that people have to redefine the connection between privacy and businesses and the government. Partaking in certain privacy elements of the government and businesses should allow people to choose whether they want to be a part of certain

Tuesday, May 5, 2020

The Great Wall of China free essay sample

The Great Wall of China is truly one of the greatest architectural achievements in recorded history. Each emperor of China added pieces to the wall to protect their dynasties. The great wall is actually a series of walls built to defend ancient China’s borders against northern barbarians. I don’t think the benefits of building the wall outweighed the costs because of the way the soldiers and peasants were treated and the time and money put into building the wall. Although the Great Wall is a spectacular sight to see now, it wasn’t as enjoyable back then. Emperor Qin used peasants, soldiers, scholars, enemies, and anyone that he disliked to go right to work to build the wall. (Doc E) They worked seven-day weeks with very little food. (Doc E) During the harsh eight months of winter, the temperatures reached to -20 to -30 degrees Fahrenheit. (Doc E) The workers were forced to leave their families and villages for many years. We will write a custom essay sample on The Great Wall of China or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page (Doc E) These workers were not paid for their hard work, it was slave labor. Tens of thousands of workers died from exhaustion, hunger, and extreme weather. The Great Wall of China was built in a 2,000 year time period. That was a lot of hard work for the laborers and alot hard planning for the emperors who wanted to add to the wall. Emperor Qin built his part of the wall from 221-206 BCE (Doc A) Han built his section of the wall from 206 BCE- 220 CE. (Doc A) The wall didn’t cost as much as people would think. That is because none of the workers were paid. The emperors forced them to build the wall. The workers had to repeat the same process over and over which probably took forever. Still, hundreds of billions of dollars were wasted on materials such as the ingredients needed to make dirt. Some people say the benefits of building the wall outweighed the cost, but I don’t agree. The only good thing people have to say about the Great Wall of China is that is beautiful and protected the people. Even though it did protect the Chinese, they could have paid workers or used volunteer workers and they could have cut down a little bit on the materials they used to save some money. There are a million other reasons why building the wall the way some emperors did was not smart. In conclusion the costs of building the Great Wall of China totally outweighed the benefits. The emperors tortured innocent people by making them work very hard on the wall and the money spent on the project was a total waste. What do you think? Did the benefits of building the Great Wall of Ancient China outweigh the costs?

Wednesday, April 15, 2020

Pros and Cons of Us Healthcare System free essay sample

Canada spends far less of its GDP on health care (10. 4 percent, versus 16 percent in the U. S. ) yet performs better than the U. S. on two commonly cited health outcome measures, the infant mortality rate and life expectancy. But what constitutes high quality health care? The U. S. Institute of Medicine’s definition, which has grounded expert work in the United States and elsewhere, describes quality as â€Å"the degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge. A healthcare system can be reviewed by many standards. It can be reviewed by its effectiveness and efficiency, its fairness and receptiveness to the expectations of its population. It can be reviewed through its non-discriminatory economic contributions and suitability and lastly, it can be reviewed through its population’s overall health. Both the Unites States and Canada have Medicare prog rams that are publicly funded. We will write a custom essay sample on Pros and Cons of Us Healthcare System or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page However, the United States unlike Canada has other types of programs that are publicly funded. These programs for example include the States Childs Health Insurance Program (SCHIP) for children of low income families and the Veterans Hospital Administration Program (VA) which supplies military veterans’ with health benefits via a network of government hospitals. Canada’s government in contrast to the U. S. offers a single payer system for health care to its citizens where fundamental services are supplied by private physicians (socialized medicine). Physician care in the U. S. is typically provided by a physician in private practice but can come from the government as well. A good number of U. S. and Canadian physicians also utilize a fee per visit rate. Roughly 2/3 of hospitals in the United States’ urban areas are non-profit hospitals unlike Canada. Numerous citizens in both countries encounter difficulties obtaining access to health care. Many U. S. citizens either have no health insurance because they are not able to afford it or it is inadequate, unlike Canada where all members of society are covered for health care. Both Canada and the U. S. have restricted programs that supply prescriptions to the underprivileged. A number of provinces in Canada still charge individuals and families premiums and in the U. S, states like Connecticut and Minnesota have moved toward Universal Health Care. For the most part both countries seem to hold equal acceptability and equal restrictions. Essentially, when comparing and contrasting the U. S. and Canada, the Canadian health care system has a smaller number of physicians as oppose to the United States but there is more government involvement in the Canadian health care system than in the United States We will explore the positives and negatives of the U. S. and Canadian healthcare system. Given the presence of social insurance programs in the United States, this paper will evaluate the role of managed care approaches in meeting the cost-containment, access, and quality objectives of the two Health Care Programs in the United States and Canada. We will attempt to compare and contrast the benefits and liabilities inherent in the two neighboring countries. We will also focus our study on problem analysis; try to offer solutions and recommendations; and justify why our recommended solution and implementation will solve the identified problems. We will also determine which country’s approach is the most effective. Comparative Study of United States and Canadas Health Care System I. Problem/Issue Statement Medicare is facing a fiscal crisis that threatens its sustainability. The need for significant Medicare reform is increasingly urgent as 76 million baby boomers are expected to retire over the next two decade. According to the 201 Medicare Trustees Report, the Hospital Insurance trust fund will be depleted in 2024. This translates to $27 trillion in unfunded liabilities over the next 75 years. Current projections indicate that health care costs will increase by more that 70 percent over the next ten years and will continue thereafter to consume an increasingly greater portion of personal income. For Americans, health care coverage depends primarily on whether health insurance is provided by their employer or through two major public programs, Medicaid for the poor and Medicare for the elderly. For both public and private employees, health care benefits and cost vary tremendously. By making workers dependent upon their employer for health care, there is an extra burden on workers who are forced to change or lose their jobs in the U. S. Also, a growing number of people with a history of health problems, or with what insurance companies deem to be preexisting conditions, find themselves uninsurable. With rising health care costs, many employers in the private sector do not provide any health care benefits at all. Most employers, whether private or public, are attempting to shift the cost of health care programs onto workers. Medicare, for example, now covers only about 40% of the health care costs of the aged. II. Literature Review In 2009, Americans spent $7,960 per person on health care, while our neighbors in Canada spent $4,808. There are many possible explanations for why Americans pay so much more. It could be that we’re sicker. Or that we go to the doctor more frequently. But on close inspection, found that Americans don’t see the doctor more often or stay longer in the hospital than residents of other countries. Quite the opposite, we spend less time in the hospital and see the doctor less often than the Canadians. The United States spends more on health care than Canada without providing more services than Canada. Canada’s Health Care prices are set by the government. The creation of Medicare in Canada in 1966 rapidly led to government funding of much of the health system. The American government has also has become deeply involved in the delivery of health care, but has not created a system of universal government coverage. Comparing and Contrasting the U. S. Health Care System A healthcare system can be reviewed by many standards. It can be reviewed by its effectiveness and efficiency, its fairness and receptiveness to the expectations of its population. It can be reviewed through its non-discriminatory economic contributions and suitability and lastly, it can be reviewed through its population’s overall health. Roughly two-thirds of hospitals in the United States’ urban areas are non-profit hospitals unlike Canada. Numerous citizens in both countries encounter difficulties obtaining access to health care. Many U. S. itizens either have no health insurance because they are not able to afford it or it is inadequate, unlike Canada where all members of society are covered for health care. Both Canada and the U. S. have restricted programs that supply prescriptions to the underprivileged. A number of provinces in Canada still charge individuals and families premiums and in the U. S, states like Connecticut and Minnesota have moved toward Universal Health Care. For the most part both countries seem to hold equal acceptability and equal restrictions. Essentially, when comparing and contrasting the U.S. and Canada, the Canadian health care system has a smaller number of physicians as oppose to the United States but there is more government involvement in the Canadian health care system than in the United States (Holt , 2007, Para 7,8, and 9). Pros and cons in the U. S and Canadian Health care Systems As usual there are pros and cons to the Canadian health care system. For example a small number of well-revealed and somewhat erroneous cases show that has a con, Canada’s health care system is in great need of improved urgent care for its citizens requiring immediate treatment. Another con is that Canadians also pay higher taxes to pay for health care. Further examination reveals that as a con, the Canadian health care system does a very meager job at handling and controlling chronic disease. Furthermore, as a major con, the health care system’s wait time for elective care is way beyond the required time a citizen should have to wait for treatment and this includes appointments with family physicians, specialists and elected surgical procedures (Suphan 2009, para. 6). On the other hand, when viewing the pros of the system, all Canadians have insurance coverage for hospital and physician services. The citizens do not have co-pays or deductibles on basic health care services. In addition, the majority of Canadian provinces supply coverage for programs such as home health care, long-term care, pharmaceuticals and durable health care equipment, though these services do have minimal co-pays. The main pro that Canada’s health care system has are its costs. Canada pays out roughly 10% of its economic value on healthcare plus Canadians essentially receive more of the majority of services. Just as Canada has pros and cons to its health care system, likewise the United States’ health care system has pros and cons. One of the pros of the U. S. health care system is that its medical research systems are some of the best in the world. Institutions such as the Mayo Clinic, Cleveland Clinic and the medical school at Harvard possess some of the most world-renowned researchers in the world because of the advances they are making in medicine and also because of the current free-market system. Another pro to the United States’ health care system is that Americans’ who have enough money for it or those who possess jobs with great benefits have some of the best health insurance plans in the world. One more advantage of the present U. S. health care system is that taxpayers do not sustain the cost coupled with supplying health care insurance to all single people. Furthermore, the U. S. health care system as a major pro pays health care for elderly and very poor. On the other side of United States health care system are its cons. For example one of the main cons of the present U. S. health care system is that Americans pay out a large amount extra for their health care, but the sad fact is, many American citizens are not any healthier than other citizens in other nations that pay out much less in funds for health care. The amount of money paid out on American health care is astounding to say the least. Another major drawback of the U. S. health care system is that a great majority of American citizens are in fact underinsured or worst case scenario, uninsured. Lastly, the United States’ health care system most major cons deal with the lack of health care access, high costs and comprehensive quality health care for everyone requiring health care. A 2007 review of all studies comparing health outcomes in Canada and the U. S. , in a Canadian peer-reviewed medical journal, found that health outcomes may be superior in patients cared for in Canada versus the United States, but differences are not consistent. (Guyatt et. al. , 2007) Life expectancy is longer in Canada, and its infant mortality rate is lower than that of the U. S. but there is debate about the underlying causes of these differences. The World Health Organizations ratings of health care system performance among 191 member nations, published in 2000, ranked Canada 30th and the U. S. 37th, and the overall health of Canadians 35th to the American 72nd. (The World Health Report 2007) Compare and Contrast Government involvement Canadas single-payer health care system is universa l, while in the United States, with its mixed public-private system, 16% are uninsured at any one time. The governments of both nations are closely involved in the delivery of health care. The central structural difference between the two is in health insurance. In Canada, the federal government is committed to providing funding support to its provincial governments for health care expenditures as long as the province in question abides by accessibility guarantees as set out in the Canada Health Act, which explicitly prohibits billing end users for procedures that are covered by Medicare. While some label Canadas system as socialized medicine, the term is controversial. Princeton University health economist Uwe E. Reinhardt says that single-payer systems are not socialized medicine but social insurance systems, because doctors are in the private sector. In the U. S. , direct federal and state government funding of health care needs of its citizens is limited to Medicare, Medicaid, and the State Childrens Health Insurance Program (SCHIP) insurance programs for eligible senior citizens, very poor, disabled persons, and children. One study estimates that about 25 percent of the uninsured in the U. S. are eligible for these programs but unenrolled, but extending coverage to all who are eligible remains a fiscal and political challenge. The federal government also runs the Veterans Administration, which provides care to veterans, their families, and survivors through medical centers and clinics. For everyone else, health insurance must be paid for privately. Just fewer than 60% of U. S. residents have access to health care insurance through employers, although the workers expected contribution to such plans varies widely. Those whose employer does not offer health insurance, as well as those who are self-employed or unemployed, must purchase it on their own. Despite the greater role of private business in the U. S. , federal and state agencies are increasingly involved in U. S. health care spending, paying about 45% of the $2. 2 trillion the nation spent on medical care in 2004. Beyond its direct spending, the U. S. government is also highly involved in health care through regulation and legislation. For example, the Health Maintenance Organization Act of 1973 provided grants and loans to subsidize Health Maintenance Organizations and contained provisions to stimulate their popularity. HMOs had been declining before the law; by 2002 there were 500 such plans enrolling 76 million people. The Canadian system has been 69-75% publicly funded, though a substantial portion of services are provided by private corporations, namely the privately incorporated medical practices of most physicians (however, despite the fact that many doctors will refer to their private clinics, these are in fact merely private corporations that derive nearly all their revenue through government billings). Although some doctors work on a purely fee-for-service basis (usually family physicians), some family physicians and most specialists are paid through a combination of fee-for-service and fixed contracts with hospitals or health service management organizations. Canadas universal health plan does not cover certain services. Non-cosmetic dental care is covered for children up to age 14 in some provinces. Prescription drugs are not covered, but some provinces have drug cost programs that cover most drug costs over a certain portion of a familys income. Drug prices are also regulated, so brand-name prescription drugs are often significantly cheaper than in the U. S. Optometry is only covered in some provinces and is sometimes only covered for children under a certain age. Visits to many specialists may require an additional fee. Also, some procedures are only covered under certain circumstances. For example, circumcision is not covered, and a fee is usually charged when a parent requests the procedure; however, if an infection or medical necessity arises, the procedure would be covered. Coverage and access In Canada, every citizen has coverage, but access can still be a problem. Based on 2003 data from the Canadian Community Health Survey, an estimated 1. 2 million Canadians do not have a regular doctor because they cannot find one, and just over twice that number do not have one because they havent looked. Those without a regular doctor are 3. 5 times more likely to visit an emergency room for treatment. In the U. S. , the federal government does not guarantee universal health care to all its citizens, but publicly funded health care programs help to provide for the elderly, disabled, the poor, and children. The Emergency Medical Treatment and Active Labor Act also ensure public access to emergency services regardless of ability to pay. Wait times One of the major complaints about the Canadian health care system is waiting times, whether for a specialist, major elective surgery, such as hip replacement, or specialized treatments, such as radiation for breast cancer. Studies by the Commonwealth Fund found that 24% of Canadians waited 4 hours or more in the emergency room, vs. 12% in the U. S. ; 57% waited 4 weeks or more to see a specialist, vs. 23% in the U. S. In a 2003 survey of hospital administrators conducted in Canada, the U. S. , and three other countries, 21% of Canadian hospital administrators, but less than 1% of American administrators, said that it would take over three weeks to do a biopsy for possible breast cancer on a 50-year-old woman; 50% of Canadian administrators versus none of their American counterparts said that it would take over six months for a 65-year-old to undergo a routine hip replacement surgery. Yet U. S. administrators were the most negative about their countrys health care system. Hospital executives in all five countries expressed concerns about staffing shortages and emergency department waiting times and quality. In the U. S. , patients on Medicaid, the low-income government programs, can wait three months or more to see specialists. Because Medicaid payments are so low, doctors dont want to see Medicaid patients. In Benton Harbor, Michigan, specialists agreed to spend one afternoon every week or two at a Medicaid clinic, which meant that Medicaid patients had to make appointments not at the doctors office, but at the clinic, where appointments had to be booked months in advance. Price of health care Health care is one of the most expensive items of both nations’ budgets. The U. S. government spends more per capita on health care than the government does in Canada. In 2004, the government of Canada spent $2,120 (in US dollars) per person on health care, while the United States government spent $2,724. However, U. S. government spending covers less than half of all health care costs. Private spending for health care is also far greater in the U. S. than in Canada. In Canada, an average of $917 was spent annually by individuals or private insurance companies for health care, including dental, eye care, and drugs. In the U. S. , this number is $3,372. In 2004, health care consumed 15. 4% of U. S. annual GDP. In Canada, only 9. 8% of GDP was spent on health care. This difference is a relatively recent development. In 1971 the nations were much closer, with Canada spending 7. 1% of GDP on health while the U. S. spent 7. 6%. The health share of gross domestic product (GDP) in America is expected to hold steady in 2006 before resuming its historical upward trend, reaching 19. 6 percent of GDP by 2016. The mixed system in the United States has become more similar to the Canadian system. In recent decades, managed care has become prevalent in the United States, with some 90% of privately insured Americans belonging to plans with some form of managed care. Managed care is when the insurance company controls patients health care to reduce costs, for instance by demanding a second opinion prior to any expensive treatment. Administrative costs for health care are higher in the United States than in Canada. Medical professionals Some of the extra money spent in the United States goes to doctors, nurses, and other medical professionals, all of whom receive higher compensation than their counterparts north of the border. According to health data collected by the OECD, average income for physicians in the United States in 1996 was nearly twice that for physicians in Canada. Canada has fewer doctors per capita than the United States. In the U. S, there were 2. 4 doctors per 1,000 people in 2005; in Canada, there were 2. 2. Some doctors leave Canada to pursue career goals or higher pay in the U. S. Many Canadian physicians and new medical graduates also go to the U. S. for post-graduate training in medical residencies. Often new and cutting-edge sub-specialties are more widely available in the U. S. as opposed to Canada. However, statistics published in 2005 by the Canadian Institute for Health Information (CIHI), show that, for the first time since 1969 (the period for which data are available), more physicians returned to Canada than moved abroad. Drugs Both Canada and the United States have limited programs to provide prescription drugs to those in need. In the United States the introduction of Medicare Part D has extended partial coverage for pharmaceuticals to Medicare beneficiaries. In Canada all drugs given in hospitals fall under Medicare, but other prescriptions do not. The provinces all have some programs to help the poor and seniors have access to drugs, but while there have been calls to create one, no national program exists. About two thirds of Canadians have private prescription drug coverage, mostly through their employers. In both countries there is a significant population not fully covered by these programs. A 2005 study found that 20% of Canadas and 40% of Americas sicker adults did not fulfill a prescription because of cost. One of the most important differences between the two countries is the much higher cost of drugs in the United States. In the United States $728 per capita is spent each year on drugs, while in Canada it is $509. At the same time consumption is higher in Canada, with about 12 prescriptions being filled per person each year in Canada and 10. 6 in the United States. The main difference is that patented drug prices in Canada average between 35% and 45% lower than in the United States. The price differential for brand-name drugs between the two countries has led Americans to purchase pward of US$1 billion in drugs per year from Canadian pharmacies. Technology The United States spends more on technology than Canada. The study Medical Imaging in Canada, 2004 reported that in 2004, Canada had 4. 6 MRI scanners per million population while the United States had 19. 5 per million. Canadas 10. 3 CT scanners per million also ranked behind the United States, which had 29. 5 per million. Malpract ice litigation The extra cost of malpractice lawsuits accounts for some of the difference in health spending in the two countries. In Canada the total cost of settlements, legal fees, and insurance comes to $4 per person each year, but in the United States it is $16. Average payouts to American plaintiffs were $265,103, while payouts to Canadian plaintiffs were somewhat higher, averaging $309,417. However, malpractice suits are far more common in the U. S. , with 350% more suits filed each year per person. While malpractice costs are significantly higher in the U. S. , they make up only a small proportion of total medical spending. The total cost of defending and settling malpractice lawsuits in the U. S. n 2001 was approximately $6. 5bn, or 0. 46% of total health spending. Critics say that defensive medicine consumes up to 9% of American healthcare expenses. In the same year in Canada, the total burden of malpractice suits was $237 million, or 0. 27% of total health spending. Ancillary expenses There are a number of ancillary costs that are higher in the U. S. Administrative costs are significantly higher in th e U. S. ; government mandates on record keeping and the diversity of insurers, plans and administrative layers involved in every transaction result in greater administrative effort. One recent study comparing administrative costs in the two countries found that these costs in the U. S. are roughly double what they are in Canada. Another ancillary cost is marketing both by insurance companies and health care providers. These costs are relatively higher in the U. S. , contributing to higher overall costs in that nation. Health care outcomes In 2007, Gordon H. Guyatt et al. conducted a meta-analysis, or systematic review, of all studies that compared health outcomes for similar conditions in Canada and the U.S. , in Open Medicine, an open-access peer-reviewed Canadian medical journal. They concluded, Available studies suggest that health outcomes may be superior in patients cared for in Canada versus the United States, but differences are not consistent. Guyatt identified 38 studies addressing conditions including cancer, coronary artery disease, chronic medical illnesses and surgical procedures. Of 10 studies with the strongest statistical validity, 5 favored Can ada, 2 favored the United States, and 3 were equivalent or mixed. Of 28 weaker studies, 9 favored Canada, 3 favored the United States, and 16 were equivalent or mixed. Overall, results for mortality favored Canada with a 5% advantage, but the results were weak and varied. The only consistent pattern was that Canadian patients fared better in kidney failure. Canadians are, overall, statistically healthier than Americans and show lower rates of many diseases such as various forms of cancer. On the other hand, evidence suggests that with respect to some illnesses (such as breast cancer), those who do get sick have a higher rate of cure in the U. S. than in Canada. In terms of population health, life expectancy in 2006 was about two and a half years longer in Canada, with Canadians living to an average of 79. 9 years and Americans 77. 5 years. Infant and child mortality rates are also higher in the U. S. Some comparisons suggest that the American system underperforms Canadas system as well as those of other industrialized nations with universal coverage. For example, a ranking by the World Health Organization of health care system performance among 191 member nations, published in 2000, ranked Canada 30th and the U. S. 7th, and the overall health of Canada 35th to the American 72nd The Positive Aspects of the United States Healthcare System. United States have lower cancer mortality rates than Canadians. Breast cancer mortality is 9% higher, prostate cancer is 184% higher and colon cancer mortality for males is 10% higher in comparison with the United States. United States have a higher ground gateway to chronic diseases trea tment than patients in other developed countries. For example: 56% of United States patients are beneficiaries of statins to reduce cholesterol levels and heart disease protection. United States has improved access to preventive cancer screening than Canadians. Proportionally to the age/population groups who had consigned from prescribed tests for cervical, prostate, breast and colon cancer: * 89% of middle aged American women had received a mammography in comparison to less than 72% of Canadians. * 96% of American women had received a pap smear, in comparison to less than 90% of Canadians. * 54% of American males have received a PSA test, in comparison to less than 16% Canadians. * 30% of Americans have received a colonoscopy, in comparison of the 5% of Canadians. Lower income Americans are in better health than comparable Canadians. American senior citizens with incomes under the median are reported as having excellent health in contrast with Canadian seniors 11. 7% vs. 5. 8%. Americans spend less time waiting for care than patients in Canada. Canadian patients have waited the double time lapse to go to a specialist to receive these types of healthcare services for example: radiation therapy or surgery replacements. Approximately 827,429 Canadians are on waiting lists for medical procedures. People in countries with more government control of health care are highly dissatisfied and believe reform is needed. 70 percent or more citizens from Canada, Germany, Australia, etc. , adults think that their health system needs to be reform. On recent satisfaction polls Americans are more satisfied with their healthcare than Canadians. When Americans were asked about their healthcare not their healthcare system 51. 3% were satisfied in comparison to a 41. 5% of Canadians the dissatisfaction level was 6. 8% for Americans and 8. 5% to Canadians. Americans have easier access to new medical technologies than patients in Canada. American health specialists have concluded that (MRI) magnetic resonance imaging and (CT) computerized tomography are the major helpers to improve patient well-being. The United States account for CT’s is 34 scanners per million Americans, in comparison of 12 per Canadians. For MRI’s the count is 27 machines per million Americans in contrast of 6 per million of Canadians. American medical facilities are responsible for almost all the health care discoveries and technologies. U. S. ospitals have conducted more clinical research than any other country. Since the 1970s, the Nobel Prize in medicine or physiology has been awarded to American recipients. The Negative Aspects of the United States Healthcare System First, is the U. S. A’s health care system productively efficient relative to Canada’s health care system? Second, is the U. S. A. ’s problem of rising health care costs a particular concern? Although no country can claim to have eliminated inefficiency, the US’s high costs stand out. Thirdly, what effect does the U. S. A. ’s uninsured have on the Health Care system? Lastly, how does the restriction in choice of health care effect the USA? U. S. A. ’s Health Care’s Rising Costs Healthcare costs will continue to increase in the foreseeable future. Americans are dissatisfied with their health care system (Schoen, et. al. , 2007) but also spend more than the citizens of other countries. Other countries negotiate very aggressively with the providers and set rates that are much lower than we do. In America, Medicare and Medicaid negotiate prices on behalf of their tens of millions of members and, not coincidentally, purchase care at a substantial markdown from the commercial average. But outside that, it’s a free-for-all. Providers largely charge what they can get away with, often offering different prices to different insurers, and an even higher price to the uninsured. â€Å"Organizations of all sizes can embrace to take advantage of the rapid changes that our healthcare system will likely deliver in the next few years by positioning the organization to take a â€Å"proactive† approach to rising health care costs. So who’s to blame: Drug companies, insurers, politicians, lawyers, and the bad habits of Americans all figure into high and rising health-care costs? But the biggest contributors to high costs—doctors and hospitals—get off easier among consumers, our survey found. Sellers of healthcare services in America have considerable power to set prices, and so they set them quite high and they set them with margins as high as almost 20 percent. Unfortunately, the 2010 health-reform law does little to directly address prices. It includes provisions forcing hospitals to publish their prices, which ultimately would bring more transparency to this issue. † (Miller, 2008) Consequently, when all is said and done, health is a business in the United States. Restriction in Choice of Health Care One aspect of the USA’s Health Care system is that today’s employer-based insurance system restricts individuals’ choice of insurance, and many people are locked into jobs for fear of losing coverage. In the early 1990s, when insurers tried to reinvent themselves by embracing managed care, health insurers and employers sought to sharply limit patients’ choice in health care providers. Instead of just paying doctor and hospital bills, insurers also assumed a greater role in their customers’ medical care by restricting what specialists they could see or which hospitals they could go to. The issue of health care freedom is not discussed much in the debate over health care policy. Unfortunately, most policymakers prefer that government tell health care consumers what they can purchase and what treatments they can receive. Most do not favor greater health care freedom, which means the health care consumer is paramount, not a government bureaucrat or politician. Health Care’s Uninsured â€Å"A record rise in the number of people without health insurance across the nation is fueling renewed debate over a health care law that could work better at boosting coverage than controlling costs.

Thursday, March 12, 2020

Depression Awareness Professor Ramos Blog

Depression Awareness People aren’t always aware of other’s feelings. This leads to bullying, misunderstandings, fights and the worst thing, suicide. Depression is a neglected illness it’s almost invisible unlike a broken leg. Take me for instance, I suffer from depression, and some people close to me, didn’t believe I was depressed which lead to fighting and a general bad time for everyone involved. A simple â€Å"cheer up pal† helps but isn’t the best way to approach the problem. The thing I am asking people to do, is reach out to others. The quiet person in the back of the room may have their nose in a book all the time, but that doesn’t mean they are weird or they don’t want friends. Not to say all quiet people are depressed, I speak from personal experience. Some signs of depression are : loss of interest in once-pleasurable activities, feelings of shame, guilt or worthlessness, difficulty sleeping or sleeping excessively, experiencing sadness, unhappiness and crying spells. (King Vidourek, 2012) These are just some of the warning signs of depression. Severe depression can lead into suicide, some suicidal warning signs are, changes in school performance, loss of energy, morbid ideation, withdrawn/isolated, changes in behavior, giving away cherished possessions and being depressed. (King Vidourek, 2012) If you see these signs, talk to the person while trying to get additional help from others. People who are depressed may not realize it. For the longest time I thought that’s how life was, bleak and not worth participating in. So I didn’t. I played games. It was my escape from all my bad thoughts and led me to worlds where I could do anything and be anyone. There are others though who feel similarly.   In a survey of 235,067 adults, 9.0% met the criteria for current depression, 3.4% of those were considered majorly depressed between the years 2006 2008.(CDC) The percentage may be small but its still twenty one thousand people. Although everyone can and probably will be depressed at one point in their life, for some it’s genetic. Again me for example, my brain chemistry is off. My brain doesn’t produce the right hormones properly like serotonin. It’s the same with my father, my grandmother and further back. â€Å"A PET scan can compare brain activity during periods of depression (left) with normal brain activity (right). An increase of blue and green colors, along with decreased white and yellow areas, shows decreased brain activity due to depression.†(Mayo) The brain has trouble functioning when we are depressed. People have started calling it â€Å"the Suicide Epidemic†. According to Dokoupil, â€Å"Throughout the developed world, for example self-harm is now the leading cause of death for people 15-49 surpassing all cancers and heart disease.†(Dokoupil, 2013) This is terrible. A suicide creates a negative ripple in a community. Influencing those who didn’t know them that well or at all even to some degree. I can’t imagine what it must be like for a family member to have taken their own life. We need to be able to help these people in some way shape or form. Medication, therapy, interventions, even just spending time with the person, trying to have fun will help. A girl in Colorado had been mutual friends of people that had killed themselves. One night she downed a small bottle of whiskey and sent some troubling texts and snapchats saying, â€Å"I’m sorry it had to be me.† Though they looked for her, tried to calling and texting her. They found her body in the morning, she had shot herself.   Three days later a boy who may have known the girl killed himself, nine days later and another classmate killed himself. A total of five students committed suicide from that school in the span of about eight months.(Kutner, 2016) The fact that these kids, having never experienced the world or discovered a passion to keep them going is a solemn one. At some point if someone could have stepped in and potentially saving one or more of them if they had acted. If given the chance to save someone I’m sure everyone would. Suicide is not limited to teens and young people, men in particular are at risk. According to the Cambridge Dictionary of Psychology, â€Å"Males are four times more likely to die from suicide than females.†(Hoffman,2006) The way we view males in our society is a toxic one. We expect men to be dominant, courageous and strong, like â€Å"men†. This is in itself is now a fallacy. This is an old and now harmful way of teaching and looking at one’s self. In the past when we had natural predators, we needed strong people , typically men, to hunt, gather and defend. But in modern times we can kill people with the pull of a trigger. Though there are physically demanding jobs, generally the role of men has changed from hunter gatherers to more passive jobs like office work and factory lines. That sort of strength is not nearly as all encompassing as it once was and now our view point needs to change. So what can we do? We can more more interactive and inclusive. By including someone you show that you want to spend time with them and to them might mean that they are worth something to someone. Feeling socially connected to others is one such protective factor that is directly associated with positive emotional health. (King Vidourek, 2012) Communication is another big one. We have a glorious piece of tech, the internet, which keeps everyone connected, so although we may not see the person on the other side, being polite is a good habit and being respectful to each other is great too. School is an important place where people need to be aware. There can be programs to raise awareness for signs of mental illnesses for students and staff, teaching coping strategies in case they are dealing with something. In addition, each school could have a therapist, or someone safe to talk to. We all need to be aware of more observant including the people we may not otherwise pay attention too. But some people may question whether depression a serious mental illness. It affects everyone at some point to varying degrees. So it is serious. Everyone deserves to be happy in life, it say so in the Declaration of Independence. It is one of the three unalienable rights. So how can we ignore our fellow man who cannot live happily? We don’t let him suffer, we reach out and do our best to help him onto his feet so he can live for himself. The next time your friend says something along the lines of â€Å"I don’t feel up to it.† Maybe ask why politely or tell them that you enjoy spending time with them. If a stranger looks sad one day, tell them a joke or compliment them on something. It doesn’t hurt you to say something nice to somebody and even this could save someone’s life. If you are depressed there are people that can and will talk to you. There are hotlines to call if you are feeling suicidal. Here is one, it is available all hours of the day. National Suicide Prevention Lifeline 1-800-273-8255 Dokoupil, Tony (5.22.13) â€Å"The Suicide Epidemic† Retrieved on: 8.6.18 from http://sks.sirs.com/webapp/article?artno=0000353849type=ART This article talks about how a researcher lost his father and how we need to change things in our society. â€Å"PET scan of the brain for depression† Retrieved on: 8.7.18 from https://www.mayoclinic.org/tests-procedures/pet-scan/multimedia/-pet-scan-of-the-brain-for-depression/img-20007400 This is a Picture of a depressed person’s brain versus a non-depressed person. â€Å"Current Depression Among AdultsUnited States, 2006 and 2008† Retrieved on: 8.6.18 from http://sks.sirs.com/webapp/article?artno=0000309255type=SYL%20MAJ This article talks about the rates of depression and who is depressed in our society. Kutner, Max (10.24.16) â€Å"Teen Suicide Is Contagious, and the Problem May Be Worse Than We Thought† Retrieved on: 8.6.18 from http://sks.sirs.com/webapp/article?artno=0000388523type=ART Kids can influence each other even if they haven’t met in person according to this article King, Keith A. and Vidourek, Rebecca A. (November 2012) â€Å"Teen Depression and Suicide: Effective Prevention and Intervention Strategies† Retrieved on: 8.6.18 from http://sks.sirs.com/webapp/article?artno=0000349169type=ART One of our responsibilities is to try and help one another and this article talks about the signs and strategies to prevent it. Hoffman, John (2006) â€Å"suicide† Retrieved on: 8.6.18 from https://search.credoreference.com/content/entry/cupsoc/suicide/0 This article talks about the societal causes of suicide and how people interact about it.

Tuesday, February 25, 2020

Attitude Of The Religion To The Witchcraft In America Essay

Attitude Of The Religion To The Witchcraft In America - Essay Example Their research strategy was multi-staged with the intended goal to find out who the members of Ravenwood are, what they believe and what they did as witches, and what this all meant to them being members of this group on a larger scale. Wicca has one important difference with most mainstream religions, it has a, â€Å"†¦woman-centered, goddess-worshipping, nature-affirming, participative, this-worldly-orientated religion.† (69) This is often the polar opposite of religions that picture God as the all-powerful Male and mankind as his representative on earth with the ability to use nature as he pleases. Their research bore this alternative attitude out among the witches of Ravenwood. While we see the typical God as separate from creation and man certainly quite separate from God, Wicca is the opposite. The set of images in Wicca are not the male, assertive, dominating ones, but rather the female, regenerative, creative ones of the goddess. Also, another important difference is how the goddess is represented in multiple personas. Whereas God is just God, the goddess can be seen, â€Å"†¦through many mythic threads through a range of guises as maid, mother, crone, as creator, nurturer, destroyer, as the daughter, wife,†¦Ã¢â‚¬  (72) and so on. Here instead of God being separate from nature, the goddess is a part of nature. She is found, â€Å"†¦ in the paths of the stars and the changes of the moon, in rabbit-tracks in the snow, in the ceaseless run and turn of the tides. The goddess is in the world, in nature, rather than separate from the world.† (73) Furthermore, instead of their only being a few selected ones, such as the priest, who can commune directly with God, in Wicca every initiate, every member is a priest or priestess who can commune directly with the goddess. There is no need for an intermediary here. The authors feel that the view of Witchcraft in the overall aspect of the sociology of Religion has too narrow a view placed upon it by researchers. Wicca creates a

Sunday, February 9, 2020

Breast Cancer Research Paper Example | Topics and Well Written Essays - 500 words

Breast Cancer - Research Paper Example Morphologically breast cancer is divided into two basic types depending on the anatomic site affected by the tumor cells; Ductal and lobular carcinoma. As the name indicates, the ductal type originates form the ducts or lactiferous tubes of the breast while the lobular carcinoma originates from the stroma or lobules of the breast responsible for lactation. On the basis of penetration through the limiting basement membrane, the breast cancers are divided into two basic subtypes; Invasive and non-invasive. The non-invasive types are classified into two types which include ductal carcinoma in situ (DCIS) and lobular carcinoma in situ (LCIS) on the basis that tumor cells have not invaded the adjacent tissues (Chen 2010; McPherson et al 2000). The causes or risk factors of breast cancer can be divided into two major categories which are modifiable and non-modifiable. Non-modifiable risk factors are age, geographical variations, family history, menstrual history, associated familial syndromes and genetics. The increase in the age of a woman is also a risk factor for breast cancer. Women who fall between the age group of 40-50 are at the highest risk of getting this malignancy. Moreover, if family history shows positive cases especially in first degree relatives like mother, daughter or sister, then it also increases the chances to develop breast cancer. Breast cancer has been associated with genes which include BRCA1 and BRCA2 which have been linked to the causation of familial breast cancer. These are genes located on chromosome 17 which undergo autosomal dominant mutations and are responsible for 5% to 10% inherited cases of breast cancer. The sporadic breast cancer is considered to be caused by mutations in several tumo r suppressor and oncogenes like p53, c-myc, c-myb and bcl-2. Moreover, the over expression of HER2/neu also has a very strong relation to breast cancer. The age of menarche and menopause also plays an important role in the incidence of breast

Thursday, January 30, 2020

Learning Portfolio Essay Example for Free

Learning Portfolio Essay During the semester, I have had to develop a unique study structure that was going to maximize the efficiency with which I utilized my study time. Before starting the course, I read the study handbook so that I could get a rough idea of what the course entailed and the nature of information I would be required to familiarize myself with. This enabled me to identify other relevant sources of information besides the books suggested in the recommended reading list. In the process of reading these materials, I took brief notes of the ideas and points that appeared noteworthy. Being in a non-English speaking country, obtaining relevant books and other resource materials was somehow challenging. I learned to utilize the internet to get books and journal articles from electronic libraries and databases. I also had to subscribe to various journals so that I could get updated news about the course since I realized that criminology is a dynamic topic and it requires one to get case studies and briefs. After the onset of the course, I had to develop effective study habits so that I could organize my time while staying on top of my work. I realized that in order to succeed, I had to make the right decisions about managing my time and resources. I had to give my studies the priority they deserve and I did not let friends or family dictate to me on what aspects of my life were more important than others. My concentration and grasping ability is at its peak during the morning hours, at quiet and cool surroundings which do not offer any distraction. I engaged in discussions and debates surrounding the course material since I know getting the perspective of my fellow students and their contributions on the points I might have missed is very important. Concerning my assignments, I always make sure I have completed them on time and I review them before every class. I also co-relate assignment content and what is in my notes to ensure that I have completed them satisfactorily. I rely on my notes for this because they are very comprehensive since I review and update them after every class; usually including paraphrasing content in my own words and including examples. These study strategies I adopted during the semester are very effective, and after cross-checking with my fellow students and a collection of study guides available in the internet, I found out that they are still very relevant. Of course, I know there will always be ways of improving them as challenges mount. For example, I found out that I had actually misunderstood some concepts and ideas I had assumed I fully understood, so I need to liaise with my professor and study group more. When I started this course, I did not have a clear understanding of what was really expected of me. I did not know if what I was doing was right or wrong, so I had to get the help of my fellow students, friends who had already graduated from the course and my professor to help me learn how to express my points and ideas. I always want to feel that I am living up to expectation, so I always seek feedback to help me identify areas I can improve on. I have formed a consistent effort to request my colleagues and supervisors so that I can refine my perspective regarding key concepts and ideas. In my attempt to be an all-rounder, I specify the kind of feedback I need from my colleagues, professors and supervisors at work. I do not just ask for a critique of the quality and quantity of effort I put in my studies or my work, but I also seek to find out other people’s perception of how effective or ineffective my interaction with other people and the system is. I also gave some of my essays to friends and colleagues to read; and used their criticism and opinions to improve on my essay writing skills. I feel that I can use the feedback I obtain regarding my study and work strategies and quality to improve by developing plans of action based on it on a regular basis. Feedback is effective only if it is involved in the review of strengths and weaknesses so that the actions taken can be specifically tailored to build on my strengths and work on my weaknesses. It is however important to note that feedback can only be genuine if the seeker also reciprocates by giving feedback to the people he or she seeks opinion from. Even though some people may not like getting feedback on their performance especially if it is negative, I try as much as possible to reciprocate by giving genuine feedback to those willing to acknowledge it so that I can receive an equal measure in return. I would be honest if I say that this course has been an eye opener for me. Through planning my time to fulfill course requirements like attending to classes and completing my assignments in time, I have learnt to be more organized not only in class but in other spheres of my life. The need for efficiency made me engage in research in an attempt to identify better, faster and more effective reading styles, and I perfected these on this course. I have attained a better reading speed and I have become better in both written and spoken English. Through research and preparation for writing my essays, I have improved on my writing skills a great deal. I have learnt several referencing styles and I could even take a chance at professional writing as of now. Criminology requires articulate presentation of ideas, facts and arguments; and this course has increased my analytical skills and the depth of my thinking. In the past, I have sort of been what social scientists would call a right brain thinker. To me, an occurrence or a phenomenon was true or false, black or white. But the course has taught me to think from different perspectives. This has been a big change for me bearing in mind that I have been quite opinioned about criminology issues; but I have learned to pay attention and get many sides to any event. Starting university has had an enormous impact on my academic, personal and work life as well. Being a student and working at the same time is a challenge for many people. I work and study; and since I realize that both are important to my life, I don’t let one take the time of the other. I do not take time off to study or skip classes to work or because I worked late; but I do take some hours off to catch up on my assignments and to engage in extracurricular activities to refresh my faculties and also to write my essay. As far as my private life is concerned, my academic engagements have made it necessary to study on most nights and weekends; but the experience has been good since I have gained the ability to see things from an academic and professional angle and reason likewise. This course has definitely induced a lot of changes in me. For starters, I have learned to be flexible to divergent thoughts and ideas, and since I have learned so much in the process, I have found out that some of the opinions I hold regarding other people and occurrences are not necessarily justified. With an increase in knowledge comes a change in heart, and the new ideas, concepts and facts I have learned have changed my opinion and attitude a great deal. Since the beginning of this course, I have continually learned that there is so much information out there for me to absorb and apply in my essays, arguments and in my professional life. Information for real has the capacity to change someone’s beliefs. The more I am challenged, the more I have become aware of the need and the virtue of being able to tolerate the values, beliefs and attitudes of other people. By virtue of the amount of literature I have had to cover, my attitude towards work has changed. Work, be it academic or professional, is no longer an obligation to me, but an opportunity to improve my vistas of knowledge and my capacity to interact with people, information and real life circumstances. In other words, the course has given me an opportunity to grow in character as a person. Through the study of moral values as they apply in criminology and psychology, I have learned that morality is a very personal issue; and that not a single person can rationally claim to have more superior values as compared to others. In as such, my attitude to people has changed a lot, and I am no longer quick to judge the actions of others without first establishing the motives behind their actions. Creative and research and essay writing has taught me the importance of respecting intellectual property. I have come across so much written material in this course; materials which have increased my knowledge base in ways I could not have imagined. It is a matter of fact that people somewhere took their time to do research, derive facts and write them down plus their relationship to and application in real life situations. It is not only responsible but also ethical therefore to respect their rights to their work by responsibly using these works. Responsible use of literary material is achieved by avoiding plagiarism. This entails proper use of resources and the application of correct referencing techniques to cite the contribution of existing literature in any produced essays or research papers. I had never done any referencing before, but the resources providing guidelines for referencing available at the university website helped me a lot in learning how to responsibly utilize literary materials without abusing intellectual property. As I pointed out earlier, I did not know what was expected of me before actually joining this course. As the course progressed, I came to realize that it is actually a very interesting course. Even though it is quite challenging in terms of difficulty in comprehending some of the concepts taught, I do not regret taking it. The course has made me understand people better and have valuable insight on the motivations people have while committing some of the activities they commit. As I said earlier, I had to work as I undertook this course. The responsibilities could have been overwhelming for most people and their families, but the experience brought me closer to my wife who supported me throughout the duration of the course and has still continued to support me. In terms of my professional experience, the course has opened up my mind and conscience. I have met a lot of interesting people and the experience has made me a better communicator, improving the relationship between me and my work colleagues. I am a very ambitious person and I want to continue growing professionally, that is why I decided to further my education in the first place. My ambition sometimes brings me at odds with my colleagues, but I have known how to effectively handle their aggressions. I hope that these skills are going to push me up the professional ladder, even though this is going to take some time considering the system of my place of work.

Tuesday, January 21, 2020

Philip Larkins Faith Healing Essay -- Philip Larkin Faith Healing Poe

How typical in terms of subject, theme, structure and versification is Faith Healing by Larkin? Philip Larkin's Faith Healing In 1964, Philip Larkin published his third book of poetry, entitled 'The Whitsun Weddings'. One of the many critically acclaimed poems was 'Faith Healing'. In this essay, I intend to explore how typical this poem is in terms of subject, theme, structure and versification. In Faith Healing, women flock to an American Faith Healer for a blessing. The persona of the poem is written from an outsider's point of view, looking in at this sight. Faith Healing is divided into three stanzas, each of ten lines. Iambic pentameter is used to give 5 major stresses to each of the 10 lines. The three stanzas actually contribute to the action of the poem. In the first stanza, the women go forward to the Faith Healer; in the second, they leave and 'Sheepishly stray'. Finally, the poem concludes with the third stanza where Larkin analyses the situation. This versification is indeed quite typical throughout The Whitsun Weddings. 'Here' is another poem from this collection, and Larkin again writes in iambic pentameter. He uses the traditional versification to describe a journey from an industrial city to a place where much more satisfaction can be gained. This journey was also mapped by the structure of the poem. Larkin wrote 4 stanzas and each one marked a progression in the journey. This is similar to Faith Healing where each stanza moves the story onto the next event or occurrence. It is a similar case for 'Mr Bleaney' where every line is written in iambic pentameter, with only one exception for the first line. This poem also tells a story with the first four verses being descriptive befo... ...t we really desire whereas Faith Healing suggests that if these women had realised their loneliness earlier in life, they could have loved and been loved in return. This is only a slight difference; but is worth considering when asking the question of the typicality of Faith Healing. Overall, I feel that the similarities outweigh the differences and it can be concluded that Faith Healing is infact quite similar to a selection of the other poems in Whitsun Weddings. There are some differences and Faith Healing is unique in some respects, such as Larkin not experiencing this event personally. However, overall Faith Healing is a typical Larkin poem, with deprivation and loneliness as themes, iambic pentameter and enjambment as language features and with initially descriptive stanza's before moving on to conclude with a reflective and thoughtful panorama.

Monday, January 13, 2020

Four basic models of the BGS relationship Essay

Dutch-Bangla Bank Ltd is a commercial bank of Bangladesh. The Bank was established under the Bank Companies Act 1991 and incorporated as a public limited company under the Companies Act 1994 in Bangladesh with the primary objective to carry on all kinds of banking business in Bangladesh. It is one of the fast growing leading online banks in private sector. This is a descriptive report on Dutch-Bangla Bank Ltd. that mentions the activities of General Banking, On-line banking and corporate social responsibility (CSR) of the bank. The bank is established jointly by local Bangladeshi parties spearheaded by M Sahabuddin Ahmed (Founder & Chairman) and the Dutch company FMO. This report’s objective is to find out more information about CSR of Dutch-Bangla Bank Limited. I hope that my report on CSR of Dutch-Bangla Bank Limited would be a summarized view of CSR activities of Dutch-Bangla Bank. 1. INTRODUCTION Corporate social responsibility (CSR) is a form of corporate self-regulation integrated into a business model. CSR policy functions as a built-in, self-regulating mechanism whereby business monitors and ensures its active compliance with the spirit of the law, ethical standards, and international norms. The term â€Å"corporate social responsibility† came in to common use in the late 1960s and early 1970s. ISO 26000 is the recognized international standard for CSR (currently a Draft International Standard). Figure 1: Where big corporations spending CSR resources The banking sector of Bangladesh has a long history of involvement in benevolent activities like donations to diï ¬â‚¬erent charitable organizations, to poor people and religious institutions, city beautification and improving art & culture, etc. In a natural calamity-prone area like Bangladesh, there remains an existing and  distinctive CSR agenda focused on the business contribution to tackling social crises in the aï ¬â‚¬ected area. Dutch Bangla Bank Limited as a responsible corporate body has been playing a pioneering role in implementing social and philanthropic programs to help disadvantaged people of the country. Education, healthcare, human resource development, conservation of nature, creation of social awareness, rehabilitation of distressed people and such other programs are some of the important areas where the bank carries out its social and philanthropic activities. In 2010 alone, DBBL donated BDT 340 million towards social causes. 2. Origin of the report: This report is prepared as a partial requirement of the course, Business Communication, assigned by my course instructor Nigar Sultana on â€Å"Corporate Social Responsibility of Dutch-Bangla Bank Limited† submitted on 1th December, 2012. The recent activities of various kinds of business firms on CSR have inspire me to do this report on CSR of Dutch-Bangla Bank Limited. Some recent CSR activities also influence me to do this report on CSR activity of DBBL. 3. Problem & Purpose: This report is divided into two objectives. Those are : Primary Objectives: The primary objectives are – > To find out more information about CSR of Dutch-Bangla Bank Limited & new fields of their CSR. Secondary Objectives: > To develop skills of writing a formal report, techniques and principles as well. 4. Scope of the report: This report can be used by others as secondary information. The information of this report will be used for any other survey or making any other document. To find any new scope of CSR, anyone can take help from this report & its information. 5. Limitations of the report: I didn’t face any major limitations in this research. But, if I personally go DBBL’s head office, that will be more helpful for me. There is also some time pressure for making this report properly. Because of time limitations, I cannot collect my require information properly. 6. Findings: By investigate about CSR of Dutch-Bangla Bank; I’ve to know about their regular CSR activities. DBBL’s Corporate Social Responsibilities are- 1. In Education sectors, 2. In Health sectors, 3. In Social Welfare. 6.1 In Education DBBL is providing scholarships to students, especially for those who cannot continue their study due to financial constraint as well as to the meritorious and needy students every year since 2003. The bank awards around 300 new scholarships of Tk. 1,000 per month every year along with continuing scholarship for those studying at HSC level. The Graduation level scholarships of Tk. 2,000 per month are renewable for their entire academic period of graduation level. DBBL has decided to award financial support to SSC and HSC students this year. According to the official data revealed by Bangladesh Bank, DBBL spent more than Tk 172 million in various CSR activities in 2011. Dutch-Bangla Bank awarded scholarships to meritorious but needy students including physically disabled students who passed HSC Examination in 2010 and studying at graduate level. The Dutch-Bangla Bank Ltd (DBBL) also decided to donate Tk 9.73 crore to Dhaka University (DU) for establishing a research centre on the university campus. The DBBL Board of Directors in its 77th meeting decided to donate the money for constructing an 11-storey research centre ‘Dutch-Bangla Bank Centre for Advanced Research in Arts and Social Sciences Bhaban’ on the DU campus. The research centre, which would be the first of its kind in the country, will be supervised by renowned teachers, scholars and researchers. It will also  award scholarship to researchers and scholars at home and abroad. Some more information: # Handed over the Letter of Commitment for donating Tk. 9.73 crore to Dhaka University for constructing â€Å"Dutch-Bangla Bank Centre for Advanced Research in Arts & Social Sciences† on February 27, 2008. # Donated reference books to the library of diï ¬â‚¬erent educational institutions like BSMMU, Dhaka University etc. # Donated Tk. 15.00 lac for purchasing academic reference books for Dhaka University Central Library on June 8, 2006. 6.2 In Health DBBL is just not a bank, it also a producer of CSR. It has some contributions on health sectors of Bangladesh.DBBL do many CSR activities related public health such as they contributed to Bangabandhu Sheikh Mujib Medical University (BSMMU) build a new auditorium and to by new equipments. Also donated an ambulance to Bangladesh Agricultural University (BAU. Under the DBBL Smile-Brighter Program, Dutch-Bangla Bank Limited organized a 4 day-Iong plastic surgery operation, during September 06 to 09, 2006 in Faridpur for the poor cleft-lipped boys and girls at the bank’s own cost to bring back enduring smile on their faces. With generous financial support from the Dutch-Bangla Bank Foundation (DBBF), ICDDR,B is setting up a world-class blood bank that will provide transfusion services to patients attending its Dhaka Hospital and others in need. Some more Information: # Cleft-lip problem is not only a health problem but it aï ¬â‚¬ects the whole family along with the victim. Since 2003 DBBL is working with these vulnerable groups under its Smile Brighter Program to bring back smile on their face and to enable them to start normal life. This is a continuous program aiming to perform as much operation possible per year. Total 5,000 poor cleft-lipped boys and girls have so far been successfully operated across the country till date. # The Board of Directors of DBBL handed over the Commitment Letter for the donation of BDT 11.476 million to Dr. M. A. Salam, Director of ICDDR,B at a simple ceremony held at the conference room of ICDDR,B on June 03, 2009. # DBBL launched a free treatment over the country in many Public hospital in every week to eradicate diseses from the  country. # They also launched HEALTH CARE INFORMATION seminar over the country in different times in the year to convey the information’s over the rural and uneducated people. # DBBL is also contributing for the HIV/AIDS patients including women and children. They managed the ARV(Anti-Retro-Viral) to them and treat them properly. # As a part of Corporate Social Responsibility, Dutch-Bangla Bank Limited has donated an amount of Tk 2.02 crore to Diabetic Association this year. # DBBL donated generous amount of money to diï ¬â‚¬erent health organizations for medical instruments and medical infrastructural development such as operation theatres, laboratory, hospital building, etc. 6.3 In Social welfare Dutch-Bangla Bank Limited has been playing a pioneering role in executing social and philanthropic programs since its inception to reduce the sufferings of the common man and helping the disadvantaged people of the country. In order to implement programs related to social cause with more dedication, Dutch-Bangla Bank Foundation(DBBF) was established in 2001. A number of sectors are on the focus list of the bank. Education, health care, human resource development, conservation of nature, creation of social awareness, rehabilitation of destitute people and such other programs are some of the important areas where the Bank is carrying out its social and philanthropic activities. Dutch-Bangla Bank do huge amount of CSR for social welfare like, has donated a huge amount of money to EKMATTRA for establishing EKMATTRA-Dutch-Bangla Bank Academy to provide education as well as other facilities for underprivileged children of the country. Dutch-Bangla Bank Limited has extended financial assist ance amounting to Tk. 18.5 lac to 17 NGOs engaged in rehabilitation of the disabled children of Bangladesh on June 05, 2006. Some more information: # For the development of the vulnerable segments of Bangladesh, DBBL assisted to rehabilitate the acid and dowry victim women by providing one-time financial assistance for establishing small scale agro-based rural economic enterprise to be self-reliant. # DBBL provides financial support for  rehabilitation of physically handicapped, mental impaired, visually impaired, hearing impaired, autistic and street children by ensuring education and vocational training. # DBBL runs mass awareness programs on diï ¬â‚¬erent burning issues through print and electronic media. Some remarkable issues are as follows: Save the Nation from curse of Dowry, Stop Acid violence, Prevent Drug Abuse, Tree plantation and preservation of environment, Right of disable children etc. # Financial support to ‘Nirapad Sharak Chai’ for helping the victims of road accident and mass campaign for prevention of traffic accident. # City beautification and preserving environment to develop an eco-friendly society for healthy human life. 6.4 Rewards: # Southern University Bangladesh (SUB) conferred Corporate Social Responsibility (CSR) award on the Dutch-Bangla Bank (DBBL) for its immense contribution to different fields in the society. # In 2007, the bank won the Bangladesh Business Awards for being the ‘Best Financial Institution’ mainly for its commitment to technology and community service. # The DBBL received an international award on CSR from Asian Institute of Management, Manila in the 3rd Annual Asian CSR Award ceremony. # Also granted numerous national and international awards for its role in the development of Bangladesh. 7. Recommendations: By knowing & analyzing regular CSR activities of Dutch-Bangla Bank, the bank can easily find out the new field or scope for their CSR activities. DBBL can increase their budget for CSR activity to increase their popularity & market share. They should give more attention for CSR in disaster relief. Because, their CSR on disaster relief is very helpful for the affected poor people. 8. Conclusion: While the Dutch-Bangla Bank Limited is a business enterprise, its Foundation, established in June 2001, is dedicated to working in social arenas with the greatest need, as part of their corporate social responsibility (CSR). The Dutch-Bangla Bank Foundation carries out diverse social and philanthropic  activities in the field of education, health, conservation of nature, social awareness, human rehabilitation, and other programs to reduce human suffering. The social commitment of the Dutch-Bangla Bank and the Foundation is clearly reflected in their Vision and Mission. 9. Appendix: Bangladesh Bank annual CSR report 2009 Bangladesh Bank annual CSR report 2010 World CSR survey Annual report of DBBL Documents from Dutch-Bangla bank limited. 10. Bibliography: www.dbbl.com www.wikipedia.com/dutchbanglabank www.ssupport.com www.google.com www.bangladeshbank.org Daily Newspapers