The movers and shakers of american history Essay

The movers and shakers of american history - Essay Example In the politician’s role he had ensured long-term significance in the history of his nation. Henry Clay was a nineteenth century American politician and lawyer who was born in the year 1977. He is known in American history as a man with contradictory views. He was a devoted supporter of the Jeffersonian Republic Party, and during a major phase of his career he had focused on advocating Hamiltonian plan of economic development which he termed as the â€Å"American System†. The executive office had however always eluded him which is evident from the fact that he had fought for the post of American President four times in his lifetime and has inevitably always failed. As a politician, it has been assumed that he was guided mainly by lofty ambitions and envious nature. Although this gives a picture of an unprincipled political figure, he was nevertheless revered by most of his contemporaries. After studying the life of Henry Clay, it can be concluded that he had more political than economic impact on America. The restructuring of the industrial sector in America as the result of the American System introduced by Henry Clay contributed towards the country’s achievement of economic freedom from the British in 1825. In the early part of 19th century, there were severe conflicts between farm owners and industrial regions in America. Industrial sector was under extreme pressure from foreign competitors. In 1816, Clay introduced the â€Å"American System† that focused on â€Å"protective and selective tariffs for the good of the nation† (Skrabec, 13). He strongly advocated the role of capitalism on America’s destiny. Clay’s economic values were highly revered in Pennsylvania especially by German-American families in the coal regions. Clay’s American System was capitalism purely beneficial to the American economic system. Henry Clay believed that only a genuine democratic system can guarantee long-term success of

Physician Assisted Suicide Essay Example for Free

Physician Assisted Suicide Essay Physician Assisted Suicide (Physician Assisted Suicide) also referred to as Physician Aid-in-dying (PAD) is practice in which a physician assist a terminally patient in the termination of his/her own life by prescribing a deadly/lethal medication. â€Å"The term physician aid-in-dying is used to describe the practice authorized under the Washington and Oregon Death with Dignity Acts†¦.† Starks (2009). In other words physician aid-in dying is the politically correct term. The act is only legal if the patient is terminally ill, has six months or less to live and must be mentally stable to make their own decision. I think Physician Assisted Suicide is unjust because I am a Christian, and based on my religion, it is against the law of God to take the life of another human being. Honestly I must say I contradict myself when it comes to this topic. In my personal opinion I would say Physician Assisted Suicide is ethically permissible because I feel the patient should be allowed to make their own decision when it relates to their own life. A physician’s job is to help alleviate the patient’s pain and if the patient has an illness that cannot be cured and the physician is sure there really is no more he can do for the patient why not aid the in dying. I think it will make things a little easier and more convenient because if a person really is tired of suffering they may decide to end their own life which may be very messy and will cause more devastation to the patient’s family. With the physician’s assistance, the family will be prepared and there will not be a big mess to clean up. From the outside looking in, no one knows what the patient is going through or how much they are suffering; no one understands how they may feel or how much pain they can bare. If they feel death would relieve them from th eir misery and remove the suffering, I think it should be their decision. I really do not see a difference in Physician Assisted Suicide and the refusal of life sustaining treatment (which is legal). If a person refuses treatment which without will cause them to die is it not the same as committing suicide, the only difference is the process will take a longer time period. Dr Timothy Quill states â€Å"the analogy is of one person sitting on the beach waiting for the tide to come in to drown and then another person walking into the ocean to drown.† Boyd (ND) When considering Physician Assisted Suicide and my religion I must disagree, though I am for people being allowed to make their own decisions when it comes to their own life my religion convicts me and tells me I am wrong because no matter how I feel about this situation personally it is still wrong in the eyes of God. Everyone is at fault, the physician is wrong because the bible says it is a sin to cause harm to someone or to take the life of another persons, even though the intentions are good it is against the laws of God. The patient is wrong because it is a sin the take your own life and it is wrong for all who a re in connection with the act and allowing it to take place. God loves us and he does not want us to suffer in pain or live a sad helpless, hopeless life, he will never put more on us than we can bare, even before he created us he knew what time we would be born and he knows the same about when we will die, who are we to try to take control over this? God performs amazing miracles, I have seen him do it, who is to say, before someone decides to end their life, and just before the physician administer the lethal medication, God does not allow for a breakthrough and heal the person. People do not have faith like they should and they do not believe this can be done therefore this is not a risk they are willing to take, most would rather take the easy road and do anything to relieve the suffering right now. Unfortunately, the bulk of this responsibility falls on the physician. Physicians care about their patients, their goal is to find out what is wrong with the patient, diagnose the patient with what they prove to be wrong and then treat the patient until they can either cure the illness or try to extend their life expectancy as long as possible. Ethical egoist may interpret Physician Assisted Suicide as a selfish act, for example, they could insist the physician is abusing the act by pressuring a terminally ill patient or their family to end the life of the patient by advising them it would be for the best because the patient is suffering and there is nothing more he/she can do for the patient. Of course the family would consider what the physician is saying because they do not want their family member to suffer, however, the physician may only be doing what he feel is best for the patient, at the same time a physician should never bring up this topic for discussion, he should allow the patient to address the concern first. There are many ethical issues facing assisted suicide. Many people get â€Å"the right-to-die† confused with â€Å"assisted suicide†. â€Å"While right-to-die cases are different than assisted suicide cases — right-to-die usually refers to the removal of feeding tubes or ventilators keeping unconscious or vegetative patients alive, as opposed to people actively deciding to end their lives†. (Pickert, 2009) Though Physician Assisted Suicide is considered unethical and illegal, recently there have been more calls in favor of its legalization. Some professional arguments in favor of Physician Assisted Suicide are respect for autonomy; self-determination, covering the facts that people should have the right to make their own decisions, they should be able to determine their own place, date and time of death if they wish. Another argument in favor is justice; fairness, this argument takes the matter to a legal level, it allows the patient the right to refuse treatment to perpetuate their life. Compassion; sympathy is argues that suffering is worse that the pain itself, it causes a person to breakdown physically, mentally, and emotionally due to the lack of independence, one may feel like a burden to others, physicians can give medicines to relieve pain but there is no cure for suffering. Honesty and Transparency would open doors for discussions and options, if it was legal is would make it easier for people to talk about it and for physicians to provide better care concerning the end of a person’s life. To this day people are still fighting to make assisted suicide legal. â€Å"Each year for 14 years, Wisconsin legislators have introduced an assisted-suicide bill. So far, all have died in committee, but 2007’s version is still on the table. California, Hawaii, Arizona and Vermont have repeatedly rebuffed assisted-suicide proposals, but each has faced another proposal in 2007. Most of these bills are virtually identical to Oregon’s assisted suicide law †. (Enouen, 2012) I’m sure many have heard or read or about Dr. Kevorkian, who was also in favor of Physician Assisted Suicide, in 1998 administered a lethal injection to his then patient Thomas Youk, on the 60 minutes TV show. In Oakland County, Michigan Physician Assisted Suicide is considered illegal therefore â€Å"Kevorkian was convicted of second degree murder in 1998, and sentenced to a 15-25 year term of which he served 8 years, and was released in 2007† Starks (2009). I’m sure Dr. Kevorkian has been Mr. York’s doctor for many years. I sure they had build a relationship together and Dr. Kevorkian care about him, therefore I’m sure it was not an easy task for the physician to complete, however he (Dr. Kevorkian) did what he felt was best for his patient. On the opposite end there is another group of professionals who oppose Physician Assisted Suicide arguing that it is ethically impermissible. Sanctity of life; due to religious reasons Physician Assisted Suicide is morally wrong. Exodus 20:13 states â€Å"Thou shalt not kill,† Brodman Holman (1979). â€Å"A 1997 study conducted by the American Medical Association (AMA) found that more than half of Americans believe physician-assisted suicide should be legal. Many patients decided to choose assisted suicide because they are afraid of the pain they will endure cause by their illness. There are some alternatives to assisted suicide such as pain management, to make the patients as comfortable as possible. â€Å"With very rare exceptions, physical pain can be eliminated or brought within tolerable limits by aggressive drug therapy-therapy which need not leave the patient in a stupor†¦Ã¢â‚¬ ¦. Pain also has a psychological dimension which, if appropriately addressed, can significantly reduce the patients experience of physical pain. The isolation of illness can be reduced through the support of families and the community, as well as the creation of a caring environment in which one is treated†. (Linton, 1993) However, when people are told about alternatives to the technological treatments so many of us fear, and about the availability of pain control and hospice care, their support for physician-assisted suicide goes down to under one-fifth. This study seems to show that when people are informed about all of their end-of-life choices, they are less likely to opt for suicide.† Lynn Harrold (1999, 2006) Many argue that there is a passive vs. active distinction; passive is when one is allowed to die, active is killing someone. When someone refuse treatment or treatment is withheld and they die it is considered justified however when Physician Assisted Suicide is used it is murder and unjustifiable. Others argue that it could be a potential cause for abuse, poor populations with minimal healthcare may be pushed towards Physician Assisted Suicide, and it may become a cost efficient â€Å"way out†. If a family member is a burden to the family, and for insurance purposes, these too may be causes for leaning towards Physician Assisted Suicide. Another argument against Physician Assisted Suicide is professional integrity, it relates to the Hippocratic Oath which states â€Å"I will not administer poison to anyone where asked,† and I will â€Å"be of benefit, or at least do no harm,† Starks (2009) this is the oath that ALL physicians must take before officially becoming doctors. If they agree to Physician Assisted Suicide they are going against the pledge they agreed to, this could initially cause harm to the â€Å"integrity and the public‘s image of the profession,† it may also make it difficult for patients to trust them. Lastly and maybe the most important argument is fallibility of the profession; the fear that physicians could make mistakes, possibly misdiagnosis or prognosis. â€Å"There may be errors in diagnosis or treatment of depression, or inadequate treatment of pain. Thus the State has an obligation to protect lives from these inevitable mistakes and to improve the quality of pain and symptom management at the end of life.† Starks (2009) I think the more research I do agree that Physician Assisted Suicide should remain illegal. I solely make this decision based on my religion. Who are we to make judgment on when to end lives? We did not give life to ourselves or anyone else. I think she should have faith in God and know that he will never put more on you than you can bear. Suicide and assisting someone in a suicide is wrong. As it states in Numbers 35:30, â€Å"whoso killeth any person, the murderer shall be put to death by the mouth of witnesses: but one witness shall not testify against any person to cause him to die.† Brodman Holman (1979) People speak of showing compassion and caring for others, â€Å"killing is not compassion. That is Orwellian Newspeak, a language without meaning. If love is death and mercy is killing, then words mean nothing.† St. Clair (2009 Unfortunately the future affects of assisted suicide is currently undetermined. I personally think people will continue to fight for assisted suicide to become legal, however I do not think this will take place because wither way you look at it, many will still consider this murder. If I was in this situation and had to decide whether to allow my family member to live and suffer or allow them to end their life, I would choose to let them live, based only on my religion and knowing who my God is. This does not mean I wish for my loved one to live in pain or uncomfortable, however this does put my Lord and savior to the test. Through my religion and being raised as Christian I have learned that God will not put more on you than you can bare. At a time like this I will turn to what is known, in my religion, as a secret weapon, and at this point I will fast and pray. I will not ask God to allow my loved one to live or die, however I will ask that his will be done, and if it is his will for my loved one to live I ask for a full quick recovery, if its Gods will to discontinue their life, I will only ask for peace. No matter what situation I encounter I put God first and he enables me to make precise decisions. Personally I feel it must be very difficult to watch as a person you love and care for lay helpless, in pain, suffering from an illness, watching as they deteriorate not only physically, but mentally, spiritually and emotionally. Stepping outside of my spiritual realm I would feel terrible because I would feel I am allowing my loved one to suffer even if they had asked to be â€Å"put down† I may feel God is not healing fast enough and things are not going the way I think they should. Only for the love of the my loved one and to relieve their suffering would I agree with physician assisted suicide, however I think in the end I will feel terrible because I would have assisted in the role to determine when to end their life, knowing it was not my decision to make and not knowing if God was going to open a door and make way for a breakthrough for them to overcome the illness. Just knowing my God I know he can perform miracles and he can make a way out of no way, the hardest thing to do is to be patient. Therefore in the meantime, I would do what I could to make my loved one as comfortable as possible; I will encourage them and continue to pray. I cannot honestly say how I would react in this situation; just the thought of hearing of the death of a loved one and their request to end their life makes me feel as if my heart has been cut in half. At the same time it makes me ask myself, am I being selfish? Do I only want my loved one to live because I love them and I do not feel ready to deal with the death of them? Do their feelings even matter to me? Do I not care that they are suffering? There is so much more to making this decision than I have not really given thought to. If I do agree with the assisted suicide, how would the rest of my life go, will I have to live with the weight on my shoulders that I assisted in the death of my loved? Now this is something I do not think I can live with, just the pressure in the back of my mind would potentially cause depression to set in which will lead to other problems in my life as far as preventing me from giving myself fully to the remainder of my family and being all that I can be, it may also affect my job performance and other areas of my life. I do not think that is something I want to cope with. Therefore I think I would allow the doctors to do all they can do to make my loved one comfortable and ease their pain; I will pray sit back and allow Gods will to be done. I will try to make the last days as enjoyable as possible by spending as much time with them as I can and talking with them, reminiscing about our lives together and special memories. Until Physician Assisted Suicide is legalized nationwide, it should be brought to the forefront and to the attention of the public. Many do not know of this practice until they are face to face with having to make a life or death decision, or until they or a family member is on their death bed. The public should be educated on Physician Assisted Suicide, not to persuade them to agree but for information purposes, they will base their decision on their own understanding, however until everyone gets a full understanding they will all be skeptical. There is a big debate in the topic of Physician Assisted Suicide and both sides present convincing arguments, however it does not look as if an agreement is in the near future, however the Supreme Court did allow each state to pass their own laws on Physician Assisted Suicide and whether it would be legalized or not, nevertheless, as of right now the only state where it is legal is in Oregon, which means at the present moment, if a patient decides he/she wants to terminate his/her life they will need to book a flight to Oregon. References Andrew D. Boyd, University of Texas Southwestern at Dallas, Physician-Assisted Suicide: For and Against (ND) Retrieved from www.amsa.org/AMSA/Libraries/Docs/PhysicianAssistedSuicide.sflb.ashx Brodman Holman Publishers, King James Version (1979) Enouen, S. (2012) Life Issues Institute. Current Attempts to Legalize Assisted Suicide in the U.S. Retrieved from http://www.lifeissues.org/euthanasia/current_attempts.htm Helen Starks, PhD, MPH Assistant Professor, Bioethics and Humanities (2009) Retrieved from http://depts.washingtonedu/bioethx/topics/pad Jane St. Clair, 30 Logical Reasons Against Physician-Assisted Suicide (2009) Retrieved from http://janestclair.net/30-logical-reasons-against-physician-assisted-suicide/ Joanne Lynn, M.D. and Joan Harrold, M.D, Handbook for Mortals: Hastening Death: Arguments against physician-assisted suicide (1999, 2006) Retrieved from http://www.growthhouse.org/mortals/mort2526.html Linton, P.B., (1993) Chicago Tribune. Better Solutions Than Assisted Suicide. December 26, 1993 Retrieved from http://articles.chicagotribune.com/1993-12-26/news/9312260140_1_suicide-assisted-pain Pickert, K. (2009). Time U.S. A Brief History of Assisted Suicide. March 03, 2009. Retrieved from http://www.time.com/time/nation/article/0,8599,1882684,00.html

Development of the Depression in Chronic Illnesses Scale

Development of the Depression in Chronic Illnesses Scale Patient Health Questionnaire depression scale (PHQ) is an eighty-two items measure, divided into five clinical components (Kroenke, Spitzer Williams, 2001). PHQ is used to assess mood, anxiety, somatoform inclination, alcoholism and disorders related to eating habits. PHQ is found to be beneficial in primary care settings because of the early screening and detection the disorder. Responses ranging from â€Å"not at all to nearly every day† and score from 0 to 3 points. Respondents asked to mark his/her feelings they gone through by the past two weeks. PHQ has three shorter versions; one with nine items derived from the original version called Patient Health Questionnaire Depression Scale-9 (PHQ-9), eight items and two item versions are called PHQ-8 (Kroenke, Strine, Spitzer, Williams, Berry Mokdad, 2008)and PHQ-2 respectively. Zung Depression Inventory (Zung, 1965) is a 20 items self-rating depression inventory for diagnosis depression in psychiatric settings. Where, 20 items divided into 10 negative statements and 10 positive statements, included affective, somatic and psychological symptoms of depression. The response format ranged from 1 (a little of the time) to 4 (most of the time) points scale and the diagnostic scores divide into category of four. Scores ranging between 20-80 points, where, less than50 regarded normal, less than 60 as having mild depression, less than 70 as having major depression, while 70 and above regarded as severe major depression. Besides the adolescents and adult depression measures, there was a need to have measures for assessing depression in geriatric people. There is not much work done on this issue. Depression is not a process of aging, though somewhat people affected by it in their late life. The reason could be retirement from jobs, impairment in daily routine, cognitive functioning, and decreased quality of life (Blazer, 2009). Among other measure of depression available, Geriatric Depression Scale (GDS) is uses commonly in hospitals and by other health care professionals (Yesavage, Brink, Rose, Lum, Huang, Adey Leirer, 1983). GDS is developed by Yesavage (1982) in a dichotomous yes/no format, has two measures one is long form consisting 30-item questionnaire, while other is short form consisting 15-item questionnaire. GDS assessed the intensity of depression, participant felt in the preceding week (Greenberg, 2007). Children depression scales are significant components of assessing depression and their mental health. Children’s self-report measures of depression are relatively newer addition although fastest emerging in clinical psychology because of the importance of the issue. Weinberg Depression Scale for Children and Adolescents (WDSCA) is a 56 items, dichotomous response format measure developed for assessing depression in children and adolescent aged 5-21 years. Another commonly used questionnaire is Center for Epidemiological Studies Depression Scale Modified for Children (CES-DC) is a derivation of adult CES-D. CES-DC is a 20 items measure with the same statements although the wordings related to children’s level of comprehension (Faulstich, Carey Ruggiero, Enyart Gresham, 1986). One more measure for addressing depressive symptoms in terms of behavior and feelings in childrens is Childrens Depression Scale (CDS)-3rd Ed. CDS is a 50 item scale developed for the childrens 7 to 18 years of age. CDS has two depression and pleasure scales with separate forms for boys and girls (Poznannski, Cook Carroll, 1979). Multi-score Depression Inventory for Children (MDI-C) is developed for childrens age ranging between 8-12years. MDI-C is 79-items original scale and 47-items short version with true/false response format. MDI-C addressed children’s mood, affect, behavior, self-esteem, social interaction, defiance, and learned helplessness. Moreover there is another children inventory developed named Child Depression Inventory (CDI). CDI is an extension of BDI, with 27 items and 10 items scale for children and adolescents. The age is ranged between 7-17 years. CDI covers broad spectrum of child’s behavior, emotional problems in home and school living for preceding 2 weeks. Likewise, Mood and Feelings Questionnaire (MFQ) developed by Angold Costello (1987) assess the child’s recent feelings and affect. MFQ is a 33-items long form and 13-items short form, and score ranging between 0 (not true) to 2 (true) points. CHAPTER III METHODOLOGY Use of self administered diagnostic tool for depression has been increased these days as a quick and reliable step in measuring depression for accurate treatment regimen in patients with chronic illnesses. An analytical approach employed in the development of the Depression in Chronic Illnesses Scale (DCIS) i.e. the item selection and the method of assessing the individual’s level of Depression was based on a theory. In the case of present scale the theory was that of Beck’s (1967). The theory holds that cognitive distortions, dysfunctional beliefs and negative thoughts about an experience are responsible for having depression (Compass Gotlib, 2002). Mental and behavioral problems interlinked and begin because of the negatively twisted thinking processes. Furthermore, depression has four major components that are affective, cognitive, behavioral and biological. The present study carried out in two phases, where the first phase involved in development of the DCIS scale whilst second phase in validation of the newly developed scale. Phase I Development of the Depression in Chronic Illnesses Scale The development of scale involved following steps: Step 1: In-depth interview with chronically ill patients from various hospitals, view-points of health professionals and people from different community settings. Participants: Three different samples were taken for this step in which 30 participants (20 females and 10 males) of health professionals, 30 people (15 females and 15 males) from different community settings and 30 chronically ill patients (13 females and 17 males) from various hospitals of Karachi were recruited as respondents. Procedure: Health care professionals: 30 (20 females and 10 males) health care professionals (e.g. doctors, psychologists nurses) were approached. Their age ranged between 25-40 years. Initially a brief verbal presentation was given them about purpose of the study. Then they were requested to provide their view points for depression that could be their observation or experience in their lives (Annexure A, English) and (Annexure B, Urdu). Following instruction was given along with two sheets of paper. â€Å"Depression isa mental state described by one’s feeling of sadness, loneliness, hopelessness, low self-esteem, and self-reproach†. They were allowed to express their views easily in any language i-e English or Urdu. People from community settings: 30 participants (15 females and 15 males) from different community settings i.e house wives, office workers, teachers and students from colleges and universities of Karachi were approached. Their age ranged from 18-45 years. Initially the reason of the study was extensively explained to them. Then they were requested to provide their view points about depression that could be their observation or experience in their lives (Annexure A, English) and (Annexure B, Urdu). Following instruction was given along with two sheets of paper. â€Å"Depression isa mental state described by one’s feeling of sadness, loneliness, hopelessness, low self-esteem, and self-reproach†. They were allowed to express their views easily in any language i-e English or Urdu. Chronically ill patients: 30 chronically ill patients (13females and 17 males) were approached from different hospitals of Karachi. Their age ranged between 28-48 years. They were extensively and clearly explained the purpose of study and the reason for interview to put them in ease. They were further explained about confidentiality. A semi-structured in-depth interview was done on each chronically ill patient individually that explored their perspective, cognitions, feelings and behaviors about their illness in general and specific situations of life. They were asked open-ended questions (Annexure C), such as â€Å"how are you feeling today?† Their responses were recorded for further analysis. Results: The information explored during semi-structured in-depth interview with patients was summarized and analyzed. The point of views provided by health professionals and people from different community settings used for content analysis. The data from patients, heath care professionals and people from different community settings was qualitatively analyzed and common and relevant content was retained and uncommon content discarded. Step 2: item writing and selection Initially pool of the items were generated through quantitative analysis by using the definitions provided by the chronically ill patients, health professionals and people from different community settings (step 1) Few items from established measures of depression such as Beck depression inventory (1967) were selected and those selected items were culturally relevant items as well. Primarily the selected items were translated in Urdu then included in the item pool (step 2). Before given the item pool to the experts for rating, the content of the items was closely scrutinized by the researcher and supervisor to find out major weaknesses. Omissions and inclusions according to their relevance in each component were made and repetitive items and ambiguous items were deleted. Then, to determine the construct validity of the final scale the panels of judges/psychologists were asked to scrutinize items of the scale keeping in focus the Beck model of Depression. Psychologists were given printed material on the theoretical model of Depression as proposed by Beck (1967), that explained briefly and precisely the three aspects of depression, along with few sample items from already developed scale of Beck depression Inventory. After giving the material on Beck’s (1967) theory they were requested to rate each item on a 1 to 5 rating scale according to its relevance in each of the three components (Annexure D). They were asked to give an item a score of 1 if it is not at all related to the component/concept in question and give a rating of 4 or 5 if the item seems to be highly related to the component/concept in question. The items that had an average rating of 4 and above were selected and the items that had rating below 4 were discarded. Psychologists were replied back with their expert perspective in an objective manner to rate the formulated items for each component of the scale. Finally selected items were reduced to 28 total items (Annexure E). Step 3: Pilot Study Sample: A pilot study carried out by using the judge’s and psychologist’s rated scale and with the purpose of to evaluate the adequacy of scale and to make needed alterations accordingly. The sample of 60 (31 males 29 females) chronically ill patients and they were conveniently selected from various hospitals of Karachi. The age ranges of participants were between 18 to 50 years. Procedure: A 28 itemed scale was administered (Annexure F) on the participants with a demographic form in which they asked to write their name, age, education and illness. Those participants selected for pilot study who can comprehend Urdu easily. Further they were required to identify vague, repetitive, and difficult to understand items. Result: Finally selected scale after pilot study reduced to 18 items (Annexure G). Item those were difficult to understand, and vague for majority of the participants were excluded. Step 4: factor analysis and item total correlation Sample: To find out factor analysis and item total correlation, final Depression in Chronic Illnesses Scale (18 items) was administered on 270 (154 males, 116 females) chronically ill patients from various hospitals of Karachi. Their age ranged between 18- 50 years and they were conveniently selected. Procedure: Later than taking the written permission from hospital’s authorities, participants were explained about the details and purpose of the study along with a short demographic form, consent form (Annexure I) and final Depression in Chronic Illnesses Scale. Only those participants were included who volunteer to participate thus they could self-report the questionnaire. They were then requested to choose the one option of all eighteen items on DCIS, about which they think most related to their feelings during past six months. The choice of options was from strongly agree, agree and disagree to strongly disagree. Phase II: Validation of Chronic Illnesses Scale The second phase involved in determining the newly developed scale’s psychometric properties. Item total correlation, alpha internal consistency, split half reliability and convergent validity was calculated Reliability Analysis Sample and procedure: For test re-tests reliability a sample consisted of 60 chronically ill patients (26 females, 34 males), age ranging from 18-50 years, recruited from various hospital of Karachi and for internal consistency analysis sample consisted of 270 chronically ill patients (103 males, 90 females) with the age range of 18-50 years from different hospitals of Karachi. The Depression in Chronic Illnesses Scale was administered twice on participants at an interval of one week. Test re-tests reliability found out by computing Pearson r by using SPSS IBM version 22. Those participants comprehend easily the language of the scale were selected. For calculating internal consistency (item-total correlation inter-items correlation) Cronbach’s alpha was computed and for split half reliability all items were divided randomly into two equal sets, then split-half reliability estimated by the proportion between these two total scores. Validity Analysis To assess the convergent validity the two scales were administered along with DCIS on 100 chronically ill patients selected from various hospitals of Karachi, age ranging between 18 to 50 years. Only those participants were selected who were bilingual or easily comprehend English language. The two scales used for assessing convergent validity were, Center for Epidemiologic Studies Depression Scale (CES-D; Radloff, 1977) Hamilton Rating Scale for Depression (HRSD; Hamilton, 1960) Procedure: Participants were asked to complete the Depression in Chronic Illnesses Scale with Center for Epidemiologic Studies Depression Scale. The Hamilton Rating Scale for Depression was used by the administrator. Measures: The Center for Epidemiologic Studies Depression Scale (CES-D; Radloff, 1977) is a 20-item self-report rating scale that assesses mood, somatic complaints, interactions with others, and motor functioning. It’s a 4-point rating scale, scores ranges from 0-3 (rarely or none of the time=0, some or little of the time=1, occasionally or a moderate amount of time=2 and most or all of the time=3). The final score spans from 0 to 60, with a higher score indicating high intensity of depression. People with a final score of 16 or lower are identified as non-depressed; however, the higher are typically identified as a depressive ‘case’ (Annexure I). Hamilton Rating Scale for Depression (HRSD; Hamilton, 1960) is a 17-item, multiple choice clinician/health professional’s observation rating scale, design to assess the severity of depression in terms of mood, somatic complains, work and activity, sleep and insight. It’s a type of semi structured interview. Score ranging from 0-52, where score more than 23 indicative of very high intensity of depression, 19-22 high intensity, 14-18 moderate intensity, 8-13 mild and lower than 8 indicative of no depression (Annexure J). Cut off Scores In order to find out classificatory indices of DCIS, quartile 1, quartile 3 and intra-quartile had been calculated of eighteen items of the scale i.e. mild, moderate and severe level of depression in patients with chronic illnesses. Result: After computing the eighteen items of DCIS, the classificatory indices of the scores are, 0-16.25 indicates minimal depression, 17-25 indicates mild depression, 25-33 indicates moderate depression and more than 33 points indicates severe level of depression. Operational Definitions: Depression: Depression generally a state of mood characterize by a pessimistic sense of inadequacy dejection and a despondent lack of activity. Depression causes changes in view, emotion, behavior, and physical well-being. It is a widespread, intricate and complicated disorder, (Horwath, 2004). Reliability: Reliability of a test is referring to the consistency of a test.A test is reliable when it produces consistent and steady results over time (Phelan, Wren, 2005). There are different types of reliability in which, test re-test reliability is a correlation between the scores of same group test at two different times on same test. This type of reliability uses to evaluate consistency of a test over time. Inter-rater reliability achieved by given a test to more than one judges for rating. The ratings then compare to establish the consistency of a test. Internal consistency reliability is correlation between items of the same test. Split half reliability is correlation between two halves of one test to assess the internal consistency of a test. Parallel-forms reliability is measured by comparing the correlation of scores of two different tests used for assessing same construct. These two tests administered at same time on same sample Validity: Validity is one of the basic attributes of a test. Validity is a degree to which a test is measure what claims to measure (Cronbach, 1971). A test would be considered valid when it efficiently measures the specific characteristic that it means to be measure. There are four common types of estimation validity. Predictive validity is referring to the accuracy that how well a test guesses the future performance. The usual method is use to measure the approach to predict the future behavior solely on the basis of obtained scores. Criterion related validity used to predict future or current performance on a test. Content validity is referring to the extent to which how much a test represents every single item of the same construct. Construct validity refer to the extent to which a test measure a theoretical construct or attribute. Convergent and discriminant validity are two type of construct validity in which construct validity refers to which a test positively correlate with other measu re of same construct while discriminant validity refer to a test does not correlate with other measure of different construct (Campbell Fisk, 1959a).

Personal Narrative: What Real Friendship Is Essay -- essays research p

When you were still in the kindergarten, friends were the people who romped about with you, played mischievous tricks upon everyone. When you were getting bigger, perhaps at primary school, friends were the people who helped you in your homework, who sung with you at the school choir. Had you forgotten them? Had you betrayed them? Are you a good friend to your friends? A true friend would always tell you the truth, be you best partner when you need him, most of all, support you. It is not right to act suspiciously in front of your friends. Not long ago, my friends were very busy planning a birthday surprise for me. They stopped talking when I drew near and whispered when I was within earshot. They put their work hastily away when I asked what it was. Their act was so suspicious that my curiosity grew. I tried to expose their scheme. I tried to peep into their drawers when they were away at recess. At the end, everyone lost his patience and interest and my friends blamed me. â€Å"It’s all your fault!† Yes, that’s true. I had spoiled their plans, but their motives were suspect with me. Good friends are the people who forgive your mistakes, who stop you from making mistakes and help you when you do. Friends are the people who help you, who offer support and tell you the truth when you need to hear it. Once, my friend Aggie and I had attended a duet contest. We tried different styles and different songs, but none of those satisfied us. I was upset and wanted to give up, but Aggie encouraged me. Finally, we chose the most suitable piece of music for the competition. We practiced and practiced and practiced. Sometimes we only practiced for an hour, while we usually practiced a whole day, kept repeating the same phrase again, again and... ...missed her. Aggie never acknowledged the letter with words, but she did with her behavior. We went from acting like awkward acquaintances to being the friends — and soul mates─,─, that we once were. She began to write me more and more and our conversations went back to the gossipy notes we used to have that made us laugh. She included me in her life and we began a new relationship─,─, a very honest and real relationship. Now it is with laughter and joy. It is hard to believe that after all the years of separation and all that we have been through, how close Aggie and I have become again. Friends are the people who understand you, who walk beside you, who make a difference in your life. They stick with you and stand by you. They hold your hand and watch you live. You learn from them and rely on them. Your life is not the same without them.

Globalization and Firms

41. With the help of an example discuss the characteristics of globalization. Globalization refers to a fundamental shift in the world economy in which national economies are no longer relatively self-contained entities. Instead, nations are moving toward an interdependent global economic system. Within this new global economy, an American might drive to work in a car designed in Germany that was assembled in Mexico by DaimlerChrysler from components made in the U. S. and Japan that were fabricated from Korean steel and Malaysian rubber.A company does not have to be the size of these multinational giants to facilitate, and benefit from, the globalization of markets. 42. Define globalization and discuss it has changed the business environment? Globalization has created many opportunities for businesses to expand their revenues by selling around the world while at the same time reducing their costs by producing in nations where labor and other inputs are cheap. However, globalization h as also produced new threats for companies in the form of increased competition. 41.Compare and contrast a pure democracy and a representative democracy. Which type of democracy is more common today? Why? The pure form of democracy is based on a belief that citizens should be directly involved in decision making. In contrast, in a representative democracy, citizens periodically elect individuals to represent them. The elected individuals form a government and make decisions on behalf of the electorate. Because a pure democracy is impractical in advanced societies with tens or hundreds of millions of people, representative democracies are far more common in today's world. 2. Explain the differences between common law and civil law systems by the approach of each to contract law. Contracts drafted under a common law framework tend to be very detailed with all contingencies spelled out. In contrast, contracts in a civil law system tend to be much shorter and less specific because many of the issues typically covered in a common law contract are already covered in civil law. 43. What are state-owned companies? Why do they exist? Why do they usually perform poorly? A state-owned company is a company that is owned by a nation's government.After World War II, many social democratic governments nationalized private companies that were to be run for the public good rather than private profit. Great Britain, for example, nationalized so many companies that by the end of the 1970s, state-owned monopolies existed in telecommunications, electricity, gas, coal, and several other industries. However, because state-run companies such as the ones that existed in Great Britain are protected from competition by their monopoly position and guaranteed financial support, they become inefficient. 1. Compare and contrast folkways and mores. Folkways are the routine conventions of everyday life. Generally, folkways are actions of little moral significance. Folkways include rituals and symbolic behavior. In contrast, mores are norms that are seen as central to the functioning of a society and to its social life. Mores have much greater significance than folkways. Accordingly, violating mores can bring serious retribution. 42. What is the difference between a caste system and a class system?A caste system is a closed system of stratification in which social position is determined by the family into which a person is born, and change in that position is usually not possible during an individual's lifetime. The caste system is the most rigid form of social stratification. A caste frequently involves a specific occupation. In contrast, a class system is a less rigid form of social stratification in which social mobility is possible through an individual's personal achievements and/or luck. 43.Discuss why the stratification of a society is important to business. The stratification of a society is significant if it affects the operation of business organizations. In a country like Great Britain for example, the relative lack of class mobility and the differences between classes has resulted in hostility between middle-class managers and their working-class employees. This hostility and the resulting lack of cooperation can make it more difficult for firms to establish a competitive advantage in the global economy. While the last two decades has seen a eduction in the number of industrial disputes in Britain, there are signs that class consciousness may be reemerging in China. 44. Describe the four dimensions of culture as identified by Geert Hofstede. Geert Hofstede identified four dimensions that he claimed summarized the differences between different cultures. According to Hofstede, the power distance dimension focused on how a society deals with the fact that people are unequal in physical and intellectual capabilities. The second dimension identified by Hofstede, individualism vs. collectivism, focused on the relationship between the individu al and his/her fellows.Hofstede's third dimension, uncertainty avoidance, measured the extent to which different cultures socialize their members into accepting ambiguous situations and tolerating uncertainty. Finally, Hofstede's fourth dimension, masculinity vs. femininity, examined the relationship between gender and work roles. 41. Compare and contrast import quotas and voluntary export restraints. An import quota is a direct restriction on the quantity of some good that may be imported int o a country. The restriction is normally enforced by issuing import licenses to a group of individuals or firms.In contrast, a voluntary export restraint (VER) is a quota imposed by the exporting country, typically at the request of the importing country's government. Foreign producers agree to VERs because they fear more damaging punitive tariffs or import quotas might follow if they do not. Both import quotas and VERs benefit domestic producers, but hurt consumers through higher prices. 42. What are the political reasons for governments to intervene in markets? There are a number of political reasons why governments intervene in markets. The most common reason for intervention is to protect jobs and industries.Governments may also intervene to protect national security, to threaten punitive retaliatory actions, to protect consumers or to protect human rights, and to further foreign policy objectives. 43. Discuss the economic reasons for government intervention in markets. The economic reasons for government interaction have undergone a renaissance in recent times as more economists support economic reasons for intervention. The oldest argument for intervention is the infant industry argument. Strategic trade policy is the other main reason given for economic government intervention in markets. 44.What is strategic trade policy? Provide an example. Strategic trade policy suggests that in industries where the existence of substantial scale economies implies that the worl d will profitably support only a few firms, countries may predominate in the export of certain products simply because they had firms that were able to capture first-mover advantages. Boeing's dominance in the aerospace industry has been attributed to these types of factors. According to strategic trade policy, a government can help raise national incomes if it can ensure that the firms that gain first-mover advantages in such industries are omestic rather foreign. Further, the theory argues that it might pay governments to intervene in an industry if it helps domestic firms overcome the barriers to entry created by foreign firms that have already reaped first-mover advantages. 45. Explain how trade barriers affect a firm's strategy. There are four main ways trade barriers affect a firm's strategy. First, tariffs raise the cost of exporting, putting the firm at a competitive disadvantage. Second, quotas may limit a firm's ability to serve a country from outside of that country.Third , to conform to local content regulations, a firm may have to locate more production activities in a given market than it would otherwise. Finally, the threat of antidumping actions limits the firm's ability to use aggressive pricing to gain market share in a country. 41. What is a greenfield investment? How does it compare to an acquisition? Which form of FDI is a firm more likely to choose? Explain your answer. FDI can take the form of a greenfield investment in a new facility or an acquisition of or a merger with an existing local firm.Research shows that most FDI takes the form of mergers and acquisitions rather than greenfield investments. Mergers and acquisitions are more popular for three reasons. First, mergers and acquisitions are quicker to execute than greenfield investments. Second, foreign firms are acquired because those firms have valuable strategic assets. Third, firms make acquisitions because they believe they can increase the efficiency of the acquired firm by tra nsferring capital, technology, or management skills. 42. Compare and contrast the advantages of foreign direct investment over exporting and licensing.A firm will favor foreign direct investment over exporting as an entry strategy when transportation costs or trade barriers make exporting unattractive. Furthermore, the firm will favor foreign direct investment over licensing (or franchising) when it wishes to maintain control over its technological know-how, or over its operations and business strategy, or when the firm's capabilities are simply not amenable to licensing, as may often be the case. 43. Discuss the various political ideologies and their impact on foreign direct investment.The radical view writers argue that the multinational enterprise (MNE) is an instrument of imperialist domination. The free market view argues that international production should be distributed among countries according to the theory of comparative advantage. The pragmatic nationalist view is that F DI has both benefits and costs. The radical view has a dogmatic radical stance that is hostile to all inward FDI. The free market view is at the other extreme and based on noninterventionist principle of free market economics. Between these two extremes is an approach called pragmatic nationalism. 4. Describe the situations when licensing is not a good option for a firm. Licensing is not a good option in three situations. First, licensing is hazardous in high-tech industries where protecting firm-specific expertise is very important. Second, licensing is not attractive in global oligopolies where tight control is necessary so that firms have the ability to launch coordinated attacks against global competitors. Finally, in industries where intense cost pressures require that MNEs maintain tight control over foreign operations, licensing is not the best option. 46.Discuss Michael Porter's interpretation of value creation and competitive advantage. According to Michael Porter, low cost and differentiation are two basic strategies for creating value and attaining a competitive advantage in an industry. Porter argues that those firms that create superior value will achieve superior profitability. Porter notes that it is not necessary for a firm to have the lowest cost structure or create the most valuable product; rather it is only important that the gap between value and the cost of production be greater than that of competitors. 7. Discuss strategic positioning. How does strategic positioning relate to the efficiency frontier? The efficiency frontier shows all of the different positions that a firm can adopt with regard to adding value to the product and low cost assuming that its internal operations are configured efficiently to support a particular position. It is important that managers decide where a firm should be positioned with regard to value and cost, configure operations accordingly, and manage them efficiently to ensure the firm is operating on the eff iciency frontier. 8. Describe the benefits of global expansion for firms. Global expansion allows firm to capture many opportunities not open to firms that remain focused purely on the domestic market. Firms that operate globally have the opportunity to sell their product in a much larger marketplace. Location economies can be realized through global expansion by dispersing value creation activities to the optimal location in the world. International expansion allows a firm to realize greater cost economies from experience effects.Finally, global expansion provides firms with the opportunity to earn a greater return by leveraging any skills developed in foreign operations and transferring them within the organization. 49. What are the two types of competitive pressures that firms competing in the global marketplace face? How do firms respond to these pressures? Firms that compete in the global marketplace typically face two types of competitive pressure that affect their ability to realize location economies and experience effects, to leverage products and transfer competencies and skills within the enterprise.They face pressures for cost reductions and pressures to be locally responsive. These competitive pressures place conflicting demands on a firm. Responding to pressures for cost reductions requires that a firm try to minimize its unit costs. Responding to pressures to be locally responsive requires that a firm differentiate its product offering and marketing strategy from country to country in an effort to accommodate the diverse demands arising from national differences in consumer tastes and preferences, business practices, distribution channels, competitive conditions, and government policies. 50.What are the four basic strategies that firms use to compete in international markets? Under what conditions is each strategy most appropriate? The four basic strategies that firms use to compete in international markets are the international strategy, the gl obal standardization strategy, the localization strategy, and the transnational strategy. The international strategy is most appropriate when there is low pressure for local responsiveness and low pressure for cost reduction. When there is high pressure for cost reduction, but low pressure for local responsiveness the global standardization strategy makes sense.A localization strategy is appropriate when pressure for local responsiveness is high, but pressure for cost reduction is low. Finally, when pressure for both cost reduction and local responsiveness is high, the transnational strategy is best. 52. What are the three challenges related to strategy and structure that firms must accomplish if they are to achieve superior profitability? Superior enterprise profitability requires that firms fulfill three conditions. First, the different elements of a firm's organizational architecture must be internally consistent.Second, the organizational architecture of the firm must be consist ent with its strategy. Third, the strategy and the structure must not only be consistent with each other, they must also be consistent with the competitive conditions prevailing in the marketplace. 53. Discuss the relationship between a firm's control systems and a firm's incentive system. Why is this relationship important? The relationships between a firm's control systems and incentive systems is a close one. Control systems are the metrics used to measure the performance of subunits and make judgments about how well managers are running those subunits.Incentives are the devices used to reward appropriate managerial behavior. The relationship between these two areas is important because incentives are very closely tied to performance metrics. For example, the incentives of a manager in charge of a national operating subsidiary might be linked to the performance of that company. Specifically, he/she might receive a bonus if her subsidiary exceeds its performance targets. 54. Discu ss the location of decision-making in a firm that is following a transnational strategy. Decision-making in a firm pursuing a transnational strategy is complex.The need to realize location and experience curve economies requires some centralized control over global production centers. Yet, the need for local responsiveness requires the decentralization of many operating decisions, particularly those for marketing, to foreign subsidiaries. Decentralization of decision-making is also needed to allow subsidiaries the freedom to develop their own skills and competencies—a requirement that is necessary for the global learning component of the transnational strategy. 55. Discuss the sources of inertia in organizations. Is it easy to make organizational changes?Organizations are difficult to change. Within most organizations are strong inertia forces. These forces come from a number of sources. One source of inertia is the existing distribution of power and influence within an organ ization. Managers who are not happy with the changes are likely to resist and slow the process. A second source of inertia is the existing culture. Since value systems reflect deeply held beliefs, they can be very hard to change. A third source of inertia derives from senior managers' preconceptions about the appropriate business model or paradigm.Managers may not recognize the value in a given business model that has been successful in the past. Finally, institutional constraints may act as a source of inertia. In some cases, local content rules or regulations pertaining to layoffs can make it difficult for firms to adopt the most effective strategy and architecture. 45. What are first-mover advantages? Discuss the advantages associated with them. First-mover advantages are the advantages frequently associated with entering a market early. One first-mover advantage is the ability to preempt rivals and capture demand by establishing a strong brand name.A second advantage is the abil ity to build sales volume in that country and ride down the experience curve ahead of rivals, giving the early entrant a cost advantage over later entrants. A third advantage is the ability of early entrants to create switching costs that tie customers into their products or services. Such switching costs make it difficult for later entrants to win business. 46. Explain the relationship between first-mover disadvantages and pioneering costs. When a firm enters a market prior to other international businesses, it can have first-mover disadvantages.These disadvantages may give rise to pioneering costs, costs that an early entrant has to bear that a later entrant can avoid. Pioneering costs arise when the business syste m in a foreign country is so different from that in a firm's home market that the enterprise has to devote considerable effort, time, and expense to learning the rules of the game. Pioneering costs also include the costs of promoting and establishing a product offering. Finally, an early entrant may be put at a disadvantage, relative to a later entrant, if regulations change in a way that diminishes the value of the early entrant's investments. 7. Discuss Bartlett and Ghoshal's perspective on how firms from developing countries should approach international expansion. Bartlett and Ghoshal suggest that companies based in developing countries should use the entry of foreign multinationals as an opportunity to learn from these competitors by benchmarking their operations and performance against them. They argue that the local company might be able to find ways to differentiate itself from foreign companies by focusing on market niches that the multinational ignores or is unable to serve effectively if it has a standardized global roduct offering. Then, the firm from the developing nation may then be in a position to pursue its own international expansion strategy. 48. Discuss strategic alliances. How successful are they? Why do firms form strategic a lliances? The term strategic alliance refers to cooperative agreements between potential or actual competitors. Strategic alliances run the range from formal joint ventures, in which two or more firms have equity stakes, to short-term contractual arrangements, in which two companies agree to cooperate on a particular task.Firms enter into strategic alliances for four main reasons. First, strategic alliances may facilitate entry into a foreign market. Second, strategic alliances allow firms to share the fixed costs of developing new products or processes. Third, strategic alliances allow firms to bring together complementary skills and assets that neither company could develop easily on its own. Fourth, strategic alliances can help firms establish technological standards for an industry.

Nurse caring paper Essays

Nurse caring paper Essays Nurse caring paper Essay Nurse caring paper Essay Examples of three different articles were compared and contrasted, all studying the concept of raring in nursing with different approaches to understand this concept more deeply, and find both similar and differing themes in their conclusions. The first of these three articles, Descriptions of Caring Uncovered in Students Baccalaureate Program Admission Essays, is by Judith J. Sadler in the International Journal for Human Caring. This article is unique amongst the 3 that are being compared in that since they are statements written by those who are not yet nurses, they represent conjecture of what these would-be nurses think nurse caring looks like, rather than actual experiences that have occurred (Sadler, 2004). Its method was extracting themes from the 250-300 word essays that 302 applicants wrote for application into a BBS program. This made its central question to ask what did the applicants who wish to become nurses perceive the qualities of a good nurse to be. The central theme of these admission essays emerged as identifying compassion as a characteristic of a good nurse; while breaking down the attributes of a nurse further into the five sub- categories of Multidimensional work, Creative process of using presence, Holistic injection, and Individually and socially defined. The best part of this kind of study seemed to be that although these students definitions were ignorant of what it is like to actually be a nurse, their idealism about nurse caring without the knowledge of the balance of time constraints and the desire to be perceived as a good nurse was what shone through. The second article considered, The Little Extra That Alleviates Suffering by Maria Raman and Earn Reinserted was published in Nursing Ethics. This study was also unique in that it examined verbal interactions between both racing nurses to their patients, and also between clinical nursing students and their patients. Its method was a hermeneutic method, assuming the theoretical perspective of creative caring and ethics of understanding life. A central theme that was found in this study was that the caregivers offering the little extra were able to offer more caring than the ideal nursing model perspective, in that the patients were being truly seen in this interaction as a fellow human being, deserving of caring and ultimately respect of their humanity (Raman Reinserted, 2007). It goes on to be able to recognize what this looks like in a clinical setting, identified by verbal or non- verbal willingness to go beyond the bare minimum of Just fulfilling the necessary required tasks of the Job of a nurse, which resulted in the patient feeling that the caregiver cared about them as a person. My general impression of these nurses in this study is the ones with the demonstrated desire to show their patients that they were willing to do more, were the ones the study authors identified as caring nurses. The third and final article examining caring in nursing, Beyond empathy: expanding expressions of caring by Janice Morse in the Journal of Advanced Nursing. Unlike the first two, this study only examined the actual working and licensed nurses who were already done being nursing students, and therefore had more actual real world knowledge of what nurse caring is like after the nursing textbooks and idyllic nursing theories are but a past memory. This study examines nurse caring by describing nurse responses to patients who are suffering, and the ruses level of engagement was largely classified by the author by whether the caregiver is focused on him or herself or the patient, and whether the caregiver responded reflexively or with a learned response. The method for this study centered around examining the nurses response to their patients suffering in an alternative communication model, which sorts these responses into the four quadrants of patient-focused, self-focused (self being defined as the caregivers own self), first- level or reflexive or natural responses, and second-level Learned responses. It was interesting to read this authors take on the caregiver focusing on their own or their patients feelings largely determined their perceived level of caring; and that the least caring response was a learned professional response, but was considered to be seemingly almost cold when the caregiver was self-focused on their own feelings on the patients suffering instead of the patients own feelings. In each of these 3 articles, a common theme that runs between each of them is that the caring nurse is considered to be synonymous with a good nurse, which each of the participants whether aspiring-nursing student, actual nursing student, or an actual practicing nurse desired to be. They are each different in the groups of caregivers studied, from idyllic nursing-student hopeful, to clinical nurse, and to practicing nurse. With each of the articles and caregiver populations, it seemed to be a foregone conclusion that each of these levels of nurses had the end desire to be a caring nurse, as opposed to treating it as a decision that a nurse had to think over the merit of being a caring nurse or not.

Buddhism in a Post

Buddhism in a Post Introduction Buddhism is one of the religions, which has played an important role in the history of China. This religion, which spread to China from Central Asia, moved from being an insignificant religion to enjoying widespread acceptance by many Chinese. However, the influence of Buddhism was because of the collapse of the Han dynasty in 220 AD.Advertising We will write a custom essay sample on Buddhism in a Post- Han China specifically for you for only $16.05 $11/page Learn More Williams suggests that this collapse created a spiritual vacuum that the popular religions of the time tried to fill (131). Of all the competing religions and philosophies of the time, Buddhism was able to obtain the greatest support. This paper engages in a critical analysis of the attractions that Buddhism offered to Post-Han China. The Han Dynasty The Han dynasty, which existed between 206 BC, and 220AD was characterized by a centralized administration with an emperor who expan ded the boundaries of China through conquest. The empire had a strong army that was used for expand the territory under the administrations control. In the course of the Han dynasty, Confucianism influenced the structure of government and this philosophy was the most influential in society. During this era, Central Asian missionaries who styled the religion as a sect of Daoism introduced Buddhism to China (Chey 125). In its early years, Buddhism was viewed as a foreign religion and periodic persecution of Buddhists was common in the Han dynasty (Williams 131). As such, Buddhism played an inferior role in China over the cause of the Han dynasty. The fall of the Han was precipitated by political instability caused by conspiracies among empresses and court officials. This instability led the military to overthrow the Han dynasty in 220 AD therefore ending the four-century rule of the Han. After the fall of the Han, most of the scholars in China abandoned the Confucian philosophy that h ad been followed by the Han dynasty. In its place, many followed Buddhism, which offered a number of attractions to the Chinese population. Attraction of Buddhism The early centuries following the collapse of the Han dynasty post were characterized by widespread chaos and violence as warlords sought to assert their dominion in various regions. In these chaotic times, Buddhism brought about some sense of order for the Chinese people. Historically, religion has been used as a means for validating the authority of the ruling class.Advertising Looking for essay on asian? Let's see if we can help you! Get your first paper with 15% OFF Learn More In the same way, Buddhism enabled the rulers to solidify their authority over their subjects (Williams 130). The religion stipulated what it entailed being a good citizen and outlined the responsibilities that the subjects had to fulfill to their rulers.  Buddhism brought about a sense of identity to the people of China. A major cause of the fall of the Han was religious rebellion, which plagued China up to the overthrow of the Han dynasty. Tang notes that post-Han dynasty China as characterized by an extended period of division and civil war (170). The absence of an organized government in China encouraged the rise of warlords who tried to establish their own rule over China. As Buddhism spread all over the land, the Chinese people had a common ground and they could once again exhibit a sense of unity.  Buddhism offered a means of personal deliverance since it was a doctrine of personal salvation. Duiker and Spielvogel suggest that the collapse of the Han Empire had a market effect on the Chinese psyche (312). The Confucian principles, which had been at the core of Han leadership, came under severe challenge. Confucianism had emphasized on hard work and the giving up of individual interests for the common good. The fall of the Han dynasty suggested that these values were not solid and individual s started to seek out messianic creeds that emphasized individual effort and the supernatural or the promise of earthly or heavenly salvation. The disunity and political fragmentation facing post-Han China made individualism appealing to most people. Williams documents that most people attempted to live in harmony with the Source of Things and if necessary alone (131). Buddhism exhorted this kind of lifestyle and it therefore gained a foothold with the society. Individuals no longer had to concern themselves with the communal good since the religion only held them responsible for their own personal conduct.  Buddhism was attractive since it did not require major cultural changes for its new Chinese converts. In its introductory years, Buddhism was presented as a Daoist sect; a fact that increased its popularity since Daoism was already well known by the Chinese. Tang notes that for a while, there was a clash between Buddhism and Daoism due to cultural differences between the two r eligions (170). However, these conflicts did not last since Buddhism was able to adapt successfully. By the post-Han period, Buddhism had completely merged with traditional Chinese culture and had become a part of Chinese culture.Advertising We will write a custom essay sample on Buddhism in a Post- Han China specifically for you for only $16.05 $11/page Learn More Kuiper confirms that the early translations of Buddhist text into Chinese utilized Daoist vocabulary, which made them easy to follow to the Chinese (119). As such, new converts did not perceive Buddhism as a religion that tried to being about a new way of living for the Chinese. Instead, Buddhism was perceived as a part of Chinese culture and the sect produced had a Chinese spirit in it (Tang 170). Buddhism offers an emotional satisfaction that was sort after by many especially in the intellectual circles. Confucianism which had been practiced in the Han dynasty emphasized moralism and complacenc y. In the post-Han era, the intellectuals began to reject this ideology and sought emotional satisfaction in hedonistic pursuits and philosophical Daoism (Duiker and Spielvogel 312). However, the hedonistic pursuits and Daoism did not satisfy the deeper emotional needs that the people continued to feel. Buddhism inspired the people through its sophisticated meditative practice and they were able to enjoy the emotional satisfaction they sort. It continued to receive inspiration from the sophisticated meditative practices of the Indian Another attraction of Buddhism in China was its emphasis on the values of charity and compassion. The post-Han China was characterized by a lack of virtue as communities went to war against each other. Buddhism taught of the values of humanity and exhorted individuals to treat each other in a neighborly fashion. Through the concept of Karma, Buddhism taught that a person would be punished or rewarded in their next life based on their actions in the pres ent life (Kuiper 118). The concept of Karma, which revealed that each person determined their own destiny through their individual actions, was attractive to the Chinese who were moving to a more individualistic form of society. The teachings of Buddhism were able to provide solace in times of sorrow in a way that the other popular beliefs could not. Chinese Buddhism taught the indestructibility of the soul and this enabled the people to bear with the hardships that war brought about (Kuiper 118).Buddhism gave the people hope of a better life in the hereafter and this made the religion appealing to the people who were undergoing turbulent times. Buddhism taught that life was suffering and this was a reality that many Chinese could relate to. However, Buddhism revealed that if one lived a good life, then they could attain Nirvana, which is a state of eternal bliss.  Buddhism provided a means for the masses to acquire a formal education. In the post-Han centuries, Buddhism establish ed itself as a powerful intellectual force in China.Advertising Looking for essay on asian? Let's see if we can help you! Get your first paper with 15% OFF Learn More Buddhist schools from India were set up in China and monastic establishments became widespread. For this reason, Buddhism became well established among the nobles and peasantry alike since it provided a means for education. Kuiper states that this attraction of Buddhism made the Sui dynasty of 581-618 take Buddhism as the state religion (120). Conclusion Religion has played a major role in the development of human civilization. This paper set out to analyze the attraction of Buddhism in post-Han China. To this end, the paper has demonstrated that Buddhism was able to emerge as a sufficient substitute to Confucianism in post-Han China. Buddhism was able to meet the needs that the Chinese people faced following the state of unrest that followed the collapse of the Han dynasty. Because of the numerous attractions that Buddhism offered, the religion was able to obtain a large following throughout China and continue to play a crucial role in Chinese society for many centuries. Chey, Sie w. China Condensed: 5000 Years of History Culture. New Delhi: Marshall Cavendish, 2005 Duiker, William and Spielvogel, Jackson. Cengage Advantage Books: World History. NY: Cengage Learning, 2012. Print. Kuiper, Kathleen. The Culture of China. Boston: The Rosen Publishing Group, 2010. Print. Tang, Yijie. Confucianism, Buddhism, Daoism, Christianity, and Chinese Culture. Beijing: CRVP, 1991. Print. Williams, Paul. MahÄ yÄ na Buddhism: The Doctrinal Foundations. NY: Taylor Francis, 2009. Print.

3 Key Tips for What to Wear to Salsa Class

3 Key Tips for What to Wear to Salsa Class SAT / ACT Prep Online Guides and Tips Getting ready to start salsa classes? Awesome! Salsa dancing is a great way to exercise, meet new people, and have fun. If you're preparing for your first salsa class, you may be wondering what to wear to salsa class. While most salsa dancing classes don't have a strict dress code, it's important to dress appropriately for the activity. Follow these guidelines when deciding what to wear for salsa dancing lessons: #1: Your outfit should be easy to move in. Salsa dancing is a physical activity, after all. #2: Your outfit should help keep you safe. You don't want to wear something that you may trip over, for instance, or shoes that don't provide enough support. #3: Your outfit shouldn't make other people uncomfortable. Salsa dancing is a social activity, and you don't want to wear something overly provocative that may make your partners uncomfortable. What to Wear to Salsa Class When deciding what to wear for salsa dancing lessons, you should look for clothing that's functional, comfortable, and makes you feel good wearing it. You'll be moving around a lot during salsa class, so it may help to dress in layers that you can remove as you start getting hot. In this section, I'll give some ideas for what men and women should wear to salsa class to be ready for the physical demands of dancing. What to Wear to Salsa Class- Women Here are some ideas for what to wear to salsa class if you're a woman: Dresses that are knee-length or slightly shorter. Jeans or leggings that are fitted through the ankle so you won't trip on them. Cropped pants, capris, or shorts that you can easily move around in. Short-sleeved or sleeveless tops. A cardigan or sweater that you can wear if it gets chilly. Shoes that are flat or have a small heel (2 inches high or less). What to Wear to Salsa Class- Men Here are some ideas for what to wear to salsa class if you're a man: Cotton t-shirts. Long or short sleeve button up shirts. Jeans, khakis, or slacks. Shorts of any kind. Light vests or sweaters that are easy to remove. Flat shoes with a smooth bottom. Final Thoughts Salsa dancing is a lot of fun, but can be challenging, especially if you're not wearing the right clothing. Make sure that you're wearing comfortable clothes and shoes that allow you to get your groove on and you'll have the time of your life.

Anth week 3 Essay Example | Topics and Well Written Essays - 500 words

Anth week 3 - Essay Example route as that of the contemporary monkey and apes but instead remained in such islands as Madagascar thus acquiring a new ecological niche of which they adapted to accordingly. As concerns the new world monkeys, they mainly come from such groups as marmosets, Cebidae, Atelidae, and Pithecidae. Another classification of the monkey clades are the Catarrhines that consist of the old world monkey and the apes. The old world monkeys in this case include the Colobinae and Cocopithecinae. During the period of evolution, the primates had to make certain adjustments in order to adapt to such factors that enhance their vision, hand use, locomotion, intelligence, the need to care for their young ones in a social manner. Humans fundamentally use evidence to understand the history of evolution. The evidence in question may be biological or historical in nature where in biology the evidence may include genetics and living organisms. On the other hand, historical evidence consists of paleontology, geology, and paleoanthropology. Since the focus of this paper is paleoanthropology, it is necessary to make use of appropriate geological evidence like fossils to unearth the evolutionary history of the primates. Nevertheless, geological preservation processes have simplified the whole procedure of studying the fossil components of the old primates. Although many scholars agree that the world is old, the history and age of the earth is significant in working out the process and history of evolution using fossils. This is because the old earth has a strong connection to the biological evolution. There are of techniques that paleoanthropologists use to date the fossils that they recover through geological means . These methods include Radiocarbon dating, U-Series, Radio-potassium, Uranium-Lead dating, Argon-Argon dating, and the Reference Geo-chronological Timescale. Actually, the history of paleoanthropology is quite vast ranging from the Neanderthal skullcap that paleoanthropologists

Slavery and Marriage in The Braggart Soldier Essay

Slavery and Marriage in The Braggart Soldier - Essay Example The position of the women in Plautus’s society is also brought out through this play, through the married and the unmarried women, in the play who live out different roles. Slavery and Marriage in The Braggart Soldier The influence of social institutions is seen in most of one’s activities and art is no exception. The art of Plautus, reflects the social realities that existed during his age. Slavery and marriage were two of the most important institutions that were prevalent during the period that Plautus wrote his plays. These plays portray a certain kind of subversion that is possible on the part of these subaltern groups. They are able to obtain a certain kind of superiority over their masters and their clients for a certain amount of time. However, the superiority that they attain over their superiors is something that is undercut by the fact that it is a temporary phenomenon that fails to challenge the institutions in themselves that remain deeply entrenched in the consciousness of the very people that seem to attempt the subversion. This subversion, by the end of the play, even though it succeeds in the downfall of the protagonist of the play, Pyrgopolynices, serves the ends of another member of the aristocracy, Pleusicles. In the end, the slaves and the prostitute do not do anything for themselves; what they do is to fulfill their roles as slaves, which essentially place them back in their social positions, irrespective of their masters. The actions of Palaestrio and Philocomasium, from the beginning of the play, seek to foil the actions that the protagonist of the play, Pyrgopolynices, seeks to bring about. Both these characters have certain features in common; both f them were captured by the soldier. The helplessness and the lack of agency that these two characters share happens as a result of their social positions that are defined by their economic and gender belonging. Philocomasium does not possess any agency since she is a woman and does not have any agency. Throughout the play, she is looked upon as a possession that the two men in the play fight for. Her identity too, is shaped by the man that she is with, rather than the position that she defines for herself. On the other hand, Palaestrio has some agency of his own, even though it manifests itself in his loyalty to his former owner, Pleusicles. This reveals a deeply entrenched system of slavery where the slave internalizes the system and mentally enslaves himself to his owner. Palaestrio is unable to think of himself as a person whose identity may be anything except that of the slave of Pleusicles. This manifests itself in his inability to accept Pyrgopolynices as his master. He however, possesses more ability to act than the Philocomasium, who is totally deprived of any agency, because of her position as a woman in a patriarchal society. The little agency that Palaestrio has does not lead to any awareness about his position as a slave that could lead to an y solidarity between him and the other slaves. This is evident from this speech of his. Palaestrio: Someone from our house has done a naughty thing, from what I hear- The old man’s commanded that my fellow slaves be beaten up. Well, he said except for me- who gives a hoot about the rest? (Plautus 8) It is this lack of solidarity that makes Palaestrio

What is the impact of culture on your professional practice Healthcare Essay

What is the impact of culture on your professional practice Healthcare - Essay Example One of the most significant factors that shape these features is the cultural differences. The culture a person has and embraces is usually shaped by their descent or origin. This unique feature makes them fit to be described descendants of a particular culture. A culture may be defined as a unique way of living embraced by a specific group of people. In some cases the culture is greatly associated with race. A race is defined as a group of people who share the same origin or come from a particular geographical location. Culture is also closely associated with ethnicity which is an association to a particular ethnic group based on cultural similarities. In the modern society circles, different cultures have migrated across the globe which creates cultural diversification in many societies. Cultural diversity refers to the incorporation of more than one culture in one society. The many cultures caused people to learn how to respect and incorporate other cultures in their societies. Th e medical decisions arrived at in an institution should be done with respect to the collaborative of the client or his significant other. The greater significance in culture diversities is the fact that organization and institution have to learn how to relate to the diversified society in terms of culture. McEwing & Richardson public institution have embraced organizational cultures that tend to cater for the different cultures that are present in the society.... tution to ensure that it incorporates tools that will be able to serve the society regardless of the culture diversification trend (Leninger, 2002; 98). Different cultures hold onto diversified health care beliefs. For instance Cambodians believe illnesses have spiritual causes (Dayer-Berenson, 2010; 225). Some cultures do not embrace the administering of the modern medicine. In some cases, some cultures require their own to cater to their medical needs. In an argument by Leninger & McFarland (2002; 111), one significant medical issue cultures disagree is on medical euthanasia. In most cultures that sacredly embrace religion, medical euthanasia is one service that can never be embraced (Nursing & Midwifery Council, 2008; 76). In reflecting on my own social and cultural background, my cultural setting does not embrace complicated healthcare beliefs. In my cultural setting, the versatility of our cultural beliefs does not have special recommendation from health care practitioners. Howe ver, specific persons hold specific beliefs that differ from the rest of the group. For instance, a person may hold on onto the belief that they cannot be attended by a practitioner of the opposite sex. In such a scenario, the healthcare institution should be able to respect that decision. Importance of culturally appropriate healthcare Cultural appropriateness is a compulsory requirement in healthcare institutions. In an argument by Holland & Hogg (2010; 154) considering the fact that immigration has become a significant activity across the globe, healthcare organizations must have necessary tools to ensure all cultural requirements are effectively addressed. One importance of this trend in health care institution is the promotion of social harmonious living. If every person in the society

Walden pond Essay Example | Topics and Well Written Essays - 250 words

Walden pond - Essay Example s concentration is on the benefits of early awakening and natural experience at the time when the rest of the inhabitants of the village were in deep slumber. Thoreau utilizes the metaphor of awakening to refer to the variances that exist in him and those in town (Thoreau 145). As the piece suggests, the awakening is evidently in symbolism in the day and yearly seasons. The largest consciousness occurs during the morning extending to the spring. Thoreau associations of his experiences to spiritual awakening are evident throughout the story (Thoreau 147). He defies the earlier notions of men in town that certain requirements of the body such as food and shelter are significant to one’s life. His arguments for defying the natural necessities, as were the notions of men relate to nature. He states that the sunrays in some environments are sufficient to provide the desired warmth (Thoreau 147). His notion of riches in men is they are responsible for the decay of man in terms of spirituality. In his daily tasks, Thoreau relates his experience of life to nature. He depicts the ability of man to live in the middle of the usual world when he utilizes a greater segment of his life in the forest. The flora and fauna provide sufficient support and acceptance (Thoreau

Structure of a UK-Based Grocery Retailing Business Essay

Structure of a UK-Based Grocery Retailing Business - Essay Example The industry analysis involves the examination of competition, the presence of competitors, the level of rivalry amongst the industry player, the relative position of Tesco amongst opponents, bargaining power of suppliers and customers in comparison of Tesco, threat of new entrants and substitutes. This paper is a scheduled academic project which studies and analyses the context and structure of a company. Tesco, the well known retailing brand based in the United Kingdom, has been chosen for the purpose of a study. Tesco will be analysed from both inside and outside perspectives, including the internal structure, culture, philosophy, and operations that determine the internal environment of the company whilst the industry analysis in terms of competitors and competition, anticipation of new entrants, industry growth phase, company expansion, etc is considered as the external environment of Tesco. The paper closes with a pair of suggestions followed by conclusions presented at the end . Tesco is a pioneer international brand known for retailing amongst various grocery and packed food products, clothing items, financial services and even fuel retailing services in different parts of the world. The company operates in fourteen geographic market segments in the UK, United States of America, Europe, North America and Asia. Tesco strives to create the valuable shopping experience for its customers and consumers across the target market.

Business ethic Coursework Example | Topics and Well Written Essays - 2000 words

Business ethic - Coursework Example Less emphasis is placed on how Lower level managers and employees define ethical issues, think about ethics and resolve ethical issues. Thus, on this premises, this paper seeks to explain how the lower level managers and employees perceive ethics, in comparison with how the top managers perceive ethics. In establishing an ethics program, a bottom-up approach is recommended (Brown, 2005). This entails engaging all the employees in the discussion and thinking about ethics. This makes it easier to implement as everyone in the company may feel that they had an input in deciding about ethics program. As fact, top-down nostrums are less effective in most organizations. They tend to perpetuate even further, the varied perception toward corporate ethics as perceived by the employees and the top management. Nevertheless, senior managers are known to influence the character and the scope of the organization’s corporate ethics program. They are charged with the responsibility of ensuring the integration of the ethics into the day-to-day routine of the organization. In general, senior managers have much to play in the successful implementation and management of ethics in an organization. Thus, their take and perception on ethics matters a lot. Research has evidenced that senior manager in most companies exhibit a more positive perception towards organizational ethics as compared to the lower level managers and employees. On the other hand, lower level managers and employees tend to be more cynical when it comes to business ethics in organizations. Thus, there is a clear contrast in perception towards organizational ethics between the two groups. Even so, many senior managers have proved to be ignorant of the ethical problems and matters affecting their organization. This plays a pivotal role in discouraging ethics as well as perpetuating the differences in perception towards ethics in most organizations. On the other

Walden pond Essay Example | Topics and Well Written Essays - 250 words

Walden pond - Essay Example s concentration is on the benefits of early awakening and natural experience at the time when the rest of the inhabitants of the village were in deep slumber. Thoreau utilizes the metaphor of awakening to refer to the variances that exist in him and those in town (Thoreau 145). As the piece suggests, the awakening is evidently in symbolism in the day and yearly seasons. The largest consciousness occurs during the morning extending to the spring. Thoreau associations of his experiences to spiritual awakening are evident throughout the story (Thoreau 147). He defies the earlier notions of men in town that certain requirements of the body such as food and shelter are significant to one’s life. His arguments for defying the natural necessities, as were the notions of men relate to nature. He states that the sunrays in some environments are sufficient to provide the desired warmth (Thoreau 147). His notion of riches in men is they are responsible for the decay of man in terms of spirituality. In his daily tasks, Thoreau relates his experience of life to nature. He depicts the ability of man to live in the middle of the usual world when he utilizes a greater segment of his life in the forest. The flora and fauna provide sufficient support and acceptance (Thoreau

Business ethic Coursework Example | Topics and Well Written Essays - 2000 words

Business ethic - Coursework Example Less emphasis is placed on how Lower level managers and employees define ethical issues, think about ethics and resolve ethical issues. Thus, on this premises, this paper seeks to explain how the lower level managers and employees perceive ethics, in comparison with how the top managers perceive ethics. In establishing an ethics program, a bottom-up approach is recommended (Brown, 2005). This entails engaging all the employees in the discussion and thinking about ethics. This makes it easier to implement as everyone in the company may feel that they had an input in deciding about ethics program. As fact, top-down nostrums are less effective in most organizations. They tend to perpetuate even further, the varied perception toward corporate ethics as perceived by the employees and the top management. Nevertheless, senior managers are known to influence the character and the scope of the organization’s corporate ethics program. They are charged with the responsibility of ensuring the integration of the ethics into the day-to-day routine of the organization. In general, senior managers have much to play in the successful implementation and management of ethics in an organization. Thus, their take and perception on ethics matters a lot. Research has evidenced that senior manager in most companies exhibit a more positive perception towards organizational ethics as compared to the lower level managers and employees. On the other hand, lower level managers and employees tend to be more cynical when it comes to business ethics in organizations. Thus, there is a clear contrast in perception towards organizational ethics between the two groups. Even so, many senior managers have proved to be ignorant of the ethical problems and matters affecting their organization. This plays a pivotal role in discouraging ethics as well as perpetuating the differences in perception towards ethics in most organizations. On the other

Case Study Toyota crisis Essay Example for Free

Case Study Toyota crisis Essay Organizational Crisis negatively effect organization’s name and image, as well as adversely impact employee by instilling doubt, insecurity and distrust (Tahmicioglu, 2010). Employees are directly effected by the crisis, as they are the primary stakeholders (Obston, 2014) and brand ambassadors of the company. Thus, to ensure wellbeing of employees, especially in time of catastrophe, they should be well informed and fostered under the guidance of company’s leaders. Leaders at Toyota should take an immediate action; start with early internal crisis communication, take accountability and show their commitment to resolving the crisis. Male (2004) suggests, being proactive and transparent lessen doubt and distress among employees. It will be beneficial if a live talk is set up with the employees. Live podcast will personalize the message, and will allow employees to directly hear compassion and empathy in the leader’s voice. Establishing an active feedback loop is also very effective (Miller, 2014), an online forum on company’s intranet will be a great way to facilitate two-way dialogues between employees and executives. The forum will be pivotal in giving direct feedback to employees’ questions and concerns, and for consistently providing updated information. Along with starting communication, hotlines dedicated for crisis should be provided as part of employee assistance program; employees should be encouraged to actively use the services to get professional help they need for dealing with crisis. Lack of immediate dialogue leads to speculation (Miller, 2014), and when the magnitude of the crisis is as big as Toyota’s recall, consistent media scrutiny and amplification of negative news can further fuel anxiety and uncertainty among employees (Cole, 2011). Therefore, its imperative leaders eradicate uncertainty by giving timely crisis communication that precedes external news and provide continuing support to employees. An early two-way dialogue is a good start to lessen the chaos among distressed employees. However, in addition to continuing practice of honest internal communication, for the long run, leaders will need to establish processes specific to employees’ welfare to restore lost trust.  Organizational strategy needs to improve to rectify behaviors that effected employees’ welfare in past. Toyota’s work philosophy which Liker (2004) described as â€Å"The Toyota way,† was known for continuous improvement and people development; however, aggressive focus on rapid growth (Cole, 2011) resulted in detrimental practices, such as, reward system based on cost control versus quality control, poor training, declining working conditions and work overload (Sullivan, 2010; McNeill, 2013; Cole, 2011). These practices were not only damaging to employees trust, but also clearly violated psychological contract (Rousseau, 1995) of Toyota employees. To rebuild eroded trust caused by the violation of contract, leaders need to validate employees wellbeing is not compromised again. Gillespie and Dietz (2012) recommend implementing a strategy that will safeguard against future untrustworthy actions. This can be done by articulating and enacting a system instilled with high ethical standard, clearly communicated processes and better working conditions. Providing flexible working hours, manageable workload and regular training programs will prove leaders mean well; consistently incorporating employees voice will assure their role is imperative in recovery of company image. Lastly, proactively engaging in regular evaluation of processes will result in improved performance and ultimately recapturing the reputation. References: 1. Cole, R. E. (2011). What Really Happened to Toyota. MIT Sloan Management Review The New Business of Innovation. 2. Gillespie, N., Dietz, G. (2012). The recovery of trust: Case studies of organisational failures and trust repair. Institute of Business Ethics: London. 3. John, S. (2010). A think Piece: How HR caused Toyota to Crash. Retrieved from http://www.ere.net 4. Liker, J. (2004). The Toyota way 14 Management Principles from the Worlds Greatest Manufacturer. McGraw-Hill 5. Male, B. (2010). How to handle a product recall. Retrieved from http://www.businessinsider.com 6. McNeill, D. (2013). Cover-up: Toyota and Quality Control. The Asia Pacific Journal, Vol 11, Issue 36, No. 1, 7. Miller, J. (2014). 4 Tips to help leaders communicate during a crisis. Retrieve from http://smartblogs.com 8. Obston, A. (2014). 5 ways to communicate with employees during a crisis. Retrieved from http://www.ragan.com 9. Tahmicioglu, E. (2010). Surviving your company’s mistake. Retrieved from http://www.nbcnews.com 10. Rousseau, D. (1995). The psychological contract: Violations and Modifications. The Organizational Behavior Reader. 8th ed.